You trained to treat vascular disease, not to run a business. Yet most physician-owners spend their evenings on payroll, staffing gaps and budgets. American Vascular Associates (AVA) provides full vascular center management for office-based labs (OBLs) and ambulatory surgery centers (ASCs). We take on the day-to-day operations so your center runs better, faster and stronger, and you get back to patient care.
These are the problems we hear most from vascular practice owners. They are almost always operational, not market-driven, and they are fixable.
Scheduling, block time and patient flow built around procedural demand, so open capacity becomes completed cases.
Recruiting, retention strategies and staffing models matched to case volume, which cuts turnover and fixed labor cost.
Labor ratios, case cost and vendor spend tracked against revenue, with a budget built for your center.
Service line expansion, procedure mix and market growth plans grounded in your data.
Clear owners, weekly KPI reviews and operating governance, so problems surface before they hit the P&L.
Finance, revenue cycle, compliance, supply chain and clinical oversight under one roof. See Finance, Accounting & Reporting, Revenue Cycle Management and Best Practice, QA & Compliance.

At an outpatient vascular center with unstable revenue, AVA realigned staffing, scheduling, supply costs and procedure mix. Monthly revenue rose from $279.6K in January to $613.2K in March. Major cases grew from 18 to 33 a month, and quarterly labor cost fell by $82.6K (25%).
A long-established vascular center lost leadership stability and procedural volume. After AVA hired a director-level leader, centralized front-end workflows and added embolic services, one quarter showed major cases up 39%, referrals up 51% and charges up 42%.
It runs the business side of your OBL or ASC: staffing, scheduling, budgeting, vendor management, financial reporting and growth planning. You keep clinical control while the management team handles operations.
No. You make the clinical and strategic decisions. AVA provides the systems, people and data to carry them out and reports results to you regularly.
Every center is different, but our case studies show measurable gains in volume, labor cost and revenue within one to two quarters.
No. We support single-physician OBLs, multi-site groups and ASCs, and tailor the scope to your needs.
We focus on meaningful action and continuous improvement, creating positive change where we can have the greatest impact.
Everything we do is centered on helping physicians build thriving vascular practices that can continue delivering exceptional care in their communities. Through experienced leadership, trusted partnerships, and a commitment to continuous improvement, AVA helps practices navigate complexity, strengthen operations, and prepare for the future.