Ambulatory surgery centers expand as revenues, investments surge

Hospitals increasingly see ASCs not only as a budget item but as a central element of strategy, report says.

By Nathan Eddy | October 6, 2025

Ambulatory surgery centers (ASCs) generated $45 billion in revenue in 2024, a figure projected to climb to $57 billion by 2030. 

ASC volumes are expected to expand by 9% between 2023 and 2028, according to Colliers’ Q3 2025 Healthcare Services report.

WHY THIS MATTERS

According to the report, hospitals increasingly see ASCs not only as a budget item but as a central element of strategy.  Since 2011, the number of ASCs under national operator partnerships has grown from 1,339 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 HCA, the Hospital Corporation of America.

The growth in ASCs reflects a broader shift toward outpatient care, driven by new technologies, favorable reimbursement policies and increasing demand for lower-cost, accessible treatment options.

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