Surgical Affiliates Management Group

What Surgical Affiliates Management Group does

Surgical Affiliates Management Group, Inc. (SAMGI) is a privately held surgical hospitalist firm founded in 1996 by surgeons and headquartered in Granite Bay, California. The company provides 24/7/365 dedicated, board-certified surgical teams to hospitals and health systems that need reliable emergency surgical coverage. SAMGI deploys full in-house teams — including trauma surgeons, acute care surgeons, orthopedic surgeons, neurosurgeons, and vascular surgeons, supported by advanced practice providers (NPs and PAs) — eliminating the traditional on-call burden placed on community surgeons and addressing hospital pain points such as surgeon burnout, patient transfers, and ACS trauma verification requirements.

The company's underlying technology is its proprietary System of Care© framework, an evidence-based surgical care delivery model that integrates dedicated surgical teams with hospital emergency departments, ICUs, and inpatient providers under standardized protocols designed to reduce clinical variation. SAMGI's differentiation rests on a peer-reviewed five-year clinical outcomes study published in the Journal of the American College of Surgeons covering its partnership with Sutter Medical Center, Sacramento — the only such published longitudinal dataset in the surgicalist category — which documented a 43% reduction in surgical complications, 12% decrease in length of stay, 31% reduction in hospital costs, and approximately $2 million in annual savings per hospital. Complementary add-on tools include an interactive ROI Calculator and a library of educational eBooks and videos used to support mid-funnel sales conversations.

SAMGI operates a B2B enterprise field sales motion, led by a Chief Sales Officer and Director of Business Development, targeting hospital C-suite executives, administrators, and board members. Revenue is generated through multi-year managed services contracts under which SAMGI staffs and manages the full surgical care continuum, bundled with practice management services (HR, billing, credentialing, compliance). Pricing is custom and not publicly disclosed. The company serves a horizontal mix of acute care hospitals — ranging from rural critical access hospitals to Level I–III trauma centers and large integrated health systems — and currently has named partnerships spanning California, Michigan, Texas, New York, and Colorado.

Name

Surgical Affiliates Management Group

Legal name

Surgical Affiliates Management Group, Inc.

Website

https://samgi.com

Company type

Private

Founded year

1996

Operating status

Operating

Headcount range

101–250 employees

Short description

Surgical Affiliates Management Group (SAMGI) is a private surgical hospitalist firm that provides 24/7/365 dedicated board-certified surgical teams to hospitals and health systems across the United States for emergency trauma, acute care, orthopedic, neurosurgery, and vascular surgical coverage.

Ownership category

akta.pro rank

Product category

Hospital-based Surgical Services (Surgical Hospitalist Programs)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011)

akta.pro primary industry

Pain Management & Interventional Procedure Centers (HLAFAIAH)

akta.pro secondary industry

Office-Based Surgery (OBS) / In-Office Procedure Suites (HLAFAIAD)

Keywords

• Surgical hospitalist services
• Emergency surgical coverage
• Trauma surgery programs
• Acute care surgery
• Managed surgical services

Headquarters

HQ city

Sacramento

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Surgicalist Program Services: SAMGI generates revenue by providing comprehensive managed surgical services to hospitals. The company deploys surgical teams (board-certified surgeons, NPs, PAs) to partner hospitals on a 24/7/365 basis. Revenue is derived from service contracts with healthcare systems where SAMGI manages the entire surgical care continuum from ED admission through post-discharge follow-up. The model is recurring in nature as hospitals engage SAMGI for ongoing surgical coverage rather than one-time engagements.
2. Practice Management Services: SAMGI provides complete practice management including human resources, benefits administration, finance and accounting, legal and regulatory compliance, credentialing, and billing and coding. These comprehensive administrative services support the surgical teams and are integrated into the overall managed services offering.

Pricing tiers

Go-to-market motion1 record

Distribution channels2 records

Marketing channels7 records

Core offering

SAMGI provides 24/7/365 dedicated, board-certified surgical hospitalist teams to partner hospitals for emergency and acute surgical care. Programs span trauma, acute care, orthopedic, neurosurgery, and vascular surgery specialties, and are delivered through multi-year managed service contracts that include the surgical teams, advanced practice providers, and complete practice management services (HR, credentialing, billing, compliance). The company's proprietary System of Care© framework standardizes evidence-based protocols and integrates surgical teams with hospital EDs, ICUs, and inpatient care providers.

