Large health systems are continuing to grow as regional systems look to consolidate and prepare for the future.

Tenet Healthcare, parent company of ASC chain United Surgical Partners International, finalized an agreement March 29 to sell two hospitals to Roseville, Calif.-based Adventist Health. 

California is the state with the most physician groups, according to a report from Definitive Healthcare. 

Here are 10 of the biggest-budget acquisitions of physician groups, totaling approximately $45.3 billion, as reported by Becker's since 2019:

Oakland, Calif.-based Kaiser Permanente opened its first ASC in southern California, the Antelope Valley Press reported March 28.

Dallas-based Tenet Healthcare, parent company of ASC giant United Surgical Partners International, has completed the sale of four hospitals and two ASCs in Southern California to UCI Health. 

Here are five health systems that have sold facilities in the last year:

Optum, parent company of ASC chain SCA Health, will acquire financially troubled Dallas-based Steward Health Care's physician group, The Boston Globe reported March 26. 

MyMichigan Health is set to acquire Ascension's Michigan locations in Saginaw, Tawas and Standish.

One of the most important trends in healthcare in recent years is that ambulatory surgery centers have become the setting of choice for a wide range of outpatient procedures, due to the lower costs and positive patient experiences at these facilities.

CVS Health is one of the top contenders in the race to acquire physicians. 

Tenet Healthcare, parent company of ASC chain Dallas-based United Surgical Partners International, has inked more than $1.8 billion in acquisitions since 2021, Tenet said in its annual report filed with the SEC on Feb. 16.

TriasMD, parent company of Newport Beach, Calif.-based DISC Sports & Spine Center, acquired Thousand Oaks (Calif.) Surgery Center.

Here are two recent updates on medical office buildings in Illinois:

Here are two recent updates on medical office buildings in New York:

Boston-based management company Arches Medical Partners has acquired 11 practices previously owned by Walgreens' VillageMD. 

An ASC next to East Mesa, Ariz.-based Banner Baywood Medical Center was sold to Omaha, Neb.-based NewStreet Properties, The Mesa Tribune reported March 20.

The growth of Dallas-based United Surgical Partners International in 2023 was driven by acquisitions, organic growth and construction of new centers and strategic partnerships, parent company Tenet Healthcare said in its annual report filed with the SEC on Feb. 16.

It has been more than one year since VillageMD, majority owned by Walgreens, completed its acquisition of Summit Health-CityMD in January 2023. 

Optum, parent company of ASC chain SCA Health, received approval to bypass a state review of its planned purchase of physician-owned Corvallis (Ore.) Clinic, the Oregon Health Authority said March 13.