51 ASCs Performing 10,000 Annual Procedures

Here are 51 ambulatory surgery centers that perform 10,000 surgical procedures or more each year.

Abington Surgical Center (Willow Grove, Pa.). Abington Surgical Center opened in 1989 as an independent outpatient surgery center. The AAAHC, Medicare certified center includes seven operating rooms and two rooms specifically for pain management procedures. The multispecialty facility performs an estimated 18,000 annual procedures.

Advanced Endoscopy Center (Bronx, N.Y.). The Advanced Endoscopy Center opened in April 2007 as a joint venture between a group of physicians, Physicians Endoscopy and a local hospital in the Bronx. This single-specialty GI center performed more than 10,000 procedures last year. In total, 22 physicians use the facility — 10 of which own interest in the center. The Advanced Endoscopy Center is AAAHC-accredited and recognized as an ASGE Center of Excellence. "We have a great team of physicians and staff, and they work really hard to make sure patients are processed efficiently and quickly," says administrator Steve Housberg. "Our average wait time is an hour and a half from start to finish, and we have state-of-the-art equipment."

Allied Physicians Surgery Center (South Bend, Ind.). This center opened in Feb. 2000 and has performed more than 10,000 procedures a year since 2003 — and more than 20,000 a year since 2007. More than 80 physicians perform procedures in the center's seven operating rooms and two minor procedure rooms. The center is AAAHC-accredited and specializes in orthopedics, podiatry, ophthalmology, pain, ENT, general surgery, gynecology and urology. Executive and clinical director Chuck M. Strasser, RN, CASC, says much of the ASC's success comes from a commitment by surgeons and staff to maintaining high patient satisfaction and excellent clinical outcomes and low infection rates.

Ambulatory Surgery Center of Spartanburg (Spartanburg, S.C.)
. The ASC of Spartanburg is a joint venture between Spartanburg Regional Medical Center and a group of 34 physicians and was opened in April 2002. The center's 52 surgeons do procedures in seven operating rooms and two endoscopy procedures rooms. The center has performed more than 10,000 procedures for the past six years. The center's specialties are gastroenterology, ophthalmology, general surgery, orthopedics, ENT, podiatry, pain and gynecology.

Administrator Mike Pankey, RN, MBA, says block scheduling and leaving certain rooms open for last-minute cases have helped the center maintain its high volume. "We've been doing more than 10,000 procedures for awhile, so it's a normal routine for us at this point," he says. "As you're growing, block scheduling helps a lot and reviewing the block scheduling for utilization helps a lot." Mr. Pankey says that if a surgeon is not filling up their block, they will be moved out. He says this drives the surgeons to bring in more cases and compete to keep their preferred time slots.

Ambulatory Surgery Center of Western New York (Amherst). The Ambulatory Surgery Center of Western New York has been owned and operated by physicians since its inception in 1999. This multispecialty ASC is currently staffed by 25 physicians with surgical expertise in pain management, podiatry, ENT, plastic surgery, orthopedics and ophthalmology. This AAAHC accredited and Medicare certified surgery center performs around 15,000 cases each year.

AtlantiCare Surgery Center (Egg Harbor Township, N.J.). AtlantiCare Surgery Center was opened in 1997 as part of AtlantiCare's large health system, under the AtlantiCare Health Services division. The top three specialties at the multispecialty ASC include gastroenterology, ophthalmology and pain management. Surgeons also perform orthopedics, otolaryngology and urology cases at the ASC. Physicians perform around 12,000 cases annually at the surgery center. The surgery center is accredited by the Accreditation Association for Ambulatory Health Care.

Baptist-Physicians' Surgery Center (Lexington, Ky.). The Baptist-Physicians' Surgery Center was founded in 2002 and is located on the Central Baptist Hospital campus in Lexington, Ky. The AAAHC accredited ASC has eight operating rooms and six procedure rooms. Colorectal, ENT, gastroenterology, general surgery, gynecology, lap-band bariatric surgery, minimally invasive back surgery, ophthalmology, oral surgery, orthopedic surgery, pain management, plastic surgery and urology procedures are performed at the center. Over 13,000 procedures are performed at the surgery center each year.

