This article from Anesthesiology News, the most widely read anesthesiology publication in the US, addresses the topic of "Private Equity vs. Hospital System vs. Private Group." The article is part of a trilogy and represents the final chapter. It also includes an overview of the most important anesthesia papers published in 2025 that were presented at the ASA meeting. The entire print edition of Anesthesiology News is available to subscribers. The publication is copyrighted by McMahon Publishing and reproduction without permission is prohibited.