top of page

BackTable / VI / Podcast / Episode #296

Building an Ambulatory Surgery Center

with Dr. Sean Hislop

In this episode, cohosts Dr. Aaron Fritts and Dr. Krishna Mannava interview vascular surgeon Dr. Sean Hislop about building an ambulatory surgery center, including where to purchase property, how to plan your build, and how to prepare for expansion.

Sponsored by:

Medtronic OBL

Be part of the conversation. Put your sponsored messaging on this episode. Learn how.

Building an Ambulatory Surgery Center with Dr. Sean Hislop on the BackTable VI Podcast)
Ep 296 Building an Ambulatory Surgery Center with Dr. Sean Hislop
00:00 / 01:04

BackTable, LLC (Producer). (2023, February 27). Ep. 296 – Building an Ambulatory Surgery Center [Audio podcast]. Retrieved from

BackTable CMEfy button

Stay Up To Date



Sign Up:

Podcast Contributors

Dr. Sean Hislop discusses Building an Ambulatory Surgery Center on the BackTable 296 Podcast

Dr. Sean Hislop

Dr. Sean Hislop is a vascular surgeon in Charleston, South Carolina.

Dr. Krishna Mannava discusses Building an Ambulatory Surgery Center on the BackTable 296 Podcast

Dr. Krishna Mannava

Dr. Krishna Mannava is a vascular surgeon and medical director at Vive Vascular in Columbus, Ohio.

Dr. Aaron Fritts discusses Building an Ambulatory Surgery Center on the BackTable 296 Podcast

Dr. Aaron Fritts

Dr. Aaron Fritts is a Co-Founder of BackTable and a practicing interventional radiologist in Dallas, Texas.


We begin by discussing Dr. Hislop’s current practice in Charleston, South Carolina. He is part of a group of eight vascular surgeons, and is also chief of vascular surgery at a local hospital. Their group has 8 offices, 2 of which are outpatient based labs (OBLs). They are currently working on building an ambulatory surgery center (ASC) that is projected to open in April 2023. Dr. Hislop describes how ownership of the ASC was determined. Five interested partners in their group used their personal funds (5 equal parts) and in turn all 5 are on the board of directors. They keep 100% of their profits and work with a local banker that they have built a trusted relationship with from their prior experience with OBLs. To plan for future expansion, each partner will devote a certain percentage of their shares which will go into a pot to provide shares for future partners to buy in.

When it came to deciding where to buy property and build their ASC, they factored in weather, price, and proximity to patients. They did market research to evaluate where to build that would be close to their target patient population. They were able to find an affordable property in an area with a high concentration of retirees. Their LLC leased the land, and their practice leased space from the building owner. They built out one procedure room with a portable 9900 OEC C-arm, 4 prep and 4 recovery bays where patients can stay for up to 48 hours. South Carolina is a certificate of need (CON) state, meaning they had to apply for a CON to do all their procedures. Their current CON is procedure specific, not specialty specific, though it does not currently include coronary interventions. This allows them to bring in interventional cardiologists, interventional radiologists or podiatrists in the future.

Lastly, Dr. Hislop talks about the hiring process in the ASC. Throughout the COVID-19 pandemic, there has been a huge surge in travel nursing, which has caused retention problems throughout the country. Dr. Hislop remarks that he has recently seen the tides shift back towards normal employment. He believes that in order to recruit and retain high quality staff, it is vital to understand the market and offer competitive salaries. Some of the benefits to working at an ASC instead of a hospital is the lack of nights, weekends, and call coverage. For Dr. Hislop and his partners, they believe that efficiency and work satisfaction are more important than a big financial outcome, which is why they are passionate about building this ASC. They believe it will provide a much better patient experience while also keeping physicians and staff happy.


Disclaimer: The Materials available on are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.

Become a BackTable Sponsor

Up Next

Creative Solutions to OBL Misadventures with Dr. Omar Saleh and Dr. Mike Watts on the BackTable VI Podcast)
OBL or ASC for Your Private Practice? How to Decide with Teri Yates on the BackTable VI Podcast)
Site of Service Differentials with Dr. Michael Cumming on the BackTable VI Podcast)
Pros & Cons of Independence in the OBL with Dr. Mahmood Razavi and Dr. Mark Garcia on the BackTable VI Podcast)
How to Maximize Efficiency & Revenue with EMRs & Practice Management Systems with Dr. Paramjit "Romi" Chopra on the BackTable VI Podcast)
Iliofemoral Stenting: Decision-Making & Best Practices Explored with Dr. Kush Desai and Dr. Steven Abramowitz on the BackTable VI Podcast)



Learn about Office-Based Lab (OBL) on BackTable VI

Get in touch!

We want to hear from you. Let us know if you’re interested in partnering with BackTable as a Podcast guest, a sponsor, or as a member of the BackTable Team.

Select which show(s) you would like to subscribe to:

Thanks! Message sent.

bottom of page