Barnabas Health Ambulatory Surgery Center (Livingston, N.J.). The Barnabas Health Ambulatory Surgery Center offers services including GI endoscopy, gynecology, ophthalmology, vascular, urology, podiatric, cosmetic surgery, pediatrics, pain management, ENT, breast reconstruction and cosmetic surgery, oral surgery and orthopedics. The center includes seven operating rooms, three minor procedure rooms and three endoscopy suites. In total the surgery center is estimated to perform 17,000 surgical procedures a year.  

Bend (Ore.) Surgery Center. Bend Surgery Center opened in 1997 and moved to a new location in Oct. 2005. The center has been doing more than 10,000 cases a year for the past four years, including 10,388 last year. BSC is 100 percent physician-owned, with 38 owners and 60 users who specialize in orthopedics, general surgery, spine, ENT, ophthalmology, GI, pain management, plastics, pediatric dentistry, podiatry and oral maxillofacial surgery. BSC is Joint Commission accredited and a charter member of the Oregon Patient Safety Commission.

"We've continued to increase volumes over time and have been able to make changes to accommodate the increased volume," says administrator Neal Maerki. "We have a substantial per diem pool."

Berks Center for Digestive Health (Wyomissing, Pa.)
. This single-specialty GI center opened in Dec. 2001 and has done more than 10,000 cases a year since 2005. The center is a joint venture between 11 physician owners and Physicians Endoscopy. There are 13 gastroenterologists performing procedures in three procedure rooms.

Executive director John Gleason stresses creativity and adaptability as the key components to operating a successful ASC. Since the opening of the facility, hours have been extended to allow cases to end at a later time, schedules have been readjusted and turnover of procedures has been kept up in order to facilitate more procedures. "We are constantly considering ways to add additional procedures to the schedule so as to increase volume," says Mr. Gleason. "And our staff and doctors have been adaptable enough to change to meet the center needs for the schedule." He also says the facility is considering a move to a bigger facility to keep up with increasing case volume.

Centennial Surgery Center (Voorhees, N.J.)
. The physician-owned Centennial Surgery Center was established in Sept. 1999 by a group of 16 physicians. The center now has more than 60 physicians, four operating rooms, two endoscopy rooms and two short procedure rooms and has done more than 10,000 procedures a year since 2004. The center specializes in orthopedics, general surgery, urology, gastroenterology, colon/rectal,
plastics, pain management and podiatry.

"We are an organization that is continually looking to find better and more efficient ways to provide the highest quality of care," says Steve Barainyak, MBA, CASC, executive director. "Sometimes we find that what we are currently doing is the best approach to providing the best service we can, but every once in a while we find something that helps us to tweak the system and make it even better. I think this more than anything else helps us to continue to operate smoothly with the volume of cases we perform."

Center for Ambulatory Surgery (West Seneca, N.Y.).
Equipped with four surgery suites and five endoscopy suites, this 18,000-square-foot center does more than 15,000 procedures every year. The center is a 50-50 equity partnership between 16 physician-owners and The C/N Group, which provides management services, including all administrative functions of the facility. The AAAHC-accredited center specializes in orthopedics, gastroenterology, general surgery, ophthalmology, gynecology, podiatry, urology and reconstructive surgery.

Charlotte (N.C.) Surgery Center
. Opened in 1985, this multi-specialty partnership between Surgical Care Affiliates (SCA) and local physicians features seven ORs. More than 12,000 cases are performed annually at the facility, which is a major player in sports medicine being home to several NFL, NBA, MLB and NHL team physicians. As such, they perform many hand, foot, ankle and pain procedures — more than 3,000 annually — with plastic surgeries and podiatry, GYN and ophthalmologic procedures making up the balance. The facility is accredited by the Accreditation Association for Ambulatory Health Care (AAAHC) and boasts a patient satisfaction rate of 99 percent.

