Financial Operations

From credential status to cap table to distributions — one system, one truth.

Ownership, share classes, distributions, and capital calls — structured and transparent. In the same platform that tracks your credentials, your facilities, and your compliance.

Operations and ownership have always been connected. Your tools just never were.

The management company that tracks physician credentials also tracks who owns equity in each facility. The team running compliance also manages capital calls and distribution calculations. The administrator maintaining governance records is the same person reconciling the cap table in Excel.

These aren't separate functions — they're the same operational surface, artificially split across tools that don't talk to each other.

Carta proved that cap table management needs a system of record. For ASCs, that system of record should be the same one that tracks credentials, facilities, and compliance — because the people managing all of it are the same people.

Cap table as structured data — not a spreadsheet that's always out of date.

ASCIQ models ownership the way it actually works: organizations own facilities. Physicians and entities hold ownership stakes through share classes. Ownership percentages are derived from the cap table data, not manually entered and forgotten.

Share classes, ownership stakes, and investor records are structured, versioned, and auditable. When ownership changes, the cap table updates once and flows everywhere: distributions, governance, reporting.

No more emailing a spreadsheet with "v7_FINAL_updated" in the filename.

Cap Table
Dr. Sarah Chen
Class A
18.5%
Dr. Michael Ross
Class A
15.0%
CCA Holdings LLC
Class B
40.0%
Dr. James Park
Class A
12.5%
Vascular Partners LP
Class C
14.0%

Distributions from draft to deposit — with a full audit trail.

ASCIQ tracks distributions through a defined workflow: draft, approved, executed. Each distribution includes line items per owner, calculated from the cap table. Approvals are logged. Execution status is tracked.

Every physician owner can see their distribution history, the calculation methodology, and the timeline — without calling the management company.

Draft

Distribution calculated from cap table data

Approved

Reviewed and approved by authorized parties

Executed

Distributed with full audit trail and receipts

Capital calls without the spreadsheet.

ASCIQ tracks capital call events with per-investor amounts, due dates, and funding status. When a capital call goes out, you know who's been notified, who's funded, and who hasn't — at the investor level.

Funding receipts are recorded as they come in. Reconciliation is a glance at the dashboard, not a phone call to accounting.

Physicians see what they own, what they're owed, and what's needed — without calling anyone.

Physician owners get visibility into the data that matters to them: their ownership stake, distribution history, capital call obligations, and credentialing status. Banking details are maintained through the platform, not through emailed forms.

This isn't a separate product. It's the same system, viewed from the owner's chair. The same data, different perspective — no reconciliation required.

Ownership stake

Current equity position with share class detail

Distribution history

Every distribution with amounts and dates

Capital call obligations

Outstanding calls with due dates and status

Credentialing status

Credentials across all facility appointments

Enterprise-grade security for sensitive financial data

Banking details are encrypted at rest and in transit with field-level access control. Cap table data is versioned with a full audit trail. Role-based permissions ensure physicians see only their own ownership data, while administrators see the full picture. Every change is logged and attributable.

Capabilities

Everything in Financial Operations.

  • Cap table management
    Share classes, ownership stakes, and derived ownership percentages per facility.
  • Distributions
    Distribution events with per-owner line items, approval workflow, and execution tracking.
  • Capital calls
    Capital call events with per-investor amounts, due dates, and funding status.
  • Capital call funding receipts
    Track when each investor's contribution is received.
  • Organization bank accounts
    Structured banking details with public/private field separation per organization.
  • Person bank accounts
    Individual banking details for physician owners and staff.
  • Routing number lookup
    Auto-validate bank name and details from routing number on entry.
  • Wire instructions PDF
    Generate formatted, print-ready wire transfer instructions from stored data.
  • Finance dashboard
    Dedicated financial workspace with summary, distributions, and capital calls views.
  • Report packages
    Generate formatted report packages from financial and operational data.
  • Derived physician ownership
    Ownership percentages auto-calculated from cap table data.

Your operations and your ownership — finally in one system.

Send us your facility data and cap table. We'll load both so you can see the full picture — credentials, ownership, and compliance — in a single walkthrough.