Texas Back Institute in Plano has evolved to the economic situation caused by the COVID-19 pandemic to revamp its sales and marketing strategies and strengthen referral relationships.

Pella (Iowa) Regional Health Center has been recognized as a Blue Distinction Center+ for hip and knee replacement, according to local radio station KNIA-KRLS.

Here are four hospitals recently expanding spine programs and services:

Blue Cross Blue Shield awarded Flowood, Miss.-based the Surgery Center at Mississippi Sports Medicine an advanced designation, making it the only center in the Southeast U.S. with the honor.

Physician groups are worried about surviving the pandemic financially and many are running on just a few week's cash as they ramp back up for the second half of 2020, according to a report from McKinsey & Co.

Philadelphia-based Rothman Orthopaedic Institute will open an office in Paramus, N.J., on July 27.

Two physicians will join the staff at Flagstaff-based Northern Arizona Orthopaedics in July, Flagstaff Business News reports.

SpineCare Long Island will open its third location in Holbrook, N.Y., on Aug. 3, according to a July 17 announcement.

The University of Arkansas for Medical Sciences in Little Rock opened a second Orthopaedics & Sports Medicine center in Lowell, according to a July 15 Arkansas Business report.

Arkansas' first proton therapy treatment center is being planned for the University of Arkansas for Medical Sciences Radiation Oncology Center in Little Rock, according to a July 15 KATV report.

Phoenix-based The Core Institute is preparing to move into a new medical office in Gilbert, Ariz., which completed construction this month, AZ Big Media reports.

Lima-based Orthopaedic Institute of Ohio is expanding services at Mary Rutan Hospital Orthopedics & Sports Medicine in Bellefontaine, Ohio, according to a July 15 Bellefontaine Examiner report.

Phoenix-based The Core Institute has added orthopedic traumatologist Amanda Wright, DO, and six physician assistants to its practice, according to a July 14 Daily Independent report.

Two hospitals have added spine surgery programs in the past month:

Reno (Nevada) Orthopedic Clinic, a 30-physician practice, has teamed with Renown Health to expand access to care, according to a July 14 Fox11 report.

The Orthopedic & Spine Tower at Huntsville (Ala.) Hospital has reached its structural completion, according to a July 14 Huntsville Business Journal report.

Greenwich (Conn.) Hospital received a $5 million gift to establish The Jean and David W. Wallace Medical Director Neurovascular Surgery Program, according to a July 12 report by Greenwich Time.

Birmingham-based OrthoAlabama Spine & Sports is opening a clinic in Hoover July 15, the Birmingham Business Journal reports.

Consolidation has been widespreadrife at Des Plaines-based Illinois Bone & Joint Institute this year.

Philadelphia-based Rothman Orthopaedic Institute has made several big moves this year, including expansion plans, changes to its bundled payment strategy and bolstering its sports medicine partnerships.