What Proliance Surgeons does

Proliance Surgeons, Inc., P.S. is a private, physician-owned independent surgical practice headquartered in Seattle, Washington, operating more than 100 care centers and 16 Ambulatory Surgical Centers (ASCs) across Washington State. The organization delivers specialty surgical care across orthopedics (including hand, wrist, elbow, foot, ankle, spine, joint, sports medicine, trauma, and oncology), ear/nose/throat, general surgery (including GERD, hernia, and colorectal), ophthalmology, plastic and reconstructive surgery, pain management, podiatry, occupational medicine, and physical therapy and rehabilitation, supported by in-house imaging (X-ray, CT, MRI, ultrasound) and custom orthotics. Annual throughput exceeds 68,000 surgeries and procedures and approximately 800,000 patient encounters, with same-day orthopedic urgent care access and a telemedicine layer (OrthoLive) providing 24/7 musculoskeletal care. The workforce comprises 400+ providers including 200 board-certified physicians, led by CEO Troy Simonson alongside CFO Alex Gross, COO April Lynne, and CPO Justin Crowe.

The business model is predominantly fee-for-service clinical delivery at owned ambulatory facilities, monetized through surgical procedures, clinic visits, imaging, and therapy. The practice is diversifying payment architecture with value-based care programs that bundle treatments into prospective payments, direct-to-employer contracts that bypass traditional insurance, and transparent self-pay packages for high-deductible and out-of-network consumers. Distribution is multi-modal: owned clinics and ASCs, walk-in orthopedic urgent care, the OrthoLive telemedicine platform, and employer sales channels; the marketing stack combines website, social, and educational content. Proliance is also a founding member of PELTO Health Partners, a 2023 physician-owned alliance with EmergeOrtho (NC) and OrthoIndy (IN) that operates without external capital to scale value-based care delivery models across the U.S. Financial revenue is not publicly disclosed.

Name

Proliance Surgeons

Legal name

Proliance Surgeons, Inc., P.S.

Website

https://proliancesurgeons.com

Company type

Private

Founded year

2005

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

Proliance Surgeons is a physician-owned independent surgical practice operating 100+ care centers and 16 ASCs across Washington State, providing orthopedic, ENT, general surgery, ophthalmology, and rehabilitation specialty care to over 800,000 patients and 68,000+ surgical cases annually through value-based, direct-to-employer, and self-pay models.

Ownership category

akta.pro rank

Product category

Ambulatory Surgical and Specialty Healthcare Services

NAICS

Freestanding Ambulatory Surgical and Emergency Centers (621493), Offices of Physicians (6211), Offices of Physicians (except Mental Health Specialists) (621111)

SIC

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

akta.pro primary industry

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

akta.pro secondary industries

Ophthalmology Surgery Centers (HLAFAIAF), Plastics / Cosmetic & Dermatologic Surgery Centers (HLAFAIAK), ENT / Otolaryngology Surgery Centers (HLAFAIAJ)

Keywords

• Orthopedic surgical services
• Ambulatory surgery centers
• Musculoskeletal specialty care
• Value-based surgical care
• Physician-owned specialty practice

Headquarters

HQ city

Seattle

HQ country

United States

HQ region

North America

Offices15 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Fee-for-Service Surgical Care: Traditional healthcare service delivery through outpatient surgeries and procedures at ambulatory surgery centers. Revenue generated from surgical interventions, clinic visits, and diagnostic services.
2. Value-Based Care Programs: Prospective patient bundles combining healthcare services for specific treatments into bundled payments. Includes Direct-to-Employer partnerships bypassing traditional insurance barriers.
3. Self-Pay Services: Transparent self-pay pricing packages for individuals with high deductibles, out-of-network insurance, or no coverage. Comprehensive single-visit experiences with upfront pricing.

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels5 records

Core offering

Proliance Surgeons is an independent physician-owned specialty surgical practice delivering comprehensive outpatient and ambulatory surgical care across Washington State through 100+ care centers and 16 Ambulatory Surgery Centers. Core service lines include orthopedic surgery, ear/nose/throat, general surgery, ophthalmology, plastic surgery, pain management, podiatry, physical therapy, occupational medicine, and imaging, supported by walk-in orthopedic urgent care and 24/7 telemedicine access.

Product overview

Proliance Surgeons is a large independent surgical group providing comprehensive healthcare services across Washington State through a network of over 100 care centers and 16 Ambulatory Surgical Centers. The organization offers a broad portfolio of medical specialties including Orthopedics, ENT (Ear, Nose & Throat), General Surgery, Ophthalmology, Plastic Surgery, Pain Management, Physical Therapy, Podiatry, and Occupational Medicine. Services range from routine outpatient procedures to complex surgeries such as minimally invasive foot and ankle surgery, carpal tunnel release, parathyroid surgery, and joint replacement. The organization also provides specialized programs including Orthopedic Urgent Care for same-day treatment, Custom Orthotics for foot conditions, and Value-Based Care Programs offering patient bundles and direct-to-employer models. Over 68,000 surgeries and procedures are performed annually across the network.

