Becker's has reported on nine ASC openings in April. 

Samaritan Medical Center has submitted plans to construct a four-story, 52,000-square-foot medical office building in Watertown, N.Y., according to an April 27 report from local news station WWNYTV. 

San Bernardino, Calif.-based SAC Health has purchased a former Wells Fargo regional headquarters for over $35 million, with plans to establish its SAC Health-Briar Campus. 

Cullman (Ala.) Regional Medical Center has begun the approval process to construct an ASC at Hartselle (Ala.) Health Park, according to an April 24 report from NBC affiliate WAFF.

The Metrodora Institute, a multidisciplinary medical and research center with an ASC focused on improving diagnostics, therapeutics and cures for patients with neuroimmune axis disorders, has opened. 

Comprehensive Surgical Care held a ribbon cutting ceremony for its newest ASC in Reno, Nev., according to an April 18 report from 2 News.

Pompano Beach, Fla.-based South Florida Same Day Surgery Center has opened, the center said in an April 17 news release shared with Becker's. 

Arlington, Va.-based Anderson Orthopedic Clinic, which is backed by management services organization M2 Orthopedics, is opening an orthopedic ASC in Oxon Hill, Md. 

On March 31, physician-owned specialty group Nexus Health broke ground on a three-story, 95,000-square-foot outpatient specialty medical office building in Santa Fe, N.M., according to an April 10 report from The Santa Fe New Mexican.

Operating an ASC in partnership with a health system and a medical device manufacturer is not for the faint of heart. With outpatient surgeries and ASC utilization continuously growing, there are clear opportunities for innovative, focused ASCs — but there are also distinct challenges.

Real estate developer NexCore Group has broken ground on the new Westfield (Ind.) Ambulatory Surgery Center and Westfield Medical Office Building. 

Phoenix-based Banner Health is flipping a fine art space in Scottsdale, Ariz., into a 384,000-square-foot medical center, according to an April 6 report from East Valley Tribune.

Rocky Hill, Conn.-based Starling Physicians and Chimera Holdings is planning to build a new office suite medical center, Hartford Business Journal reported April 5. 

Real-estate developer Meridian has purchased 18 acres in Santa Fe, N.M., to construct a 95,000-square-foot medical office building, according to an April 5 report from REbusiness Online. 

Here are the 10 most expensive ASC projects Becker's has reported on since Jan. 1:

New York City-based NYU Langone Health opened the Joseph S. and Diane H. Steinberg Ambulatory Care Center, a multispecialty center offering outpatient surgeries, cancer care and other services in Brooklyn, the city's second-largest borough.

Becker's has reported on 10 ASCs opened or announced in March:

New York City-based Jamaica Hospital Medical Center has begun construction on an ASC that will be located on the second floor of its main hospital in Queens, according to a March 30 report from the Queens Chronicle.

Optum Health affiliate Everett Clinic has opened a 39,500-square-foot facility with 50 exam rooms and an ASC in Arlington, Wash., according to a March 29 report from HeraldNet.

Broomfield, Colo.-based SCL Health, an affiliate of Intermountain Health, broke ground on an 80,000-square-foot medical office building with an ASC in Aurora, Colo., according to a March 28 report from Sentinel Colorado.