Veteran-Owned · National Infrastructure · Local Ownership
No agency churn. No revolving door of strangers in your OR. The same credentialed team, every case — backed by national infrastructure and aligned to your facility's economics.
Stay independent. We handle everything else.
Who We Serve
Whether you're a solo assistant ready to simplify, a leader ready to build a team, or a facility looking to restructure — PSR was built for your situation.
CSFA · SA-C · PA · RNFA
The Solo Independent
PSR becomes the contracting party with your facility. You upload face sheets to Google Drive — we do the op notes, CPT codes, billing, and collections. Direct deposit every Friday. Your entire back-office overhead drops from 40–50% to 20%.
Your only job: upload the face sheets.
CSFA · SA-C · PA · RNFA
The Market Builder
You're the recognized leader in your area. PSR brings the whole machine — facility contracts, credentialing, billing, recruiting, backfill, and travel coverage. You expand beyond your first hospital into the broader market and earn an ownership stake in your regional entity.
You own and grow your market — on national infrastructure.
Hospital Leadership · CFO · General Counsel
Hospital & Health System
The same assistants. The same surgeons. The same cases. We convert your W-2 assistants to 1099 contractors, hold all facility contracts, and handle credentialing, scheduling, compliance, and the full revenue cycle. Your facility sheds salary, benefit load, and the hire-fire-credential burden.
We bill commercial payers directly. You only cover what we can't collect — at a formula-driven, FMV-anchored set rate.
What Makes PSR Different
Most billing companies and staffing agencies are transactional. PSR is structural — we remove every downside of going independent and hand you the upside.
PSR carries a group malpractice policy that covers every assistant in the network, at real limits. You never have to buy or manage your own policy. A facility's policy doesn't cover a contractor anyway — ours does.
A full private practice runs 40–50% overhead. PSR's management fee is 20% — and that buys you a complete back office: facility contracts, op notes, coding, billing, collections, credentialing, compliance, and benefits access.
PSR doesn't take a cut and disappear. We set you up with a complimentary tax consult, quarterly market workshops, a vetted CPA/insurance/retirement bench, and a provider advisory council. We show up in person.
We partner with the nation's largest surgical billing company. Our network spans 700+ assistants across 48 states. And as a keystone, you earn a genuine ownership stake in your regional entity — not a franchise, not a royalty. Equity.
CSFA · Founder & CEO · USAF Veteran · 20+ Years in the OR
PSR wasn't built from theory. It was built from more than two decades of actual operating room experience — nights, weekends, trauma cases, long-term surgeon relationships — and a clear-eyed understanding of what the old model cost independent practitioners.
Christopher founded PSR to build a better model: one where independents keep 80%, carry group malpractice, own equity in their region, and never have to navigate a billing cycle, a credentialing process, or a compliance question alone.
“Stay independent. We handle everything else.”
How It Works
Practitioner-owned means practitioners stay. Here's exactly what PSR does after you sign on.
You upload your face sheets to Google Drive. That is your entire administrative job. PSR takes it from there.
PSR writes the op notes, assigns the CPT codes, and invoices the right payer — commercial insurers directly, government cases to the facility at a set rate. No case goes uncompensated.
Direct deposit. Your 80%. No waiting, no chasing, no mystery. The same credentialed team your surgeons trust — every quarter.
As you expand — more hospitals, more cases, a team — you move from the solo track to the ownership track. Equity in your regional entity. Profit-sharing from your team's cases.
Whether you're a solo FA ready to simplify, a team builder ready to own your market, or a facility looking to restructure — the conversation starts here.
PARTNER · OWN · PROFIT · GROW