Winston-Salem, N.C.-based Novant Health called off its planned $320 million acquisition of two North Carolina hospitals from Community Health Systems. 

After filing for bankruptcy in October, Rite Aid has since made several moves to close clinic locations and restructure leadership. 

Although the ASC industry is largely fragmented, big players like Tenet Healthcare, HCA Healthcare and Optum are chipping away at ownership as procedures migrate to the outpatient setting. 

Healthcare bankruptcies spiked in 2023 as debt levels and interest rates rose. 

The ASC industry went through a series of megamergers between 2015 and 2018 which reshaped the industry, according to VMG Health's 2024 Healthcare M&A Report published May 7. 

A medical office building in Chandler, Ariz., has sold for $7.3 million, according to a June 15 report from KTAR News.

Here are 10 of the large health systems who have inked deals to acquire hospitals so far in 2024:

Walmart Health announced April 30 that it is closing all 51 of its clinics and shutting down its virtual care options.

A Mercy Health medical office building in St. Peters, Mo., has sold for $3.8 million, according to a June 13 report from REBusiness Online.

Here are five ASCs in California that have been acquired or announced within the last three months, as reported by Becker's since March 5:

A two-story, 6,000-square-foot medical office building in Teaneck, N.J., has sold, according to a June 11 report from roi-nj.com. 

Optum, parent company of SCA Health, and Tenet Healthcare, parent company of United Surgical Partners International, have made big moves in the last year, continuing their consolidation of both physicians and ASCs. 

Optum, parent company of ASC chain SCA Health, has announced it's shuttering services, selling its settlement solutions business and closing a clinic. 

A 36,338-square-foot medical office building in Novi, Mich., has sold for $9.3 million, according to a June 7 report from REBusiness Online.

United Surgical Partners International and SCA Health rank No. 1 and No. 2, respectively, as ASC companies with the most centers.

Optum, the parent company of ASC chain SCA Health, announced plans to acquire bankrupt Dallas-based Steward Health Care's physician group, Stewardship Health, in March. 

Surgery Partners' National Group President Bradley Owens sold 6,000 shares of the company's common stock, according to a May 31 Securities and Exchange Commission filing. 

Here are seven medical office building deals that total more than $121 million that Becker's has reported on since May 1:

Tenet Healthcare, parent company of ASC giant United Surgical Partners International, is one step closer to securing a 30-year lease for the 387-bed Desert Regional Medical Center in Palm Springs, Calif., the Desert Sun reported.

A 130,000-square-foot medical office building in Austin, Texas, has been acquired by Stockdale Capital Partners, according to a May 29 report from Commercial Property Executive.