Services / ASC Management Services
Opening a surgery center is a milestone. Running it well is the real work. Avanza + MedHQ provides the operational leadership, administrative infrastructure, and hands-on management support that high-performing centers depend on — without taking equity or control. Your center runs your way: aligned with your physicians, accountable to your board, and focused on the outcomes that matter to your patients and your ownership.
The strategy your ownership and board establish is the strategy we execute. Direction stays with your governance structure, and Avanza + MedHQ brings the operational expertise and institutional depth to carry it out. All major decisions, expenditures, and annual plans remain subject to board approval.
The Avanza + MedHQ team collectively represents more than 200 years of ASC leadership experience across clinical operations, finance, revenue cycle, HR, credentialing, payer contracting, compliance, accreditation, and anesthesia services.
Whether you’re physician-owned, health system-affiliated, or a joint venture, we understand the governance dynamics, stakeholder priorities, and operational realities that come with your structure. Joint ventures in particular need a management partner who serves multiple ownership interests without favoring one over another.
Our role is always the same: serve the center, support the board, execute the shared vision.
Our work spans every dimension of ASC operations: hands-on, sustained, and built entirely around what your center needs.
A strong administrator is a center’s most important operational asset. Avanza + MedHQ works alongside your administrator — providing structured mentorship, customized training, and ongoing guidance grounded in your ownership’s strategy. The goal is an administrator who executes your vision with confidence and keeps getting better.
Running a high-performing ASC requires discipline across scheduling, supply chain, staffing, and clinical workflows, and the ability to catch small inefficiencies before they become real problems.
Centers evolve. They add specialties, bring on new physicians, and face decisions that require both operational depth and strategic perspective. Avanza + MedHQ helps your center navigate those decisions with clarity.
Join a values driven company dedicated to listening, learning, and creating growth opportunities for our team and our clients.
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.
Avanza + MedHQ provides hands-on leadership for your on-site team, ongoing performance oversight, strategic guidance as centers grow, and structured reporting to the board, along with integrated services including HR, accounting, payer contracting, IT, revenue cycle management, and anesthesia services guidance. These services work together rather than as separate vendor relationships.
No. Avanza + MedHQ works under a non-equity model, providing management expertise without an equity stake or governance role. Decision-making authority stays entirely with the center.
The board sets overall strategy, and anything involving significant spending or the annual plan requires board sign-off. Avanza + MedHQ supports executing that strategy with day-to-day leadership while maintaining the center’s independence.
Physician-owned centers, hospital- and health system-affiliated centers, and joint ventures, spanning both de novo and existing surgery centers. Each ownership structure comes with its own priorities and decision-making dynamics, which shapes how the management relationship is set up.
Most ASC management companies expect an equity stake, development, and recurring fees in exchange for the breadth of services they provide. With Avanza + MedHQ, HR, accounting, revenue cycle management, IT, and managed care contracting are included as part of the core engagement rather than billed through third-party vendors, and none of it requires giving up equity.
Avanza + MedHQ provides the ASC with reporting packages each month covering financial and operational performance, along with KPI dashboards, performance scorecards, and surveys measuring physician satisfaction, plus a clear process for raising and resolving concerns between reporting cycles.
Yes. Avanza + MedHQ’s revenue cycle team, more than 200 U.S.-based employees, can be added to a management engagement or brought on as a standalone service. RCM is offered at preferential pricing to management clients, alongside the HR, accounting, and IT services already included, without requiring any equity.
Avanza + MedHQ is compensated through management fees only, not equity or profit sharing. Fee structures are customizable to the needs of each center, typically combining a fixed monthly fee with a variable component tied to performance, so clients get predictable baseline costs with fees that scale alongside results. The specific structure is scoped to each engagement based on the center’s size, specialty mix, and stage of development.
Avanza + MedHQ begins with a structured operational assessment to understand the center’s current performance, staffing, and reporting practices, followed by a kickoff with the board to align on priorities and timeline. Transitions are phased to minimize disruption to staff, physicians, and patients, with regular reporting to the board throughout.
Non-equity ASC management means Avanza + MedHQ operates the center in exchange for a management fee only, without acquiring an ownership stake. The center and its board set direction and make final decisions, while Avanza + MedHQ’s involvement in day-to-day management, whether on-site or through ongoing guidance and support, is scoped to what each center needs.
Whether you’re launching a new ASC, strengthening an established center, or navigating a transition, we’ll work alongside your team with focused, accountable management support.
