Meet the Ambulatory Strategies, Inc. Team
At Ambulatory Strategies, Inc. (ASI), our team of industry leaders brings decades of expertise in ASC development, accreditation, risk management, compliance, and operational excellence. We provide strategic consulting to ensure surgery centers achieve regulatory success, enhance patient safety, and maximize operational efficiency.
Tina DiMarino
CEO | ASC Development & Healthcare Executive
Tina DiMarino is a nationally recognized expert in ambulatory surgery center operations, accreditation, and risk management. With over 25 years of experience, she has led multiple ASC ventures, co-founded Custom Surgical Partners, and now serves as CEO of ASI.
- Key Expertise: ASC development, accreditation compliance (CMS, AAAHC, Joint Commission), risk management, and operational strategy.
- Credentials: DNP in Executive Leadership, MBA, RN, CNOR, CASC, FACHE.
- Leadership & Influence: AAAHC Surveyor, ASCA Education Committee Member, Board of Directors - Maryland Ambulatory Surgery Association.
Sarah Meissner
Chief of Operations | Registered Nurse | ASC Operations Leader
With 17 years as a Registered Nurse and 7 years in the ASC industry, Sarah Meissner is a healthcare leader recognized for enhancing patient safety, strengthening organizational culture, and optimizing operational efficiency. She has held leadership and administrative roles across the Baltimore, DMV, and New York tri-state markets, with a focus on building supportive environments and driving evidence-based improvements.
- Key Expertise: ASC operations, patient safety, organizational culture, evidence-based practice, operational efficiency.
- Leadership & Influence: Multi-market operations leader across the Baltimore, DMV, and NY tri-state regions; empowers teams to meet organizational goals and improve patient outcomes.
Sandra Jones
Founder | Executive Advisor | Medicare & Accreditation Surveyor
With 30+ years in ASC & hospital outpatient development, Sandra Jones is a recognized leader in risk management, compliance, and accreditation. She has led ASC joint ventures, developed risk mitigation strategies, and served on AAAHC and ASCA boards.
- Key Expertise: ASC/Hospital joint ventures, risk management, accreditation, regulatory compliance.
- Leadership & Influence: National speaker, author on ASC compliance, and advisor to CMS & state healthcare agencies.
Tammy Rorer
Accreditation & Medicare Compliance Specialist
Tammy brings over 17 years as an ASC Administrator, specializing in accreditation readiness, regulatory compliance, and risk management.
- Key Expertise: ASC operations, accreditation surveys, staff training, risk mitigation strategies.
- Accreditations: AAAHC Surveyor, Certified Professional in Healthcare Risk Management (CPHRM).
Patricia Spain
Life Safety & Compliance Specialist
Patricia specializes in Life Safety Code compliance, infection control, and emergency preparedness for ASCs. With deep experience in regulatory audits and ASC administration, she ensures facilities meet state, Medicare, and accreditation standards.
- Key Expertise: Life Safety Code, infection control training, state agency survey readiness.
- Industry Leadership: National Fire Protection Association (NFPA) training, ASC construction compliance expert.
Cyndi Krause
ASC Consultant
With over two decades of proven leadership and training expertise, Cyndi Krause is a dynamic and results-driven healthcare professional with a deep commitment to operational excellence, team development, and patient-centered care. Her career spans more than 20 years in leadership and training, coupled with 15+ years of experience in the ambulatory surgery center space working across diverse clinical environments including, ophthalmology, multi-specialty, and GI.
- Key Expertise: Facility documentation development, accreditation, and readiness, medicare certification, state licensure
Lisa K. Barber
Regulatory Research & Compliance Expert
Lisa has extensive experience in ASC licensing, accreditation, financial benchmarking, and regulatory updates. She provides real-time compliance alerts, quality metric analysis, and safety improvement strategies.
- Key Expertise: Specialized Training: Risk management, adverse incident investigation, HIPAA compliance. ASC accreditation, regulatory updates, quality benchmarking, compliance documentation.
- Specialized Training: Risk management, adverse incident investigation, HIPAA compliance.
Patricia Keenan
ASC Administrator & Compliance Consultant
Patricia has over 20 years as an ASC Administrator, specializing in regulatory compliance, accreditation, and operational improvement.
- Key Expertise: ASC management, AAAHC & Joint Commission accreditation, risk management, staffing optimization & cost control.
- Certifications: CASC, CPHRM.
Antonio Del Valle
Risk Manager & Accreditation Surveyor
With extensive experience in hospital and ASC risk management, Tony is a bilingual ASC consultant and AAAHC surveyor, leading Medicare certification and accreditation surveys across the U.S. and Latin America.
- Key Expertise: CMS compliance, risk assessment, ASC survey preparation.
- Leadership: Medicare surveyor, ASC risk management educator.
Bernadette Cupo
VP of Regulatory and Accreditation Consulting | ASC Administrator | Accreditation & Compliance Specialist
With 28 years of healthcare experience — beginning her career as a U.S. Army Combat Medic and Surgical Technician — Bernadette Cupo brings a disciplined, hands-on approach to ASC operations, regulatory compliance, and survey readiness. Over the past decade as an ASC Administrator, she has guided de novo ASC development, center relocations, and CMS/accreditation survey preparation for organizations across the country.- Key Expertise: ASC administration, regulatory compliance, accreditation, CMS & survey readiness, de novo ASC development, center relocations.
- Leadership: Florida-based advisor supporting organizations nationwide; recognized for a direct, practical approach and clarity-driven team guidance in highly regulated healthcare settings.
Why Choose ASI?
- Unmatched ASC Expertise – Our team has led and developed hundreds of successful ASCs nationwide.
- Accreditation & Compliance Leaders – Certified experts in CMS, AAAHC, Joint Commission, ACHC, and QUAD A accreditation.
- Patient Safety & Risk Mitigation Specialists – Ensuring regulatory excellence while enhancing operational efficiency.
- Proven Financial & Benchmarking Strategies – Helping ASCs increase profitability, reduce risk, and streamline operations.
Partner with the ASC Experts at ASI
Ready to elevate your ASC’s compliance, operations, and financial success? Contact us today for a personalized consultation.