United Surgical Partners International

What United Surgical Partners International does

United Surgical Partners International (USPI) is a Texas-domiciled ambulatory surgical care platform and wholly-owned subsidiary of Tenet Healthcare Corporation (NYSE: THC). Founded in 1998, USPI operates a national network of more than 535 ambulatory surgery centers and surgical hospitals spanning 19 U.S. states, supported by 9,760+ team members and performing over 1 million procedures annually. Its service lines span orthopedics (including total joints), spine, pain management, ENT, gastrointestinal, ophthalmology, urology, and other specialties.

USPI's core platform is built around two distinct partnership structures: a two-way partnership between USPI and local physicians, and a pioneered three-way partnership model that brings together USPI, physicians, and health systems in jointly owned facilities with consensus-driven governance. The company delivers end-to-end capabilities including acquisition services for existing centers and de novo development services covering financial analytics, partnership formation, facility planning, construction, real estate, and financing. USPI works with more than 50 health system partners, including AdventHealth, Ascension, Baylor Scott & White, CommonSpirit Health, Memorial Hermann, and academic institutions such as Hospital for Special Surgery.

USPI monetizes surgical facility operations through transaction-based facility fees derived from procedures performed across its network. Revenue is generated jointly with physician and health system partners under shared economic arrangements, with healthcare facility pricing determined through negotiated insurance contracts rather than published pricing. Growth is achieved through a combination of acquisitions (e.g., seven ASCs acquired for $125 million in Q1 2026) and de novo facility development, with USPI functioning as the ambulatory growth engine within Tenet's dual-platform strategy that pairs hospital operations with high-growth outpatient surgical services.

Name

United Surgical Partners International

Legal name

United Surgical Partners International

Website

http://www.uspi.com/

Company type

Private

Founded year

1998

Operating status

Operating

Headcount range

5,001–10,000 employees

Short description

United Surgical Partners International operates the largest U.S. ambulatory surgery center platform, running 535+ facilities across 19 states through joint-venture partnerships with 50+ health systems and thousands of physicians, as a subsidiary of Tenet Healthcare.

Ownership category

akta.pro rank

Product category

Ambulatory Surgical Care Services

NAICS

Freestanding Ambulatory Surgical and Emergency Centers (621493)

SIC

Services-Specialty Outpatient Facilities, Nec (8093), Services-Health Services (8000)

akta.pro primary industry

Multi-Specialty Ambulatory Surgery Centers (ASCs) (HLAFAIAA)

akta.pro secondary industry

Orthopedic & Spine Surgery Centers (HLAFAIAG)

Keywords

• Ambulatory surgery centers
• Surgical hospital operations
• Outpatient surgical care
• Joint venture partnerships
• Physician partnership models

Headquarters

HQ city

Addison

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Supply Chain, Infrastructure, Marketing or Sales

Revenue model

1. Surgical Facility Operations: Revenue generated from operating ambulatory surgery centers and surgical hospitals. The facilities provide a range of surgical procedures across multiple service lines including orthopedics, spine, pain management, ENT, gastrointestinal, ophthalmology, and urology.

Go-to-market motion2 records

Distribution channels4 records

Marketing channels5 records

Core offering

USPI operates a national network of ambulatory surgery centers (ASCs) and surgical hospitals that deliver outpatient and short-stay surgical care across multiple specialties including orthopedics, spine, pain management, ENT, gastrointestinal, ophthalmology, and urology. The company grows through joint venture partnerships with physicians and health systems, and provides both de novo development and acquisition services for surgical facilities.

Product overview

United Surgical Partners International (USPI) operates as a network platform of ambulatory surgery centers and surgical hospitals. The company provides surgical care services through 262+ facilities spanning 19 states, offering various service lines including orthopedics (total joints), spine, pain management, ENT, gastrointestinal, ophthalmology, and urology. USPI offers partnership models (two-way with physicians, three-way with health systems), acquisition services for existing centers, and de novo development services for building new facilities.

