In the 2026 New York State Executive Budget released on Jan. 21, New York Governor Kathy Hochul proposed the imposition of a cost market impact review for certain transactions involving healthcare entities in the state, according to a blog post by law firm McDermott Will & Emery.

A medical office building in York, Pa., has sold for $2.9 million, according to a Jan. 20 report from REBusiness Online.

Oakland, Calif.-based Kaiser Permanente, a major employer of physicians, has made big moves in the last few months:

Investor firm Bain Capital and real estate operator Evergreen Medical Properties have acquired a 122,000-square-foot outpatient facility in Washington, D.C. 

Nashville, Tenn.-based Tenet Healthcare, parent company of ASC giant United Surgical Partners International, saw a huge year of growth in 2024, as well as several multimillion-dollar hospital sell-offs as they refocus their strategy on ASCs. 

The University of California has acquired 162,554 square feet across three medical office buildings in West Hills, Calif., on behalf of UCLA Health, according to a Jan. 20 report from the Commercial Property Executive.

Optum, parent company of ASC chain SCA Health, has agreed to acquire infusion network FlexCare Infusion, an ambulatory infusion network based in Oklahoma City, Axios reported Jan. 15. 

Here are five hospitals and health systems investing in ASC strategy, as reported by Becker's:

The dynamics of ASC-hospital have changed as hospitals have become increasingly interested in pursuing outpatient ventures. This often takes the form of joint ventures with existing ASCs. 

On Jan. 8, Gov. Maura Healey signed a bill into law that will increase Massachusetts' oversight of healthcare transactions. 

UnitedHealth Group's Optum, parent company of ASC chain SCA Health, earned $253 billion in total revenue in 2024 — an 11.7% increase year over year, according to a fourth-quarter 2024 financial report. 

Sacramento, Calif.-based Sutter Health has entered into a seven-year partnership with Arlington Heights, Ill.-based GE HealthCare to enhance imaging services across California. 

Walgreens Boots Alliance reported a $245 million operating loss in 2025's first fiscal quarters, the three months ending Nov. 30. 

The ASC industry is facing increased consolidation as some ASCs look to partnerships with hospitals and health systems to stay afloat in a challenging economic climate. 

A medical office building in Roseville, Calif., has been acquired by Montecito Medical Real Estate for $9.205 million, according to a Jan. 13 report from the Sacramento Business Journal.

The ASC-hospital relationship has evolved as hospitals have become increasingly interested in pursuing outpatient ventures. This often takes the form of joint ventures with existing ASCs. 

Los Angeles-based Prospect Medical Holdings, a private equity-backed system that owns hospitals across four states, has filed for Chapter 11 protection. 

A medical office building in Chantilly, Va., has sold for $9.2 million, according to a Jan. 10 report from REBusiness Online.

Here are three hospital closures since Jan. 1, as reported by Becker's:

Laurel, Va.-based Virginia Care Partners, an affiliate of HCA Virginia in Richmond, has established a partnership with Pearl Health, a technology platform geared specifically toward independent physician practices, IT News Online reported Jan. 8.