The Surgical Center

What The Surgical Center does

The Surgical Center at Saddleback, also co-branded as MemorialCare Surgical Center – Saddleback, is a single-site, physician-owned ambulatory surgery center (ASC) located at 24411 Health Center Drive, Suite 104, Laguna Hills, California 92653-3651. The firmographic founding year is 1986, and the center operates as a multi-specialty outpatient surgical platform offering procedures across 15+ specialties, including orthopedics, spine, cardiovascular (including Cardiac Rhythm Management), peripheral vascular, general surgery, ENT, gynecology, urology, plastic surgery, podiatry, ophthalmology, neurosurgery, hand surgery, and colon-rectal surgery, supported by an in-house anesthesiology service. Technology assets include minimally invasive surgical equipment, intravascular ultrasound imaging, wireless implantable loop recorders with automatic transmission of cardiac rhythm data, and the One Medical Passport digital pre-registration portal (fid=191) that enables patients to complete intake 20–25 minutes before surgery.

The center operates under a management-affiliation model with Surgical Care Affiliates (SCA), a national surgical solutions provider positioned as the 'partner of choice,' and is co-branded with the MemorialCare health system. SCA provides the proprietary clinical quality system — including outcome metrics endorsed by the National Quality Forum, a clinical training system, and regional/national Quality Councils — while the center holds AAAHC accreditation and was named to Newsweek's first Best Ambulatory Surgery Centers list in 2021 (one of 60 SCA-affiliated centers recognized). The center markets itself as delivering outpatient surgery at approximately 45% lower patient cost than equivalent hospital-based procedures.

The revenue model is professional services billing for same-day surgical procedures paid through patient insurance, Medicare (CRM procedures approved for ASCs since 2008), and patient co-insurance/self-pay. GTM is primarily direct-to-consumer (phone, online pre-registration) supplemented by referrals from 100+ independent affiliated physicians across 15+ specialties and by MemorialCare's regional referral channels. Reported core headcount is 11–50 employees; the larger physician pool are independent providers, not employees. Two small disclosed funding tranches — $134,452 on 2009-10-14 and $254,258 on 2019-10-21 — were raised from undisclosed investors, but no revenue, headcount trend, or cap-table detail is disclosed in the source material.

Name

The Surgical Center

Legal name

The Surgical Center at Saddleback

Website

https://saddlebacksurgery.com

Company type

Private

Founded year

1986

Operating status

Operating

Headcount range

11–50 employees

Short description

The Surgical Center at Saddleback is a physician-owned, single-site ambulatory surgery center in Laguna Hills, California that delivers multi-specialty outpatient surgical services across 15+ specialties to patients seeking lower-cost same-day care, affiliated with Surgical Care Affiliates and MemorialCare.

Ownership category

akta.pro rank

Product category

Ambulatory Surgery Services

NAICS

Freestanding Ambulatory Surgical and Emergency Centers (621493)

SIC

Services-Specialty Outpatient Facilities, Nec (8093), Services-Health Services (8000)

akta.pro primary industry

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

akta.pro secondary industries

Orthopedic & Spine Surgery Centers (HLAFAIAG), Pain Management & Interventional Procedure Centers (HLAFAIAH)

Keywords

• Ambulatory surgery services
• Outpatient surgical care
• Multi-specialty surgical center
• Same-day surgery
• Minimally invasive procedures

Headquarters

HQ city

Laguna Hills

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Outpatient Surgical Services: Revenue generated from same-day surgical procedures across multiple specialties (orthopedics, spine, cardiovascular, vascular, general surgery, ENT, gynecology, urology, plastic surgery, podiatry, ophthalmology, neurosurgery, hand surgery, colon rectal, anesthesiology). Billed to patient insurance, Medicare (Cardiac Rhythm Management procedures approved by Medicare since 2008), and patient out-of-pocket payments.
2. Patient Self-Pay and Co-Insurance Payments: Patient cost-share (co-pays and co-insurance) and self-pay revenue, which the center states averages approximately 45% less than the same procedure performed at a hospital.

Pricing tiers

Go-to-market motion3 records

Distribution channels3 records

Marketing channels5 records

Core offering

The Surgical Center at Saddleback operates a single physician-owned ambulatory surgery center (ASC) in Laguna Hills, California, delivering same-day outpatient surgical procedures across more than 15 specialties, including orthopedics, spine, cardiovascular (Cardiac Rhythm Management), vascular, general surgery, ENT, gynecology, urology, plastic surgery, podiatry, ophthalmology, neurosurgery, hand surgery, and colon-rectal surgery. The center partners with Surgical Care Affiliates (SCA) and MemorialCare to deliver these services at roughly 45% lower cost than equivalent hospital-based procedures.

Product overview

The Surgical Center at Saddleback operates as a single ambulatory surgery center offering a portfolio of specialty surgical programs and anesthesiology services. Its offering is a unified facility rather than a modular software product: the named programs (Joint Replacement, Cardiovascular Outpatient, Peripheral Vascular Surgery, Spine Surgery) sit alongside broader multi-specialty ambulatory surgical services and dedicated Anesthesiology Services, all delivered at the same Saddleback location.