Differentiator

Problem solved

Functional benefit

Products and services

• Ambulatory Surgery Centers
• Surgical Hospitals
• Two-Way Partnership Model
• Three-Way Partnership Model
• De Novo Development Services
• Acquisition Services

Quantifiable outcome

• 1M+ procedures performed annually
• +1 more outcomes

Named customers1 record

Segments2 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature1 record

Partnerships

29 partnerships are on record, tiered core and flagship.

• AdventHealthcoreStrategic or Co-development PartnerHealth system partner in USPI's three-way partnership model for operating freestanding surgical facilities.
• AscensioncoreStrategic or Co-development PartnerHealth system partner in USPI's three-way partnership model for operating freestanding surgical facilities.
• Ascension St. JohncoreStrategic or Co-development PartnerHealth system partner in USPI's three-way partnership model for operating freestanding surgical facilities.
• AvitacoreStrategic or Co-development PartnerHealth system partner in USPI's three-way partnership model for operating freestanding surgical facilities.
• Ballad HealthcoreStrategic or Co-development PartnerHealth system partner in USPI's three-way partnership model for operating freestanding surgical facilities.
• Baptist HealthcoreStrategic or Co-development PartnerHealth system partner in USPI's three-way partnership model for operating freestanding surgical facilities.
• Baylor Scott & WhitecoreStrategic or Co-development PartnerHealth system partner in USPI's three-way partnership model for operating freestanding surgical facilities. Multiple Baylor Scott & White facilities are listed under the USPI locations.
• Bon SecourscoreStrategic or Co-development PartnerHealth system partner in USPI's three-way partnership model for operating freestanding surgical facilities.
• Bozeman HealthcoreStrategic or Co-development PartnerHealth system partner in USPI's three-way partnership model for operating freestanding surgical facilities.
• Centura HealthcoreStrategic or Co-development PartnerHealth system partner in USPI's three-way partnership model for operating freestanding surgical facilities.
• Christus HealthcoreStrategic or Co-development PartnerHealth system partner in USPI's three-way partnership model for operating freestanding surgical facilities.
• CommonSpirit HealthcoreStrategic or Co-development PartnerHealth system partner in USPI's three-way partnership model. CommonSpirit Health had a $1.9 billion agreement with parent company Tenet Healthcare for early conclusion of the Conifer Health Solutions contract.
• Covenant HealthcoreStrategic or Co-development PartnerHealth system partner in USPI's three-way partnership model for operating freestanding surgical facilities.
• Dignity HealthcoreStrategic or Co-development PartnerHealth system partner in USPI's three-way partnership model for operating freestanding surgical facilities.
• Hospital for Special SurgerycoreStrategic or Co-development PartnerHealth system partner in USPI's three-way partnership model for operating freestanding surgical facilities.
• Integris HealthcoreStrategic or Co-development PartnerHealth system partner in USPI's three-way partnership model for operating freestanding surgical facilities.
• Jefferson HealthcoreStrategic or Co-development PartnerHealth system partner in USPI's three-way partnership model for operating freestanding surgical facilities.
• Lehigh Valley Health NetworkcoreStrategic or Co-development PartnerHealth system partner in USPI's three-way partnership model for operating freestanding surgical facilities.
• Memorial HermanncoreStrategic or Co-development PartnerHealth system partner in USPI's three-way partnership model. Multiple Memorial Hermann facilities are listed under USPI locations including surgery centers and surgical hospitals.
• Orlando HealthcoreStrategic or Co-development PartnerHealth system partner in USPI's three-way partnership model for operating freestanding surgical facilities.
• Penn State HealthcoreStrategic or Co-development PartnerHealth system partner in USPI's three-way partnership model for operating freestanding surgical facilities.
• Providence HealthcoreStrategic or Co-development PartnerHealth system partner in USPI's three-way partnership model for operating freestanding surgical facilities.
• Scripps HealthcoreStrategic or Co-development PartnerHealth system partner in USPI's three-way partnership model. Scripps Encinitas Surgery Center is listed under USPI locations.
• Tenet HealthcareflagshipStrategic or Co-development PartnerUSPI is part of Tenet Healthcare, a unique and diversified enterprise which enables access to additional resources and a greater support system. Tenet Healthcare acquired USPI and continues to expand the ambulatory surgery platform.
• Trinity HealthcoreStrategic or Co-development PartnerHealth system partner in USPI's three-way partnership model for operating freestanding surgical facilities.
• UVA HealthcoreStrategic or Co-development PartnerHealth system partner in USPI's three-way partnership model for operating freestanding surgical facilities.
• Virginia Mason Franciscan HealthcoreStrategic or Co-development PartnerHealth system partner in USPI's three-way partnership model for operating freestanding surgical facilities.
• Virtua HealthcoreStrategic or Co-development PartnerHealth system partner in USPI's three-way partnership model for operating freestanding surgical facilities.
• Physician PartnersflagshipStrategic or Co-development PartnerThousands of physicians partner with USPI through two-way and three-way partnership models. Physicians have joint ownership in surgical facilities with consensus-driven decision making at the partnership-level.

