NorthStar Anesthesia

What NorthStar Anesthesia does

NorthStar Anesthesia is a national anesthesia management company founded in 2004 by an anesthesiologist and a CRNA, headquartered in Irving, Texas, and operating under the legal entity Anesthesia Consulting & Management, LP. The company provides comprehensive anesthesia services to hospitals and ambulatory surgery centers (ASCs) through a clinician-led care team model that combines anesthesiologists and Certified Registered Nurse Anesthetists (CRNAs) under local clinical leadership, with staffing ratios adjusted for surgical case and patient complexity. NorthStar also offers anesthesia-specific revenue cycle management, MIPS quality reporting via its Office of Clinical Quality (established 2019), dedicated transition management for practice conversions, and the Sentry sub-brand for ASC operations. The company's infrastructure includes the 3R Leadership Philosophy (Recruit, Retain, Run), the NorthStar Next leadership development program, and a 35-person cross-functional transition team.

The company generates revenue through managed services contracts with healthcare facilities, where it staffs, leads, and bills for anesthesia services. Pricing is facility-specific and negotiated per partnership rather than publicly disclosed, with multi-year contract cadences typical. NorthStar serves 300+ healthcare facilities across 25 states with a roster of more than 4,000 anesthesiologists and CRNAs, having completed over 170 complex practice transitions. Its go-to-market is exclusively direct enterprise field sales targeting hospital administrators and ASC executives, supported by a referral program (NorthStar Network) and thought leadership through PR, Becker's Healthcare coverage, the TopMedTalk podcast, and the company blog.

NorthStar has been backed by Cranemere, a permanent-capital holding company, since 2018. Cranemere's long-duration capital structure differentiates NorthStar from typical PE-owned anesthesia peers by avoiding short-term cost pressure. The company has executed two disclosed acquisitions (AmSol in 2014 and Epix Healthcare in 2021) and pursues primarily organic growth, adding 23 new facilities in 2023 and 48 new sites in 2021-2022. Recent 2025-2026 expansions include landmark partnerships with Tampa General Hospital North (Florida), UChicago Medicine AdventHealth (Illinois), Bayhealth Medical Center (Delaware), and a cluster of new ASC partnerships in Virginia and Kansas. The company maintains 55+ CRNA training program relationships and growing residency affiliations (Detroit Medical Center, Corewell East William Beaumont, UT Tyler, Baylor Scott & White All Saints) as a systematic clinician pipeline.

Name

NorthStar Anesthesia

Legal name

Anesthesia Consulting & Management, LP

Website

https://northstaranesthesia.com

Company type

Private

Founded year

2004

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

NorthStar Anesthesia is a national anesthesia management company serving 300+ hospitals and ambulatory surgery centers across 25 states with 4,000+ anesthesiologists and CRNAs. Backed by permanent-capital investor Cranemere since 2018, it delivers clinician-led care teams, revenue cycle management, and MIPS quality reporting under multi-year managed services contracts.

Ownership category

akta.pro rank

Product category

Anesthesia Management Services

NAICS

Freestanding Ambulatory Surgical and Emergency Centers (621493), Offices of Physicians (except Mental Health Specialists) (621111), Offices of All Other Health Practitioners (62139)

SIC

Services-Specialty Outpatient Facilities, Nec (8093), Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Health Services (8000)

akta.pro primary industry

Perioperative Anesthesia Services & Management (HLAFAIAM)

akta.pro secondary industries

Multi-Specialty Ambulatory Surgery Centers (ASCs) (HLAFAIAA), Single-Specialty ASCs (HLAFAIAB)

Keywords

• Anesthesia management services
• Hospital anesthesia staffing
• Ambulatory surgery center anesthesia
• CRNA clinical staffing
• Perioperative clinical leadership

Headquarters

HQ city

Irving

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel

Revenue model

1. Anesthesia Management Services: NorthStar Anesthesia generates revenue by providing comprehensive anesthesia management services to hospitals and ambulatory surgery centers. This includes staffing with anesthesiologists and CRNAs, clinical leadership, operational management, billing, revenue cycle management, credentialing, and recruiting services. The company operates on a care-team model where anesthesiologists supervise or collaborate with CRNAs, with staffing ratios adjusted based on surgical case and patient complexity. NorthStar offers both the anesthesia care team model (anesthesiologist-supervised CRNAs) and CRNA-independent practice models depending on the facility's needs.

