Spine and orthopedic groups are continuing to expand their outpatient footprints as more procedures migrate from hospitals to ASCs.
Recent openings and planned projects stretch from Florida to Wisconsin, while some of the country’s largest orthopedic groups are building additional ASC capacity.
Here are some of the latest moves:
West Palm Beach, Fla.
DISC Surgery Center at Palm Beach opened June 25 with a focus on outpatient spine, orthopedic and interventional pain procedures.
The center is part of Cuéllar Spine, owned by Jason Cuéllar, MD, PhD, and brings patient evaluation, diagnostics, surgery, rehabilitation and recovery into one outpatient setting.
The ASC includes technology for minimally invasive spine and musculoskeletal procedures and overnight recovery suites for patients who require additional observation. The center is also preparing to participate in the limited U.S. rollout of 3Spine’s investigational Motus lumbar total joint replacement system, pending FDA approval.
DISC expanded the center’s orthopedic services in July with the addition of hand and upper-extremity surgeon Vanessa Gabrovsky Cuéllar, MD, as a physician partner.
Waltham, Mass.
A 79,500-square-foot orthopedic ASC and medical office building opened in Waltham in June, becoming the largest facility of its kind in Greater Boston by total footprint.
The center is a joint venture between Boston Bone & Joint Institute, Boston Out-Patient Surgical Suites, Boston Orthopaedic & Spine and Pro-Sports Physical Therapy. More than 30 providers affiliated with Cambridge, Mass.-based Beth Israel Lahey Health will provide orthopedic surgery, joint replacement, spine procedures and sports medicine at the site.
The building includes eight operating rooms and 28 recovery bays. The ASC itself spans 33,480 square feet, and the overall project cost about $105 million.
Jacob Kirsch, MD, an orthopedic shoulder specialist at Boston Bone & Joint Institute, said the facility allows physicians to perform procedures with “greater convenience” while maintaining an independent, physician-led model.
Phoenix
Advanced Spine and Pain opened a 12,075-square-foot outpatient clinic and ASC in May, marking the organization’s 14th center in the Phoenix area.
The facility includes a 4,479-square-foot ASC and a 3,531-square-foot specialty clinic. It features 10 exam rooms, four preoperative bays and four postoperative recovery suites.
Its operating rooms are designed for minimally invasive spine surgery, orthopedic surgery and neurosurgery. The center also provides anesthesiology, pain management, physical therapy and chiropractic services.
Johnson City, N.Y.
Sayre, Pa.-based Guthrie Clinic opened the Guthrie Broome Orthopedic and Spine Surgery Center in Johnson City in February.
The center is the region’s first facility dedicated exclusively to outpatient orthopedic and spine procedures. It has four operating rooms and 17 private recovery bays and is designed to move procedures including joint replacements and spine cases from hospitals to a lower-cost ambulatory setting.
G-BOSS is a joint venture involving Guthrie Lourdes Hospital in Binghamton, N.Y., local independent surgeons and Avon, Conn.-based Constitution Surgery Alliance. The center completed 28 surgeries before its Feb. 22 ribbon cutting.
Middleton, Wis.
Madison-based Orthopedic & Spine Centers of Wisconsin opened the Orthopedic & Spine Surgery Center in Middleton in February.
The center began construction in 2025 and was purpose-built for spine and orthopedic procedures. The practice said the ASC is intended to expand access to specialized surgical services in Middleton and surrounding communities.
Pennsylvania and New Jersey
Philadelphia-based Rothman Orthopaedics is planning three additional ASCs across Pennsylvania and New Jersey.
Rothman is already a partner in nine surgery centers and two surgical hospitals across the two states, but plans to open the three new centers independently. Specific locations have not been finalized and are expected to be selected in markets where Rothman already has an established patient base.
Nearly two-thirds of Rothman’s procedures are already performed in outpatient facilities, with the remaining third performed at acute care hospitals.
North Carolina
Charlotte, N.C.-based OrthoCarolina and Atrium Health are also launching an ASC joint venture as part of an expanded orthopedic affiliation announced in July.
The partnership is designed to expand access to orthopedic procedures in lower-cost outpatient settings while allowing OrthoCarolina to remain physician-owned and physician-led.
“For decades, OrthoCarolina has been committed to delivering exceptional orthopedic care to the communities we serve,” CEO Leo Spector, MD, said.
North Carolina is also one of the states showing particularly strong outpatient spine growth. Between 2021 and 2024, the share of spine surgeries performed in ASCs increased 8% annually, with North Carolina, Connecticut and Indiana standing out for their outpatient spine growth rates, according to AcuityMD data previously reported by Becker’s.
Brian Curtin, MD, of OrthoCarolina, expects that migration to continue.
“Complex spine and higher-acuity orthopedic cases will keep moving to ASCs as anesthesia protocols and postoperative pain management improve,” Dr. Curtin said.
At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.
