On June 17, Ascension announced that it had entered into an agreement to acquire AmSurg Corp, marking one of the largest pushes into the outpatient care market by a health system.
AmSurg, through its subsidiaries, provides ambulatory and physician services in the United States. It operates 257 ambulatory surgery centers (ASC) in 34 states and provides physician services to 450 healthcare facilities in 29 states. The centers specialize in gastroenterology, ophthalmology, orthopedics and other services.
Ascension is the largest nonprofit health system in the United States. Its healthcare division operates 151 hospitals and more than 50 senior living facilities. In Florida, it operates seven hospitals and more than 100 other sites of care.
Jefferies LLC acted as the exclusive financial advisor to Ascension. Legal counsel was provided to Ascension by Sheppard, Mullin, Richter & Hampton LLP and Hall, Render, Killian, Heath & Lyman, P.C. Goldman Sachs & Co. LLC and Ducera Partners LLC served as financial advisors to AmSurg. Legal counsel was provided to AmSurg by Bass, Berry & Sims PLC and Milbank LLP.
Once finalized, the deal for AmSurg would add more than 250 ASC across 34 states to Ascension’s network. Under Ascension, AmSurg will keep its model of physician-led joint ventures and maintain its current governance structure.
According to data captured in the LevinPro HC database, this transaction represents the eighth ASC acquisition of 2025. There were 35 ASC transactions announced in 2024, and 27 announced in 2023.

