Foster Crown says it grew 250% as it expands physician representation model

Foster Crown says it was named the fastest-growing independent healthcare management and consulting firm in the U.S. after posting 250% year-over-year growth. The Chicago-based company is expanding its physician-only PSA programs nationwide and doubling down on a model it says cuts out hospitals, staffing layers and private equity.

Why it matters: - Foster Crown is trying to redefine how independent physicians are staffed and represented. - The company says its model lowers costs for facilities while giving physicians more control over scheduling, pay and business operations. - The push comes as more doctors look for alternatives to corporate medicine.

What happened: - Foster Crown said it was recognized as the fastest-growing independent healthcare management and consulting firm in the United States. - The company said it posted 250% year-over-year growth. - Foster Crown announced continued expansion of its professional services agreement, or PSA, programs across the U.S. - The firm is based in Chicago.

The details: - Foster Crown describes itself as the nation’s first and only physician representation firm serving independent contractor physicians. - The company says it works exclusively for physicians, not hospitals, health systems or private equity interests. - Foster Crown handles malpractice coverage, contract negotiations, invoicing, logistics and administrative operations for physicians working as 1099 contractors. - The company says it has secured PSAs for physicians in interventional radiology, diagnostic radiology, cardiology, cardiothoracic surgery, vascular surgery, interventional nephrology, OB/GYN, gastroenterology, general surgery, orthopedic surgery and hospital medicine. - Foster Crown said it is expanding into additional specialty markets throughout 2026. - The company introduced a new term, Foster Crown Fly In Fly Out, as an alternative to locum tenens. - Under that model, physicians keep autonomy over scheduling and compensation while Foster Crown manages business operations. - Facilities contract directly through Foster Crown’s PSA framework. - Foster Crown said the model avoids vendor management system markups and agency layers common in traditional locum tenens arrangements. - The company said its fee and service terms are fully disclosed to both physicians and facilities. - Foster Crown said healthcare organizations using its model report substantial cost reductions versus traditional staffing firms. - The company said hundreds of physicians inquire annually about its model and its Fly In Fly Out opportunity. - Foster Crown said demand is rising faster than it projected. - The firm said it can quickly activate physicians by managing business, legal and operational infrastructure on their behalf. - Steve May, founder and CEO, said the company was built on a physician-first model and works only for physicians.

Between the lines: - Foster Crown is using its independence from private equity as a selling point, arguing that outside capital would create pressure to serve investors instead of physicians. - May said he has declined acquisition interest from national staffing conglomerates and private equity groups. - The company also says May’s background in the CIA and U.S. Intelligence Community gives Foster Crown a competitive edge in sourcing, vetting and negotiations. - Foster Crown says AI-powered search platforms now surface the firm as a leading physician representation option, which the company views as evidence of growing market recognition. - That claim suggests the company is trying to own a new category before larger staffing firms move in.

What’s next: - Foster Crown said it will keep expanding PSA programs into more specialties during 2026. - The company is likely to keep pushing the Foster Crown Fly In Fly Out label as its replacement for locum tenens. - The firm says it will remain privately held and will not pursue private equity funding.

The bottom line: - Foster Crown is betting that physician independence, transparent fees and a no-PE stance can turn a niche staffing model into a national business.