Advisory & Development

We partner with ambulatory surgery centers, physician practices, hospitals, and health systems to plan, develop, and move growth initiatives forward, without ever taking equity. Whether you’re building a new ASC, expanding a practice, or evaluating your next move, our senior operators work alongside your team with the right expertise at the right time.

Trusted by Hundreds of Leading Healthcare Companies

YEARS IN BUSINESS
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HEALTH SERVICES EMPLOYEES
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CLIENT RETENTION
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MedHQ 22+ Years in Business, 2,500 Health Services Employees, 97% client retention

Flexible, Experienced Advisory

Avanza + MedHQ brings decades of experience advancing outpatient services and healthcare strategy. Our engagements are flexible and fully customized — tailored to your organization’s needs with variable scope, no prescribed bundles, and no ownership.

How We Work

An Extension of Your Team

Every engagement is led by senior healthcare operators who stay directly involved from start to finish. We keep teams small and focused, so you’re working with people who understand the details of your business, not a rotating cast of consultants.

Built Around Your Needs

No two organizations approach growth the same way, and our work reflects that. Scope, structure, and level of involvement evolve with your needs, whether you need targeted guidance or support across multiple phases of development. Much of our work also involves helping physicians, administrators, and partners get to the same place, with clear decisions and a shared path forward.

Advisory & Development Services

Avanza + MedHQ supports ambulatory surgery centers and physician practices through planning, development, and execution. Each is distinct, but both require disciplined strategy, aligned decision-making, and a clear path from planning to action.

The starting point for most engagements is a clear-eyed look at the opportunity evaluating market dynamics, physician alignment, and financial considerations before committing to a direction. 

  • Market and demand analysis
  • Case mix and volume modeling
  • Financial projections and pro forma development
  • Strategic planning for growth initiatives

We guide the development of de novo ASCs and the expansion of existing centers, supporting partnership formation and governance design.

  • Physician and hospital partnership development
  • Syndication strategy and execution
  • Governance and operating structure design
  • Stakeholder alignment and facilitation

Throughout the process, Avanza + MedHQ serves as an independent advisor throughout the process, providing objective guidance without equity participation, so you maintain full control of your organization.

Physician groups turn to us to evaluate growth opportunities, strengthen operations, and navigate strategic decisions related to expansion and long-term positioning.

  • Growth and expansion strategy
  • Service line evaluation and development
  • Alignment and partnership strategy
  • Operational and financial structure assessment

We translate strategy into action, coordinating the work required to move initiatives from planning to implementation.

  • Project planning and timeline coordination
  • Vendor selection and infrastructure setup
  • Staffing models and leadership hiring support
  • Policy, procedure, and workflow design
  • Operational readiness assessments

Regulatory and licensing requirements shift constantly. Avanza + MedHQ helps organizations stay ahead of them ensuring readiness and alignment with applicable standards.

  • Licensing and regulatory guidance
  • Application preparation and submission support
  • Compliance framework development
  • Readiness assessments and survey preparation

Avanza + MedHQ continues to support leadership teams with structured guidance, performance visibility, and ongoing advisory support.

  • Administrator assessment and development
  • Leadership mentoring and coaching
  • KPI tracking and performance scorecards
  • Advisory support to governing boards and leadership teams
  • Guidance on growth, performance improvement, and service line expansion

We didn’t want to engage a traditional hospital consultant who was still learning how outpatient services should be delivered. We wanted someone with a track record in the outpatient space that would bring a different and valuable perspective to our project.

David Dibner, SVP, NYU Langone Medical Center

Start the Conversation

Whether you are developing an ASC or practice, evaluating a new opportunity, or advancing your strategy, we’ll work alongside your team with focused, practical guidance.

Rita Hernandez

Rita Hernandez Figi

Chief Operating
Officer
erin boers

Erin Boers

VP of Human
Resource Services
MHQ_Wes Battiste Headshot_edited
Wes Battiste
PA, CAA, MMSC