Outpatient-surgery centers are booming in Pennsylvania, according to a new report by the Pennsylvania Health Care Cost Containment Council. Even during the height of the recession, the number of outpatient centers continued to grow, to 261. Between June 2008 and May 2009, 17 centers opened and three closed. Their number has quadrupled in 10 years. Profit also continued growing, as the average total margin rose from 24.31% in fiscal 2007 to 26.06% in fiscal 2008.