Developing a new ambulatory surgery center (ASC) is no small task. From regulatory hurdles and financial feasibility to operational planning and partnership facilitation, surgery center development requires a multidisciplinary team with proven expertise.
That’s where Avanza Strategies comes in.
For more than two decades, Avanza has been a trusted partner in ASC development, guiding health systems, physician groups, and investors through every stage of the process.
If you’re evaluating partners for your surgery center development journey, here’s why Avanza should be at the top of your list.
Unmatched ASC development expertise nationwide
Avanza has led projects in almost every corner of the country. That national experience gives us a unique perspective: we understand the nuances of federal requirements, while also tailoring solutions to the state-level and local regulatory environment, including certificate of need (CON) requirements, licensing, and payer contracting. No two communities are the same, and no two ASCs should be either.
By choosing Avanza, you’re choosing a team that knows how to balance the big picture with local realities. We specialize in building local solutions to local problems while ensuring every ASC meets the highest standards of compliance and quality.
Senior leadership on every project
When you partner with Avanza, you’re not getting a revolving door of consultants or junior staff still learning the industry. Every member of our team brings 15–20 years of leadership experience in healthcare operations, strategic planning, compliance, and finance, with many having built and led ASCs themselves.
This senior-level attention ensures that every recommendation, every projection, and every operational plan we deliver is grounded in decades of firsthand knowledge. Whether it’s identifying appropriate procedures for a freestanding ASC, collaborating with legal counsel, or structuring governance, you will have true experts by your side at every step.
Custom-built, multidisciplinary teams
Building a surgery center is complex. You need expertise in strategy, finance, operations, compliance, revenue cycle, and technology, not to mention program design, staffing, and implementation. Rather than forcing you into a cookie-cutter engagement, Avanza assembles a custom-built, multidisciplinary team designed precisely for your project’s needs.
That means you get the right blend of strategic planners, financial analysts, compliance specialists, and operations leaders. Together, they support tasks like capital planning, five-year income statements with ramp-up projections, and determining equity buy-in pricing and anticipated ROI. This highly customized approach ensures efficiency and cost-effectiveness, while still delivering best-in-class solutions.
Flexible agreements and engagement models
One of the biggest challenges in selecting an ASC development partner is finding a firm that fits your structure and goals. Avanza stands out by offering flexible agreements and highly customized scopes of work.
Unlike many firms in this space, Avanza does not require equity ownership in your ASC. Instead, we serve as your partner and advisor, allowing you to retain control and maximize your returns. Whether you need full-scale development support or targeted assistance in one area, such as financial projections, partnership development, operational assessments, or staffing strategy, we can design an engagement that works for you.
Comprehensive capabilities
ASC development isn’t just about construction or compliance. It’s about building a sustainable business model that delivers excellent care, attracts physician partners, and thrives in today’s competitive healthcare market. Avanza provides end-to-end services that cover every critical aspect of developing a new surgery center.
From feasibility studies and regulatory compliance to construction meetings, equipment procurement, and vendor selection, we stay deeply engaged throughout the process. We help select administrators, anesthesia providers, and medical directors, support staff credentialing and training, and prepare governing boards with continually updated project plans and timelines. As your center approaches launch, we guide IT system setup, policy and procedure approval, and mock surveys to ensure readiness.
By bringing together all of these capabilities under one roof, Avanza saves you the time, expense, and risk of piecing together multiple vendors. We help ensure that your de novo ASC project moves forward seamlessly.
A track record of success in surgery center development
Choosing the right partner for a new ASC means choosing a team with a proven track record. Avanza has worked with physician groups, health systems, and private investors to develop surgery centers that meet regulatory standards, achieve financial stability, and improve patient access to care.
Our success stories span specialties, geographies, and organizational models, but they all share one thing in common: results that last.
Local focus, national perspective
Healthcare is local, and surgery centers must reflect the unique needs of the communities they serve. At the same time, staying competitive means aligning with national trends and payer expectations. Avanza strikes that balance perfectly.
We design surgery centers that feel local, function efficiently, and remain fully aligned with state and federal compliance requirements. With Avanza, you don’t have to choose between local relevance and national expertise. You get both.
Purpose-built for surgery center development
Not every healthcare consulting firm specializes in surgery centers. And not every development partner can deliver the unique combination of flexibility, deep expertise, and senior-level leadership that Avanza provides.
We are purpose-built for ASC success. Our entire model — senior staff, tailored teams, and flexible agreements — is designed to help you navigate surgery center development with confidence. When you choose Avanza, you’re choosing a partner who understands the ASC landscape better than anyone else, and who is dedicated to helping your new ASC succeed.
Your Next Step: Let’s Talk About Your Surgery Center Project
Developing an ambulatory surgery center is one of the most strategic investments a surgeon, physician group, or hospital can make. With the right partner, you can move forward confidently, knowing your ASC will be financially viable, operationally efficient, and fully compliant.
At Avanza, we’ve spent decades helping physicians and health systems alike turn surgery center ideas into thriving, sustainable realities. Whether you are exploring feasibility, seeking partners, or preparing to launch, our senior team is ready to guide you every step of the way.
Contact Avanza Strategies today to learn how we can help you bring your ASC vision to life.
Frequently Asked Questions
What makes Avanza different from other ASC development firms?
Avanza provides senior-level leadership on every project, custom-built multidisciplinary teams, and flexible engagement models that do not require equity ownership. This allows clients to retain control while benefiting from decades of ASC-specific expertise.
Does Avanza require ownership in the ASCs it develops?
No. Unlike many firms, Avanza does not require any equity ownership in your surgery center. We serve as your advisor and partner, ensuring you maintain control and maximize your returns.
What services does Avanza provide for ASC development?
Avanza offers end-to-end support including feasibility studies, regulatory compliance, capital planning, financial modeling, governance structuring, equipment procurement, vendor selection, staffing strategy, IT system setup, policy development, and mock surveys.
Where has Avanza worked on projects?
Avanza has led ASC development projects across the country. This national experience allows us to understand federal requirements while tailoring solutions to state-level regulations, including certificate of need (CON) processes, licensing, and payer contracting.
Who will be working on my ASC project?
Every Avanza project is staffed with senior leaders who each bring 15–20 years of healthcare operations, compliance, finance, and ASC leadership experience. Clients work directly with experts who have successfully built and run ASCs.