Here are 76 hospitals and health systems that have opened or announced plans to open an ASC in 2020:

This year, at least 11 developments involving an ASC or outpatient surgery center represented an investment of $50 million or more.

Florida, Texas and Arizona have reported the most activity in new ASC development this year, followed by Michigan, Colorado and Alabama. Below is a list of the projects in each state.

Surgery Center Services of America designed a laser eye surgery center that's being developed in Birmingham, Ala., the Birmingham Business Journal reported Nov. 23.

Brattleboro (Vt.) Memorial Hospital held a virtual groundbreaking for an outpatient medical pavilion housing a surgery center Oct. 30 during a Zoom meeting, the Brattleboro Reformer reports.

Milwaukee-based Aurora Health Center opened a same-day surgery center in Pleasant Prairie, Wis., Nov 4., the Kenosha News reported.

 New York City-based NYU Langone Health opened a new ASC on Long Island, according to a Nov. 16 press release.

The Beloit (Wis.) Plan Commission denied a request from Rockford-based OrthoIllinois to build a surgery center in the city, Beloit Daily News reports.

Addison, Texas-based United Surgical Partners International is partnering with real estate services and development company OGA to develop an outpatient medical building in Murfreesboro, Tenn., according to a Nov. 17 announcement.

  Leawood, Kan.-based ValueHealth is partnering with Trenton, N.J.-based Capital Health and Brown Mills, N.J.-based Deborah Heart and Lung Center to create an ASC, according to a Nov. 18 press release.

Jefferson City, Mo.-based Capital Region Medical Center will build a $20 million outpatient center, according to a Nov. 18 report from ABC 17.

Orlando (Fla.) Health and Jewett Orthopedic Institute broke ground on a 197,000-square-foot orthopedic complex Nov. 17, the health system announced.

Titanium Partners will redevelop the UnitedHealth Group office building in Duluth, Minn., into a medical center with a surgery center, local ABC affiliate WDIO reported Nov. 17.

The Beloit Plan Commission will consider a proposal from OrthoIllinois to build a 25,605-square-foot surgery center in Beloit, Wis., the Beloit Daily News reports.

Philadelphia Hand to Shoulder Center and Philadelphia-based Premier Orthopaedics partnered to open a 14,500-square-foot ASC in King of Prussia, Pa., the Philadelphia Business Journal reports.

Nigro Construction wrapped up two ASC construction projects, the firm announced Nov. 12.

Clarinda (Iowa) Regional Health Center received a $9.5 million revenue bond to advance an improvement project that will construct a surgery center, physical therapy facility and remodel spaces in the hospital, local radio station KMA Land reported Nov. 11.

  Pittsburgh-based UPMC opened a new specialty care clinic in Lewisburg, Pa., according to a Nov. 11 report from The Daily Item.

Dallas-based Baylor Scott & White Health opened its Center for Hernia Surgery in Waxahachie, Texas, Nov. 2, the Waxahachie Daily Light reports.

Tucson (Ariz.) Medical Center will expand its Rincon campus, including an ASC, according to a Nov. 10 press release. Here are four things to know: