October 2025 • Vol. 2025 No. 8
The next big staffing crisis
in ASCs
ASCs are already feeling the strain this fall
as staffing challenges deepen beyond the
well-documented nursing shortage. Rising
case complexity, workforce burnout and
reimbursement pressures are exposing
new vulnerabilities in anesthesia.
The crossroads of ASC
growth
Once viewed as niche facilities for low-
acuity, outpatient procedures, ASCs are
poised to expand into new specialties,
adopt higher-acuity surgeries and redefine
patient and physician expectations for
surgical care.
continued on page 8 continued on page 9
continued on page 7
The middle-market ASC
revolution
As the ASC industry heats up with competition between
hospitals, health systems, corporate entities and independent
practices, smaller and mid-sized practices are getting creative
in their approach to practice growth and consolidation.
30+
STORIES INSIDE
ASC consolidation by the numbers p. 9
16TH ANNUAL MEETING
April 13 - 16, 2026
Hyatt Regency // Chicago, IL
SAVE THE DATE
IN THIS ISSUE:
10 numbers making
ASCs nervous
p. 6
How to create the
ideal ASC workplace
p. 16
Spine tech surgeons
say will be obsolete
by 2035
p. 20
Unnecessary spine
surgeries cost
Medicare $1.9B: 6
notes
p. 22
5 GI companies
growing their ASC
footprint in 2025
p. 24
10 ASC M&A trends
to know in 2025
p. 28