Differentiator

Problem solved

Functional benefit

Products and services

• Orthopedic Specialty Care Specialty surgical and clinical care for the musculoskeletal system including bones, joints, ligaments, nerves, and tendons, with subspecialties in hand, foot, ankle, shoulder, spine, sports medicine, trauma, and oncology, delivered to patients across Washington State.
• Ear, Nose & Throat (ENT) Services Otolaryngology services for ear, nose, and throat conditions, including parathyroid surgery, delivered to patients in Proliance care centers.
• General Surgery Broad surgical services including GERD surgery, hernia surgery, and colorectal surgery delivered at Proliance facilities and ambulatory surgery centers.
• Ophthalmology Services Eye and vision care including diagnosis, treatment of eye conditions, and eye surgery, delivered through Proliance ophthalmology clinics.
• Pain Management Treatment for chronic and acute pain conditions provided by Proliance pain management specialists.
• Physical Therapy Rehabilitation services delivered through multiple clinic locations, including a new Snoqualmie location expanding physical therapy access within the Proliance network.
• Physical Medicine & Rehabilitation Non-operative treatments for athletic injuries and musculoskeletal conditions delivered by Proliance physiatrists.
• Plastic Surgery Plastic and reconstructive surgery services provided by Proliance Plastic & Reconstructive Surgeons.
• Podiatry Foot and ankle care including custom orthotics, minimally invasive surgery, and treatment for conditions such as plantar fasciitis, flat feet, bunions, and diabetic foot complications.
• Occupational Medicine Preventive medicine focused on worker health, safety, and treatment of work-related injuries, including a new Renton occupational medicine clinic opening February 2026.
• Ambulatory Surgery Centers 16 outpatient Ambulatory Surgery Centers across Washington State providing elective outpatient surgical procedures with faster recovery times and lower costs than traditional hospitals, performing over 68,000 procedures annually.
• Orthopedic Urgent Care Same-day walk-in orthopedic care at multiple Proliance locations, allowing patients to see an orthopedic specialist and surgeon the same day without going to an emergency room.
• Imaging Centers Diagnostic imaging services including X-ray, CT, MRI, and ultrasound delivered at Proliance imaging centers.
• Custom Orthotics Custom-made orthotic devices prescribed and dispensed for foot conditions including plantar fasciitis, flat feet, high arches, bunions, and diabetic foot complications.
• Value-Based Care Programs Innovative payment and care delivery programs including prospective patient bundles combining services for specific treatments into bundled payments, direct-to-employer partnerships, and transparent self-pay packages for high-deductible, out-of-network, or uninsured individuals.
• Telehealth / Virtual Visits (OrthoLive) 24/7 online telemedicine platform providing direct-to-consumer musculoskeletal care access and virtual appointments for urgent orthopedic needs.

Quantifiable outcome

• 800,000+ patients assisted annually
• +3 more outcomes

Named customers3 records

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

One partnership is on record.

• PELTO Health PartnerscoreStrategic or Co-development Partner · 1 February 2023PELTO Health Partners is a physician-owned collaboration including EmergeOrtho (NC), OrthoIndy (IN), and Proliance Surgeons (WA). Over 400 independent physicians and 1,100 providers across the country join forces to promote value-based care without external capital. The partnership creates a national vehicle for transforming healthcare delivery efficiency and preserving independent physician practice.

Scale indicators6 records

Recent moves11 records

Expansion highlights5 records

Direct peers

• EmergeOrtho: Large, independent, physician-owned orthopedic and musculoskeletal practice group in North Carolina. Founding PELTO Health Partners alliance member alongside Proliance, with comparable multi-subspecialty orthopedic depth and an employed-physician model targeting value-based care.
• OrthoIndy: Indiana-based independent orthopedic practice group with hospital, ASC, and therapy operations across Indianapolis. Third PELTO Health Partners founding partner, structurally and strategically comparable to Proliance as a large, physician-led orthopedic platform.
• Surgery Partners: Public ASC operator and surgical facility owner with ~140+ short-stay surgical facilities across the U.S. Direct competitor to Proliance's ambulatory surgery and outpatient strategy, with scale and capital advantages Proliance does not yet have.
• United Surgical Partners International (USPI): Tenet Healthcare-owned ASC platform with 500+ ambulatory surgery centers and short-stay hospitals—the largest U.S. ASC operator. Operates many co-managed hospital-partnered ASCs similar in service mix to Proliance's freestanding centers.
• The Iowa Clinic: Independent, physician-owned multi-specialty clinic in central Iowa spanning primary care, specialty medicine, imaging, and outpatient surgery. Closely mirrors Proliance's independent physician-led model that delivers multi-specialty care including surgery centers without external capital.

Broad incumbents

• HCA Healthcare: Largest U.S. for-profit hospital operator with extensive employed-physician networks, hospital outpatient departments, and ASC joint ventures. Competes with Proliance for outpatient orthopedic and surgical volume inside a much broader hospital portfolio.
• Privia Health: National physician enablement and medical group platform that partners with independent practices across multiple states. Comparable on physician-led multi-specialty care, value-based contracts, and self-funded employer offerings, though it is a technology-enabled services company rather than an ASC operator.

Regional players

• MultiCare Health System: Large, not-for-profit health system headquartered in Tacoma, WA, with hospitals, employed-physician medical groups, and outpatient surgery centers across Washington State. Direct regional competitor to Proliance for outpatient surgical and orthopedic volume in the same Washington geography.
• Virginia Mason Franciscan Health: Washington-based integrated health system with hospital, ASC, and clinic operations across the Puget Sound region. Competes with Proliance in the same Seattle-area market for surgical referrals, employed physicians, and value-based employer contracts.

Emerging players

• Concentra Group Holdings: Select Medical Holdings spinoff focused on occupational medicine, urgent care, and employer health services. Overlaps with Proliance's occupational medicine, orthopedic urgent care, and direct-to-employer workflows, though Concentra is more urgent-care-focused than surgical.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/user/ProlianceSurgeons
• Facebookfacebook.com/proliancesurgeons
• LinkedInlinkedin.com/company/proliance-surgeons
• Instagraminstagram.com/proliancesurgeons

Revenue estimate

Valuation estimate

Number of profiles

Profiles4 records

Subsidiaries7 records

Funding overview

Funding rounds

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 Proliance Surgeons