Pricing tiers

Go-to-market motion2 records

Distribution channels2 records

Marketing channels8 records

Core offering

NorthStar Anesthesia provides comprehensive anesthesia management services to hospitals and ambulatory surgery centers (ASCs), delivering care through a unified team model of anesthesiologists and Certified Registered Nurse Anesthetists (CRNAs). Services include clinical staffing, clinical leadership, operational management, billing/revenue cycle management, credentialing, recruiting, and practice transition support. The company operates the Sentry sub-brand dedicated to ASC operations and offers both anesthesia care team (anesthesiologist-supervised CRNAs) and CRNA-independent practice models tailored per facility.

Product overview

NorthStar Anesthesia is a nationwide anesthesia practice management company that delivers a unified care team model combining anesthesiologists and Certified Registered Nurse Anesthetists (CRNAs). The company's core offerings consist of Hospital Anesthesia Services and ASC Anesthesia Services (Ambulatory Surgery Center Services), supported by the Sentry sub-brand for regional ASC operations. Additional services include Practice Transition Services for facilities switching anesthesia partners and Anesthesia-Specific Revenue Cycle Management. The NorthStar Next program provides leadership development for clinical leaders. Together, these offerings enable NorthStar to provide high-quality anesthesia care while measurably improving operating room performance across more than 300 healthcare facilities in over 20 states.

Differentiator

Problem solved

Functional benefit

Brands

• Sentry: NorthStar's dedicated ASC (ambulatory surgery center) team operating since 1982, providing tailored anesthesia management services for surgery centers with a focus on transparency, clinical independence, and long-term relationships.

Products and services

• Hospital Anesthesia Services
• ASC Anesthesia Services
• Sentry ASC Services
• Practice Transition Services
• Anesthesia-Specific Revenue Cycle Management
• Anesthesia Management Services (Care Team and CRNA-Independent Models)

Quantifiable outcome

• 97% of NorthStar entities achieved 'Exceptional' MIPS rating from CMS in 2022, with 92% achieving Exceptional in 2019 and 97% in 2021.
• +9 more outcomes

Named customers20 records

Segments5 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature6 records

Partnerships

18 partnerships are on record, tiered core and minor.

• Careplex Orthopaedic ASC (Hampton Roads, Virginia)coreStrategic or Co-development Partner · 12 May 2026One of three new ASC partnerships in Virginia announced May 2026. NorthStar will provide dedicated ASC teams with operational transparency and financial reporting to address rising provider costs and staffing instability in the outpatient surgery market.
• MedRVA Healthcare Stony Point and West Creek Surgery Centers (Richmond, Virginia)coreStrategic or Co-development Partner · 12 May 2026New ASC partnership in Richmond, Virginia announced May 2026 as part of NorthStar's strategy to leverage regional density across Northern Virginia, Richmond, Fredericksburg, Roanoke, and the Tidewater region.
• Otolaryngology Center in Northern VirginiacoreStrategic or Co-development Partner · 1 May 2026New otolaryngology ASC partnership in Northern Virginia announced May 2026, expanding NorthStar's presence across the Commonwealth of Virginia alongside Careplex Orthopaedic ASC and MedRVA centers.
• Bayhealth Medical CentercoreStrategic or Co-development Partner · 10 November 2025NorthStar Anesthesia announced a new partnership with Bayhealth Medical Center in Dover, Delaware, which went live on November 10, 2025, to enhance anesthesia services and operational efficiency. The partnership aims to improve access, continuity, and quality of care, supported by NorthStar's clinician-led model. Early positive results in recruitment and transition were reported.
• UChicago Medicine AdventHealth Hinsdale and La GrangecoreStrategic or Co-development Partner · 3 November 2025NorthStar announced a new partnership with UChicago Medicine AdventHealth Hinsdale and La Grange in Illinois, scheduled to go live in February 2026. The collaboration aims to support anesthesia services at the hospitals, expanding NorthStar's existing work with AdventHealth in the Great Lakes Region.
• Tampa General Hospital NorthcoreStrategic or Co-development Partner · 28 May 2025NorthStar Anesthesia partnered with Tampa General Hospital North in April 2025 to provide anesthesia care and management services at three facilities: Florida Endoscopy and Surgery Center, TGH Spring Hill Hospital, and TGH Brooksville. This is a milestone partnership in the Florida healthcare market. All existing anesthesiologists were converted to full-time employee status. The partnership will support expansion of service offerings including a newly introduced cardiac program.
• UChicago Medicine AdventHealth BolingbrookcoreStrategic or Co-development Partner · 16 April 2025NorthStar partnered with UChicago Medicine AdventHealth Bolingbrook (a 138-bed hospital serving southwest suburbs of Chicago), going live April 19, 2025. The partnership supports a best-in-class anesthesia care team model with anesthesiologists and CRNAs collaborating closely. NorthStar retained incumbent physicians and successfully hired a Chief CRNA.
• Skyline Surgery Center (Idaho)coreStrategic or Co-development Partner · 27 January 2025NorthStar partnered with Skyline Surgery Center in Pocatello, Idaho, effective January 2, 2025 — NorthStar's second site in Idaho. The partnership was fully staffed on the first day of operations. NorthStar converted the center to a CRNA-independent practice model allowing greater clinical flexibility and operational efficiency.
• Bon Secours Maryview Medical CentercoreStrategic or Co-development Partner · 2 August 2024NorthStar Anesthesia and Bon Secours Maryview Medical Center celebrated six months of partnership in August 2024. A defining feature was that 100% of the medical center's existing anesthesiologists and CRNAs were retained, maintaining continuity of care for the community.
• EyeSouth PartnerscoreStrategic or Co-development Partner · 25 June 2024NorthStar and EyeSouth Partners expanded their partnership to eye care centers in Cincinnati, Chicago, and Atlanta. EyeSouth Partners is dedicated to partnering with premier healthcare providers to ensure affiliate practices consistently deliver exceptional patient outcomes. NorthStar delivers CRNA-led anesthesia models for high-volume ophthalmic procedures.
• Inova Fairfax Hospital (Virginia)coreStrategic or Co-development Partner · 25 March 2024One of 23 new facilities added in 2023 through organic growth. NorthStar's partnership with Inova Fairfax Hospital expanded the company's presence in Virginia.
• Mercy Health Perrysburg (Ohio)coreStrategic or Co-development Partner · 25 March 2024NorthStar partnered with Mercy Health Perrysburg when a nearby hospital closure triggered sudden surge in demand. NorthStar aligned anesthesia staffing, clinical leadership, and perioperative operations, expanding surgical capacity from a micro-hospital to a regional surgical hub without disrupting patient care.
• Portneuf Medical Center and Portneuf Health (Idaho)coreStrategic or Co-development Partner · 4 January 2024NorthStar expanded services to Portneuf Health in Pocatello, Idaho including Portneuf Medical Center, Portneuf Gastroenterology and Endoscopy Center, and Rocky Mountain Surgery Center. Results: 17% increase in total anesthesia units, 11% improvement in on-time starts, new cardiovascular service line launched, and pharmacy stewardship produced savings.
• Southern Illinois Healthcare (SIH) and Limestone Surgery CentercoreStrategic or Co-development Partner · 8 February 2023NorthStar began providing anesthesia services for Southern Illinois Healthcare in Carbondale and Wilmington, Del.-based Limestone Surgery Center in 2023. Limestone Surgery Center faced rising anesthesia costs, staffing challenges, and operational inefficiencies common across today's ASC landscape.
• Augusta University, Medical University of South Carolina (MUSC), and Emory UniversitycoreStrategic or Co-development PartnerNorthStar maintains clinical education partnerships with over 65 CRNA training programs including Augusta University, MUSC, and Emory. These partnerships host SRNA students at NorthStar-affiliated sites for immersive rotations, with many students returning as full-time CRNAs after graduation (producing 5-10 new CRNAs annually at sites like Georgia Bone & Joint).
• Detroit Medical Center and Corewell East William Beaumont University HospitalcoreStrategic or Co-development PartnerNorthStar has been affiliated with anesthesiology residency programs at Detroit Medical Center since 2015 and Corewell East William Beaumont University Hospital in Royal Oak since 2021. These programs expose residents to business and operational challenges of anesthesia through a 'board runner rotation' in their third year.
• University of Texas at Tyler and Baylor, Scott and White All SaintscoreStrategic or Co-development PartnerNorthStar has residency programs at University of Texas at Tyler and Baylor, Scott and White All Saints in 2025, with plans to add additional programs in the future.
• Endeavor Health and Rosalind Franklin UniversityminorStrategic or Co-development PartnerNorthStar hosts SRNA students from Endeavor Health and Rosalind Franklin University at its Ascension Health Alexian Brothers site in Illinois. On average, three SRNAs rotate through Alexian Brothers every two months, with many returning as full-time CRNAs after graduation.

