Ambulatory Surgery Centers NAICS 621493

May 2, 2026 - Industry Expands As Revenues, Investments Surge

• National health care partnerships increasingly see ambulatory surgery centers (ASCs) not only as a budget item but as a central element of strategy, according to professional services firm Colliers. The number of ASCs under national operator partnerships has grown from 1,339 in 2011 to 2,140 in 2024, with the five largest operators controlling the majority. Large operators include United Surgical Partners International, Surgical Care Affiliates, AmSurg, and SurgCenter Development, which has been acquired by United Surgical Partners International, according to the report. Another large operator is the Hospital Corporation of America.
• The Trump administration’s proposed new rules for Affordable Care Act (ACA) plans would shift more health care costs to Americans in 2027, according to The New York Times. The plans would have much higher deductibles that could lead to larger medical bills. People who rely on the Affordable Care Act for their health insurance coverage could choose plans with much lower monthly premiums under the proposal but that could leave them exposed to medical expenses totaling thousands of dollars more than current ACA plans do before their insurance would kick in, according to The New York Times. The proposal would allow one kind of health plan to raise the annual deductible to more than $15,000 for an individual and $31,000 for a family. The individual deductible would be eight times the average for someone with employer-provided insurance.

• About 92% of ambulatory surgery centers (ASCs) are wholly or partially owned by physicians, according to Colliers’ Q3 2025 Healthcare Services report. Private equity has re-emerged as a key financial player in the sector. Investment volumes that decreased to $12 billion during the COVID-19 pandemic rebounded to $19.7 billion in 2024 and reached $18.9 billion in the first half of 2025. Private equity activity spans direct ownership of ASCs through joint ventures with physicians and health systems.
• Ambulatory surgery center industry employment decreased slightly and average wages for nonsupervisory employees increased slightly during the first two months of 2026, according to the US Bureau of Labor Statistics (BLS). Ambulatory surgery centers sales are forecast to grow at a 5.72% compounded annual rate from 2026 to 2030, faster than the growth of the overall economy, according to Inforum and the Interindustry Economic Research Fund.