Michael “Mike” Grasham was the project manager and Administrator for one of the first Ambulatory Surgery Centers in the state of Maryland. He spent 22 years managing that center and during that time participated in various consulting projects developing ASCs and assisting several in the accreditation process, both in state and out of state. In 2003, he, along with his now partner, Tina DiMarino started Custom Surgical Consultants and this has been his passion ever since.