Scale indicators14 records

Recent moves15 records

Expansion highlights6 records

Direct peers

• US Anesthesia Partners (USAP): Largest direct competitor — national anesthesia management company serving hospitals and ASCs across multiple states with a similar clinician care-team model. Operates at greater scale (~5,000+ clinicians), making it the most direct head-to-head comparison for NorthStar in the outsourced anesthesia space.
• Envision Physician Services: Large-scale, PE-owned physician services organization providing outsourced anesthesia, emergency medicine, and hospitalist services. Comparable care-team model and PE-backed structure (KKR), though it spans multiple service lines rather than focusing exclusively on anesthesia.
• TeamHealth: Nationwide clinical staffing and outsourced services company with a sizable anesthesia practice. Overlaps with NorthStar on hospital anesthesia contracts and operates under similar PE ownership dynamics, serving as both a peer and an occasional M&A counterparty in the staffing space.
• Somnia Anesthesia: National anesthesia management company providing outsourced services to hospitals and ASCs. Operates with a similar care-team model and value-based quality focus; smaller scale than NorthStar but directly comparable in service lines and target customers.
• Premier Anesthesia: Anesthesia management group serving hospitals and health systems with a similar full-service outsourcing model (staffing, billing, clinical leadership). PE-backed (Apollo), it represents an analog for the financial and operational profile of NorthStar's competitive set.
• PhyMed Healthcare Group: Anesthesia and pain management services provider acquired by Navigant (now Guidehouse). Provides similar outsourced anesthesia care-team services to hospitals and ASCs, comparable in size to mid-tier competitors and operating under analogous PE ownership dynamics.

Broad incumbents

• MEDNAX (now Pediatrix Medical Group): Large physician practice services organization historically covering anesthesiology among other specialties; while now focused on pediatrics, it was a major historical anesthesia management peer and may retain anesthesia contracts. Comparable in scale and outsourced-care model.
• Optum (UnitedHealth Group): Healthcare services and physician practice subsidiary of UnitedHealth Group; owned by a major payer, it represents a strategic threat as the payer-provider model expands. NorthStar CEO Adam Spiegel came from Optum, indicating talent-flow overlap. Operates in adjacent but increasingly overlapping territory.

Emerging players

• Sound Physicians: Physician-led practice organization primarily focused on hospitalist and critical care, but increasingly engaged in anesthesia partnerships and integrated care models. Adjacent rather than direct competitor; useful benchmark for outsourced physician-services operations at scale.

Regional players

• Healthcare Anesthesia Services (HAS): Regional anesthesia management group serving select U.S. markets with comparable care-team and billing services. Smaller national footprint than NorthStar, useful for sizing competitive overlap in non-core states.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/NorthStarAnesthesia
• LinkedInlinkedin.com/company/1681064
• Instagraminstagram.com/northstaranes
• Xx.com/NorthStarAnes

Revenue estimate

Valuation estimate

Number of profiles

Profiles14 records

Funding overview

Funding rounds1 record

Investors1 record

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

M&A2 records

Investments

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

Frequently asked questions about NorthStar Anesthesia