North Coast Surgery Center

What North Coast Surgery Center does

North Coast Surgery Center is a physician-owned ambulatory surgery center (ASC) located at 3903 Waring Road in Oceanside, California, founded in 1985 and operating in the Tri-City Hospital District. The facility features four operating rooms and a roster of more than fifty board-certified and board-eligible physicians providing same-day surgical care across twelve or more specialties, including anesthesiology, cardiovascular, general surgery, gynecology, ophthalmology, oral surgery, orthopedic surgery, ENT, pain management, plastic surgery, podiatry, and urology. Sub-services include anesthesia (sedation, regional, and general, with ultrasound-guided nerve blocks), pre-operative care coordination, post-operative recovery support, online bill payment via the Patientco portal, and insurance/billing services accepting major payors (HealthNet, Cigna, Aetna, Blue Cross, Blue Shield, Medicare, Worker's Comp) plus CareCredit financing.

The center is a member of SCA Health, a national network of more than 200 ambulatory surgical facilities, which functions as the strategic operating parent. Approximately twelve physicians hold ownership or financial interest in the center, and the broader physician partnership drives patient referrals. North Coast is accredited by AAAHC, the State of California, and Federal Medicare Programs (and references JCAHO accreditation), and has been recognized on Newsweek's Best Ambulatory Surgery Centers list in both 2021 (first-ever list) and 2022.

Revenue is generated primarily through per-procedure facility and operating-room charges billed to insurance payors or self-pay patients. Self-pay patients are required to pay estimated procedure costs in full on the day of surgery, with payment plans available for balances within 90 days. The center positions itself on a roughly 45% cost advantage versus hospital-based procedures, paired with a family-friendly, single-site care environment. Leadership comprises CEO Kris Kroeger (MBA, CASC), Medical Director Michael Guerena MD, Director of Nursing Patty Marin RN, and Business Office Lead Stephanie Paquetter. The business has shown no material M&A, geographic expansion, product launch, or leadership change in the available data; small capital infusions in 2021 ($54,600) and 2024 ($159,000) appear consistent with physician-owner contributions rather than growth financing.

Name

North Coast Surgery Center

Legal name

North Coast Surgery Center

Website

https://northcoastsurgerycenter.com

Company type

Private

Founded year

1985

Operating status

Operating

Headcount range

11–50 employees

Short description

North Coast Surgery Center is a physician-owned ambulatory surgery center in Oceanside, California, operating four ORs and 50+ board-certified physicians across 12+ same-day surgical specialties, accredited by AAAHC and affiliated with the SCA Health network of 200+ ASCs.

Ownership category

akta.pro rank

Product category

Ambulatory Surgery Center

NAICS

Freestanding Ambulatory Surgical and Emergency Centers (621493), Offices of Physicians (62111)

SIC

Services-Specialty Outpatient Facilities, Nec (8093)

akta.pro primary industry

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

akta.pro secondary industry

Perioperative Anesthesia Services & Management (HLAFAIAM)

Keywords

• Ambulatory surgery services
• Same-day surgical care
• Outpatient surgical procedures
• Multi-specialty surgery center
• Physician-owned healthcare facility

Headquarters

HQ city

Oceanside

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Supply Chain, Marketing or Sales

Revenue model

1. Surgical Facility Charges: Charges for the use of the surgery center facility, operating rooms, and recovery care. Billed to insurance or self-pay patients.
2. Insurance Billing: The center submits insurance claims on behalf of patients. Patients may receive separate bills from North Coast Surgery Center, anesthesia providers, surgeons, and pathologists.
3. Self-Pay Payments: Self-pay accounts are asked to pay 100% of the total estimated procedure on the date of surgery. Payment plans can be arranged for balances within 90 days.

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels3 records

Core offering

North Coast Surgery Center operates a physician-owned ambulatory surgery center (ASC) that provides same-day surgical care across 12+ medical specialties, including anesthesiology, cardiovascular, general surgery, gynecology, ophthalmology, oral surgery, orthopedic surgery, ENT, pain management, plastic surgery, podiatry, and urology. The facility has four operating rooms and is staffed by more than fifty board-certified and board-eligible physicians. It is a member of the SCA Health network of 200+ surgical facilities and is accredited by AAAHC, the State of California, and Federal Medicare Programs.

