One-third of the Medicare-certified ASCs in the U.S., or about 2,110 centers, are part of larger multi-site operators, according to VMG Health.
VMG released its 2025 Healthcare M&A Report April 22 outlining the merger and acquisition landscape over the last year. United Surgical Partners International and SCA Health have both grown through acquisition and de novo centers, while AmSurg split from Envision in recent years and Surgery Partners has struggled to keep up.
Here is the ASC company market breakdown:
- USPI: 8.1% market share
- SCA Health: 5% market share
- AmSurg: 3.9% market share
- HCA Healthcare: 2.3% market share
- Surgery Partners: 2.1% market share
- Other operators: 12% market share
The remaining 66.5% of ASCs are independent freestanding centers.
USPI, which is owned by Tenet Healthcare, has more than 535 ASCs and surgical hospitals performing 2 million procedures annually. The company added 11 ASCs last year by partnering with Florida Orthopedic Institute, and opened six surgery centers in the third quarter. The company has ambitions to grow significantly in the next several years as it leans into the ASC-strategy and sheds hospitals.
HCA Healthcare has taken the opposite approach, opting to stay a hospital-centric company with less focus and growth on surgery centers. The company has 124 freestanding outpatient surgery centers and 190 hospitals. While the number of hospitals grew slightly year over year in 2024, it remained flat for ASCs and the percentage of outpatient surgery cases dropped 2.4%.
SCA Health, which is owned by Optum, has 320-plus surgical facilities seeing 1.43 million patients per year. The company’s centers have 9,200 physicians and continue to grow through integration within their managed service organization model and Optum’s focus on physicians. The company also brought on National Cardiovascular Partners, which includes hybrid ASCs and office-based labs across the U.S.
The post Top 5 ASC operators by market share | 2025 appeared first on Becker’s ASC.
