Hospitals and surgery centers
Need surgical assistants? We staff them.
Credentialed first assistants, covered under our group malpractice, scheduled and managed by us. One contract. One point of contact.
Veteran-Owned · National Infrastructure · Local Ownership
Zero employees. By design.
Who we serve
Hospitals and surgery centers
Credentialed first assistants, covered under our group malpractice, scheduled and managed by us. One contract. One point of contact.
Surgeons
We fill the openings we're actively working. We don't run a placement service. Tell us what you need and Chris will call you personally. Already have an assistant you trust? They can join PSR and stay yours.
Surgical assistants
Join the largest practice of independent surgical assistants in the country. You keep your surgeon relationships. Our standard model: providers stay independent and keep 80% of every case, paid every Friday. We cover the back office: credentialing, contracts, op notes, coding, billing, collections, compliance, group malpractice.
Stay independent. We handle everything else.
Precision Surgical Resources is a veteran-owned national practice built exclusively for independent surgical assistants. We don't employ anyone — every PSR provider is an independent 1099 practitioner who keeps their surgeon relationships, keeps 80% of every case, and gets paid every Friday. Our side covers the entire back office: credentialing, contracting, op notes, coding, billing, collections, compliance, and group malpractice — all run under the PSR Standard, so every claim holds up under scrutiny.
What Makes PSR Different
Most billing companies 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.
Our revenue cycle runs on national billing infrastructure with a documented compliance standard behind every claim. And as a team builder, you earn profit-sharing in your regional group — real partnership, not a franchise, not a royalty.

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, earn profit-sharing in their regional group, 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.
As you expand — more hospitals, more cases, a team — you move from the solo track to the partnership track. Real partnership, not a franchise. Profit-sharing from your team's cases.
The PSR Standard
The PSR Standard is our published compliance and transparency standard — the documentation, billing, and credentialing discipline that runs on every case, so every claim holds up under anyone's review.
Whether you're a solo FA ready to simplify, a team builder ready to grow a regional group, or a facility looking to restructure — the conversation starts here.
PARTNER · BUILD · PROFIT · GROW