Cypress Surgery Center (Wichita, Kan.). The AAAHC-accredited Cypress Surgery Center was founded by medical director David Grainger, MD; Michael Brown, MD; and Bruce Tjaden, DO, and opened in Nov. 2000. Since 2008, the center has done more than 10,000 procedures a year. The center has more than 70 physicians on active staff who perform procedures in six ORs, three procedure rooms and two GI suites. The center specializes in orthopedics, gynecology, ENT, ophthalmology, gastroenterology, urology, oral and maxillofacial, general surgery, plastics and pain management.

Administrator Sandra Hartloff, attributes the center's success to the great staff. "It all has to do with the staff, and we have working managers that are directly involved," she says.

Dearborn (Mich.) Surgery Center. The Dearborn Surgery Center was established in June of 2005 and has been performing more than 10,000 procedures a year since 2006 — averaging 12,500 per year. The center's 94 practicing physicians specialize in endoscopy, orthopedic, general surgery, ENT, ophthalmology, gynecology, plastic, urology, vascular, podiatry and pain management.

"The efficiency that the DSC has is based upon the unified goal that the physician is a key customer," says Ricardo D. Borrego, MD, MSBA, medical director. "Turnover differentiates us from hospital-based services, and patient satisfaction keeps us motivated. To clarify this, our patients' satisfaction and safety are our core values but the difference is most facilities stop short of recognizing that the physicians' satisfaction is key to continued success. Our differentiation is always starting on time, maintaining consistent low turn over times and expediting the patients without any feeling of being rushed."

Eastside Endoscopy Center (Bellevue, Wash.). This AAAHC-accredited center has been performing more than 10,000 procedures a year for the past four years including 10,516 procedures in 2011. This single-specialty GI/endoscopy center has 10 practicing physicians that specialize in colonoscopy, upper endoscopy and flexible sigmoidoscopy. A new center in Issaquah is scheduled to open later this year. Michelle Steele, BSN, CGRN, nurse administrator, attributes the center's success to streamlined processes, skilled staff that are cross-trained, team work and the use of propofol and CO2 for insufflation.

Eastside Endoscopy Center (St. Clair Shores, Mich.). The Eastside Endoscopy Center opened in April 1996 and has been doing more than 10,000 procedures since 2008. The AAAHC-accredited center is a joint venture between eight physician owners and St. John Hospital and Medical Center in Detroit. Between two locations, the center collectively has six procedure rooms and 12 physicians performing procedures. Administrator Beth Miller, RN, CASC, says paying special attention to patient and referral physician satisfaction, being patient-oriented and offering cost-effective services have all facilitated the growth of the facility.

Endoscopy Institute of Hawaii (Honolulu)
. The Endoscopy Institute of Hawaii has a staff of nine board certified and board eligible surgeons and annually performs more than 10,000 procedures. The facility was opened in 2012 as a joint venture between Skai ventures and eight endoscopic surgeons. It is currently the largest free-standing endoscopy center in Hawaii. The center's medical team has specializations in gastroenterology, gastrointestinal endoscopy, general surgery, minimally invasive surgery, colon and rectal surgery, bariatric surgery and advanced laparoscopy.

The Eye Center of Columbus (Ohio). The center opened in 2006 as a joint venture between 30 ophthalmologists and AMB Development Group. The Eye Center is a five-story center that includes eight operating rooms, one of which is specifically used as a laser center for refractive surgery. The single-specialty center houses a pharmacy, optical shop, general practice medical office and eye bank. An estimated 50 ophthalmologist use the center. Each year the center performs approximately 10,000 surgical cases.

Fayetteville Ambulatory Surgery Center (Fayetteville, N.C.). Built in 1982, this joint venture between Surgical Care Affiliates (SCA), Cape Fear Valley Health System and local physicians features 11 ORs, three procedure rooms and five 23-hour stay rooms.  Accredited by The Joint Commission, Fayetteville Ambulatory Surgery Center is home to more than 100 credentialed physicians who perform more than 13,000 cases annually in a wide variety of specialties. Teresa Craven, RN and Administrator, credits the facility’s success to the dedication of its staff and physicians and their commitment to providing clinical excellence and quality care to patients and their families throughout the region.

