Our PROCESS

Opportunity

The first step is to give us a call or send us an email from this web site.  We want to speak with you to understand your specific needs.  After a brief conversation, we can determine if we might be a good fit and if it makes sense to move to the next stage.  During our conversation, we will ask you about your current operating facility, how much block time you have, the types of surgeries you perform, and whether you know of other physicians who might share a similar interest in being part of the discovery process.  The Micro Surgery model works well with 2-3 practicing single specialty surgeons.   Once we gather some key information, we will schedule a time to meet with you at your location. This is typically a 30 -45 minute conversation.

Discovery  

We have a roadmap and a formula that has proven to be successful.  This formula is based on key data points.  Our team will complete a high level & preliminary assessment of the market and development costs.   During this meeting we will invite all the interested physicians and  have an open conversation to see if there is a viable business model in your area and for your practice. Prior to this meeting, we will ask you to consider including other collogues who might share an interest in investing.  In addition, we will need to understand some specifics about your operating needs and case volumes.  This meeting is usually a 2-3 hour business dinner or meeting at your office or a restaurant.  

Proforma & ROI

Moving to the next phase will require a small financial investment as we finalize the exact costs, location and fine tune the details.  The cost to move forward ranges between 3,500-5,000 per person to ensure that certain business costs are covered for the partnership.  This account will be used to cover business expenses and formalize the construction plans and pro forma. The team will spend time meeting with city planners, commercial real-estate agents, construction contractors and potential physician investors.  This money will be placed into an escrow account and whatever amount is not used at the end of this process, will either be rolled over into the next phase or distributed back to the investors.  Before we embark on this phase, all potential partners will be asked to sign a CNDA.  

 At the end, we will complete a in-depth Proforma which will include a specific location, detailed construction estimates and a timeline to complete.  Once this is complete, we will present our recommended Return on Investment (ROI) and talk about the next steps required to move forward.  Moving into the next phase requires formalizing the legal partnership, signing a lease and an initial investment from each partner to cover the development and start-up costs of the project.  When we get to this point, it will be important to make a decision about how to move forward as the group may lose the desired location if too much time passes. This phase can move very quickly and can be completed within 3-4 weeks. 

Partnership Formation & Construction

If we decide to move forward, our team will share our  prepared  partnership documents.  We encourage you to review them and meet with outside legal council if needed.  Our business model is based on working with practicing surgeons and are not interested in having outside investors as partners.   We have found this to be a clean way to keep our mission clear - to support the practicing surgeon and their patients, not outside entities.   Once the partnership documents are signed and  the initial  investments is made,  we can begin the construction process.  

The construction process can vary depending on the building requirements.   During the entire process, we will communicate with our physician partner’s on a regular basis and you can expect to be updated with progress reports every 2 weeks. In addition, you will have direct access to the person who will be managing the project at your location.   You can expect to have regular meetings to discuss the financial status and project updates.   Our goal during the construction phase is to move forward as quickly as possible.  Careful project management and contract negotiations are critical because this process can take 10 - 18 months from start to finish.   

AAAASF Certification & MANAGEMENT

Approximately three months prior to performing our first procedure, we will start the hiring process to identify the key surgical staff and ensure they are properly trained.   AAAASF certification will be scheduled within the first 2-3 months of operation and our "Start-up" manager will set up residence as we hire, train and prepare for AAAASF certifications.  Our company has developed a comprehensive set of procedures for AAAASF certification and we have had tremendous success with passing every audit. As we ramp up and start to perform cases, we will gradually transition responsibilities to the new On-Site Manager who will be a permanent employee at the center  and report directly to the Management Team of MD Owned Surgery Centers.