Custom Surgical was formed in 2003. Mike Grasham had been doing consulting for many years and decided to collaborate with Tina DiMarino, RN to pursue ASC consulting on full-time basis. Outpatient surgery is our passion. We enjoy what we do with a philosophy built on fostering healthy environments and strong relationships while delivering efficient, up-to-date information.


Imparting our knowledge and skillsets for the benefit of the healthcare team and their patients for the delivery of high quality, efficient and safe surgical care.


Providing our clients with the knowledge and skills tailored to their specific needs as a trusted partner in healthcare.


•Championing Innovation in Healthcare
Serving with Integrity
Teaching Transformational Leadership principles
Promoting Healthy Work Environments
Cultivating Patient Safety Cultures

Our goal is to get you up and running quickly and efficiently from day one.

Over the years, our company has steadily grown to perform its services nationally, mainly through word of mouth referrals and in every specialty. Our team of professionals boast over 100 years of experience in the ASC and Outpatient Surgery Industry with consultants currently serving as ASC administrators and managers, and our physician, CPA, and Lawyer all having extensive experience in outpatient surgery as well.

As in our name, our ability to customize our services to suit your needs is what sets us apart from other consultant firms. Our consultants are knowledgeable, flexible, and very responsive, understanding full well the adage “Time is Money.”