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Anesthesia Care Solutions (ACS)

Bridging the Gap in Contemporary Surgical Services Coverage

Anesthesia coverage has become an extremely challenging endeavor in many regions of this country. Recent events have fractured many of the traditional work models, leaving providers and hospital administrators looking for anesthesia coverage. ACS was created to bridge that gap and provide solutions for both the provider and the administrator.

MD-led. Privately held.

For hospital leadershipFor anesthesiologists & CRNAs
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CoveredFilling now
Our corporate identity

MD-led and privately held

ACS brings a wealth of hands-on, executive-level experience in both clinical practice and healthcare administration.

Strategic approach

By deeply understanding the pain points of both the clinicians on the front lines and the executives managing the bottom line, we design customized coverage models that restore stability, reduce burnout, and keep operating rooms running efficiently.

We have developed a proven framework designed to:

Stabilize Surgical Services

Rebuilding reliable coverage paradigms to prevent disruptions.

Optimize Provider Workflows

Aligning clinical schedules and task management efficiently.

Secure Financial Health

Protecting bottom-line logistics for the facilities we serve.

Who we serve

Solutions for both the administrator and the provider

Two sides of the same coverage problem — addressed by one team that understands both.

For CEOs & CFOsSecuring your surgical service lines

Data-Driven Stability for Your Bottom Line

Operating rooms are the economic engine of your hospital, yet escalating subsidy demands and sudden group departures threaten your financial health. ACS mitigates these structural risks through rigorous operational optimization.

  • Subsidy Mitigation: We audit operational inefficiencies and right-size staffing grids to align directly with actual surgical volume.
  • Operational Continuity: Our deep regional networks allow us to deploy stable, high-caliber coverage quickly, preventing catastrophic volume leakage.
  • Demand-Driven Alignment: We transition your facility from costly, rigid staffing frameworks to flexible, demand-driven delivery models.
  • Compliance Assurance: Every model we build prioritizes strict billing compliance, clinical quality metrics, and seamless local integration.
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For Anesthesiologists & CRNAsRestoring autonomy and balance

Practice Environments Built for Top-Tier Clinicians

Traditional, rigid employment models are broken. ACS believes that professional clinicians deserve practice environments that respect their medical expertise and safeguard their personal lives.

  • Practice Flexibility: We offer diverse, tailored engagement models—including robust 1099 independent contracting and structured W2 options.
  • Burnout Prevention: By utilizing predictable, localized scheduling, we help you regain control over your time and career longevity.
  • Transparent Compensation: We provide highly competitive, market-vetted compensation packages that reflect your true clinical value.
  • Collaborative Culture: We foster respect-driven, collaborative care-team environments where your medical voice is valued.
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Workforce

How staffing works

The same five stages run for every placement, whether it's permanent or locum.

01
Source

Sourced and screened against your department's sub-specialty and shift needs.

02
Vet & credential

License, DEA, board certification, NPDB, and references verified in parallel.

03
Match

Scored on sub-specialty, compensation, geography, and shift fit.

04
Place

Privileging tracked to approval, start date confirmed with your department.

05
Bill

One consolidated, reconciled invoice per billing period.

Process

How a consulting engagement runs

Every engagement follows the same four stages, led by two senior partners and an analyst — so you know what week you're in and what you'll have by the end of it.

01 — Discover
Weeks 1–2

Listen and gather

We interview OR and department leadership, pull scheduling and locums spend, and benchmark compensation against your market.

02 — Diagnose
Weeks 3–5

Put a number on it

We model OR utilization and cost-per-case, and review where revenue capture is falling short. Every finding gets a dollar figure.

03 — Recommend
Weeks 6–7

Bring the plan

A board-ready presentation: a cost roadmap, a staffing model, and the ROI case for each recommendation.

04 — Hand off
Week 8

Stay reachable

We support implementation — through our own workforce team where it fits, or yours — and stay available to leadership as changes take hold.

The strategic difference

Executive and clinical pain points, solved

A side-by-side view of the problems we hear most — and the ACS model built to answer each one.

