Here are the number of ASCs and affiliated physicians at five of the biggest ASC chains in the U.S.:

A Boca Raton, Fla.-based medical office building has sold for $36.79 million, down from $50 million in its 2021 trade, according to a Nov. 5 report from the South Florida Business Journal.

Massive healthcare sell-offs are impacting ASCs in various markets, including changes in competitive dynamics, reimbursement rates and opportunities for partnerships.

Dallas-based United Surgical Partners International, Tenet Healthcare's ASC arm, is emphasizing high-acuity procedures to fuel its expansion.

An ophthalmologist's lawsuit against North Carolina's Health Department could spur market competition between Winston-Salem-based Novant Health and Charlotte-based Atrium Health, The Herald reported Nov. 4.

Optum, Tenet and HCA Healthcare are huge players in the ASC industry with different strategies for growth. 

A 22,097-square-foot medical office building in Bridgeton, Mo., has changed hands for $8.8 million, according to a Nov. 5 report from REBusiness Online.

It's been more than one year since AmSurg officially emerged under new ownership as a separate and independent entity from Envision Healthcare, its former parent company, which filed for Chapter 11 bankruptcy in May 2023. 

St. Louis-based Ascension has sold its St. Vincent's Health System to The University of Alabama at Birmingham Health System Authority in a deal valued at $450 million, effective Nov. 1. 

Charlotte, N.C.-based Atrium Health has sold its Atrium Medical Center Medical Outpatient Building, a medical office facility, in Middletown, Ohio, to Chicago-based Remedy Medical Properties, according to a Nov. 1 report from the Cincinnati Business Courier.

Financially troubled Steward Health Care has finalized the sale of its physician group to Nashville, Tenn.-based primary care provider Rural Healthcare Group, part of private equity firm Kinderhook Industries. 

Dallas-based Tenet Healthcare, parent company of ASC giant United Surgical Partners International, has sold 14 hospitals this year for more than $4.8 billion, according to an Oct. 29 third quarter earnings call. 

Tenet Healthcare is continuing to expand its investment and spending in its ASC division, Dallas-based United Surgical Partners International.

Walgreens is laying off 256 employees from its support center as part of a strategy to realign its focus on core retail pharmacy services, a spokesperson confirmed to Becker's in an emailed statement.

Dallas-based United Surgical Partners International, Tenet Healthcare's ASC arm, has inked a deal with San Diego, Calif.-based Synergy Orthopedics, according to an Oct. 29 third quarter earnings call. 

Nashville, Tenn.-based HCA Healthcare's ASC strategy is driven by "greenfield developments," new facility constructions, along with targeted acquisitions, CEO Sam Hazen said in a third quarter earnings report transcribed by the Motley Fool.

Dallas-based United Surgical Partners International, Tenet Healthcare's ASC business, third quarter revenue hit $1.13 billion, a 21% increase from the same quarter last year, according to financial documents published Oct. 29.

Outpatient real estate firm Flagship Healthcare Properties has acquired the Central Ohio Surgical Institute in New Albany. 

Nashville, Tenn.-based HCA Healthcare plans to add 100 outpatient facilities by the end of 2024, bringing total sites of care to more than 2,600, according to a third quarter earnings report transcribed by the Motley Fool.

Novant Health and Ascension have both sold off ASCs since Aug. 2.