Skip to content

Case Studies

An illustrative selection of SCALE Consulting case studies.
Case study:

ASC Development

Client Profile

45 Providers



Services Deployed

ASC Operational Strategy & Execution

Strategy & Performance Analysis

Program Development

IT Systems Strategy & Implementation


Our Client was interested in adding single specialty ASC to its portfolio beginning in Northeast
Florida. SCALE was engaged to help:

  • Capture revenue from hospitals and other institutions where the doctors perform procedures today.
  • Expand procedures from a single room catheterization lab to a multi-use surgery center.
  • Develop an ASC so that all practice physicians may benefit from participation.


  • SCALE’s development work to set up the ASC included:
  • Informatics & Business Intelligence
  • Real Estate
  • Design
  • Cost estimate
  • Operational processes
  • Construction
  • Medical Oversight committee
  • IT
  • Licensing
  • Staffing
  • Setting up ramp up schedule and budget
  • SCALE conducted a proforma analysis based on current physician volume to evaluate the potential performance of an ASC.
  • SCALE developed a detailed implementation plan for the development of a de novo surgical center and led a team through a 15-18 month process to execute the development plan.
  • SCALE’s unique compliment of leaders with experience in pro forma analysis and ambulatory surgery center development worked together to give our Client the best insight into likely performance while acting as a partner in development, funding and licensing


  • Our Client now has clarity on available volume and revenue based on the volume for a de novo ASC.
  • Our Client now understands the costs to build and operate an ASC.
  • Our Client now has a trusted outsourced partner concentrating on timely and efficient execution on their behalf.
  • Our Client was not subjected to any equity dilution, which would normally be associated with 3rd party development.
Solve for the Missing MSO Pieces

Let's SCALE together

SCALE Healthcare is based on the foundation of a singular focus – elevating management performance across healthcare services. We are focused on the entire suite of operational advisory and diligence services exclusively to healthcare service organizations, with local team presence across 10 states.

Unlike the many consulting firms that offer more narrow and often more impractical solutions borne of limited or very general expertise, we rely on our team of 75+ carefully selected senior operational healthcare experts to ensure we provide the most relevant and value added experience across the full range of management disciplines and clinical specialties that fall within healthcare services.

Contact us to continue the conversation.

Sign up for SCALE Healthcare
Leadership Conference