Here are 10 ASC companies to know:

Operational costs are soaring for ASCs while reimbursements continue to decline. Some physicians point to a lack of communication from payers regarding ASC's true costs for creating this financial tension.

Dallas-based Tenet Healthcare, parent company of ASC giant United Surgical Partners International, has agreed to sell its majority interest in Birmingham, Ala.-based Brookwood Baptist Health to Orlando (Fla.) Health.

Midland-based MyMichigan Health has finalized the acquisition of several Michigan-based Ascension facilities, including a Saginaw-based ASC and a Tawas-based surgery center, according to an Aug. 1 report from the Detroit Free Press.

Following a slower-than-expected onboarding process, Saum Sutaria, MD, CEO of Dallas-based Tenet Healthcare, parent of ASC chain United Surgical Partners International, said that the company "feels good" about the acquisition progress and doesn't think of the ASCs as a separate entity than USPI.

A medical office building in Lakewood Ranch, Fla., has sold for $31.8 million, according to a July 31 report from the Business Observer.

Here are 12 things to know from three major health systems and providers who operate ASC chains:

The North Carolina attorney general's office is asking the state health department to deny HCA Healthcare's certificate-of-need application to add 26 acute care beds to its Asheville-based Mission Hospital.

An outpatient surgery facility in Gardendale, Ala., has sold for $6.81 million, according to a July 25 report from the Birmingham Business Journal. 

ASC management services provider AmSurg has acquired ownership interest in Salem, Ore.-based River Road Surgery Center. 

Investment firm Värde Partners and medical office real estate investment firm Unity Medical Properties have partnered to acquire a surgery center in Palm Beach Gardens, Fla., for $14.5 million, according to a July 29 report from The Real Deal.

Nashville, Tenn.-based HCA Healthcare saw outpatient surgery volume decline for the second consecutive quarter because of lower Medicaid and self-pay volumes, executives explained in a July 23 earnings call transcribed by Seeking Alpha.

ASCs are a component of St. Louis-based Ascension plans for growth amid a $3 billion operating loss in fiscal 2023. 

Optum, the country's largest employer of physicians and parent company of ASC chain SCA Health, has revealed plans to shutter several clinics so far in 2024. 

Burlington-based University of Vermont Medical Center received approval to purchase a medical campus owned by Covenant Health in Colchester for $17.3 million, VermontBiz reported July 26.

Walmart and other retail companies' efforts to use a big box formula in healthcare have not gone as planned, The Wall Street Journal reported July 5. 

St. Louis-based Ascension saw a $3 billion operating loss in fiscal 2023 and has since taken action to sell a number of facilities across the country to recover. 

Humana plans to open primary care clinics at 23 locations that formerly housed Walmart Health. 

Tenet Healthcare's ASC arm United Surgical Partners International has seen skyrocketing growth in the last five years, becoming the largest ASC chain in the U.S.by number of centers and physicians. 

ASC chain United Surgical Partners International inked a partnership with the Tampa-based Florida Orthopedic Institute in the second quarter of 2024, according to parent company Tenet Healthcare's July 23 second quarter earnings call transcribed by Seeking Alpha.