Skyrocketing Hospital Subsidies
Revenue cycle and scheduling optimization to eliminate financial waste.
Severe Provider Burnout & Turnover
Flexible work architecture designed to respect clinician lifestyle goals.
Disrupted Operating Room Schedules
Rapid deployment networks that preserve surgical volume and revenue.
Leadership

Our Founders

Built by healthcare leaders with decades of experience operating, scaling, and transforming healthcare organizations.

Portrait of Charles James Fox, III, MD

Charles James Fox, III, MD

Co-Founder

My career in academic medicine and healthcare leadership has centered on rebuilding organizations, developing clinical programs, and creating stronger systems of care. Following Hurricane Katrina, I helped lead the reopening of two hospitals, recruit clinicians in a challenging labor market, and reestablish an anesthesiology residency program. In 2013, I joined Louisiana State University Health Sciences Center in Shreveport as Professor and Chair of Anesthesiology, where we expanded the faculty, established new clinical divisions and fellowship programs, achieved sustained 100% board pass rates, and grew the department’s scholarly output from seven publications between 2006 and 2013 to more than 500 over the following decade. I later became the founding President and CEO of the faculty group practice and Vice Chancellor for Clinical Affairs.

Portrait of Steve Randall

Steve Randall

Co-Founder, COO/CFO

My career in healthcare leadership has centered on building, scaling, and transforming complex healthcare organizations. I currently serve as Co-Founder and COO/CFO of Anesthesia Care Solutions, where I helped establish the company to address growing anesthesiology staffing needs and built its operational and financial foundation from inception. Previously, as Regional Vice President with Tenet Healthcare/USPI, I oversaw 12 surgical hospitals and ambulatory surgery centers with approximately $600 million in annual net revenue and more than 1,000 employees. Before that, I spent seven years as COO of Ochsner LSU Health, including serving as Interim CEO and CFO, helping build and expand a major integrated academic health system across North Louisiana.

Coverage

Where we place coverage

Permanent, locum, and per-diem coverage across the sub-specialties that actually make up a department's call schedule.

General anesthesiaCardiacOB / L&DPediatricNeuroRegional & chronic painTrauma & orthopedicBariatric & ASC
Credentialing

What we verify before day one

The 14-day target doesn't skip steps — it runs them in parallel instead of in sequence.

State license verificationConfirmed directly against the medical or nursing board for every state the clinician will practice in.
DEA registration cross-checkVerified and matched against the placement's prescribing requirements.
NPI verificationConfirmed against the National Plan and Provider Enumeration System.
Board certificationABA certification for physicians, NBCRNA for CRNAs, confirmed directly with the certifying board.
NPDB queryA National Practitioner Data Bank check for malpractice and disciplinary history.
Peer referencesThree minimum, followed up by voice and email until they're actually returned.
Malpractice/liability coverageActive coverage confirmed and certificate held on file.
Privileging packetPrepared and submitted to your medical staff office, then tracked until approval.
Questions

Common questions from department leadership

Do you handle both permanent and locum placements?+
Yes — the same sourcing and credentialing pipeline covers both. Most departments use us for a mix: locum coverage for near-term gaps while a permanent search runs in parallel.
How fast can a coverage gap actually be filled?+
It depends on sub-specialty and your own medical staff office's turnaround, but our credentialing workflow is built around a 14-day target — run in parallel rather than step by step — against an industry norm closer to 90 days.
What happens if a placement isn't the right fit?+
Match scoring weighs sub-specialty, compensation, geography, and shift fit before a placement is ever proposed, specifically to avoid this. If a fit issue does come up, we handle re-matching directly with the department rather than leaving the gap back on your desk.
Can we start with just a consulting engagement?+
Yes. Consulting engagements are scoped and billed independently of staffing — there's no requirement to use our workforce team afterward, though the two are built to hand off cleanly if you choose to.
How is billing structured?+
One consolidated invoice per billing period, reconciled against logged shifts — not a stack of individual locums invoices to check line by line.
Do you work with ASCs, or only hospitals?+
Both. Staffing and consulting extend to ambulatory surgical centers, including ASC anesthesia design for new or expanding centers.
Get in touch

Tell us what your department needs.

Whether it's one open CRNA line or a full department review, we'll follow up within one business day to scope it.

info@anesthesiacaresolutions.com(800) 555-0142