The ASC industry’s largest operators are making bold moves to grow their footprints, forge new partnerships and capture a greater share of the shift toward outpatient care.
Here are 10 companies at the forefront of that transformation:
AmSurg
Headquarters: Nashville, Tenn.
Number of ASCs: 250+
Recent move: In 2025, St. Louis-based Ascension signed a definitive agreement to acquire AmSurg in a deal reportedly valued at $3.9 billion. The acquisition is expected to close this year.
Atlas
Headquarters: Phoenix
Number of ASCs: 50
Recent move: In April, Minneapolis-based Fairview Health Services and Atlas formed a joint venture to develop and operate a network of ASCs across Minnesota and surrounding regions.
Compass Surgical Partners
Headquarters: Raleigh, N.C.
Number of ASCs: 20 operated, 40+ developed
Recent move: In March, Compass Surgical Partners, Baptist Health and Coastal Health partnered with local physicians to operate an ASC in Jacksonville, Fla. The organizations have taken ownership of Middleburg Surgery Center, a 5,500-square-foot facility with two operating rooms.
NueHealth
Headquarters:Leawood, Kan.
Number of ASCs: 150 ASCs developed or managed
Recent move: In January, NueHealth announced four ASC partnerships across Missouri and New Jersey. The new partnerships include Hackensack (N.J.) Musculoskeletal Surgery Center, St. Joseph (Mo.) Center for Outpatient Surgery, The Surgical Center at Columbia (Mo.) Orthopaedic Group and Surgery Center of the Northland in Platte City, Mo.
HCA Surgery Ventures
Headquarters: Nashville
Number of ASCs: 119
Recent move: In October, Shaun Cartwright was named chief operating officer of HCA Surgery Ventures.
Regent Surgical Health
Headquarters: Franklin, Tenn.
Number of ASCs: 37
Recent move: In September, Regent Surgical entered into a partnership with Patches Kids Care to develop ASCs, marking its first venture into pediatric care.
SCA Health
Headquarters: Deerfield, Ill.
Number of ASCs: 320
Recent move: In February, Matthew Warren was named vice president of SCA Health’s revenue operations.
Solara Surgical
Headquarters: Southlake, Texas
Number of ASCs: 50 ASCs developed, managed or supported
Recent move: In July, Orlando (Fla.) Health and Solara Surgical launched a national joint venture to expand ASC development and operations.
Surgery Partners
Headquarters: Brentwood, Tenn.
Number of ASCs: 200+ surgical facilities
Recent move: In December, Surgery Partners partnered with Dallas-based Baylor Scott & White Health to jointly own a 16-bed hospital in Bryan, Texas.
United Surgical Partners International
Headquarters: Dallas
Number of ASCs: 533
Recent move: USPI added 34 ASCs and one surgical hospital in 2025, including six de novo centers and 28 acquired through controlling ownership interests.
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.