Structure & Partnership
PSR is an MSO with a regional profit-sharing model — real partnership, not a franchise. Here's exactly how the structure works, what team builders share in, and how revenue flows.
PSR is a management services organization (MSO) with a regional profit-sharing model. We deliberately stay off the franchise-law side of the line. There is no disclosure document and no state franchise registration to manage.
Two design choices keep it that way: the management fee is a fee for services (not a franchise royalty), and a team builder's upside is profit-sharing in their regional group (not a franchise sold for a required buy-in). The structure has been confirmed by counsel.
This matters because it means partners get a genuine share of what they build — not a license, not a royalty arrangement. Profit-sharing tied to the cases their team performs, in the market they grow.
PSR owns the revenue-cycle relationship end to end. We invoice the facilities, collect, and distribute to our 1099 contractors — every Friday, by direct deposit.
Our revenue cycle runs on national billing infrastructure with a documented compliance standard behind every claim. That gives PSR — and every partner in the network — infrastructure that would take years to build independently.
How Partnership Works
Team builders earn profit-sharing tied to their regional group (their market) — the cases their team performs on national infrastructure. It's real partnership, not a franchise sold for a required buy-in, and not a royalty.
Precision Surgical Resources is closely held. Christopher L. Sweebe retains controlling ownership of the company — by design. Profit-sharing partners aren't buying a piece of the parent.
PSR is not venture-backed. There are no outside investors, no board demanding growth at any cost, no exit timeline baked in. The value comes from the work in the regions — not from selling the company.
The pitch is local: you build a team in your geography and profit-share on the cases your group performs. National infrastructure makes it possible. Your effort makes it valuable. Profit-sharing flows only to performing providers.
Every region is different. We'll walk you through exactly what profit-sharing looks like for your geography.
PARTNER · OWN · PROFIT · GROW