The 5 largest ASC chains by number of centers 

Tenet's United Surgical Partners International and Optum's SCA Health are the two largest ASC chains by number of centers. 

Here are the top five, based on the most recent information available:

1. USPI (Dallas): 520+

2. SCA Health (Deerfield, Ill.): 320+ 

3. AmSurg (Nashville, Tenn.): 250+

4. HCA Healthcare (Nashville): 150+

5. Surgery Partners (Brentwood, Tenn.): 165 surgical facilities

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