3 strategies driving USPI's growth 

The growth of Dallas-based United Surgical Partners International in 2023 was driven by acquisitions, organic growth and construction of new centers and strategic partnerships, parent company Tenet Healthcare said in its annual report filed with the SEC on Feb. 16.

USPI, the largest ASC chain in the country by both number of centers and number of physicians, saw massive growth in 2023. It added 31 ASCs for $149 million — nine of which were acquired and 11 were previously unconsolidated centers in which USPI inked controlling ownership interest.

The company also opened nine de novo ASCs in 2023 and has more than 30 ASCs in development. It plans to continue to inject $200 million to $250 million in ASC mergers and acquisitions a year.

As for partnerships, USPI expanded its deal with Renton, Wash.-based Providence to develop additional ASCs. It also entered into a definitive agreement with Winston-Salem, N.C.-based Novant Health, selling three Tenet hospitals in South Carolina but continuing to operate the ASCs in the markets. 

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