USPI vs. Optum vs. HCA Healthcare: 14 financial notes

Here is a rundown of how United Surgical Partners International, HCA Healthcare and Optum fared financially in 2023:

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USPI

• USPI’s total net operating revenue for 2023 was nearly $3.9 billion, compared to more than $3.2 billion in 2022. 

• Patient services at USPI’s ambulatory care facilities accounted for more than $7 billion in revenue.

• Its facilities saw 5.6% more surgical cases in 2023 than 2022.

• As of Dec. 31, USPI had interests in 461 ASCs (322 consolidated) and 24 surgical hospitals (eight consolidated) throughout 35 states.

• This year, Tenet Healthcare-run USPI expects its ambulatory segment net operating revenues to be between $4.1 billion and $4.2 billion. 

Optum

• Optum, parent company of ASC chain SCA Health, earned $226.6 billion in total revenue in 2023 — an increase of 22% year over year.

• Optum’s operating earnings increased 13.4% to $15.9 billion in 2023. 

• Optum Health’s revenue increased 33.9% over last year, which was driven by an increase in value-based care and other expansions. 

• Optum treated more than 4 million patients under value-based care arrangements, 900,000 more than in 2022. 

HCA Healthcare

• HCA reported a net income of $5.24 billion in 2023, compared to $5.64 billion in 2022.

• Its ASCs saw 1,044,415 surgery cases in the year overall, a 2.1% increase year over year.

• The company sold two ASCs in 2023, ending the year with 124. 

• Outpatient procedures accounted for 38.3% of patient revenues in the year overall.

• HCA predicts growth in 2024, setting its 2024 net income guidance between $5.2 billion and $5.6 billion.

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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Is ambulatory care healthcare’s big margin engine? 5 leaders weigh in

Wednesday, July 29
1:00 PM - 2:00 PM CDT

Presenters: Joe Ganley, athenahealthJeffrey Flynn, CASC, Gramercy Surgery CenterBryan Tsao, Access Center, Loma Linda University HealthJason Zepeda, Northridge Hospital Medical Center, CommonSpirit HealthGreg DeConciliis, PA-C, CASC, Boston Out­Patient Surgical Suites

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