Ambulatory surgery centers (ASCs) are facing financial hurdles that threaten expansion and operational efficiency. Rising capital costs, staffing shortages, and supply chain disruptions have made it increasingly difficult for ASCs to secure funding for growth. However, many organizations are finding creative solutions to navigate these challenges and continue moving forward.

The Financial Struggles of ASCs

A recent survey found that 31% of ASC operators identified rising operational costs as their biggest challenge in 2025. Inflation in healthcare has reached a 23-year high of 4.6%, making it harder for ASCs to manage expenses. Additionally, physician practices’ operating costs jumped nearly 9% in 2024, with median direct costs surpassing $1.1 million annually per physician.

How ASCs Are Overcoming Capital Constraints

Despite these financial pressures, ASCs are implementing strategic approaches to secure funding and maintain growth:

• Alternative Financing Models: Many ASCs are exploring private equity partnerships and joint ventures with hospitals to access capital without taking on excessive debt.
• Operational Efficiency: Some centers are streamlining supply chain management and negotiating better vendor contracts to reduce costs.
• Technology Investments: ASCs are leveraging AI-driven analytics to optimize staffing and resource allocation, improving financial sustainability.
• Expansion Strategies: Organizations are prioritizing high-demand specialties, such as orthopedics and gastroenterology, to maximize revenue potential.

Looking Ahead

While capital constraints remain a challenge, ASCs that adopt innovative financial strategies and operational efficiencies can continue to thrive. By leveraging partnerships, optimizing costs, and investing in technology, ASCs can navigate financial hurdles and position themselves for long-term success.