Hospital Partnerships
with MSOs

Explore the evolving landscape of hospital partnerships with Management Services Organizations (MSOs), supported by comprehensive data and the latest trends. Discover how these collaborations are transforming healthcare operations, improving patient outcomes, and driving strategic growth. Gain key insights into the benefits, challenges, and emerging trends shaping the future of hospital-MSO partnerships.

Recent Trends in Hospital Partnerships with MSOs

Over the past 10 years, hospital health systems have increasingly formed joint ventures with outpatient Management Services Organizations (MSOs) to optimize operations, expand service offerings, and share financial and operational risks. The structure and volume of these joint ventures vary depending on the geographic region and specific market dynamics.

Most Active Hospital Joint Ventures with MSOs

1. Baylor Scott & White and Tenet Healthcare:

The largest players with around 10 major joint ventures targeting the ASC and outpatient care market.

2. LHP Hospital Group:

Approximately five joint ventures with smaller non-profit systems spread across multiple states.

3. John Muir Health and Carondelet Health:

Several partnerships focused on outpatient and ASC development, primarily in California and Arizona.

Hospital joint venture partnerships in various specialties

Over the past 10 years, hospital health systems have increasingly formed joint ventures with outpatient Management Services Organizations (MSOs) to optimize operations, expand service offerings, and share financial and operational risks. The structure and volume of these joint ventures vary depending on the geographic region and specific market dynamics.

Volume of Hospital Joint Ventures Announced Over The Past 10 Years

We at SCALE suspect this information is directionally accurate and important to share, but we have only been able to get into some of the back-up data – the primary driver of this supporting information is press releases which are had to tabulate over decades.

Expanded List of Joint Ventures (2014 - 2023)

2014

GoHealth Urgent Care has established multiple joint ventures with health systems like Dignity Health, Northwell Health, and Novant Health to expand urgent care services in states like California, New York, and North Carolina.

Emory Healthcare and PeachTree Immediate Care in Atlanta, Georgia, entered into a partnership to build and manage over 20 urgent care centers.

Cleveland Clinic and American Family Care have partnered to operate several urgent care centers in Northeast Ohio, integrating them into the larger health system’s continuum of care.

2015

Pacific Dental Services and Midwest Dental partnered to integrate dental care into primary care facilities.

US Anesthesia Partners continued expansion with CHRISTUS Health in Texas.

Children’s Hospital Colorado joined forces with University of Colorado Health to expand pediatric specialties.

2016

OrthoIndy and Community Health Network launched a dedicated orthopedic hospital in Indiana.

United Surgical Partners International (USPI) and TriStar Health partnered to create and manage new surgery centers.

HSS and Cedars-Sinai formed a JV for a musculoskeletal-focused outpatient center in Los Angeles.

2017

Providence Health partnered with Fairfax Behavioral Health to develop a new 100-bed behavioral health facility.

Orlando Health and Acadia Healthcare announced a JV to expand behavioral health services in Florida.

Cleveland Clinic partnered with American Family Care to integrate urgent care centers into its network.

2018

Surgery Partners and HealthONE formed a JV targeting outpatient surgery expansion.

Smile Brands entered a partnership with Midwest Dental to build dental clinics adjacent to primary care facilities.

US Oncology Network collaborated with Baylor Scott & White Health to create cancer treatment centers.

2019

Intuitive Health partnered with CommonSpirit Health for hybrid ER and urgent care models.

Tenet Healthcare expanded its JV with Baylor Scott & White to include multispecialty outpatient services.

Outpatient Imaging Affiliates developed a new imaging network with UNC Health.

2020

Ascension and Emerus Holdings developed a micro-hospital network.

Optum partnered with Northwell Health to manage primary care clinics.

Atlantic Health and MedExpress formed a JV for urgent care services.

2021

Providence Health and Universal Health Services launched a freestanding behavioral health facility.

St. Louis Children’s Hospital and Shriners Hospital partnered for pediatric orthopedic care.US Anesthesia Partners continued expansion with CHRISTUS Health in Texas.

DaVita and Trinity Health created a JV to manage inpatient and outpatient dialysis services.

2022

HCA Healthcare and Sarah Cannon Cancer Institute expanded a cancer research and treatment network

OrthoVirginia entered a JV with Bon Secours Health for comprehensive orthopedic services.

Children’s National Hospital and HCA Healthcare collaborated to provide expanded pediatric care.

2023

Fresenius Medical Care and Intermountain Healthcare created a JV to manage dialysis services in Utah.

Tenet Healthcare and Mednax partnered for women’s health and maternal services.

Smile Brands and Optum launched a dental care JV, targeting integration with existing primary care facilities.

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