Legent Health

What Legent Health does

Legent Health (legally PSN Affiliates) is a privately held operator of physician-aligned ambulatory surgery centers (ASCs) and surgical hospitals founded in 2017 and headquartered in Plano, Texas. The company runs 14 surgical facilities across six markets in Texas and Florida, delivering outpatient and short-stay orthopedic and spine care — including total joint replacement, spine surgery, sports-injury repair, and interventional pain management. Its core customer base consists of orthopedic and spine surgery patients (accessed predominantly via physician referral) and the surgeon partners themselves, who co-own and operate the facilities under an aligned ownership model that preserves clinical autonomy while offloading administrative and operational burden.

The platform's technology layer centers on AI-integrated operating rooms with robotic surgery programs for total joint and spine cases — first deployed at Legent North Houston Surgical Hospital — alongside the November 2025 CapExpert AI equipment-management integration for facility operations. Services are reimbursed through a transaction-fee model anchored by in-network agreements with Cigna, Blue Cross Blue Shield, and Aetna, with pricing ultimately determined by patient insurance plans.

In October 2025, Hospital for Special Surgery (the nation's top-ranked orthopedic hospital) and General Atlantic acquired Legent from BTG Pactual Strategic Capital to anchor a new national orthopedic and spine ASC platform. The company continues to operate independently under existing leadership (CEO Jordan Fowler, COO/President Daniel Brazell) with newly appointed CMO Dr. Todd Albert and COO Brad Stoltz, pursuing nationwide expansion through acquisitions, partnerships, and de novo facility development.

Name

Legent Health

Legal name

PSN Affiliates

Website

https://legenthealth.com

Company type

Private

Founded year

2017

Operating status

Operating

Headcount range

501–1,000 employees

Short description

Legent Health is a Plano, Texas-based private operator of 14 physician-aligned ambulatory surgery centers and surgical hospitals across Texas and Florida, delivering outpatient orthopedic and spine care with AI-integrated operating rooms, now backed by Hospital for Special Surgery and General Atlantic to scale nationally.

Ownership category

akta.pro rank

Product category

Ambulatory Surgery Centers

NAICS

Freestanding Ambulatory Surgical and Emergency Centers (621493), Specialty (except Psychiatric and Substance Abuse) Hospitals (622310), Offices of Physicians (6211)

SIC

Services-Specialty Outpatient Facilities, Nec (8093), Services-General Medical & Surgical Hospitals, Nec (8062)

akta.pro primary industry

Orthopedic & Spine Surgery Centers (HLAFAIAG)

akta.pro secondary industry

Orthopedic & Spine Specialty Hospitals (HLAFAHAB)

Keywords

• Ambulatory surgery centers
• Orthopedic surgical services
• Spine care services
• Surgical hospitals
• Outpatient surgery

Headquarters

HQ city

Plano

HQ country

United States

HQ region

North America

Offices10 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Surgical Services - Facility Fees: Legent Health generates revenue through its network of ambulatory surgery centers and surgical hospitals by providing orthopedic and spine surgical procedures. Revenue is driven by procedure volumes, insurance reimbursements, and partnerships with payors (Cigna, Blue Cross Blue Shield, Aetna). The physician-aligned ownership model creates aligned incentives for case volume growth.

Go-to-market motion2 records

Distribution channels2 records

Marketing channels5 records

Core offering

Legent Health operates a network of ambulatory surgery centers (ASCs) and surgical hospitals that deliver orthopedic and spine surgical care on an outpatient basis. The company provides joint replacements, spine surgeries, sports injury repairs, pain management procedures, and minimally-invasive treatments across 14 facilities in Texas and Florida. Care is delivered through a physician-aligned ownership model with AI-integrated operating rooms featuring robotic programs for total joint and spine cases.

Product overview

Legent Health operates a network of ambulatory surgery centers (ASCs) and surgical hospitals across Texas and Florida, specializing in orthopedic and spine care. The company operates 14 surgical hospitals and ASCs under the Legent Health brand, including facilities such as Legent North Houston Surgical Hospital, Legent Orthopedic and Spine Hospital, and various outpatient surgery centers. Services include spine treatment and surgery, orthopedic procedures, joint replacements, pain management, and sports injury treatments. The portfolio is complemented by the Beyond Bones and Muscles podcast and the Legent Care patient portal. In October 2025, Hospital for Special Surgery and General Atlantic acquired Legent Health to launch a national platform of ASCs dedicated to orthopedic and spine care.

