How It Works
From first conversation to first case
The path to partnership is deliberate and confidential. Every step is designed to prove the model fits your practice before you commit.
- Step 01
Reach out
Submit a brief, confidential inquiry telling us about your specialty, practice, and goals. No obligation.
- Step 02
Confidential conversation
We talk through your practice, your case volume, and what autonomy and ownership would look like for you.
- Step 03
Fit & feasibility
Together we assess case mix, market, and economics to confirm the model works — for you and for the center.
- Step 04
Proposal & partnership
You receive a clear proposal covering ownership, governance, and terms — with time and transparency to decide.
- Step 05
Onboarding & first cases
We handle development, staffing, and setup, then support you through onboarding to your first cases and beyond.
Common questions
What surgeons ask us first
Still have questions? Reach out — every conversation is confidential.
Do I have to leave my current practice?
No. Many surgeons partner while maintaining their existing practice. The goal is to add ownership and autonomy, not to disrupt the care you already deliver. We'll work through the specifics of your situation confidentially.
What specialties fit the model?
The physician-owned ASC model suits a broad range of surgical and procedural specialties that can be performed safely in an ambulatory setting. If you're not sure whether your case mix fits, reach out and we'll talk it through.
How does ownership actually work?
Surgeons hold an equity stake in the surgery center and participate in its economics. The exact structure depends on the center and your situation. [PLACEHOLDER: add specifics of the ownership / investment structure once finalized.]
Is my inquiry confidential?
Yes. Every conversation is confidential. We understand you may be exploring options while employed or in an existing group, and we treat your inquiry with discretion.
What does Physician 1st handle versus what I handle?
You and your fellow physician-owners set clinical direction and governance. Physician 1st handles the business: development, licensing, staffing, compliance, supply chain, and revenue cycle.
Ready for step one?
It starts with a short, confidential inquiry. No obligation, physician to physician.

