Build, Optimize, and Grow High-Performing ASCs

Without regulatory surprises, operational drag, or margin erosion

ASCs are taking on higher-acuity cases under margin compression, increased scrutiny, and growing competition. Success today requires more than incremental fixes. It demands operational discipline, regulatory fluency, and leadership that understands how ambulatory surgery centers actually run.

Vertex Surgical Solutions partners with surgeon owners, health systems, and investment groups to design, launch, optimize, and scale ambulatory surgery centers that perform clinically, operationally, and financially.

Talk with Vertex about your ASC goals

WHO WE SERVE

Built for decision-makers
across the ASC ecosystem

Each group faces different pressures, but they share the same risks: regulatory missteps, inefficient operations, leadership gaps, and missed growth opportunities. Vertex exists to eliminate those
risks and bring clarity to complex decisions.

SURGEON OWNERS

Seeking autonomy, fair compensation, governance clarity, and long-term value

HEALTH SYSTEMS

Creating, building, or correcting ambulatory strategies to shift care safely and profitably

INVESTORS

Private equity, VC, and family offices investing in scalable, high performing ASC platforms

Vertex supports multi-specialty ASCs.

ENT, Cardiology, Orthopedics, Spine, Pain Management, Urology, OBGYN / Fertility, Endoscopy, Vascular, Plastics, Interventional Radiology, General Surgery

WHAT WE DO

ASC Development

ASC Optimization

Strategic Growth, Asset & Succession Planning

Leadership Advisory & Professional Coaching

Operational Assessments & Vendor Strategy

Vertex guides ASCs from early feasibility through opening and operational readiness.

We help organizations plan capital intelligently, design survey-ready facilities, establish compliant operating structures, and build clinical and administrative workflows designed specifically for ASCs, including partnering with ASC-specific architects and development teams to bring each center to life. The result is a center that opens prepared, financially sound, and positioned for long-term performance.

When performance lags, Vertex identifies root causes and implements practical improvements.

We focus on reducing friction, tightening execution, improving financial performance, and strengthening compliance posture across operations, finance, staffing models, and clinical workflows, including improving block utilization, aligning case times to scheduling, and building lean workflows that increase volume and acuity.

Vertex helps owners, executives, and boards pursue growth with discipline.

This includes adding new surgical or ancillary service lines, expanding multi-specialty capabilities, and preparing ASCs for transaction or long-term ownership. We also support asset management and succession planning to ensure leadership transitions, physician exits, and ownership changes are intentional and value-preserving.

Vertex provides board-level advisory and customized coaching for ASC administrators, medical directors, and surgeon leaders navigating industry change.

Our team has served in ASC administrator roles and operates as licensed clinical professionals, bringing a perspective grounded in real responsibility. This is especially valuable for new administrators, growing organizations, or teams operating without strong operational backing.

Vertex performs on-site operational evaluations to assess clinical operations, workflows, compliance exposure, governance alignment, and business risk, and identify opportunities to streamline performance.

We also help clients evaluate and align preferred vendor partners including legal, marketing, payer contracting, credentialing, and equipment financing.

A doctor at a desk having a conversation.

Doctors having a discussion in the hallway.

Three surgeons have a discussion in the OR.

WHY VERTEX

We don’t advise from the sidelines. We build, run, fix, and grow ASCs.

Most ASC challenges exist because no one owns the full picture. Vertex does.

Led by licensed clinicians who are also experienced operators, we bring both the discipline and nuance required to run high-performing ASCs—the art and science of operations, applied in real time.

We start with the truth about performance, risk, and opportunity so you can move forward with trust and clarity, operating as an extension of your team—invested in your success, focused on long-term performance, and committed to preserving your independence.

From clinical operations and regulatory compliance to governance and P&L performance, we understand how every decision affects the whole system—and we run the playbook end-to-end.

Clients work with Vertex to:

Reduce regulatory and survey risk
Improve margins through labor, supply chain, and operational optimization
Align physicians, administrators, boards, and investors
Establish a consistent operating rhythm across leadership and governance
Scale existing ASCs and add new surgical or ancillary service lines
Plan and implement succession strategies
Navigate vendor relationships and credentialing
Access best-in-class pricing through established vendor relationships
Maintain a 100% pass rate across initial certification and recertification surveys

Founder Janet

Janet Carlson, MSN, FACHE | Co-Founder, CEO

Ready to move forward?
Let’s talk.

Whether you’re planning a new ASC, correcting underperformance, preparing for growth, or navigating ownership transition, Vertex brings the experience and discipline to help you move forward.