Differentiator

Problem solved

Functional benefit

Brands

• Legent Care: Patient care portal and services
• Beyond Bones and Muscles: A Legent Health Podcast
• Legent Spine

Products and services

• Legent Health Ambulatory Surgery Centers (ASCs) Outpatient surgery centers providing orthopedic and spine procedures in a lower-cost, more accessible setting compared to traditional hospitals. Includes facilities such as Legent Outpatient Surgery Austin, Legent Outpatient Surgery Corpus Christi, Coppell Surgery Center, Houston Premier Surgery Center, Delray Beach Surgical Suites, Legent Hill Country ASC, and Legent Oak Creek Surgery Center.
• Legent Health Surgical Hospitals Inpatient surgical hospitals specializing in orthopedic and spine care, offering more comprehensive surgical services including joint replacements and complex spine procedures. Includes Legent North Houston Surgical Hospital, Legent Orthopedic + Spine Hospital San Antonio, Legent Orthopedic Hospital Carrollton, Legent Surgical Hospital Plano, and Legent Houston Medical Center.
• Spine Care Services Treatment and surgery for neck or spine conditions, including ongoing management for chronic pain and state-of-the-art minimally-invasive treatments. Targeted at patients with neck pain, back pain, and chronic musculoskeletal conditions requiring surgical intervention or pain management.
• Orthopedic Care Services Pain management and treatments for sports and work-related injuries, personalized treatment plans for age-related conditions, and joint replacement surgeries. Targeted at patients requiring orthopedic surgical care and rehabilitation.

Quantifiable outcome

• Faster surgeries and recoveries with better clinical outcomes for patients treated in AI operating rooms
• +1 more outcomes

Named customers1 record

Segments3 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature1 record

Partnerships

Three partnerships are on record, tiered core.

• CapExpertcoreTechnology or Integration · 1 November 2025CapExpert is an AI operating system for medical equipment. Their platform manages, maintains, and procures medical equipment. Legent's partnership with CapExpert streamlines efficiency in equipment planning and management across their growing network of surgical facilities, supporting their national expansion strategy.
• Advanced Orthopaedics & Sports Medicine (AOSM)coreStrategic or Co-development Partner · 1 May 2023Strategic affiliation with Advanced Orthopaedics & Sports Medicine (AOSM) to open Legent North Houston Surgical Hospital in Tomball. AOSM provides the physician group partnership that anchors the facility, which is Legent's third facility in the Houston market.
• PSN Affiliates (Parent Company)coreOthers · 1 January 2017PSN Affiliates is the privately held parent company that founded Legent Health in 2017. It aligns closely with physicians and payors across six markets in Texas and Florida to provide high-quality, high-value surgical care under the Legent Health brand.

Scale indicators4 records

Recent moves7 records

Expansion highlights5 records

Direct peers

• Surgery Partners: Surgery Partners operates a national network of short-stay surgical facilities including ASCs and surgical hospitals, with a meaningful orthopedic and spine presence. Comparable in business model (multi-site ASC/surgical hospital operator) and target market (specialty outpatient surgery).
• Rothman Orthopaedic Institute: Rothman is a large orthopedic physician group with ambulatory surgical facilities across multiple states. Comparable to Legent in orthopedic specialty focus, physician-aligned structure, and outpatient surgical delivery model.
• United Surgical Partners International (USPI): USPI is the largest ASC operator in the U.S., with a heavy orthopedic and spine mix and a physician-partnership model similar to Legent. It is the most direct large-scale comparable given its specialty outpatient surgery focus and physician-aligned structure.
• OrthoLoneStar: OrthoLoneStar is a Texas-based orthopedic physician group with integrated surgical facilities, directly comparable to Legent's Houston-area orthopedic footprint and physician-aligned model.

Regional players

• Foundation Health (Surgery Ventures / similar): Foundation Health operates outpatient surgery centers with an orthopedic emphasis in selected geographies. Comparable in specialty ASC operating model, though smaller and more regionally concentrated than Legent.

Broad incumbents

• HCA Healthcare: HCA operates general hospitals plus ASCs across multiple states including Texas and Florida. Comparable as a large incumbent provider with overlapping geographic markets and growing ASC strategy, though it is not specialty-focused on orthopedics.
• Hospital for Special Surgery (HSS): HSS is the nation's top-ranked orthopedic hospital and the strategic acquirer of Legent. Comparable as the gold-standard orthopedic specialty brand and clinical knowledge partner now backing Legent's national platform.
• Tenet Healthcare (USPI segment): Tenet owns USPI and operates a broad hospital and ambulatory portfolio. Comparable as the parent of the largest ASC platform but with a much wider service mix than Legent's orthopedic/spine specialty focus.

Others

• Bain Capital / KKR-backed orthopedic platforms (e.g., Aspen Dental-style MSO models): Large PE-backed healthcare service platforms that aggregate specialty providers and ASC assets. Comparable as capital partners and consolidators operating in adjacent specialty healthcare services, though broader than Legent's orthopedic focus.
• Healthcare Realty Trust: Healthcare Realty owns medical outpatient real estate including surgery centers and specialty hospitals. Comparable as an enabling infrastructure provider that supplies the real estate footprint for ASC operators like Legent.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights6 records

Customer concentration

• Xx.com/LegentHealth
• Facebookfacebook.com/legenthealth
• LinkedInlinkedin.com/company/legent-orthopedic-hospital
• Instagraminstagram.com/legenthealth

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 records

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 Legent Health