By: Patsy Newitt, Becker’s ASC Review
Here are five 2025 projects reshaping the ASC space:
1. Plastic surgeons Oren Tepper, MD, and Evan Garfein, MD, have opened Greenwich Street Surgical, a 6,000-square-foot membership-based surgical facility in New York City. Built by a healthcare real estate team with experience in hospitals and ASCs, the center includes three operating rooms, private pre- and post-op bays, an anesthesiology team and concierge-style recovery services.
Dr. Tepper told Becker’s that many Manhattan surgeons struggle to find operating rooms that meet their standards for safety and efficiency. Greenwich Street Surgical’s membership model offers priority scheduling, block time, administrative support and marketing resources — without the burden of ownership.
“Traditional ownership or long-term lease models lock surgeons into high fixed costs, construction expenses and ongoing administrative burdens,” Dr. Garfein told Becker’s. “Our membership model flips that equation, giving surgeons access to fully equipped ORs, concierge-level staff, and patient amenities, with the flexibility to scale their usage up or down as their practice evolves. The main tradeoff is that members don’t “own” the space, but for most, the benefits of flexibility, lower risk, and operational support far outweigh the limitations of ownership.”
2. Sentara Health (Norfolk, Va.) has partnered with Carient Heart & Vascular (Manassas, Va.) and Polaris Heart & Vascular Clinic (Woodbridge, Va.) to open the Northern Virginia Heart & Vascular Center — the region’s first outpatient cardiovascular facility. The $7.1 million center opened July 24 in Woodbridge and offers procedures including cardiac catheterizations, pacemaker and ICD implants, and treatment for peripheral vascular disease.
3. Nashville-based Regent Surgical has partnered with Patches Kids Care to develop pediatric ASCs, beginning with a Houston location. This marks Regent’s first venture into pediatric care. Interest in pediatric ASCs is rising quickly. Private equity firm Great Hill Partners recently acquired a majority stake in Blue Cloud Pediatric Surgery Centers, the nation’s largest pediatric ASC operator, which specializes in dental and oral surgery and operates 32 accredited facilities across 12 states.
4. Lestonnac Free Clinic has opened the first free-of-charge surgery center in the U.S., located in Orange County, Calif. Since 1979, the clinic has provided free primary care to uninsured patients; the new facility expands access to surgical care.
More than 300 licensed medical professionals — including 20 surgeons and 14 anesthesiologists — volunteer their services. Procedures include hernia repairs, cataract surgeries and colonoscopies. With about 3,000 patients currently on its waiting list, the clinic expects to treat 700 in its first year.
The project is supported by private donors, including a recent $4 million gift from the Thompson Family Foundation.
5. Cardiovascular Logistics, a national cardiovascular platform, has partnered with Cardiology Consultants of Philadelphia, the nation’s largest independent cardiology practice. The deal expands CVL’s network to nearly 440 providers and 85 practice locations.
“For those of us that are coming together to form a platform like CVL, our physicians are leading our effort. CVL is majority physician owned and it is certainly physician led. We have now 15 physician advisory councils that meet to try to come up with everything from policy through how to improve care for all of our patients. We’ve been really particular in who we invite into our partnership,” Mr. Konur said. “We turn down 80% to 90% of the practices that asked to join just based on philosophy, because, again, our focus is all about the patient that has proven to be a very successful model for us. There’ll be headwinds, but together, we’re certainly much stronger, and we’re seeing the benefits of scale.”