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Built by surgeons, for surgeons

We handle the details.
You focus on surgery.

We help orthopedic surgeons build a tailored partnership with the right health system for their market — and design a hyper-specialized ASC around the patients they serve, on the combined strength of both. You lead the day-to-day; we build everything around it.

The TJV model

A hyper-specialized ASC, built around your patients — on the combined strength of surgeons and the health system.

Why Total Joint Ventures

Lead the operation — with a system’s strength behind you.

The partnership

What each side brings — and how it comes together.

We don't take sides. We build a custom structure — purpose-built for the partnership — that lets surgeons and a health system grow one orthopedic program together, designed around the patients it serves.

Orthopedic surgeons

Clinical lead & operating partner

  • Clinical leadership and reputation in orthopedics
  • The ASC and the pathway to open it
  • Operational infrastructure and day-to-day management
  • Long-term commitment to the local community
Health system

Strategic partner

  • Care-delivery network and hospital chassis
  • Payer relationships and contracting infrastructure
  • Brand and market position
  • Strategic capital aligned to a long-term partnership
The right cases, in the right setting

Sorted by setting, shared by both.

Outpatient cases move to a co-owned ASC. Complex and inpatient cases stay at the hospital, freeing OR capacity for higher-acuity work. Either way, the volume stays inside the partnership — and both sides share in the center they built.

To the ASCOutpatient-appropriate orthopedic cases
To the hospitalComplex & inpatient cases
For the surgeons

ASC ownership, a durable physician-led practice, and the subspecialty depth to grow.

For the health system

Shared ASC ownership, retained orthopedic volume, freed OR capacity, and a deeper market position.

For the community

Local access to specialty care, shorter waits, and less travel for complex procedures.

Our values

A commitment to the things that make a partnership last.

Partnership-Driven

Our product is the partnership itself. We align incentives so surgeons and the health system win on the same terms.

Value Focused

Real value for patients, partners, and practices — through performance, profitability, and quality.

Collaborative by Design

We listen before we structure, and stay in it with you from the first conversation through opening day and beyond.

Innovative Always

We challenge the default — better governance, better economics, and a better path to outpatient care.

Integrity in Action

Transparency, honesty, and accountability in every partnership.

Relentless in Excellence

The highest standard in clinical quality and operational performance — and we hold ourselves to it.

Let's talk

Thinking about your ASC and the right partner? Let's talk.