How Constitution Surgery Alliance Works with Health Systems

Independent. Conflict-Free. Built for Long-Term Health System Partnerships.

CSA brings scale-level capabilities with partnership-level alignment. We tailor each partnership to maximize incentives for the long-term relationship.

Physician Alignment

Durable by design, our JVs align surgeon and health system interests.

Capital Partner

CSA brings meaningful capital to acquisitions, de novo development, partnership buy-ups, and technology investment.

Operational Excellence

Over 25 years of expertise creating distinguished execution as exemplified by numerous quality recognitions and awards, including 8 Leapfrog Top ASC designations in 2025 alone.

Independent and Conflict-Free

CSA invests in long-term partnerships. Our independence means we tailor each relationship to maximize alignment and shared success.

Quality and Safety Leadership

Seventeen Leapfrog designations mean a quality infrastructure your board, payers, and patients can trust.

Flexible Partnership Structures

Whether JVs, co-management, HOPD conversion, or de novo, our partnerships are designed to fit your market and physicians.

Partnership in Practice

From One Facility to a System-Wide Partnership.

What begins as a single project often becomes something much larger. Here's how a first-year relationship with one of New England's largest health systems grew from a single site into a defining strategic partnership.

Built Around You, Not a Template.

We've structured every kind of ASC partnership over 25+ years. Our independence means we can customize every element, from governance and equity splits to operational responsibilities and growth options.

Health System Joint Ventures

Co-developed, co-owned JVs that align physician, hospital, and management interests from day one.

HOPD Conversion and Repurposing

Converting HOPDs into freestanding ASCs, with full clinical, regulatory, and operational transition managed by CSA.

De Novo Development

From site selection through opening day, we build around your service line strategy.

ASC Management and Co-Management

Full-service or co-management, we run the center so your team can focus on strategy and patients.

Payer and Value-Based Models

Outcomes data and infrastructure to support value-based contracting and payer alignment.

Health Systems