Brentwood, Tenn.-based ASC chain Surgery Partners posted adjusted earnings per share of $0.19 for the quarter, missing Wall Street's expectation of $0.25, according to third-quarter earnings released Nov. 12. 

Hospital and ASC partnerships have been on the rise in 2024, but these joint ventures are not always an ideal match for ASCs looking to grow while maintaining autonomy in competitive markets. 

Physicians Surgery Center of Jackson, Tenn., has sold a majority of its shares to a nationally recognized ASC management firm.

ASCs, hospitals, health systems and investment groups have increasingly looked to joint venture partnerships over the past year as a strategy for growing practices and expanding access to care.

While ASCs remain largely independent, consolidation is on the rise as the industry's largest chains continue to expand, leaving the state of practice independence in flux.

A medical office building in Youngstown, Ohio, has sold for $995,000, according to a Nov. 8 report from The Business Journal. 

The increased range and complexity of services that ASCs offer has opened the door for a new era of collaboration between ASCs and hospitals, both of whom stand to benefit from partnerships. 

CarePoint Health Systems, based in Jersey City, N.J., filed for Chapter 11 bankruptcy on Nov. 3 to continue operating its facilities while financially restructuring. 

Here are the number of ASCs and affiliated physicians at five of the biggest ASC chains in the U.S.:

A Boca Raton, Fla.-based medical office building has sold for $36.79 million, down from $50 million in its 2021 trade, according to a Nov. 5 report from the South Florida Business Journal.

Massive healthcare sell-offs are impacting ASCs in various markets, including changes in competitive dynamics, reimbursement rates and opportunities for partnerships.

Dallas-based United Surgical Partners International, Tenet Healthcare's ASC arm, is emphasizing high-acuity procedures to fuel its expansion.

An ophthalmologist's lawsuit against North Carolina's Health Department could spur market competition between Winston-Salem-based Novant Health and Charlotte-based Atrium Health, The Herald reported Nov. 4.

Optum, Tenet and HCA Healthcare are huge players in the ASC industry with different strategies for growth. 

A 22,097-square-foot medical office building in Bridgeton, Mo., has changed hands for $8.8 million, according to a Nov. 5 report from REBusiness Online.

It's been more than one year since AmSurg officially emerged under new ownership as a separate and independent entity from Envision Healthcare, its former parent company, which filed for Chapter 11 bankruptcy in May 2023. 

St. Louis-based Ascension has sold its St. Vincent's Health System to The University of Alabama at Birmingham Health System Authority in a deal valued at $450 million, effective Nov. 1. 

Charlotte, N.C.-based Atrium Health has sold its Atrium Medical Center Medical Outpatient Building, a medical office facility, in Middletown, Ohio, to Chicago-based Remedy Medical Properties, according to a Nov. 1 report from the Cincinnati Business Courier.

Financially troubled Steward Health Care has finalized the sale of its physician group to Nashville, Tenn.-based primary care provider Rural Healthcare Group, part of private equity firm Kinderhook Industries. 

Dallas-based Tenet Healthcare, parent company of ASC giant United Surgical Partners International, has sold 14 hospitals this year for more than $4.8 billion, according to an Oct. 29 third quarter earnings call.