22 large health systems ranked by ASCs 

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Health systems are racing to build large ASC portfolios through increasingly high-profile acquisitions. Cincinnati-based Bon Secours Mercy Health plans to acquire Brentwood, Tenn.-based Surgery Partners for up to $6 billion, adding more than 200 ASCs to the system. This follows St. Louis-based Ascension’s $3.9 billion acquisition of Nashville, Tenn.-based AmSurg and saw the system’s ASC count soar to over 300. Meanwhile, Dallas-based Tenet Healthcare continues adding to United Surgical Partners International, its surgical arm and the nation’s largest ASC portfolio.

The ASC arms race is in full swing with no sign of stopping. ASC volumes are projected to increase by 24% by 2036, according to an October report from Medicus Healthcare Solutions.

Here are 22 systems ranked by total ASC count:

Editor’s note: This is not an exhaustive list. To be included, please reach out to Austin Garza at agarza@beckershealthcare.com with your health system’s total ASC count.

Tenet Healthcare (Dallas): 535

Ascension (St. Louis): 312

HCA Healthcare (Nashville, Tenn.): 150

CommonSpirit Health (Chicago): 78

Kaiser Permanente (Oakland, Calif.): 62

Advocate Health (Charlotte, N.C.): 41

Sutter Health (Sacramento, Calif.): 40

Texas Health Resources (Arlington): 39

AdventHealth (Altamonte Springs, Fla.): 36

Community Health Systems (Franklin, Tenn.): 36

Providence (Renton, Wash.): 35

Trinity Health (Livonia, Mich.): 30

Intermountain Healthcare (Salt Lake City): 24

Jefferson Health (Philadelphia): 21

Northwell Health (New Hyde Park, N.Y.): 17

Prime Healthcare (Ontario, Calif.): 17

Orlando (Fla.) Health: 14

Piedmont Healthcare (Atlanta): 11

Lifepoint Health (Brentwood, Tenn.): 10

Cleveland Clinic: 7

Ardent Health Services (Nashville, Tenn.): 6

West Virginia University Health System (Morgantown): 1

At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.

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