Turnkey ASC Development
Surgeon-Owned. Fully Developed.
Turnkey ASC Development
Surgeon-Owned. Fully Developed.
For more than three decades, we’ve partnered with physicians to plan, develop, and open successful ASCs across 49 states and Canada—delivering full‑service, start‑to‑finish development while keeping ownership exactly where it belongs.
How We Build Your ASC
From Feasibility to Operations, We Lead Every Phase.
Feasibility & Strategic Validation
We assess market demand, model financial performance, and confirm ASC viability—establishing a clear foundation before development begins.
Design, Development & Construction
We direct architectural planning, workflow design, vendor selection, and construction coordination to move your ASC from concept to build‑ready.
Licensure, Certification & Accreditation
We manage every regulatory requirement—state licensure, Medicare certification, and accreditation—ensuring your ASC opens compliant.
Operational Readiness & Post-Opening Support
We prepare your ASC for day‑one operations with staffing guidance, policy development, equipment planning, and tailored post‑opening support.
Understand whether an ASC is the right move for your practice
Built for Any ASC Specialty
Highlighted Interiors and Exteriors

ASC Exterior
Purpose Built for Multi-Specialties

Reception
A Modern ASC Experience

Nurses Station
Designed for Clinical Efficiency

Procedure room
Engineered for Clinical Precision

Operating Room
Optimized for High‑Demand Procedures

porte cochère
A Modern ASC Exterior

PACU
Purpose‑Built Patient Bays

Observation Unit
Designed for Patient Recovery
Why choose SCSA
Decades of ASC Expertise
More than 35 years focused exclusively on ambulatory surgery centers across 49 states and Canada.
Surgeon‑First, No Equity
We never take equity. Your ASC remains fully owned and controlled by the surgeons who lead it.
Turnkey Development Expertise
From feasibility to operations, we manage every phase required to open a high‑performing ASC.
Specialty‑Driven ASC Knowledge
Deep experience across specialties such as orthopedic, GI, ophthalmology, ENT, and pain—plus multi‑specialty centers—with flexibility to match each project’s scope and client needs.
Years Building ASCs
ASCs Developed
U.S. States + Canada
%
Turnkey Facilities
How We Work With You
A full‑Service, Turnkey Partnership Built Around Your Goals.
ALIGNMENT
Surgeon‑Led Direction
Your vision informs the direction of the ASC, and we translate that into a fully managed development process. Surgeons can be as involved as they choose, but the project never depends on their time.
Transparency
Defined Project Milestones
You stay informed through structured updates, defined checkpoints, and clear visibility—so you can stay focused on what you do best—caring for patients—while we handle the development process.
Flexibility
Scope‑Based Adaptation
We tailor the ASC’s design, workflow, and development approach to your specialty mix, case types, and project goals—ensuring the facility is built around how you operate and what your practice requires.
Leadership at SCSA
A Legacy of ASC Excellence Grounded in Experience, Continuity, and Surgeon‑First Values

Ronald D. Blair
Chairman & Founder

Philip Blair
Chief Executive Officer

Patrick D. Blair
President and COO
news & insights
Curated Becker’s ASC Review Reporting and SCSA Insights
ASC Valuation and Fair Market Value
It’s important for ASC leaders to know when and why a valuation might be needed. A valuation might be requested…
CON Laws and ASC Obstacles
“It would just be a huge gold rush and avenue for lowering healthcare costs if governments could give these physicians an opportunity.” Philip Blair, CEO of Surgery Center Services of America told Becker’s.
The Status of Certificate of Need Laws
There are 17 states that do not have certificate-of-need laws, and 10 in which such laws do not apply to ASCs, according to a report from HealthCare Appraisers. But there are 23 states that do require a certificate of need to open an ASC, which some feel curtails an opportunity to lower healthcare costs.
Let’s discuss your ASC plans & How we can support you



