HCA Timpanogos Ambulatory Surgery Center

Project Summary

In partnership with HCA Healthcare, NexCore Group developed one of the largest ambulatory surgery centers (ASCs) in HCA’s national portfolio—right on the HCA Timpanogos Regional Hospital campus in Orem, Utah.

At 41,000 square feet with 10 state-of-the-art operating rooms, the new ASC expands surgical capacity in the rapidly growing Central Utah Valley. This development is part of a larger, two-phase campus plan that includes a future 54,000 SF Medical Office Building (MOB).

As a repeat partner to HCA, NexCore managed the full project lifecycle—from strategic facility planning and room-by-room design to development, financing, and construction oversight—delivering a flexible, future-ready solution to support HCA’s growth and the region’s rising healthcare demand.

The Challenge

The Central Utah Surgical Center (CUSC), previously located in Provo, had outgrown its footprint. With only six operating rooms and limited support space, the facility couldn’t keep up with patient volume or modern surgical standards—despite serving one of the fastest-growing counties in the U.S.

HCA recognized the need to bring CUSC onto its regional hospital campus in Orem, addressing both clinical demand and operational strategy. The challenge: deliver a facility that expanded capacity, attracted physician partners, and aligned with HCA’s long-term goals—all while ensuring speed to market and sustainable quality.

NexCore’s Solution

NexCore delivered a high-performance ASC tailored to the region’s needs and HCA’s vision. Key components included:

• Relocation + Expansion: Increasing CUSC’s operating rooms from 6 to 10, dramatically improving throughput and reducing wait times for outpatient procedures.
  
• Campus Integration: Strategically sited adjacent to the hospital, the ASC provides seamless access for both providers and patients, with visibility from I-15 and proximity to US 89 and SR-52.
  
• Joint Venture Structure: The facility is co-owned by HCA’s Surgery Ventures Group and CUSC, with flexible real estate structures offered by NexCore to engage physician partners and align incentives.
  
• Operational Programming: NexCore’s room-by-room approach to programming ensured clinical functionality, surgical workflow, and patient comfort were prioritized from the start.
  
• Scalability: As part of a larger 6-acre campus plan, the site also includes room for future outpatient growth, including a NexCore-developed MOB currently under construction.
  

NexCore leveraged insights from prior successful HCA projects—like the Doctors’ Pavilion at HCA Houston Healthcare North Cypress—to inform layout, process flow, and experience design. Their experience with six HCA developments nationally positioned them to move quickly, with confidence.

Results

The ASC opened on schedule in Q2 2025, delivering immediate value to the Central Utah Valley:

• Expanded Capacity: 10 fully equipped operating rooms now support a broader range of specialties and procedures.
  
• Improved Access: Patients no longer need to travel for specialized surgical care—shortening wait times and improving outcomes.
  
• Strong Physician Alignment: Flexible ownership and leasing options have fostered engagement and long-term occupancy stability.
  
• Regional Impact: The project supports HCA’s broader vision to grow its presence in high-growth markets—ensuring care is close to home and easy to access.
  
• Sustainable Design: The facility meets modern healthcare efficiency and sustainability standards, reinforcing NexCore’s commitment to long-term value.
  

Advancing a Shared Vision

The HCA Timpanogos ASC is a testament to what strategic partnership can accomplish. By bringing together the resources of HCA, the clinical expertise of CUSC, and the development leadership of NexCore, this facility sets a new benchmark for outpatient surgical care in Utah.

As demand for outpatient procedures continues to rise, and with the adjacent Medical Office Building on track, this project strengthens both HCA’s position in the market and the region’s healthcare infrastructure for years to come.