Florham Park (N.J.) Endoscopy Center. Florham Park Endoscopy Center currently has 15 board certified gastroenterologists with facility privileges. The physicians specialize in internal medicine, as well as gastroenterology. The AAAHC accredited center offers colonoscopy, flexible sigmoidoscopy, upper endoscopy and hemorrhoid banding procedures. Each year, Florham Park Endoscopy Center completes more than 10,000 procedures.

"We have dedicated staff that know their jobs really well," administrator Dale Bowman says. "We like to say that we are a "well-oiled machine" that keeps everything moving. We are a values-driven organization, and the number one "value" is clinical quality. We want each patient to know that they are important and cared for. Teamwork is another "value" that plays a huge role in our success. Everyone must work together to focus on efficiency and productivity."

Fredericksburg (Va.) Ambulatory Surgery Center. Fredericksburg Ambulatory Surgery Center is owned by Mary Washington Healthcare. The ASC performs approximately 10,000 procedures per year.

Galloway Endoscopy Center (Miami). Galloway Endoscopy Center is accredited by the AAAHC and currently 20 physicians performing procedures at its one location. The center offers colonoscopy, upper endoscopy and flexible sigmoidoscopy procedures. The Galloway Endoscopy Center is full staffed by bilingual healthcare professionals and completes over 14,000 procedures each year.  

Gateway Surgery Center (Concord, N.C.)
. This multi-specialty center opened Jan. 1, 2006 and has been doing more than 10,000 cases a year for the past four years, including just under 11,000 last year. The center's 72 physicians specialize in ENT, orthopedics, gastroenterology, general surgery, pain management, urology, gynecology, ophthalmology, pediatric dental, plastic surgery and podiatry. The ASC is led by administrator Rob Bashore.

Jacksonville (Fla.) Center for Endoscopy
. Jacksonville Center for Endoscopy was established in 1998 and is owned and operated by the Borland-Grove Clinic physicians. The Medicare licensed and Joint Commission accredited center has two locations in Jacksonville. The center offers colonoscopy, endoscopy and sigmoidoscopy services. Between its two locations, Jacksonville Center for Endoscopy annually performs more than 32,000 procedures.

Kemp Surgery Center (Everett, Wash.). The Kemp Surgery Center was opened in Nov. 1997 by the Everett Clinic and has done more than 10,000 procedures a year since 2001, including more than 16,000 in 2011. The center's primary focus is on gastroenterology, though the facility also handles cases in ENT, orthopedics and urology. The center is owned by the 300-physician multi-specialty Everett clinic and is accredited by Medicare. Medical director Nick Marassi, MD, says the ASC focuses on providing great service to surgeons and physicians as well as patients. The center also offers state-of-the-art equipment for surgeons in the facility to utilize in order to maintain high quality care.

Kentucky Surgery Center (Lexington). This AAAHC-accredited center opened in Dec. 1986 and has been doing more than 10,000 cases a year since 2007. This physician-owned facility is 28,000 square feet and has seven ORs and three procedure rooms. Started by a small group of surgeons and anesthesiologists, the center now has more than 100 surgeons on staff and specializes in orthopedics, ENT, gastroenterology, general surgery, plastics, podiatry, dentistry, pain management, urology, vascular, colorectal and pulmonary surgery.

Administrative director Glenda Beasley, RN, says maintaining high case volume has been possible because the staff and physicians provide quality patient care with excellent patient outcomes. "Raising the bar with expectations of only providing care that can be parallel to none is the goal of the center on a daily basis," she says. "Every team member must buy into the notion of bringing their top performance and positive attitude everyday to maintain success on every level."

Lakeland Surgical and Diagnostic Center (Lakeland, Fla.). The AAAHC-accredited Lakeland Surgical and Diagnostic Center opened in April 1996 as a joint venture by the Watson Clinic and the Lakeland Regional Medical Center. The center is owned by the two largest physician groups in the area and the largest regional medical center and runs six ORs in three locations. The center has been performing more than 10,000 cases since 2001 and hit more than 20,000 in 2010. The ASC now performs more than 36,000 procedures per year. The center's specialties include endoscopy, pain management, eye, cosmetic surgery, reconstructive surgery, general surgery, eye, gynecology, orthopedics, urology, radiation oncology, podiatry and ENT. The center is also AHCA accredited and ASGE recognized.

Lutheran Healthcare ASC (Brooklyn, N.Y). The Lutheran Healthcare Ambulatory Surgery Center performs procedures for an estimated 10,000 patients per year. The center has a gold seal of approval from the Joint Commission and offers several different specialty procedures. The most common surgical procedures done at the Luther Healthcare ASC include laparoscopic cholecystectomy, hysteroscopy, tubal ligation, hernia surgery, cataract surgery and foot surgery.

Manhattan (N.Y) Endoscopy Center. Manhattan Endoscopy Center opened in December of 2011 as a joint venture between a group of 20 physicians and Frontier Healthcare Holdings. The approximately 13,000-square-foot center is currently performing procedures in five out of seven operating rooms. Services offered at the center include endoscopic ultrasound, upper endoscopy, colonoscopy and lower GI. The center's board certified gastroenterologists perform between 13,000 and 14,000 procedures per year. Manhattan Endoscopy Center has adopted an EMR system and earned accreditation from the Joint Commission. Roy Bejarano, COO of Frontier Healthcare Holdings, attributes the center's ability to handle such a high case volume to a carefully trained and expertise staff, which includes a manager solely responsible for tracking patient flow.

Memorial Mission Surgery Center (Chattanooga, Tenn.). The Memorial Mission Surgery Center opened in 2003 and performed 11,000 total cases in 2011. The center, which opened in 2003, is owned primarily by GI and orthopedic physicians, as well as two general surgeons and one ENT. The center is owned 70 percent by physicians and 30 percent by the local health system. The center is AAAHC accredited and recognized by the ASGE.

Menomonee Falls (Wis.) Ambulatory Surgery Center. This AAAHC-accredited center opened in 1994 and is a joint venture between a community hospital and two large medical groups. This multispecialty center has done more than 12,000 cases since 2002. The center's 45 active physicians do cases in gastroenterology, general surgery, orthopedics, pain, ENT, gynecology, podiatry, ophthalmology, urology and plastic surgery in five ORs, four minor procedures rooms and a laser room. Executive director Dianne Wallace, RN, BSM, BMA, says the center's plan for continued growth includes recruiting more physicians.

Michigan Endoscopy Center (Farmington Hills, Mich.). This AAAHC-accredited, single-specialty GI center opened in March 2003 as a joint venture between 16 physicians and Physicians Endoscopy and has been performing more than 16,000 procedures each year since 2006.The center's 19 physicians do procedures in three operating rooms and three procedure rooms.

Administrator Brien Fausone says MEC is a very busy surgery center, averaging 62 procedures a day and more than 80 on high-demand days. "We were a low cost/high volume provider with an outdated and cramped waiting room," he says. "In 2010, we made the decision to acquire an additional 3,000 square feet of adjacent space to build out a new waiting room and business office. The patient response — and more importantly, the physician referral response — has been overwhelmingly positive."

Midtown Endoscopy Center (Atlanta, Ga.). Midtown Endoscopy Center opened in 2001 under an affiliation with Atlanta Gastroenterology Associates and performs about 10,620 cases a year. The physician-owned center has 18 physicians, four ORs and is accredited by the AAAHC. Steven Morris, MD, managing partner, and Jana Baker, practice administrator with AGA, attribute the center's success to "skilled, experienced physicians and staff" and "attention to individual patient needs."

Mississippi Valley Surgery Center (Davenport, Iowa). Mississippi Valley Surgery Center was opened in 1996 by a small group of physicians. The multispecialty ASC is AAAHC accredited and Medicare certified. Mississippi Valley Surgery Center offers gastroenterology, general surgery, gynecology, ophthalmology, oral, orthopedics, ENT, physical therapy, plastic surgery, podiatry, urology and vascular surgery services. The center annually performs an estimated 12,000 surgical cases.

