Three surgery center LLCs have submitted a certificate of need application for a $28.3 million ASC in Pinehurst, N.C., The Pilot reported Nov. 25. 

USA Health has received state review board approval to build a 28,000-square-foot ASC on its Mobile, Ala.-campus according to a Nov. 21 report from Fox10 News. 

Winston-Salem, N.C.-based Atrium Health Wake Forest Baptist has received regulatory approval to open a $30.13 million ASC in Greensboro, N.C., according to a Nov. 18 report from the Winston-Salem Journal. 

Gainesville, Fla.-based UF Health and Jacksonville-based Jax Spine and Pain Centers have opened a $25 million multispeciality surgery center in Jacksonville, according to a Nov. 18 report from WJCT News. 

Chesterton, Ind.-based Northwest Health Lakeshore Surgicare has completed a 4,600-square-foot expansion on its facility, which provides orthopedic and neurospine services according to a Nov. 17 report from the The Times of Northwest Indiana. 

Ambulatory surgical centers face multiple risks that could interrupt and devastate the business. The traditional method of protecting against these risks is insurance coverage, but coverage for these rare but catastrophic events is extremely expensive.

The University of Iowa Hospitals in Iowa City has announced its 10-year medical campus transformation plan, which includes developing an outpatient clinic, with work beginning in 2023. 

Here are 170 ASCs that have been built or proposed in 2022 that Becker's has reported on since Jan. 4:

UT Health San Antonio is building an outpatient and surgery center in the city.

A physician or organization looking to build a new ASC has to think about several factors when settling on a location. Prominent among them are the area's average physician pay, friendliness to new businesses and the amount of competition.

Honolulu-based the Queen's Medical Center plans to open an ASC at its West Oahu location, according to a Nov. 10 report from Pacific Business News.

Healthcare developer Hammes broke ground on the 22,500-square-foot Blue River Surgery Center in Kansas City, Mo., on Nov. 1. 

Vancouver (Wash.) Clinic and healthcare real estate developer PMB opened a new facility with an ASC Nov. 4 in Vancouver.

The Gallatin Valley Mall in Bozeman, Mont., is undergoing a $50 million redevelopment that will turn a JCPenney into a 45,000-square-foot ASC from Broomfield, Colo.-based SCL Health and a clinic from Ortho Montana, the Bozeman Daily Chronicle reported Nov. 8. 

St. Tammany Health has begun work on a $75 million outpatient surgery expansion in Covington, La., nola.com reported Nov. 6. 

Morristown, N.J.-based Atlantic Health System has opened a 15,000-square-foot ASC at its Morristown Medical Center Health Pavilion in Rockaway, N.J., according to a Nov. 7 report from NJBiz. 

State College, Pa.-based Mount Nittany Health opened its new $90 million outpatient center in Patton, Pa., on Nov. 2.

Here are the three most expensive ASCs in October:

Cleveland, Ohio-based University Hospitals broke ground on a health campus in Amherst that will include a two-story medical office building and an orthopedic-focused ASC, according to a Nov. 1 report from local news station WTAM.

Becker's reported on 18 ASCs that opened or were announced in October: