ASD Management

What ASD Management does

ASD Management is a privately held ambulatory surgery center (ASC) management, development, and consulting firm founded in 1996 by Joseph S. Zasa, JD, and headquartered in Incline Village, Nevada. The company operates three integrated service lines spanning the ASC lifecycle: pre-development planning including market assessment and Certificate of Need support; ongoing hands-on operational management covering clinical operations, business office, risk management, and managed care/payer contracting; and turnaround services for underperforming centers. Target customers include multispecialty and specialty ASCs, physician groups seeking to establish or invest in surgery centers, and hospital and healthcare systems pursuing physician joint ventures. The company currently lists 13 ASC clients across Northeast, Southeast, Southwest, and Midwest US regions and claims to have developed and managed hundreds of centers since the 1990s.

The firm's operational model is built on four functional pillars (clinical operations, business office, risk management, and managed care) supported by proprietary analytical systems, national benchmarking, and a trademarked tool called Retroactive Contract Analysis™ that analyzes payer payment history by procedure to identify contract renegotiation opportunities. ASD Management also publishes the industry-leading textbook 'Developing & Managing Ambulatory Surgery Centers' (3rd Edition), co-published with the Ambulatory Surgery Center Association and adopted as coursework by the University of Alabama School of Health Sciences Health Administration program. The firm differentiates through senior-level practitioners on every engagement, a flexible partnership structure that does not require equity in client ASCs, and a national vendor network offering discounted pricing to managed centers. Marketing channels include the corporate website, a YouTube channel, and Amazon distribution of the textbook.

The business model combines managed services engagements (ongoing operational oversight with retained advisory relationships) and professional services fees (project-based development and turnaround work), with supplemental book sales at $99.95 per print edition. Distribution is direct via senior professionals engaging enterprise healthcare clients in the field. The firm is founder-controlled with no disclosed institutional investors, parent company, or external funding, and maintains a small leadership team of approximately 17 named members. ASD Management has no disclosed technology stack beyond its proprietary analytical tools and operates without public APIs, mobile applications, or software product offerings; its intellectual property is concentrated in the textbook, the Retroactive Contract Analysis™ trademark, and accumulated operational playbooks.

Name

ASD Management

Legal name

ASD Management

Website

https://asdmanagement.com

Company type

Private

Founded year

1996

Operating status

Operating

Headcount range

11–50 employees

Short description

ASD Management is a privately held ASC management, development, and consulting firm serving ambulatory surgery centers, physician groups, and hospital systems across the US with hands-on operational management, development planning, and turnaround services since 1996.

Ownership category

akta.pro rank

Product category

Ambulatory Surgery Center Management Services

NAICS

Ambulatory Health Care Services (621), Offices of Physicians (62111)

SIC

Services-Specialty Outpatient Facilities, Nec (8093), Services-Health Services (8000)

akta.pro primary industry

Multi-Specialty Ambulatory Surgery Centers (ASCs) (HLAFAIAA)

akta.pro secondary industry

Single-Specialty ASCs (HLAFAIAB)

Keywords

• Ambulatory surgery centers
• ASC management services
• Surgical facility development
• ASC consulting
• Healthcare management services

Headquarters

HQ city

Incline Village

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Others

Revenue model

1. ASC Management Services: Ongoing management services for ambulatory surgery centers, providing hands-on operational oversight in clinical operations, business office, risk management, and managed care. The company maintains intimate, hands-on management with senior level ASC professionals.
2. ASC Development Services: Pre-planning and development services including market assessment, CON support, financial feasibility studies, business planning, organizational structure planning, policies and procedures development, certification support, equipment planning, HR management, construction planning, and marketing support for new ASCs.
3. ASC Turnaround Services: Comprehensive turnaround services to transform struggling ASCs into profitable businesses. Includes organizational restructuring, operational excellence improvements, revenue enhancement, and market growth strategies.

Pricing tiers

Go-to-market motion1 record

Distribution channels2 records

Marketing channels3 records

Core offering

ASD Management provides ongoing management, pre-development consulting, and turnaround services for ambulatory surgery centers (ASCs) in the United States. Its offerings cover the full ASC lifecycle—from market assessment and Certificate of Need support through ongoing clinical, business office, risk management, and managed care/payer contracting operations—and are reinforced by the trademarked Retroactive Contract Analysis™ payment analytics tool and the published book "Developing & Managing Ambulatory Surgery Centers" (3rd Edition).

