The model was broken.
So we built a better one.

What PSR Is

PSR is the largest practice of independent surgical assistants in the country, bringing its infrastructure to independent surgical assistants, RNFAs, and PAs across the country. We are two things at once:

• The infrastructure — the complete back office that runs everything non-clinical: facility contracts, op notes, coding, billing and collections, credentialing, compliance, recruiting, staffing, malpractice, and benefits.
• The teacher — we don't take a cut and disappear. We teach our people how to actually be successful independent 1099 business owners.

Everyone who works with PSR is a 1099 independent contractor. PSR is the structure; they stay independent. Structurally, this is a management services organization (MSO) with a regional profit-sharing model — real partnership, not a franchise, built deliberately so none of the franchise-law machinery applies.

Veteran-Owned. Mississippi Gulf Coast.

Christopher L. Sweebe, CSFA, founded PSR after more than two decades of active surgical first-assist work — nights, weekends, trauma cases, long-term surgeon partnerships. His U.S. Air Force surgical services background at Keesler AFB informs everything: the discipline of consistent documentation, the value of team reliability, and a belief that professional excellence is non-negotiable. He is still in the OR today.

National Infrastructure. Local Ownership.

PSR operates at national scale that delivers real infrastructure — not promises. Our revenue cycle runs on national billing infrastructure with a documented compliance standard behind every claim. We run quarterly in-market workshops, fly in, show up in person, and run the model the way it was built to be run.