Ambulatory Services

From Planning to Profitability

Partnering with MSI

Our expertise at MSI extends to ambulatory surgery centers which often involves complex organizational structures, detailed financial and operational feasibility studies, and careful planning and execution in start-up and ongoing operations of the center. At MSI, we have enabled our clients to establish mutually beneficial joint ventures between physicians and hospitals in structuring, building and operating a new ambulatory surgery center. We have guided our clients carefully and successfully through certificate of need processes.

Experts in ASC Development and Management

MSI guides its clients through every stage of the development and management process in planning, building and operating an ASC.  By leveraging our core expertise, attention to client objectives and proven analytics-driven management approach, we help clients build state-of-the-art surgery centers that improve outcomes for patients and deliver cost-effective care in their communities.  MSI tailors its suite of services to meet the unique requirements of every stage of project lifecycle from center development and ongoing management to pursuit of long-term strategic initiatives.  Additionally, our industry-leading clinical integration and highly experienced ASC management team enables the ASC physicians, nurses and caregivers to focus on their top priority:  patient care.

Comprehensive ASC Development and Management Services

MSI marshals a suite of ASC development and management capabilities that are tailored to the unique needs of each project and the priorities of its partners.  Our capabilities comprise a comprehensive scope of services encompassing project development, oversight and management.

Services that Take ASC’s from Planning to Profitability


ASC Business Plan Development We determine the Scope of Services, identify participants and referral sources, analyze payor mix and historical volumes, and develop a pro forma five-year financial forecast.
Development Services We oversee construction, and develop operational and clinical policies and procedures, We establish accounting plans, pension and profit-sharing plans, handle information system configuration, IT infrastructure and software application development and design, banking and equipment identification, and select and negotiate with vendors.
Certificate of Need Application We identify real estate and negotiate terms, secure project financing, work with architects to develop budget and functional programs and assist in the completion and facilitation of Certificate of Need schedules.
Legal We establish the ownership / structure and work with attorneys to ensure compliance with fraud, abuse and safe harbor laws.
Implementation Services We develop ASC operating agreements, hire key personnel, develop inventory and facilitate installation of equipment, train personnel, conduct the Dept. of Health pre-opening survey and CMS Survey, and oversee commencement of operations.
Management and Operations In addition to overseeing operations, we handle ASC billing and revenue cycle management, implement full-scale marketing and advertising plans, and service expansion initiatives, while also doing strategic planning management reporting. We oversee application hosting / IT support, and marketing to physician investors and syndication.

Contact Us

To find out more about our services, please contact us! It would be our pleasure to answer any questions you may have.

Learn More