New York GI Center (Bronx, N.Y.). This single-specialty GI center opened in March 2007 and does 10,800 procedures a year. Since opening, the center has been accredited by the AAAHC, implemented electronic medical records and expanded to 18 gastroenterologists on staff. The current facility includes fives ORs, but an expansion planned for this year will add two additional ORs and enhanced facilities for staff and patients.

Northpoint Surgery and Laser Center (West Palm Beach, Fla.). This center opened in Sept. 1996 as a limited partnership with 13 physician owners an entered into a joint venture with National Surgical Care in 2003. The center has been doing more than 8,000 cases a year since 2006. The center houses five ORs, two endoscopy suites and a pain management center with its own waiting room, preoperative and postoperative room as well as a procedure room. This AAAHC- and AHCA-accredited facility now has 32 physician owners and 25 other physicians on staff who specialize in ENT, gastroenterology, gynecology, ophthalmology, retina, oral/maxillofacial, orthopedics, pain management and podiatry.

Northwest Michigan Surgery Center (Traverse City, Mich.). This AAAHC-accredited center opened in April 2004 and currently does over 17,000 cases a year. The center specializes in gastroenterology, ophthalmology, orthopedics, urology, plastic surgery, ENT and gynecology. The center recently renovated its patient waiting area adding 30 percent more space. The center also implemented SourceMedical's Vision Electronic Health Record in the past year which has simplified documentation, decreased staffing requirements and provided access to quality assurance measures. Versus Technology is another tool to keep up with a large volume. The system allows staff to see how many patients are in the lobby, where and when they interacted with staff and where each patient is in terms of the visit progression.

Outpatient CareCenter (Birmingham, Ala.). Affiliated with Surgical Care Affiliates (SCA), this multispecialty facility performs more than 13,000 procedures annually. It features eight operating rooms as well as a procedure room. The ASC's more than 100 physicians specialize in a number of procedures including ophthalmology, pain, ENT, orthopedics, gynecology, plastics and podiatry, and treat both adult and pediatric patients. The AAAHC-accredited facility has a seasoned nursing staff and a reputation for clinical excellence in the community. Dare Hartsell, Administrator, credits the facility’s success to its excellent staff and their commitment to treating each and every patient with customized care.

Physicians Endoscopy Center (Houston). This single-specialty center opened in Dec. 2002 and performs more than 13,000 cases every year, more than 100,000 procedures since its opening. The center is a joint venture between HCA Ambulatory Surgery Division and several physicians who originally founded the center. The center currently has 18 physician owners and eight procedures rooms.

Saint Vincent Surgery Center (Erie, Pa.)
. Saint Vincent Surgery Center opened in 1987. The freestanding ambulatory surgery center offers laparoscopic procedure, bariatric, ophthalmology, ENT and several other specialty services. The surgery center is staffed by eight board-certified surgeons. Each year the center performs an estimated 10,000 procedures.

Southeastern Spine Institute Ambulatory Surgery Center (Mount Pleasant, S.C.). Southeastern Spine Institute Ambulatory Surgery Center is South Carolina's only ASC dedicated specifically to spine health. The 41,000-square-foot facility was designed by Don Johnson, MD, and Steve Poletti, MD, to address patients with spine-specific issues, including total disc replacement. In addition to outpatient surgery, Southwest Spine Institute includes imaging, fluoroscopy and physical therapy. The surgery center is accredited by the Accreditation Association for Ambulatory Health Care and Medicare-certified. The center performs more than 1,000 procedures each month.

Southwest Florida's Center for Sight Ambulatory Surgery Center (Sarasota)
. Southwest Florida's Center for Sight Ambulatory Surgery Center is AAAHC accredited and allows only Center for Sight physicians to perform procedures at its location. The center performs over 12,000 procedures every year including retina, cornea, cataract, glaucoma and facial cosmetic surgery. The ASC has three operating rooms and a comprehensive laser suite for LASIK procedures.