Product overview

Surgical Affiliates Management Group (SAMGI) offers a unified suite of surgicalist programs designed to provide hospitals with 24/7/365 emergency surgical care. The core offering consists of surgicalist programs staffed by board-certified surgeons specializing in acute care surgery, trauma surgery, orthopedic surgery, neurosurgery, and vascular surgery. These programs are complemented by supporting tools including an ROI Calculator for hospitals to assess financial impact, and educational resources such as eBooks and videos explaining the surgicalist model. SAMGI's programs integrate with hospital emergency departments, ICUs, and inpatient care providers to ensure cohesive patient care delivery.

Differentiator

Problem solved

Functional benefit

Products and services

• Acute Care Surgery Program A comprehensive surgical program delivering dedicated in-house teams of board-certified acute care surgeons available around the clock for emergency department patients requiring urgent surgical intervention. Targeted at hospitals needing reliable 24/7 acute care surgical coverage.
• Trauma Surgery Program Provides fellowship-trained trauma surgeons and surgical teams for hospitals seeking Level I, II, or III trauma center capabilities, with 24/7 in-house coverage. Targeted at hospitals pursuing or maintaining ACS trauma verification.
• Orthopedic Surgery Program Delivers dedicated, board-certified orthopedic surgeons providing 24/7 emergency orthopedic surgical care for patients entering the emergency department, including in-house emergencies, inpatient consultations, and post-discharge follow-up clinic. Targeted at hospitals needing 24/7 emergency orthopedic coverage.
• Neurosurgery Program
• Vascular Surgery Program

Quantifiable outcome

• 43% reduction in surgical complications
• +7 more outcomes

Named customers10 records

Segments3 records

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Twelve partnerships are on record, tiered core and flagship.

• Centura St. AnthonycoreStrategic or Co-development Partner · 1 January 2022Centura St. Anthony Hospital partnered with SAMGI for trauma and acute care surgery program collaboration. Partnership provides enhanced emergency surgical coverage for the hospital and community.
• Kern MedicalcoreStrategic or Co-development Partner · 14 July 2021Kern Medical, a 222-bed Level II trauma center and teaching hospital in Bakersfield, CA, expanded its partnership with SAMGI to include a comprehensive surgicalist program offering general surgery services including vascular, cancer, and robotic surgeries previously unavailable in the community. SAMGI provides board-certified surgical teams delivering 24/7/365 care and is also helping develop a surgical residency program. This partnership demonstrates SAMGI's ability to expand beyond emergency surgical coverage into broader surgical service lines.
• Banner Lassen Medical CentercoreStrategic or Co-development Partner · 26 September 2019Banner Lassen Medical Center in Susanville, CA partnered with SAMGI to provide comprehensive 24/7 emergency orthopedic surgical services. SAMGI deployed a dedicated team of board-certified orthopedic surgeons for emergency surgical care, in-house orthopedic emergencies, and inpatient consultations, along with a fully staffed follow-up clinic for post-discharge care.
• Kern Medical (Initial Partnership)coreStrategic or Co-development Partner · 15 November 2018Initial partnership established between SAMGI and Kern Medical, a Level II Trauma Center serving California's southern Central Valley. SAMGI provides dedicated in-house team of board-certified trauma and acute care surgeons implementing evidence-based guidelines for round-the-clock care to Emergency Department patients.
• McLaren Oakland HospitalcoreStrategic or Co-development Partner · 14 November 2018McLaren Oakland, a 328-bed Level II verified trauma center in Pontiac, MI, partnered with SAMGI to enhance 24/7 acute care and trauma surgical services. SAMGI provides in-house fellowship-trained acute care and trauma surgeons for real-time patient assessments, supported by a dedicated medical director and follow-up clinic.
• Christus Spohn Health SystemcoreStrategic or Co-development Partner · 15 October 2018Christus Spohn Health System in Corpus Christi, TX partnered with SAMGI for two hospital campuses (South and Shoreline) to provide 24/7 emergency orthopedic surgical services to adult and pediatric patients. SAMGI provides dedicated on-duty orthopedic surgeons and post-discharge follow-up care.
• HCA Regional Medical Center of San JosecoreStrategic or Co-development Partner · 1 September 2018Regional Medical Center of San Jose, an HCA-affiliated Level II trauma center, partnered with SAMGI to enhance care and expand surgical services. The partnership leverages SAMGI's expertise in providing 24/7 emergency surgical coverage.
• St. Luke's Cornwall HospitalcoreStrategic or Co-development Partner · 28 June 2018St. Luke's Cornwall Hospital, part of Montefiore Health System in New York, achieved HealthGrades Clinical Excellence Award in General Surgery with SAMGI's 24-hour surgical program contributing significantly to top 10% national ranking for general surgery outcomes.
• McLaren Northern MichigancoreStrategic or Co-development Partner · 30 April 2018McLaren Northern Michigan, a 202-bed regional referral center in Petoskey, MI serving 22 counties, partnered with SAMGI to expand surgical services in the Midwest. SAMGI provides enhanced surgical coverage for the regional service area.
• Sutter Amador HospitalcoreStrategic or Co-development Partner · 1 January 2012Sutter Amador Hospital, a rural hospital in California, partnered with SAMGI to solve surgeon recruitment challenges. From 2012-2014, general surgery cases increased from 129 to 266, average length of stay decreased from 6.45 to 5.26 days, and Case Mix Index increased from 2.0 to 2.34, generating positive ROI.
• NorthBay Medical CentercoreStrategic or Co-development Partner · 1 January 2011NorthBay Medical Center, a 132-bed acute-care hospital in Fairfield, CA, implemented SAMGI's surgical hospitalist program and achieved remarkable financial turnaround. Operating margins improved from negative 2.1% in 2011 to 6.3% in 2013. Program also reduced patient transfers by 81% and increased trauma surgeries by 3.5%.
• Sutter Medical Center, SacramentoflagshipStrategic or Co-development Partner · 1 January 2008Sutter Medical Center, Sacramento, a 654-bed tertiary referral community hospital, partnered with SAMGI in 2008 for surgical hospitalist program. This partnership produced the landmark five-year peer-reviewed study published in Journal of American College of Surgeons demonstrating 43% complication reduction, 12% LOS reduction, and $2M annual savings. Hospital achieved Top 100 Hospitals recognition multiple times during partnership.

