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ASCs rarely have a single owner. Physicians partners who perform surgeries in the center will often own at least some part of the facility. Ownership percentages vary considerably, but most ASCs involve physician owners. Occasionally, an ASC is entirely physician-owned. However, it is most common for development/management companies to own a percentage of the center.
Some large healthcare companies own many types of medical facilities, including ambulatory surgery centers. The largest ASC chains in terms of numbers of centers include [[Envision Healthcare]], [[Tenet Healthcare]]/United Surgical Partners International, Surgical Care Affiliates, [[Hospital Corporation of America]], Ambulatory Surgical Centers of America, Surgery Partners and Physicians Endoscopy.<ref>{{Cite web|url=http://www.beckersasc.com/asc-turnarounds-ideas-to-improve-performance/50-things-to-know-about-the-ambulatory-surgery-center-industry.html|title=50 things to know about the ambulatory surgery center industry|last=Rechtoris|first=Mary|website=www.beckersasc.com|access-date=2016-03-08}}</ref> Nearly 68 percent of ASC management companies reported having equity ownership in all freestanding entities they managed.<ref>{{Cite web|url=http://www.beckersasc.com/asc-turnarounds-ideas-to-improve-performance/50-things-to-know-about-the-ambulatory-surgery-center-industry.html|title=50 things to know about the ambulatory surgery center industry|last=Rechtoris|first=Mary|website=www.beckersasc.com|access-date=2016-03-08}}</ref>
Each year, physicians perform more than 23 million procedures in ASCs in the 5,464 Medicare-certified ASCs. ASCs are in all 50 states and can be found throughout the world. In the US, most ASCs are licensed, certified by [[Medicare (United States)|Medicare]] and accredited by one of the major health care accrediting organizations. California is the leading US state in the number of Medicare Certified ASCs, followed by Florida, and then Texas. California has 694 ASCs. It is followed by Florida with 387 ASCs and then Texas with 347 ASCs.<ref>{{Cite web|url=http://www.beckersasc.com/asc-turnarounds-ideas-to-improve-performance/50-things-to-know-about-the-ambulatory-surgery-center-industry.html|title=50 things to know about the ambulatory surgery center industry|last=Rechtoris|first=Mary|website=www.beckersasc.com|access-date=2016-03-08}}</ref> With only 1 Medicare Certified ASC, Vermont is at the bottom of the list.<ref>Carrie Pallardy and Scott Becker [http://www.beckersasc.com/lists/50-things-to-know-about-the-ambulatory-surgery-center-industry.html 50 Things to Know About the Ambulatory Surgery Center Industry], Becker's Hospital Review (retrieved June 11, 2014)</ref>
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