Scale indicators9 records

Recent moves7 records

Expansion highlights6 records

Emerging players

• Regent Surgical Health: Regent Surgical Health develops, acquires, and manages ambulatory surgery centers through hospital and physician joint ventures—a smaller, multi-specialty ASC operator pursuing the same JV model as USPI but with a more regional footprint.
• ASD Management: ASD Management specializes in developing and managing single- and multi-specialty ASCs through physician and hospital partnerships; it overlaps with USPI's partnership-led development model, particularly for de novo ASCs.
• Surgery Management International: Surgery Management International is a developer and manager of ambulatory surgery centers and surgical hospitals, offering a comparable partnership-based business model and overlapping service lines.

Regional players

• Hospital for Special Surgery: HSS is a leading orthopedic specialty hospital system that operates affiliated ASCs and outpatient surgical sites; it is a USPI health system partner but also operates independent ASC capacity that competes in the orthopedics/spine service line.
• Bon Secours Mercy Health: Bon Secours Mercy Health is one of USPI's named health system partners, but also operates its own ASC and outpatient surgery program; it represents the dual role of partner-and-competitor common across USPI's JV portfolio.

Direct peers

• Surgery Partners: Surgery Partners (NASDAQ: SGRY) is a publicly traded, leading operator of short-stay surgical facilities and ambulatory surgery centers in the U.S., directly competing with USPI on multi-specialty ASC operations, physician/hospital joint ventures, and de novo development.
• Envision Healthcare: Envision operates a large network of ambulatory surgery centers (via legacy AmSurg) alongside physician services; it is one of the largest U.S. ASC operators with shared focus on physician joint ventures and multi-specialty outpatient surgery.

Broad incumbents

• HCA Healthcare: HCA is a large publicly traded health system that operates a meaningful portfolio of outpatient surgery centers and hospital-based ambulatory surgery; it competes with USPI in many of the same geographies through both owned ASCs and outpatient departments.
• UnitedHealth Group (Optum): UnitedHealth Group, through Optum, owns and operates a growing portfolio of ambulatory surgery centers and has pursued ASC acquisitions (e.g., the MedExpress/Surgical Care Affiliates footprint); it competes for outpatient surgical volumes and physician alignment.
• Tenet Healthcare: Tenet is USPI's publicly traded parent but also operates an acute care hospital portfolio that competes for outpatient surgical cases; Tenet's hospital outpatient departments overlap with USPI's freestanding ASC strategy in shared markets.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/United_Surgical
• LinkedInlinkedin.com/company/united-surgical-partners-international-inc

Revenue estimate

Valuation estimate

Number of profiles

Profiles14 records

Funding overview

Funding rounds1 record

Investors1 record

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A3 records

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about United Surgical Partners International