Thank you for taking the time to listen to our report. We hope you learned many insightful and actionable tips to continue providing excellent patient care in a way that is efficient and profitable.

Operating a successful ASC is not the same as it was a decade ago or even five years ago. The industry is undergoing transformative changes, shaped by factors such as regulatory changes, technological advancements, evolving patient expectations, and economic pressures.

Leading surgery centers, with their finger on the pulse of these changes, recognize the emerging challenges. They understand traditional methods will no longer cut it, and a proactive approach is essential. HST Pathways is committed to riding this wave alongside our clients and partners, and we will navigate whatever the future holds together.

HST Pathways is the leading provider of a suite of products that have been thoughtfully and clinically designed for the surgery center industry. Our software offerings provide ASCs with intuitive solutions that cover the entire patient journey and help to unlock revenue, fuel growth, and deliver better care. Build, grow, and run your facility with solutions your entire team will love. See why more than 1,800 ASCs and 75,000 users are choosing HST Pathways by visiting our website, hstpathways.com. This has been the State of the ASC Industry Report, published in 2026. Thank you for listening.

View the full report online: https://www.hstpathways.com/resources/surgery-center-industry-report/

57 – Closing Message & About HST Pathways 

This report was developed using a comprehensive approach that included industry research, consultations with clinical experts, data from reputable industry publications, and insights from HST Pathways’ own products.

When benchmarking data was sourced from HST Pathways’ data warehouse, the conclusions in this report were based on data spanning the beginning of 2023 through 2025, representing three full years of ASC data. Year-over-year comparisons include full calendar year data from 2023, 2024, and 2025. The surgery centers represented are HST clients who have granted permission for their data to be used in this analysis, offering a comprehensive and current view into the trends and dynamics shaping the industry today.

View the full report online: https://www.hstpathways.com/resources/surgery-center-industry-report/

56 – Methodology 

Before we wrap up, let’s take a moment to define the key metrics used throughout this report, along with how each one is calculated. They are listed in the order they appear in the report.

View the full report online: https://www.hstpathways.com/resources/surgery-center-industry-report/

55 – Metric Definitions & Formulas 

The ninth and final task that you should complete annually is reviewing legal compliance.

View the full report online: https://www.hstpathways.com/resources/surgery-center-industry-report/

54 – Annual Tasks: Review legal compliance 

The eighth task that you should complete annually is reviewing policies and procedures.

View the full report online: https://www.hstpathways.com/resources/surgery-center-industry-report/

53 – Annual Tasks: Review policies and procedures 

The seventh task that you should complete annually is renewing licenses and certifications.

View the full report online: https://www.hstpathways.com/resources/surgery-center-industry-report/

52 – Annual Tasks: Renew licenses and certifications 

The sixth task that you should complete annually is reviewing vendor contracts.

View the full report online: https://www.hstpathways.com/resources/surgery-center-industry-report/

51 – Annual Tasks: Vendor contract review 

The fifth task that you should complete annually is preparing the annual budget.

View the full report online: https://www.hstpathways.com/resources/surgery-center-industry-report/

50 – Annual Tasks: Prepare annual budget 

The fourth task that you should complete annually is conducting performance management reviews.

View the full report online: https://www.hstpathways.com/resources/surgery-center-industry-report/

49 – Annual Tasks: Performance management reviews 

The third task that you should complete annually is reviewing payer contracts.

View the full report online: https://www.hstpathways.com/resources/surgery-center-industry-report/

48 – Annual Tasks: Payer contract review 

This is the third edition of the HST State of the ASC Industry Report, now in podcast form. Built from a comprehensive dataset representing 682 centers across 45 states and nearly 4.8 million patient visits, this series goes beyond surface-level trends. Across each episode, we break down 139 KPIs, 50 charts, 23 year-over-year comparisons, and six emerging trends, all drawn from three full years of data from 2023 through 2025. Start from the beginning or jump to the episode that matters most to you. We hope you find the information and data helpful.

State of the ASC Industry Report (2026)