Own your OR. Govern your practice. Practice on your terms.
Physician 1st partners with board-certified surgeons and proceduralists to build ambulatory surgery centers where you hold equity, control clinical decisions, and share in the upside you create.
- Equity
- Real ownership, not employment
- 1 vote
- Physician-led governance
- Full
- Practice & billing support
Why surgeons choose the model
Everything employment gives up, and then some
Ownership, autonomy, and support — structured so your incentives and your patients' interests point the same way.
Equity ownership
Hold a real ownership stake in the surgery center where you operate — and build enterprise value, not just fees.
Clinical autonomy
Set your own standards for cases, staff, and workflow. Clinical decisions stay with the physicians who make them.
Block-time flexibility
Predictable block time and flip rooms built around your schedule, so you spend more of the day operating.
Purpose-built ORs
Modern, efficient operating rooms designed for high-quality ambulatory surgery — not retrofitted hospital space.
Income upside
Participate in facility economics and distributions alongside your professional income. [PLACEHOLDER: add modeled economics]
Full practice support
Administration, staffing, compliance, and revenue cycle handled by an experienced team so you can focus on care.
How the model works
Physicians own it. Physicians govern it. We run the rest.
A simple division of labor: surgeons hold the equity and set clinical direction; Physician 1st carries the operational load.
- Step 01
Physicians own it
Surgeons hold equity in the center and share in the value the practice creates together.
- Step 02
Physicians govern it
A physician-led board sets clinical direction, quality standards, and how the center runs.
- Step 03
We run the rest
Physician 1st handles operations, staffing, and administration so clinicians can focus on patients.
Why trust the model
A structure built to keep quality in physician hands
The physician-owned surgery center is a proven way to align outcomes, efficiency, and physician autonomy.
A proven, physician-first model
Physician-owned ambulatory surgery centers are a well-established model for aligning quality, efficiency, and physician interests.
Quality stays in physician hands
Governance is designed so the people accountable for outcomes are the people making the clinical calls.
Aligned incentives
When surgeons own the facility, everyone is rowing in the same direction: better care, delivered efficiently.
Proof of the model
A model with a flagship
Lake Lucien Surgery Center in Maitland, Florida is a flagship example of the physician-owned, physician-governed model Physician 1st is built around — surgeons holding equity, controlling clinical decisions, and practicing with genuine autonomy.
[PLACEHOLDER: add real facility metrics, accreditations, and photography once approved.]
Lake Lucien Surgery Center
Maitland, Florida
Ready to practice as an owner?
Start a confidential, no-obligation conversation about bringing your cases into a physician-owned surgery center.