Gist Healthcare May 19, 2023

As care continues to shift to lower cost ambulatory surgery centers (ASCs), the graphic below looks at recent growth and consolidation in the ASC market. From 2012 to 2022, the five largest operators increased their collective ownership of ASC facilities from 17 to 21 percent, and were responsible for over 50 percent of total facility growth in that period. While physicians still fully own over half of the nation’s ASCs, the national chains tend to run larger, multispecialty facilities responsible for an outsized proportion of procedures and revenue. The likes of Tenet, Optum, and HCA are betting big on ASCs, banking on projections that the market will grow by over 60 percent in the next seven years. (Though AmSurg’s parent...

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