Becker's Healthcare December 31, 2025
As private equity, MSOs and hospitals continue to expand their presence in ASCs, ownership models are becoming more complex.
Tina DiMarino, CEO of Custom Surgical Partners, joined Becker’s to discuss how joint ventures, specialty rollups and increased investor activity are reshaping the ASC landscape.
Custom Surgical Partners, an ASC development company founded in 2003, has developed more than 150 surgery centers nationwide.
Editor’s note: This interview was edited lightly for clarity and length.
Question: What changes in ownership structures have you seen over the past year?
Tina DiMarino: We’re seeing more joint ventures, as well as increased private equity and MSO involvement. If a PE group owns two ASCs, they’re often acquiring...







