5 states seeing an ASC boom

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California, Missouri, New Jersey, New York and North Carolina are the top states for new ASCs reported by Becker’s in 2025.

Below is a breakdown of the new ASCs in these five states so far this year

California 

  • Sacramento, Calif.-based UC Davis Health cut the ribbon on its 48X Complex, one of the largest outpatient surgery centers in the nation.
  • Sacramento, Calif.-based Sutter Health started construction on the Sutter Advanced Neurosciences Complex at Mission Bernal in San Francisco. The $442 million, 129,000-square-foot facility will include neurology services, neurosurgery and an on-site ASC.
  • Lestonnac Free Clinic has opened a new free-of-charge surgery center in Orange County, Calif. The facility will be the first free surgery center in the U.S. The clinic has been providing healthcare for uninsured patients since 1979, offering free primary care services.
  • Newport Beach, Calif.-based TriasMD is opened a DISC Surgery Center in Carlsbad, and plans to open a center in Tarzana later this year.
  • Swedish real estate developer Skanska signed a contract with Sacramento, Calif.-based Sutter Health to convert a 60,000-square-foot office building into an ASC and specialty clinic space. 
  • UCSF Health opened a $60 million, four-story outpatient center in Burlingame, Calif.
  • Sacramento, Calif.-based Sutter Health plans to construct a flagship campus in Emeryville, Calif., that will feature an ambulatory care complex and a new medical center with 200 beds. 

Missouri

  • GI Alliance and MedCore Partners opened an ASC and managed clinic in Kansas City. The ASC includes several fully equipped operating rooms, pre-op and recovery suites and integrated technology to improve efficiency and outcomes.
  • Springfield, Mo.-based CoxHealth and St. Louis-based St. Louis Children’s Hospital finalized a partnership agreement to expand pediatric care in Missouri that includes an ASC.
  • Springfield, Mo.-based CoxHealth took the first steps toward building a pediatric outpatient center.
  • An ASC is being planned near an elementary school in Platte City, Mo. The Platte County board of education sold the building for the facility to PC Medical Partners in the fall for $762,300. 
  • Real estate development company Hammes recently completed the Surgery Center of Lee’s Summit (Mo.) on behalf of Surgery Ventures, powered by HCA Healthcare, and 16 physician partners. 

New Jersey

  • RWJBarnabas Health Medical Group is planning to open a multispecialty ambulatory care facility in Old Bridge, N.J.
  • The Institute for Advanced Reconstruction opened a new ASC in Red Bank, N.J.
  • New York City-based Hospital for Special Surgery opened new ASCs in Paramus and Mahwah, both in New Jersey.
  • West Orange, N.J.-based RWJBarnabas’ Ambulatory Medical Pavilion will open to patients April 1. 
  • Compass Surgical Partners, an ASC development and management company, opened NYC Joint & Spine Center in Englewood, N.J.

New York

  • NYU Langone Hospitals filed a certificate of need for a freestanding ASC in West Harrison, N.Y.
  •  A state advisory board recommended a $1 billion investment in New York City-based SUNY Downstate Hospital that includes building an ASC.
  • Hudson, N.Y.-based Columbia Memorial Health will add an ASC and cardiac care center at its Greene Medical Arts Center in Catskill, N.Y.
  • The Empire Center for Special Surgery on Staten Island recently opened in New York. 
  • Stony Brook Medicine in Commack, N.Y., will add a 19,500-square-foot ASC to its existing facility that will house four operating rooms, a dedicated recovery and prep space, and onsite sterile processing.

North Carolina

  • The North Carolina Local Government Commission approved Duke University Health System’s funding request to build an ASC. The system plans to expand its campus in Cary, N.C., with facilities that include a new medical office building, a freestanding emergency department, an ASC and specialty clinics.
  • Two physicians affiliated with Buffalo (N.Y.) Spine & Sports Medicine have filed plans to open a standalone ASC in Amherst, N.Y.
  • Winston-Salem, N.C.-based Novant Health broke ground on a new outpatient surgical center in Leland, N.C.
  • Atrium Health Wake Forest Baptist held a ribbon-cutting ceremony on a $78 million outpatient surgery center in Winston-Salem, N.C.
  • Morehead City, N.C.-based Carteret Health Care will apply for approval to build an ASC in Cedar Point, N.C.
  • Charlotte, N.C.-based Novant Health broke ground on a medical office building that will offer a range of specialty services. 
  • Durham, N.C.-based Duke Health and Chapel Hill, N.C.-based UNC Health are collaborating on a $2 billion venture to build a 500-bed hospital, ASC, outpatient care center, medical office building and children’s behavioral health center.
  • Winston Salem, N.C.-based Atrium Health Wake Forest (N.C.) Baptist received state approval to open a $25 million ASC. 
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