First Hill Surgery Center (FHSC) is an ambulatory surgery center (ASC) operated as a joint venture between The Polyclinic and Swedish Medical Center and managed by The Polyclinic. Our mission is to foster healing in a safe environment that respects the important role of caregivers, family and friends, while providing exceptional service and value for patients.

For patients, the dedicated outpatient facility represents a lower-cost option for ambulatory surgery services in an easily accessible location. Lower overall facility fees means lower out-of-pocket costs for most patients compared with a typical hospital-based facility. For surgeons, the center's 12 operating rooms and 32 postoperative rooms with dedicated surgery staff allow for more efficient scheduling of patients and less down time between cases.

FHSC, located at 1101 Madison Street, Suite 200 in Seattle, features 12 fully-equipped state-of- the-art operating rooms and recovery rooms with comprehensive imaging, laboratory and pharmacy services. The 36,000-square-foot facility provides access for surgeons across the Puget Sound region, including The Polyclinic and Swedish Medical Center, to perform outpatient procedures in highly efficient and cost effective manner.


Steven F. Counter, MD


Dr. Steven Counter is a board-certified surgeon with extensive surgical experience. As medical director of First Hill Surgery Center, Dr. Counter oversees the development and implementation of the facility, strategic plan deployment, staff recruitment, accreditation, and other regulatory functions. He also guides the overall policies and medical guidelines ensuring high-quality, patient-centered care, physician coordination, and compliance. Dr. Counter is a general surgeon and serves as the chief of surgery at The Polyclinic.

Casey McFarland, MHA


Casey McFarland has served as a surgery center leader for over 12 years with demonstrated strengths in operations and fiscal management, accreditation and licensing, employee and leader mentoring, and physician relations. Before joining First Hill Surgery Center, she served six years as the administrator for the two GI surgery centers in Atlanta, GA. As Executive Director of First Hill Surgery Center, Casey collaborates with administrators, physicians, and staff to develop and implement policies and procedures consistent with the clinic’s mission and values to foster healing in a safe environment while providing exceptional service and value for patients.

Cari Starcevich, RN, BSN, CNOR


Cari has 20 years of surgical experience with a strong emphasis on Orthopedics and GI. She was Director of an Orthopedic Surgical Center in Kirkland and served as the Perioperative Director of for a joint venture in Redmond. Cari has a successful track record of improving patient satisfaction and the overall surgical experience, reducing turn over times, developing infection prevention measures, and improving patient care.