Scale indicators7 records

Expansion highlights5 records

Direct peers

• TeamHealth: One of the largest U.S. providers of hospital-based physician staffing across emergency medicine, hospital medicine, and anesthesiology. Directly comparable to SAMGI's model of placing dedicated surgical teams inside partner hospitals. Notably, SAMGI's Director of Business Development previously worked at TeamHealth.
• SCP Health: National physician staffing company focused on emergency medicine, hospital medicine, and critical care. Comparable to SAMGI as a hospital-based physician services organization selling managed coverage to U.S. health systems.
• US Acute Care Solutions (USACS): Physician-owned provider of emergency, hospitalist, and critical care services in U.S. hospitals. Directly comparable to SAMGI's hospital-based, 24/7 physician coverage model, including trauma-related emergency care contracts.
• Sound Physicians: National medical group specializing in hospital medicine, critical care, emergency medicine, and physician advisory services. Comparable business model to SAMGI in deploying dedicated physician teams to hospitals under managed contracts.
• ApolloMD: Physician-owned group providing emergency medicine, hospital medicine, and anesthesia services to hospitals and health systems. Comparable to SAMGI's outsourced hospital-based surgical and physician coverage model.
• Vituity: Physician partnership providing emergency, hospital, and critical care staffing across more than 450 practice locations. Highly comparable to SAMGI in its mission-driven, physician-led approach to integrated acute care hospital staffing.
• HNI Healthcare: Provider of hospital-based physician services in emergency medicine, hospital medicine, and intensive care. Comparable to SAMGI in offering outsourced, technology-enabled acute care physician programs to community hospitals.

Broad incumbents

• Envision Healthcare: Large multi-specialty physician services company offering emergency, anesthesiology, hospitalist, and surgical services. Broader portfolio than SAMGI but operates in overlapping hospital coverage categories and represents both a competitor and a potential strategic acquirer.

Others

• Surgical Care Affiliates (SCA / Optum): Operates ambulatory surgical centers and surgical facilities, now part of Optum. Adjacent rather than direct competitor — both organizations focus on surgical delivery infrastructure, but SCA centers on facility-based outpatient surgery rather than hospital-based surgicalist teams.
• LocumTenens.com: Healthcare staffing firm placing physicians (including surgeons) on locum tenens assignments. Tangentially comparable to SAMGI's surgeon sourcing capability, though its short-term staffing model differs from SAMGI's dedicated 24/7 team model.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks7 records

Key highlights7 records

Customer concentration

• Xx.com/surgicalists

Revenue estimate

Valuation estimate

Number of profiles

Profiles7 records

Subsidiaries1 record

Funding overview

Funding rounds1 record

Investors1 record

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 Surgical Affiliates Management Group