Here are the biggest ASC deals in November:

Private equity firm Thomas Park Investments has acquired a medical office building in Lower Pottsgrove Township, Pa., WFMZ reported Dec. 1.

Here are 8 medical office building transactions Becker's reported on in November:

Nine ASCs in New York City, the country's largest city, and eight ASCs in Houston, the country's fourth largest city, made Newsweek's "America's Best Ambulatory Surgery Centers," which ranks 510 of the more than 5,000 Medicare-certified ASCs in the country.

A joint venture between AEW Capital Management and Flagship Healthcare Trust has acquired eight ASCs across seven states, the company said in a Nov. 30 news release shared with Becker's. 

As procedures migrate to the outpatient setting, ASC leaders are seeing cardiology and orthopedics as huge opportunities for growth. 

Indianapolis-based Shore Terrace Medical Center's medical office building was acquired under a partnership between Indianapolis-based Urban Growth Capital, BrightPoint Real Estate and Chicago-based North Companies.

The demand for lithotripsy procedures is expected to increase in the coming years. This expected increase is supported by a review of the Global Lithotripsy Devices Market.

An office and medical park in Wayne, N.J., was sold for $22.25 million, roi-nj.com reported Nov. 28.

Loma Starr, a two-building office and medical office property in San Diego, was sold for $7.4 million, REBusiness Online reported Nov. 28.

The healthcare industry is increasingly consolidating as operation costs soar — physicians are migrating to employed models and private practices are being bought up by larger entities. 

Premier Health is opening a 15,000-square-foot medical office building in Xenia, Ohio, according to a Nov. 22 report from the Dayton Daily News. 

A medical office building in Chattanooga, Tenn., has sold to a real estate private equity firm for $7.4 million, Times Free Press reported Nov. 21. 

Surgery Partners has snagged an $800 million equity offering, the Brentwood, Tenn.-based ASC chain said Nov. 21. 

A 51,357-square-foot medical office building in Geneseo, N.Y., has sold for $15.9 million, according to a November report from Rebusiness Online. 

Here are five Amazon updates since Oct. 31:

ASCs often struggle to compete with larger health systems and practices for patients and contracts, but some are looking to technology to access economies of scale in the coming months. 

Deerfield, Ill.-based SCA Health now has 9,200 physicians in its network, up from 8,500 reported by Becker's in February.

Dallas-based United Surgical Partners International, subsidiary of Tenet Healthcare, is the largest ASC chain in the country by centers and number of physicians. 

Here are three ASC transactions since Nov. 1 totaling more than $30 million: