Compass Surgical Partners

What Compass Surgical Partners does

Compass Surgical Partners is a privately held, Raleigh, North Carolina-based ambulatory surgery center (ASC) development and management company founded in 2011 by DJ Hill and Sean Rambo. The company partners with large U.S. health systems and high-performing physician groups to develop de novo ASCs, convert hospital outpatient departments (HOPDs) into ASCs, and operate the resulting facilities through joint ventures in which Compass typically acquires a 51% equity stake while physician partners retain 49%. As of 2024, Compass employs approximately 450 people (50 corporate staff plus 400 clinical and administrative staff at partner ASCs), has developed or manages more than 40 ASCs across 13 exclusive MSAs, has overseen over one million surgical cases, and has completed more than 1,000 physician syndications with zero ASC failures.

The platform is built around a modular service stack including ASC development and management, facility design and build, payer strategy and managed care contracting, physician partnership solutions, and an optional revenue cycle management (RCM) module. RCM performance is a stated differentiator, with Compass reporting 99% clean claims rates, 2-3 day billing cycles, 8-12% higher revenue capture, 60% reduction in outstanding patient balances, and partner EBITDA margins 30%+ above industry average. Patient-facing technology includes the STREAMD text-message engagement platform deployed at spine and orthopedic ASCs (supporting 20 languages), and partner centers deploy the Mako robotic-arm assisted surgery system with OrthoMap software for joint replacement procedures. Compass does not appear to develop proprietary AI models; technology is primarily operational, clinical (robotics), and patient-engagement tooling.

Revenue is generated through a combination of management services fees and equity participation in JV-owned ASCs across orthopedic, spine, cardiovascular, and multispecialty service lines. GTM is exclusively direct enterprise sales targeting health systems and physician groups, with anchor relationships including Bon Secours Mercy Health (30+ ASCs) and Baptist Health (multiple Northeast Florida facilities). The company is backed by TPG Growth (January 2024 strategic investment) and Health Velocity Capital (March 2022 minority investment), and has undergone a CEO transition in January 2026, with Mark Langston succeeding co-founder DJ Hill.

Name

Compass Surgical Partners

Legal name

Compass Surgical Partners

Website

https://compass-sp.com

Company type

Private

Founded year

2011

Operating status

Operating

Headcount range

11–50 employees

Short description

Compass Surgical Partners is a private Raleigh-based ASC development and management platform that partners with U.S. health systems and physician groups to develop, co-own, and operate ambulatory surgery centers through 51/49 joint ventures across 13 MSAs.

Ownership category

akta.pro rank

Product category

Ambulatory Surgery Center Management

NAICS

Offices of All Other Health Practitioners (62139), Offices of Physicians (62111), Management Consulting Services (54161)

SIC

Services-Health Services (8000), Services-Management Consulting Services (8742)

akta.pro primary industry

Multi-Specialty Ambulatory Surgery Centers (ASCs) (HLAFAIAA)

akta.pro secondary industries

Orthopedic & Spine Surgery Centers (HLAFAIAG), Single-Specialty ASCs (HLAFAIAB)

Keywords

• Ambulatory surgery centers
• ASC development
• ASC management services
• Surgical joint ventures
• Healthcare partnerships

Headquarters

HQ city

Raleigh

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. ASC Management Services: Compass provides comprehensive ASC development and management services to health system and physician partners, typically acquiring 51% equity in ASC joint ventures at fair market value while leaving physician partners with 49% ownership. Revenue is generated through management fees and equity ownership in operating ASCs.
2. ASC Development and Joint Ventures: The company develops new ASCs (de novo) and converts existing HOPDs to ASCs in partnership with health systems. Revenue is generated through equity participation and development fees.
3. Revenue Cycle Management (RCM) Services: Optional RCM services for partner ASCs that deliver 8-12% higher revenue capture, reduce outstanding patient balances by 60%, achieve 2-3 days to bill, and reach 99% clean claims rate.

Go-to-market motion1 record

Distribution channels2 records

Marketing channels4 records

Core offering

Compass Surgical Partners is a full-service ambulatory surgery center (ASC) development and management company that partners with health systems and physician groups to create, launch, and operate high-performing outpatient surgical facilities. The company typically acquires 51% equity in ASC joint ventures while physician partners retain 49%, providing capital, operational expertise, payer strategy, facility development, revenue cycle management, and physician alignment services across the ASC lifecycle.

Product overview

Compass Surgical Partners is a leading independent, full-service ambulatory surgery center (ASC) development and management platform. The company operates as a unified platform with multiple integrated service modules including ASC Development and Management (core), Health System Strategy, Physician Partnership Solutions, Payer Strategy Services, Revenue Cycle Management (RCM), Facility Development, and specialized service lines for Spine, Orthopedic, and Cardiovascular ASCs. These services work together to help health systems and physicians develop, launch, and operate high-performing ASC networks through joint venture partnerships.

Differentiator

Problem solved

Functional benefit

Products and services

• ASC Development and Management Full-service ambulatory surgery center development and management for health systems and physician partners, taking typically 51% equity in joint ventures and providing ongoing operational leadership across the ASC lifecycle.
• Revenue Cycle Management (RCM) Optional end-to-end RCM services for partner ASCs covering revenue recovery, denial management, insurance verification, patient collections, and financial reporting, achieving 99% clean claims rates, 2-3 day billing cycles, and 8-12% higher revenue capture.
• Payer Strategy Services ASC-focused managed care contracting and payer strategy services that secure favorable reimbursement rates and drive financial performance for partner ASCs.
• Facility Development Dedicated ASC team service managing facility design and build, equipping, licensure, staffing, and launch support for new surgery centers.
• Orthopedic ASC Services Specialized outpatient orthopedic surgery center operations, including total joint replacement, sports medicine, and musculoskeletal procedures, deployed via joint ventures with physician partners.
• Spine ASC Services Specialized spine surgery center development and operations including minimally invasive spine surgery, ERAS protocols, optimized patient pathways, and the STREAMD text-based patient engagement platform supporting 20 languages.
• Cardiovascular ASC Services Cardiovascular ambulatory surgery center development for interventional cardiology, electrophysiology, and vascular surgery procedures, including partnerships such as the Cardiovascular Institute of Northwest Florida's outpatient cardiac cath lab.

Quantifiable outcome

• Partner ASCs achieve 30%+ higher EBITDA margins than industry average
• +7 more outcomes

Named customers7 records

Segments2 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration1 record

Feature3 records

Partnerships

Nine partnerships are on record, tiered core and supporting.

• Baptist HealthcoreStrategic or Co-development Partner · 10 March 2026Baptist Health partnered with Compass Surgical Partners to operate Middleburg Surgery Center in Jacksonville, Florida. The multispecialty ASC supports procedures in orthopedics, urology, otolaryngology, pain management, and general surgery. Plans include expansion opportunities due to growing demand.
• Cardiovascular Institute of Northwest FloridacoreStrategic or Co-development Partner · 28 January 2026Partnership to bring the first outpatient cardiac cath lab to the Panama City region. The 8,000-square-foot facility offers interventional cardiology, electrophysiology, and vascular surgery procedures.
• Orthopaedic Institute of North TexascoreStrategic or Co-development Partner · 11 March 2025Joint venture to launch Frisco Station Surgery Center, a multispecialty ASC conceptualized by physicians for physicians and patients, offering streamlined scheduling and optimized surgical workflows.
• Lam Vascular & AssociatessupportingStrategic or Co-development Partner · 11 March 2025Joint venture partner in the Frisco Station Surgery Center multispecialty ASC in North Texas.
• NYC Joint & Spine Center (Bergen County, NJ)coreStrategic or Co-development Partner · 11 February 2025Partnership with leading NYC-area surgeons to open NYC Joint & Spine Center in Bergen County, New Jersey, providing a premier destination for orthopedic surgery accessible from across the region.
• AlignedCardiosupportingStrategic or Co-development Partner · 8 October 2024Partnership with AlignedCardio and Bon Secours Mercy Health to open a cardiovascular surgery center in Henrico, Virginia, offering diagnostic heart catheterization, coronary interventions, peripheral interventions, and pacemaker/AICD implantations.
• Jersey Shore Ambulatory Surgery CentercoreStrategic or Co-development Partner · 7 November 2023Joint venture partnership with Jersey Shore Ambulatory Surgery Center offering world-class outpatient procedures across orthopedic, total joint replacement, spine, ophthalmology, pain management and podiatry specialties.
• Joint Replacement Center of LouisianacoreStrategic or Co-development Partner · 21 June 2023Joint venture with local orthopedic surgeons Dr. Steven Hale, Dr. George J. Trappey IV, and Dr. Jonathan Foret to open the first and only ASC in Southwest Louisiana focusing exclusively on joint replacement surgery, featuring Mako robotic-arm assisted surgery.
• Bon Secours Mercy HealthcoreStrategic or Co-development Partner · 18 May 2023Bon Secours Mercy Health, the fifth-largest Catholic health system in the U.S., formed a strategic partnership with Compass to expand outpatient surgical care through multiple ASC joint ventures. The partnership has developed 30+ ASCs across multiple states including facilities in Greenville SC, Springfield OH, Newport News VA, and Henrico VA.

