Business Environment for Ambulatory Surgery Centers

Top U.S. locations for new ASCs may be surprising

  • One in five of startups don’t survive past year one, and nearly half never make it to five years of operation.
  • Top five reasons why startups fail: ran out of cash, no market need, got outcompeted, flawed business model, regulatory/legal hurdles.
  • State business and regulatory environments affect ambulatory surgery center openings.


CB Insights. The Top 12 Reasons Startups Fail. Accessed July 14, 2023.

WalletHub. 2023's Best & Worst States to Start a Business. Accessed July 14, 2023.

Becker's ASC Review. State-by State Breakdown of 2022's 183 New ASCs. Accessed July, 2023.