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What we bring to every partnership
A long term partnership across four key areas. You focus on the delivery of care. We take care of everything else.
Outpatient models designed around your practice
Before talking about what we bring, the first question every physician asks: what kind of center can I develop?

OBL
Office Based Labs
Pearl partners with physicians to develop and operate office based labs designed around their specialty, their procedures, and their patients. Development, accreditation guidance, operations, and revenue cycle in one place.
Most OBLs open in 2 to 5 months

ASC
Ambulatory Surgery Centers
Pearl partners with physicians to develop and manage ambulatory surgery centers: facility development, daily operations, administrative infrastructure, and financial management.
ASCs typically take 12 to 24 months
Four areas we bring to every partnership
From development to daily operations, one team and one agreement cover every stage of your center.

Development
Facility Buildout
From concept to completion, Pearl manages the entire development process and puts its own capital into your center.
- Capital investment
- Site selection
- Architecture & construction
- Medicare certification & accreditation
- Equipment & suppliers
- State licensure

Day to day
Operations
An experienced operating team working beside yours to keep the center running efficiently every day.
- Credentialing
- Finance & accounting
- Scheduling
- Inventory management
- Policies & procedures
- Staffing & recruiting

Systems
Administration
The systems and processes that support successful center management without friction.
- Workflow development
- Marketing
- Human resources
- Quality reports
- Registration forms

Financial performance
Revenue Cycle Management
A dedicated revenue team that protects your center's revenue and follows every claim until it pays.
- Billing & coding
- Collections
- Denial management
- Payor contract procurement
- Payor contract negotiation
- Data analytics
A partner throughout every stage
Pearl is not a one time service. We stay through the whole lifecycle of your center.
Opportunity assessment
We understand your goals and evaluate the opportunity with a detailed proforma.
Development
We build the foundation of your outpatient center, from capital to construction.
Launch
We prepare your center, your staff, and your billing for the first day of operations.
Ongoing management
We run daily operations with you and stay invested in financial performance well beyond opening day.
Why partner with Pearl
A partner invested in your success
Healthcare expertise
Specialized experience in outpatient healthcare, not general consulting applied to medicine.
One partner, every stage
One partner across development, operations, administration, and financial management.
Long term partnership
A partnership that continues well beyond opening day, for as long as your center runs.
Experience you can trust
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Centers developed by our team
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Years of combined experience
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States with open centers
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Centers and clinics managed today












Frequently asked questions
Pearl develops and operates Office Based Labs, Ambulatory Surgery Centers, and hybrid centers that combine both models, always built around cardiovascular care.
We partner with cardiologists, vascular surgeons, and interventional radiologists. That focus is deliberate: our teams know these procedures, their codes, and their payors.
It depends on the procedures you plan to perform, what your state regulations allow, and how many physicians and specialties are involved. Some centers even combine both models. This is one of the first questions we answer together during the proforma.
Yes. Pearl invests its own capital in every center it develops, which lowers your financial risk and keeps our incentives aligned with yours.
An OBL typically opens in 2 to 5 months. An ASC usually takes 12 to 24 months because it requires state licensure and Medicare certification.
Every center is different. We would rather learn about your practice first and build a budget that is specific to your needs than quote a generic number.
Very. Opening day is the start of the partnership, not the end. Pearl manages daily operations, staffing, billing, and financial performance for as long as the center runs.
Opening and managing a center takes significant capital and far more work than running a clinic. Our model rests on one idea: you lead the clinical side, we bring everything else, and the odds of success go up for both of us.
For an OBL you can usually add a site of service to your existing contracts, although rates may need serious negotiation to make the center viable. An ASC requires new contracts with every commercial payor. Pearl manages both paths with you.
Ready to explore a partnership with Pearl?
Start a conversation with Pearl. Tell us your goals and we will show you what it takes to build and operate your center together.
Schedule a Consultation →