ASCs continue to expand far and wide, but a handful of states are leading the charge with new facilities, regulatory shifts and large-scale investments. These developments are reshaping how and where outpatient surgical care is delivered.
Here are five states making outsized moves in 2025:
- Florida: Rapid joint-venture expansion: Florida has become a proving ground for ASC growth, with multiple new centers opening last year through partnerships between health systems and physician groups in Panama City, Brandon, Daytona Beach, St. Johns and Jacksonville Beach.
- Missouri: Kansas City drives growth in the Midwest: Kansas City has emerged as an ASC hotspot with new multispecialty and GI-focused centers, including Blue River Surgery Center and a GI Alliance–MedCore facility in Kansas City.
- New Jersey: Health systems double down: New Jersey has seensteady ASC expansion in 2025, with systems such as Hospital for Special Surgery opening new centers in Paramus and Mahwah. Alongside independent groups like the Institute for Advanced Reconstruction in Red Bank, these moves reinforce the state’s position as a dense, competitive ASC market.
- New York: ASCs tied to billion-dollar hospital plans: In New York, ASC growth is being integrated into major hospital overhauls, such as New York City-based SUNY Downstate Hospital’s $1 billion revamp, which includes a new ASC to preserve outpatient access.
- North Carolina: Leading the nation in new ASCs: North Carolina has already announced more than eight new ASCs in 2025, tying it with California for the most so far. With certificate-of-need restrictions set to ease later this year, the state is positioned for even faster growth.