Product overview

ASD Management offers a suite of three interconnected service offerings for Ambulatory Surgery Centers (ASCs): ASC Development (pre-planning and development), ASC Management (ongoing operational management), and ASC Turnarounds (transformation of struggling centers). The company also publishes the industry-leading book 'Developing & Managing Ambulatory Surgery Centers' (3rd Edition). Together, these services cover the full lifecycle of an ASC from conception through operation and recovery, with the four cornerstones of clinical operations, business office, risk management, and payer contracting/revenue as the operational foundation across all offerings.

Differentiator

Problem solved

Functional benefit

Products and services

• ASC Development

Quantifiable outcome

• Made ASCs highly profitable businesses
• +1 more outcomes

Named customers13 records

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature1 record

Partnerships

Three partnerships are on record, tiered core and minor.

• Ambulatory Surgery Center Association (ASCA)coreStrategic or Co-development PartnerASCA co-published the book 'Developing & Managing Ambulatory Surgery Centers' with ASD Management, establishing industry authority and academic credibility for the company's thought leadership.
• University of Alabama School of Health SciencesminorOthersThe book is used as a text by the University of Alabama School of Health Sciences Health Administration program, providing academic recognition and educational credibility.
• National Network of Vendors and ResourcesminorOthersThe company's ASC centers receive discounted pricing for products, equipment, and services through a network of providers. Negotiated pricing with exceptional providers delivers highest value to managed centers.

Scale indicators5 records

Recent moves6 records

Expansion highlights5 records

Broad incumbents

• Surgery Partners: Surgery Partners is a leading healthcare services company that owns and operates a national network of ambulatory surgical facilities and short-stay surgical hospitals. Largest public incumbents operating broad surgical facility portfolio overlapping with ASD's market.
• United Surgical Partners International (USPI): USPI is the largest owner and operator of ambulatory surgery centers in the U.S., with extensive hospital health system partnerships. Largest incumbent in ASD's space, operating across ambulatory surgery, with broader scope and capital scale.

Direct peers

• Pinnacle III: Pinnacle III provides ASC consulting, management, development, and billing services to ambulatory surgery centers. Direct competitor across consulting and management engagements, with overlapping multi-specialty ASC customer base and service portfolio.
• Atlas Healthcare Partners: Atlas Healthcare Partners develops and manages ambulatory surgery centers, often in partnership with health systems. Comparable in hospital-JV centric ASC development and management service model to ASD Management.
• Regent Surgical Health: Regent Surgical Health develops, manages, and turns around ambulatory surgery centers through hospital joint ventures and physician partnerships. Closely mirrors ASD Management's three-pillar model (development, management, turnaround) and hospital-physician JV go-to-market.
• HealthMark Partners: HealthMark Partners provides consulting and management for ASCs and physician practices, including turnarounds and operational support. Direct competitor in ASC management consulting targeting similar physician and hospital clients.
• SurgCenter Development: SurgCenter Development partners with physicians to develop, own, and operate ambulatory surgery centers nationwide. Directly comparable to ASD Management in physician-joint-venture ASC development and ongoing management, with very similar multi-specialty ASC focus.
• National Surgical Healthcare: National Surgical Healthcare develops and manages ambulatory surgery centers and surgical hospitals through hospital joint ventures. Comparable in JV-led model and ASC/hybrid service offering to ASD Management.
• Surgical Management Professionals: Outsourced business office, revenue cycle, and management services firm serving ambulatory surgery centers. Overlaps with ASD's Business Office and Managed Care service pillars, addressing the same ASC customer segment.

Others

• Ambulatory Surgery Center Association (ASCA): ASCA is the national membership association for the ASC industry. Not a competitor but a key ecosystem participant and co-publishing partner of ASD Management's industry book, shaping standards and policy in the ASC market.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/@ASDManagement
• LinkedInlinkedin.com/company/asd-management-asc-management-development-consulting

Revenue estimate

Valuation estimate

Number of profiles

Profiles11 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about ASD Management