Constitution Surgery Alliance

Constitution Surgery Alliance (CSA), established in 1997 by Theodore J. Krawiec, M.D., and Kris Mineau, operates as a developer and manager of ambulatory surgery centers (ASCs). The company partners with physicians and health systems to create and run outpatient surgical facilities. Its business model centers on forming joint ventures with hospitals and surgeons, providing development, management, and operational services for ASCs. This partnership approach is designed to align the interests of all parties to foster long-term success. CSA generates revenue through the management and operational services it provides to its partnered surgery centers. The company serves a diverse client base that includes physicians, health systems, and patients seeking outpatient surgical care.

Co-founder Kris Mineau, who currently serves as President and CEO, has been instrumental in the company's growth and strategic direction. Following Dr. Krawiec's retirement, the company has continued to expand under Mineau's leadership. In June 2025, CSA secured a strategic investment from Welsh, Carson, Anderson & Stowe (WCAS), a private equity firm with a history in healthcare investments, to support national expansion. This partnership provides CSA with capital and expertise to scale its operations.

CSA offers a comprehensive suite of services, including the development of new facilities (de novo), conversions of hospital outpatient departments (HOPD), and facility repurposing. The company manages a network of centers that perform over 100,000 procedures annually across specialties like orthopedics, total joint replacement, spine, ophthalmology, ENT, urology, and gastroenterology. A key feature of their service is a proprietary clinical and business intelligence platform that offers real-time data to guide decision-making and operational improvements. Since its inception, CSA has developed over 25 surgery centers, many of which are hospital joint ventures, and has collaborated with more than 500 surgeons. The facilities in CSA's network are recognized for their quality, with several centers earning accolades such as The Leapfrog Group's "Top Ambulatory Surgery Center" and being named to U.S. News & World Report's "Best Ambulatory Surgery Centers" list.

Keywords: ambulatory surgery centers, outpatient surgery, healthcare partnerships, physician joint ventures, hospital joint ventures, ASC development, surgery center management, orthopedic surgery, ophthalmology surgery, gastroenterology procedures, spine surgery, outpatient consulting, clinical intelligence, healthcare operations, surgical services, ASC joint ventures, healthcare investment, patient care, surgical facility management, outpatient care models