ASC Market Intelligence
June 8 - June 15, 2026
4 signals this week · 2 sell-in targets
The Bottom Line
A quieter deal week put greenfield development front and center. Regulators and boards in two states cleared new ASCs, a University of Michigan Health-West orthopedic joint venture and a physician-owned multispecialty center in Vermont, both targeting 2027 openings. The year's new-ASC count holds at 53, led by New York and Florida.
🎯 Top Sales Targets This Week
1
 UM Health-West / Orthopaedic Associates of Michigan: The U-M Board of Regents approved an orthopedic ASC joint venture on June 12, alongside a $5.99M property sale in Wyoming, Michigan. The center is jointly governed, with UM Health-West taking a minority stake, and is slated to open on the Health-West Village campus in 2027.
2
 Upper Valley Surgery Center (White River Junction, VT): Vermont's Green Mountain Care Board cleared this physician-owned multispecialty de novo on June 11, in under six months and with few conditions. Founders Dr. Michael Curtis and Dr. Misty Blanchette Porter are targeting a 2027 opening with four operating rooms.
Early Signal
High-Signal
Confirmed
💰 ASC Acquisitions
National Real Estate Advisors acquires Montana medical campus with ASC, MOB ● Context
National Real Estate Advisors acquired a 244,520-square-foot medical campus in Great Falls, Montana that includes an ambulatory surgery center and a medical office building. The campus serves Great Falls Clinic, a multispecialty group practice. This is a real-estate transaction; the operator is unchanged.
Confirmed beckersasc.com
🤝 ASC Joint Ventures
UM Health-West and Orthopaedic Associates of Michigan form an orthopedic ASC joint venture ▲ Opportunity
The University of Michigan Board of Regents approved a joint venture between UM Health-West and Orthopaedic Associates of Michigan to develop an orthopedic ambulatory surgery center, plus a $5.99 million property sale in Wyoming, Michigan. The jointly governed center is slated for the Health-West Village campus with a 2027 opening; UM Health-West will hold a minority stake.
Confirmed uofmhealthwest.org
🏗️ De Novo Announcements
Vermont regulators greenlight the Upper Valley Surgery Center ▲ Opportunity
Vermont's Green Mountain Care Board approved the Upper Valley Surgery Center, a 15,000-square-foot freestanding multispecialty de novo in White River Junction, clearing it in under six months with few conditions. The physician-owned center, founded by urologist Dr. Michael Curtis and gynecologist Dr. Misty Blanchette Porter, plans a 2027 opening with four operating rooms spanning orthopedic, spine, gynecologic, and urologic services.
Confirmed beckersasc.com
2026 new-ASC tracker: 53 new centers year to date ● Context
Becker's rolling state-by-state count of new ASCs in 2026 holds at 53 year to date, unchanged from last week. New York leads with 7, followed by Florida (5), California (4), and Michigan (3).
Confirmed beckersasc.com
👤 Leadership Changes
No new activity this week.
📌 Other Notable
No new activity this week.
The Trend
With the Ascension and AmSurg megadeal now closed, the week's momentum shifted from consolidation to construction. New ASCs cleared regulatory or board approval in Vermont and Michigan, both physician-aligned and both slated for 2027, while a Montana medical campus anchored by an ASC changed hands in a real-estate transaction. Geographically the activity is spreading beyond the usual Sun Belt growth markets into the Northeast and Upper Midwest. The cumulative 2026 new-ASC tally holds at 53, with New York, Florida, California, and Michigan still setting the pace.
ASC Market Intelligence · generated for HST Pathways · June 8 - June 15, 2026