Differentiator

Problem solved

Functional benefit

Products and services

• Joint Replacement Program A dedicated orthopedic program providing outpatient total joint replacement procedures (knee/hip), replacing arthritic or damaged joints with plastic, metal, or ceramic prostheses that mimic normal joint function. Designed for adult patients who qualify for same-day ambulatory surgery.
• Cardiovascular Outpatient Program An outpatient program for cardiovascular procedures including Cardiac Rhythm Management (pacemaker implantation, automatic implantable cardioverter-defibrillator (AICD), cardiac rhythm device maintenance) and wireless implantable loop recorder procedures with continuous heart rhythm transmission. Available to cardiac patients eligible for ASC procedures since Medicare approval in 2008.
• Peripheral Vascular Surgery Program A program dedicated to diagnosing and treating diseases affecting veins, arteries, and the lymphatic system, including catheter-based vascular interventions such as atherectomy and stent placement verified by intravascular ultrasound imaging. For adult patients with peripheral vascular disease or vein disorders.
• Spine Surgery Program A specialized spine surgery program offering outpatient minimally invasive spinal procedures, including cervical and lumbar laminectomy, ACDF, CADR, spinal fusion, vertebroplasty, and kyphoplasty. For adult patients with degenerative, herniated, or fractured spine conditions.
• Multi-Specialty Ambulatory Surgical Services Broader ambulatory surgery center services spanning multiple surgical specialties (ENT, ophthalmology, gynecology, urology, plastic surgery, podiatry, neurosurgery, hand surgery, colon-rectal, general surgery) beyond the four named flagship programs. Delivered at the single Laguna Hills facility.
• Anesthesiology Services Anesthesiology services supporting the surgical programs across the ambulatory surgery center, staffed by affiliated anesthesiologists.

Quantifiable outcome

• Patients pay approximately 45% less than the same procedure performed at a hospital
• +2 more outcomes

Segments3 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

Feature7 records

Partnerships

Three partnerships are on record, tiered flagship and core.

• Surgical Care Affiliates (SCA)flagshipStrategic or Co-development PartnerSCA is the national surgical solutions partner and 'partner of choice' for the center. SCA provides the clinical quality system (clinical outcome metrics endorsed by the National Quality Forum, proprietary clinical training, Quality Councils), and 60 SCA centers including Saddleback were recognized on Newsweek's 2021 Best ASC list. The center's website is built on scafacilitywebsites.com infrastructure and links to scasurgery.com and careers.sca.health.
• MemorialCarecoreStrategic or Co-development PartnerThe center is co-branded as MemorialCare Surgical Center - Saddleback, indicating a strategic affiliation with the MemorialCare health system. MemorialCare is referenced across cardiovascular, joint replacement, vascular, and spine service lines.
• Accreditation Association for Ambulatory Health Care (AAAHC)coreOthersAAAHC is the accrediting body for the center, confirming that the facility meets or exceeds AAAHC standards for high-quality healthcare. Displayed as a credentialing partnership on the homepage.

Scale indicators4 records

Recent moves1 record

Expansion highlights4 records

Direct peers

• United Surgical Partners International (USPI): One of the largest ASC operators in the U.S., owned by Tenet Healthcare; runs hundreds of multi-specialty ambulatory surgery centers with similar physician-partnership and health-system co-branding models, making it the closest direct comparable.
• Surgery Partners: Public short-stay surgical facility operator with a portfolio of multi-specialty ASCs and surgical hospitals; competes in the same physician-partner ambulatory surgery model and is a direct asset-class comparable for valuation.
• Surgical Care Affiliates (SCA / Optum): The center's own national management partner and arguably the largest U.S. ASC platform (Optum-owned); runs 200+ facilities including the 60 Newsweek Best ASC 2021-recognized centers, providing direct model and scale benchmarks.
• AMSURG (Envision): Operates a national network of multi-specialty ambulatory surgery centers with physician partnership structures analogous to SCA; directly comparable for case-mix, payer contracting, and growth patterns in outpatient surgery.
• Regent Surgical Health: PE-backed ASC management and development company focused on hospital-physician joint ventures for multi-specialty ambulatory surgery centers; comparable in scale, governance model, and physician partnership economics.
• Covenant Surgical Partners: Specialist ASC owner/operator with a physician-partnership model for multi-specialty outpatient surgery centers; closely comparable in footprint, services, and value-based care positioning.
• ASD Management: ASC management company operating multi-specialty ambulatory surgery centers nationwide via joint-venture partnerships with physicians and health systems; similar operating model and revenue scale to a single SCA-affiliated facility.
• Medical Facilities Corporation: Owns and operates specialty surgical hospitals and ASCs (often with physician ownership); comparable for surgical case mix, payer dynamics, and physician-partnership economics in outpatient surgical care.

Broad incumbents

• HCA Healthcare: Largest U.S. for-profit hospital operator with a growing ASC and outpatient surgery footprint; competes for the same physician referral relationships and same-day surgical cases, but as part of a much broader acute-care portfolio.
• Tenet Healthcare: Owns USPI, the largest ASC operator, and competes directly for outpatient surgical volumes in California markets via both hospital outpatient departments and freestanding ASCs.

Market position

Strengths4 records

Weaknesses2 records

Competitive moat5 records

Key risks5 records

Key highlights6 records

Customer concentration

• Xtwitter.com/SCA__Health
• Facebookfacebook.com/SurgicalCareAffiliates

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds2 records

Investors

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 The Surgical Center