Scale indicators9 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• SCA Health (Surgical Care Affiliates): SCA Health is one of the largest ASC management and development companies in the U.S., operating a network of ambulatory surgery facilities in partnership with health systems and physicians. It is a direct competitor to Compass Surgical Partners across multi-specialty ASC development, joint venture formation, and physician alignment — and notably Mark Langston (Compass's new CEO) previously served as CDO at SCA Health.
• Surgery Partners: Surgery Partners is a publicly-traded healthcare services company that owns, operates, and manages ambulatory surgery centers through partnerships with physicians and health systems. It is a direct peer in ASC ownership, short-stay surgical facility operations, and orthopedic/specialty service-line strategy, differing primarily in its full-ownership model versus Compass's 51% JV approach.
• Regent Surgical Health: Regent Surgical Health is an ASC management and development company that partners with health systems and physicians to develop, manage, and operate ambulatory surgery centers. It is a direct peer in de novo ASC development, HOPD-to-ASC conversions, and orthopedic/specialty service-line design, comparable in size and partnership model to Compass.
• AMSURG: AMSURG operates ambulatory surgery centers in partnership with physicians across multiple specialties, with strong concentration in gastroenterology and ophthalmology. It is a direct peer in multi-specialty ASC ownership and physician partnership models, although it is part of the larger Envision Healthcare ecosystem.
• ASD Management: ASD Management provides management, development, and consulting services for ambulatory surgery centers, including billing/collections, clinical operations, and regulatory compliance. It is a direct peer in ASC management services and physician-aligned partnerships, with comparable scale and service offerings to Compass.
• Surgical Management Professionals: Surgical Management Professionals provides ASC development and management services to hospitals, physicians, and joint ventures, including operational management, RCM, and payer contracting. It is a direct peer in full-service ASC management and consulting for hospital-physician joint ventures, competing for similar client profiles as Compass.

Broad incumbents

• USPI (United Surgical Partners International): USPI, a subsidiary of Tenet Healthcare, is the largest operator of ambulatory surgery centers and short-stay surgical facilities in the U.S., partnering with physicians and health systems. It competes with Compass in multi-specialty ASC joint ventures but operates at much greater scale and as part of a broader hospital/healthcare services portfolio.
• HCA Healthcare: HCA Healthcare is one of the largest U.S. for-profit hospital operators, operating general/acute care hospitals and an expanding portfolio of freestanding emergency rooms and ASCs. As a broad incumbent, HCA competes with Compass in surgical services delivery and increasingly in outpatient ASC strategy, though ASCs are a small portion of its overall portfolio.
• Tenet Healthcare: Tenet Healthcare owns a portfolio of acute care hospitals and, through its USPI subsidiary, the largest network of ambulatory surgery centers in the U.S. It is a broad incumbent peer to Compass across both inpatient hospital and outpatient ASC settings, with overlapping physician partnership and health system alignment models.
• Privia Health: Privia Health is a physician enablement company that partners with medical groups, health systems, and providers to optimize care delivery, often in ambulatory settings. It is a broad incumbent peer to Compass in physician partnership models and ambulatory care enablement, though it focuses on multi-specialty medical groups rather than surgical facilities specifically.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xtwitter.com/compasssp
• LinkedInlinkedin.com/company/compass-surgical-partners

Revenue estimate

Valuation estimate

Number of profiles

Profiles10 records

Funding overview

Funding rounds3 records

Investors2 records

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Compass Surgical Partners