U.S. Freestanding Emergency Department Market Size, Share & Trends Report

U.S. Freestanding Emergency Department Market Size, Share & Trends Analysis Report By Service (Imaging, Emergency Department, Laboratory), By Ownership (HOPD, Independent FSED), And Segment Forecasts, 2019 - 2026

  • Published Date: Jul, 2019
  • Base Year for Estimate: 2018
  • Report ID: GVR-3-68038-207-5
  • Format: Electronic (PDF)
  • Historical Data: 2015 - 2017
  • Number of Pages: 100

Industry Insights

The U.S. Freestanding Emergency Department (FSED) market size was valued at USD 3.2 billion in 2018 and is expected to grow at a CAGR of 5.27% over the forecast period. The Freestanding Emergency Department (FSED) in the country is expected to grow owing to rising consumerism in healthcare with more consumer-driven health plans, rising preference for convenience care, and increase in federal funding through Medicare and Medicaid.

Hospitals are seeking options to reduce emergency department (ED) crowding and length of stay (LOS). Turnaround time (TAT) for laboratory results is also a key performance indicator of laboratory service performance. With the reduced wait time to 20 minutes, shorter LOS and TAT when compared with hospital ED, FSEDs are expected to witness high growth during the forecast period.

U.S. Freestanding Emergency Department market

Consumerism in healthcare has given birth to and is fueling robust growth for providers that fall under the convenience care category. Convenience care represents a spectrum of care delivery models that include retail clinics, Urgent Care Centers (UCC), and Freestanding Emergency Departments (FSEDs). FSEDs represent a budding opportunity within the healthcare services space.

The recent relevance of FSEDs is traceable to access and cost concerns by both public officials and consumers. Access concerns stem from hospital-based emergency room overcrowding and a lack of convenient locations. Cost pressure has led the shift from inpatient, hospital-based care to less expensive outpatient settings. In general, these care centers are staffed by nurse practitioners and physician assistants and have the resources to provide basic screening and diagnostic services and to treat low complexity conditions.

Ownership Insights

The U.S. Freestanding Emergency Department (FSED) market is segmented into Off-Campus Emergency Departments (OCED) and Independent Freestanding Emergency Department (IFSED), with the former accounting for the dominant share in 2018. Increasing prevalence of dangerous communicable disease among patients, rising burden of trauma cases, and increase in incidence of stroke in U.S. are some of the major factors driving the OCED segment. Availability of reimbursements under Medicaid and Medicare for any treatment occurring in OCED is another major factor boosting segment growth.

HCA Healthcare, Inc. (HCA) is a major player in the OCED arena, along with Tenet Healthcare (THC) and Community Health Systems (CYH). These companies have primarily focused development efforts in Florida and Texas.

The IFSEDs market remains highly fragmented. Adeptus Health (ADPT) was the first company to provide IFSED services in the U.S. The company operates in more than 60 centers throughout Texas, Colorado, and Arizona. After ADPT entered the IFSED segment and acquired a major share, there has been a significant drop off in the size of operators in the market.

Services Insights

On the basis of service, the FSED market is segmented into ED services, imaging services, and laboratory services. The laboratory service segment held the largest share in the market in 2018. Increasing preference for walk-in clinics among patients and increase in Medical Screening Exam (MSE) recommended by physicians to all ED visitors to determine the absence or presence of medical conditions are some of the major factors driving the segment.

The imaging services segment is expected to register the highest CAGR during the forecast period due tothe addition of more complex imaging tests to be included under the purview of FSED.

U.S. Freestanding Emergency Department Market Share Insights

Key players operating in the U.S. market include Health Inc.; Tenet Healthcare Corporation; Universal Health Services, Inc.; HCA Healthcare, Inc.; Community Health Systems, Inc.; Ascension Health; Legacy Lifepoint Health, Inc.; Ardent Health Services; and Emerus.

The market has witnessed facility expansion through mergers and acquisitions by key players, which combine various services together and increase the overall revenue of the market. In February 2019, HCA Healthcare, Inc. completed the acquisition of Mission Health, with which HCA planned to build a hospital for inpatient behavioral health in Asheville with 120 beds. In addition, the company plans to build a new replacement hospital Franklin, N.C. for Angel Medical Center and also plans to invest USD 232 million in capital in Mission Health facilities.

Legacy Lifepoint Health, Inc. acquired 14 ancillary facilities and acute care hospitals through its joint venture with Duke Life Point Healthcare in December 2017. In the first quarter of 2018, Universal Health Services, Inc. acquired a 109-bed behavioral healthcare facility located in Gulfport, Mississippi.

Report Scope



Base year for estimation


Actual estimates/Historical data

2015 - 2017

Forecast period

2019 - 2026

Market representation

Revenue in USD Million & CAGR from 2019 to 2026

Country scope


Report coverage

Revenue forecast, company share, competitive landscape, growth factors & trends

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Segments Covered in the Report

This report forecasts revenue growth at country level and provides an analysis on latest industry trends in each of the sub-segments from 2015 to 2026. For this study, Grand View Research has segmented the U.S. Freestanding Emergency Department market report based on ownership and service:

  • Ownership Outlook (Revenue, USD Million, 2015 - 2026)

    • Off-Campus Emergency Departments (OCED)

    • Independent Freestanding Emergency Department (IFSED)

  • Service Outlook (Revenue, USD Million, 2015 - 2026)

    • Emergency Department (ED) Service

    • Imaging Service

    • Laboratory Service

Key questions answered by the report
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