Springfield (Ill.). Clinic's Ambulatory Surgery Center and Endoscopy Center. Springfield Clinic's Ambulatory Surgery Center and Endoscopy Center is accredited by the AAAHC and annually performs approximately 18,000 procedures. The five operating room- and four endoscopy room-center is located on Springfield Clinic's main campus. The surgery center offers endoscopy, gynecology, ophthalmology, orthopedics and urology services. Cataract surgery and endoscopy are the center's two most common procedures. 

Surgical Center of Greensboro (Greensboro, N.C.). Comprised of two facilities across the street from one another, this multispecialty center features a combined total of 13 ORs. Since 1983 and 1993 respectively, the Surgical Center of Greensboro and Orthopaedic Surgical Center have been safe, affordable and efficient options for outpatient surgical services in their community. Affiliated with Surgical Care Affiliates (SCA) they serve more than 13,000 patients and families annually, with more than 100 credentialed physicians and 140 teammates. Procedures include ENT, GYN, ophthalmology, oral, orthopedics, pain, plastic and general surgery. Together, the facilities feature nine 23-hour private recovery rooms and are accredited by The Joint Commission.

Surgi-Center of Central Virginia (Fredericksburg). Surgi-Center of Central Virginia is a partnership between local physicians and United Surgical Partners International. The AAAHC accredited and Medicare licensed center has four operating rooms and two treatment rooms. Surgi-Center of Central Virginia offers urology, oral, gastroenterology, podiatry, orthopedic, gynecology and ophthalmology services. The center performs an estimated 15,000 procedures each year.

Toledo (Ohio) Clinic Outpatient Surgery Center. Toledo Clinic Outpatient Surgery Center, established in 1984, has 10 operating suites. The center is accredited by the AAAHC and recognized by the American Society of Gastrointestinal Endoscopy as a quality endoscopy center. Since its opening, the center underwent a large renovation project, increasing it from a 26,000-square-foot facility to the 35,500-square-foot center it is today. The center completes more than 11,000 procedures each year.

Urologic Ambulatory Surgery Center (Cincinnati). The Urology Center's Urologic Ambulatory Surgery Center offers exclusively outpatient urology services including prostate biopsy, cystoscopy, ureteroscopy, vasectomy, hernia treatment and lithotripsy. The Joint Commission accredited surgery center annually performs over 14,000 procedures.

Vidant SurgiCener (Greenville, N.C.). Vidant SurgiCenter is a free-standing multispecialty facility that annually performs more than 12,000 procedures. The center opened in 1982 and currently has a medical team of over 200 physicians. The center offers specialty procedures in general surgery, dental and oral surgery, orthopedics, gastroenterology, ENT, plastic surgery, gynecology, podiatry, neurosurgery, surgical oncology, ophthalmology and urology. The 40,000-square-foot center contains 10 operating rooms, 14 pre-operative beds, a 24 bed post anesthesia care unit, two pediatric pre-operative rooms and a six bed recovery center for 23 hour stays.

Wabash Valley Surgery Center (Terre Haute, Ind.). The Wabash Valley Surgery Center is a 28,000-square-foot facility located on the Union Hospital Campus. The ASC has eight operating rooms and four procedure rooms. The surgery center offers gynecology, ophthalmology, orthopedic, ENT, urology services and general surgery services. Approximately 11,000 procedures are performed at the surgery center each year.

West Side GI (Manhattan, N.Y.)
. West Side GI was opened in June 2012 as a joint venture between a group of 11 physicians and Frontier Healthcare Holdings. The AAAASF accredited facility is approximately 13,000-square-feet and has five operating rooms. West Side GI, entirely run on an EMR system, offers upper endoscopy and colonoscopy services. The center is designed for optimum patient flow. Frontier Healthcare COO Roy Bejarano explained that the staff tracks patient throughput through each stage of the individual's time at the center. The surgery center's gastroenterologists annually perform an estimated 13,000 procedures.  

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