Product overview

North Coast Surgery Center is a physician-owned ambulatory surgery center (ASC) offering same-day surgical care across multiple medical specialties. The center operates as the primary product—a four-operating-room facility with over fifty board-certified and board-eligible physicians—augmented by specialized sub-services including anesthesia services (sedation, regional, general), pre-operative care programs, post-operative recovery guidance, online bill payment via Patientco, and insurance/billing services. The facility specializes in 12+ surgical categories: Anesthesiology, Cardiovascular, General Surgery, Gynecology, Ophthalmology, Oral Surgery, Orthopedic Surgery, ENT, Pain Management, Plastic Surgery, Podiatry, and Urology. As a member of the SCA Health network (200+ facilities nationally), the center participates in quality initiatives and shares clinical best practices across the network.

Differentiator

Problem solved

Functional benefit

Products and services

• North Coast Surgery Center (Ambulatory Surgery Center) Physician-owned ambulatory surgery center (ASC) providing same-day surgical care across 12+ medical specialties to patients in the Tri-City Hospital District. The center features four operating rooms and over fifty board-certified and board-eligible physicians.
• Anesthesia Services
• General Surgery Services
• Orthopedic Surgery Services
• Ophthalmology Services
• Otorhinolaryngology (ENT) Services
• Urology Services
• Plastic Surgery Services
• Pain Management Services
• Oral Surgery Services
• Pre-Operative Care Program
• Insurance & Billing Services

Quantifiable outcome

• Patients pay approximately 45% less than hospital procedures, reflected in co-pays and co-insurance
• +1 more outcomes

Segments2 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration2 records

Feature2 records

Partnerships

Two partnerships are on record, tiered core.

• SCA HealthcoreChannel Partner/ Reseller/ DistributorNorth Coast Surgery Center is a proud member of SCA Health, one of the largest corporations of ambulatory surgical centers in the nation with 200+ surgical facilities across the country. SCA Health is a national surgical solutions provider committed to improving healthcare in America and is the partner of choice for surgical care. The partnership provides strategic thinking, planning, and support for the physician-owned ASC.
• Insurance Networks (HealthNet, Cigna, Aetna, Blue Cross, Blue Shield, Medicare, Worker’s Comp)coreChannel Partner/ Reseller/ DistributorParticipating insurance networks that provide patient referrals and coverage for surgical procedures performed at the center. The center participates with most national insurance plans and is in-network for major carriers.

Scale indicators3 records

Recent moves5 records

Expansion highlights3 records

Broad incumbents

• HCA Healthcare: HCA Healthcare operates a broad network of hospitals and affiliated ambulatory surgery centers across the U.S. While primarily a hospital system, its ASC and outpatient surgery strategy directly overlaps with North Coast's service model, payer contracting, and Southern California service area.
• Tenet Healthcare: Tenet Healthcare is the parent company of USPI, the largest U.S. ASC operator. Its hospital-plus-ASC portfolio overlaps directly with North Coast's multi-specialty ASC offering, particularly in managed care contracting and physician partnership models across California.
• SCA Health: National operator of 200+ ambulatory surgery centers and parent/strategic affiliate of North Coast Surgery Center. Directly comparable as a network ASC operator with overlapping clinical, operational, and payer contracting capabilities, though SCA Health operates at portfolio scale rather than per-facility focus.

Direct peers

• Surgery Partners: Surgery Partners (NASDAQ: SGRY) is one of the largest U.S. operators of short-stay surgical facilities, including ambulatory surgery centers. Directly comparable to North Coast in business model (multi-specialty ASC, physician/partnership affiliation, payer-contracted outpatient surgical care) and target market.
• Regent Surgical Health: Regent Surgical Health is a national ASC management and development company specializing in physician-hospital-ASC joint ventures. Directly comparable as a multi-site ASC operator with physician partnership model serving similar outpatient surgical specialties.
• United Surgical Partners International (USPI): USPI is a subsidiary of Tenet Healthcare and the largest ASC operator in the U.S., running hundreds of facilities including physician-partnership models. Directly comparable to North Coast as a multi-specialty ASC operator with physician joint-venture structure and broad payer contracts.
• AmSurg: AmSurg (operating within Envision Healthcare heritage) is a leading U.S. operator of ambulatory surgery centers and physician services. Directly comparable to North Coast in multi-specialty ASC operations, physician partnerships, and payer-contracted outpatient care delivery.

Regional players

• Hoag Memorial Hospital Presbyterian: Hoag is a major regional health system based in Orange County, California, operating outpatient surgery services. Geographically adjacent to North Coast's Oceanside market, offering overlapping multi-specialty outpatient surgery services in the Southern California region.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xtwitter.com/SCA__Health
• Facebookfacebook.com/SCAHealth
• LinkedInlinkedin.com/company/north-coast-surgery-center-llc

Compliance6 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles4 records

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 North Coast Surgery Center