ZT Corporate announced on October 28 the acquisition of four emergency care facilities operating under the Express ER brand. The facilities are located in Abilene, Waco, Harker Heights and Temple, Texas.
The facilities will be integrated into ZT Corporate’s healthcare portfolio, Altus Community Healthcare, but will continue to operate under the Express ER brand.
Established in 1997, ZT Corporate is a Houston-based private equity firm with offices in New York and Los Angeles. The firm focuses on healthcare and auto dealerships as core investment verticals.
This acquisition increases ZT Corporate’s total number of emergency care centers across Texas to 35. Financial terms of the deal were not disclosed.
According to data captured in the LevinPro HC database, this transaction marks the third freestanding emergency room acquisition of 2025. In August 2025, Emergency Care Partners merged with The Emergency Center of Arizona and IRA Capital acquired seven freestanding emergency departments in Arizona. There were only two freestanding emergency room deals announced in 2024, and seven announced in 2023.
