What MedStream Anesthesia Solutions does

MedStream Anesthesia Solutions is a privately held, Asheville, North Carolina-based anesthesia management company founded in 2006 by brothers Kenneth R. Ellington, MD (President) and Douglas Ellington (CEO). Operating since 2020 as a division of National Partners in Healthcare, MedStream partners with acute care hospitals, ambulatory surgery centers, and anesthesia providers (physicians and CRNAs) across 17 states, with a combined NPH footprint of 220+ facilities, 1,200+ anesthesia providers, and ~500,000 cases annually.

Its product platform comprises three integrated offerings: Anesthesia Services (core, providing full-suite clinical anesthesia staffing and perioperative management); Health Informatics (a proprietary Anesthesia Information Management System with discrete data-point capture, customizable reports, and MIPS/MACRA compliance support); and Practice Management (perioperative optimization, OR efficiency consulting, staffing, billing/collections, and patient satisfaction programs).

The business operates on a managed-services model primarily, supplemented by health-informatics subscription/recurring components and a transaction-fee billing service. Pricing is quote-based for multi-year hospital and surgery center contracts; revenue is generated through direct enterprise field sales to hospital administrators. The company's proprietary AIMS technology and large provider talent base, combined with leadership staffed by former hospital CEOs, form its principal sources of competitive advantage.

Name

MedStream Anesthesia Solutions

Legal name

MedStream Anesthesia, PLLC

Website

https://medstreamsolutions.com

Company type

Private

Founded year

2006

Operating status

Operating

Headcount range

501–1,000 employees

Short description

MedStream Anesthesia Solutions is a privately held anesthesia management company that partners with hospitals, ambulatory surgery centers, and anesthesia providers across 17 states, delivering clinical anesthesia services, proprietary AIMS health informatics, and full perioperative practice management.

Ownership category

akta.pro rank

Product category

Anesthesia Management Services

NAICS

Offices of Physicians (except Mental Health Specialists) (621111)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Health Services (8000)

akta.pro primary industry

Perioperative Anesthesia Services & Management (HLAFAIAM)

akta.pro secondary industry

Perioperative/Anesthesia & Surgical Documentation Systems (HLACAAAF)

Keywords

• Anesthesia management services
• Perioperative services
• Anesthesia staffing
• Health informatics
• Practice management

Headquarters

HQ city

Asheville

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Anesthesia Services: Provides comprehensive anesthesia management services to healthcare facilities including hospitals and ambulatory surgery centers. Services include clinical anesthesia care, staffing solutions, and operational management.
2. Health Informatics: Proprietary AIMS technology with reporting and analytics capabilities for perioperative services management.
3. Practice Management: Perioperative services management including strategic OR efficiency consulting, staffing efficiencies, billing and collections, and patient satisfaction programs.
4. Patient Billing: In-house billing services for anesthesia claims with competitive payor agreements and timely claim filing for higher collection reimbursements.

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels5 records

Core offering

MedStream provides comprehensive anesthesia management services to healthcare facilities including acute care hospitals and ambulatory surgery centers. Offerings span clinical anesthesia care, anesthesia provider staffing, perioperative services management, and a proprietary Anesthesia Information Management System (AIMS) for clinical metrics and reporting. The company partners with healthcare facility administration, surgeons and OR staff to improve clinical, operational and financial performance.

Product overview

MedStream Anesthesia Solutions offers a platform of three integrated service offerings: Anesthesia Services (the core product providing full-suite anesthesia solutions to healthcare facilities), Health Informatics (a proprietary AIMS module delivering clinical metrics, discrete data analytics, and customizable reporting for MIPS and MACRA compliance), and Practice Management (a staffing and operations module covering perioperative optimization, OR efficiency consulting, and billing efficiencies). These offerings work together to provide comprehensive perioperative services management.

Differentiator

Problem solved

Functional benefit

Products and services

• Anesthesia Services Core clinical offering in which MedStream partners with healthcare facilities to deliver full-suite anesthesia solutions, collaborating with administration, surgeons, and OR staff to implement sustainable change such as reducing supply costs and providing flexible staffing models.
• Health Informatics

Quantifiable outcome

• Nearly 500,000 cases annually across the network
• +2 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.

• National Partners in Healthcare (NPH)coreStrategic or Co-development PartnerMedStream operates as a division of National Partners in Healthcare (NPH). This strategic partnership has expanded MedStream's combined footprint to nearly 500,000 cases in over 220 facilities across 17 states, with over 1,200 anesthesia providers. The NPH partnership enables MedStream to offer an expanded scope of services including comprehensive Perioperative Services Management.

Scale indicators6 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Somnia Anesthesia: National anesthesia services organization providing clinical staffing, practice management, and consulting to hospitals and ASCs. Highly comparable in offering mix and target customer profile.
• Premier Anesthesia: Specialist anesthesia management company delivering clinical coverage and operational support to hospitals and ambulatory surgery centers. Comparable in scale, service type, and customer segments to MedStream.
• US Anesthesia Partners: National anesthesia management group serving hospitals and ASCs across multiple states with physician-led anesthesia staffing. Closest direct competitor to MedStream in operating model, customer segments, and managed-services delivery.
• NorthStar Anesthesia: Multi-state anesthesia management company partnering with hospitals and surgery centers for clinical staffing, perioperative leadership, and practice management. Direct comparable in service model and customer base to MedStream.

Broad incumbents

• Envision Healthcare: Large national multispecialty physician services platform that historically included substantial anesthesia delivery alongside emergency, hospitalist, and radiology services. Broad incumbent with significant overlap in anesthesia offerings.
• AMN Healthcare: Large healthcare staffing and workforce solutions company with an anesthesia staffing/services segment that serves hospitals and ASCs. Comparable at the workforce-supply layer to MedStream's provider network and CRNA recruitment model.
• TeamHealth: Major national physician services organization with hospital partnerships spanning anesthesiology, emergency medicine, hospital medicine, and post-acute care. Direct broad-incumbent comparator for facility-based anesthesia contracts.
• Sound Physicians: National hospitalist and acute-care physician group that has expanded into anesthesia and perioperative services at partner hospitals. Comparable as a scaled multi-specialty facility-services competitor.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights7 records

Customer concentration

Revenue estimate

Valuation estimate

Number of profiles

Profiles5 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 MedStream Anesthesia Solutions