National Surgical Healthcare, Inc.

What National Surgical Healthcare, Inc. does

National Surgical Healthcare, Inc. is a U.S. operator of short-stay surgical hospitals and ambulatory surgery centers that partnered with physicians through equity participation, joint ventures, and employment models. Founded in 1998 and headquartered in Chicago, the company merged into Surgery Partners in 2017, combining with NovaMed (2011) and Symbion (2014) predecessors to form the largest standalone, independent surgical facilities operator in the nation. The combined platform owns and operates more than 300 surgical facilities across 30 states, supported by 16,000+ employees and 5,000+ affiliated physicians, serving more than 670,000 patients annually.

The technology and clinical core centers on an integrated delivery model combining ambulatory surgery centers, physician-partnered surgical hospitals, multi-specialty physician practices, and anesthesia services. Proprietary assets include an outpatient total joint replacement program and robotic-assisted surgical technology enabling higher-acuity procedures in ambulatory settings. The business generates revenue through facility and procedure fees from surgical operations plus shared profits distributed to physician equity partners, complemented by bundled payment and workers' compensation contracts with payors. Distribution is direct: a field-sales enterprise model targets physicians seeking co-ownership of ASCs, plus joint ventures with healthcare systems including Intermountain Health, Vanderbilt Health Systems, and Baptist Memorial Health Services. Recognized with Newsweek Best ASC rankings (13 facilities in 2024, 17 in 2022) and Healthgrades Patient Safety Excellence Awards (5 hospitals in 2022), the company operates from a Brentwood, TN headquarters following the 2017 merger.

Name

National Surgical Healthcare, Inc.

Legal name

Surgery Partners, Inc.

Website

https://nshinc.com

Company type

Public

Founded year

2004

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

National Surgical Healthcare operates short-stay surgical hospitals and ambulatory surgery centers, partnering with physicians through equity, joint ventures, and employment. Now part of Surgery Partners, it runs 300+ facilities across 30 states serving 670,000+ patients annually.

Ownership category

akta.pro rank

Product category

Ambulatory Surgery Centers

NAICS

Freestanding Ambulatory Surgical and Emergency Centers (621493), Offices of Physicians (62111), Offices of Physicians (except Mental Health Specialists) (621111)

SIC

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

akta.pro primary industry

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

akta.pro secondary industries

Orthopedic & Spine Surgery Centers (HLAFAIAG), Perioperative Anesthesia Services & Management (HLAFAIAM), Ophthalmology Surgery Centers (HLAFAIAF)

Keywords

• Ambulatory surgery centers
• Physician partnership programs
• Surgical hospital operations
• Outpatient surgical services
• Multi-specialty physician practices

Headquarters

HQ city

Chicago

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Surgical facility operations: Revenue generated from operating surgical facilities including ambulatory surgery centers (ASCs) and surgical hospitals. Services include multi-specialty physician practices and anesthesia services. Facility fees, procedure revenue, and ancillary services form the core revenue streams.
2. Physician partnership and equity participation: Physician equity partners earn income through shared profits from co-owned surgical facilities and surgical hospitals. Revenue shared based on ownership stake.

Go-to-market motion3 records

Distribution channels3 records

Marketing channels6 records

Core offering

National Surgical Healthcare (NSH) operates short-stay surgical hospitals and ambulatory surgery centers (ASCs), partnering with physicians through joint ventures, employment, and equity partnership models. The company delivers outpatient and inpatient surgical procedures across 30+ specialties including orthopedics, ophthalmology, gastroenterology, cardiology, pain management, and spine surgery, supported by integrated multi-specialty physician practices and anesthesia services. NSH was merged into Surgery Partners in 2017, forming the largest standalone independent surgical facilities company in the United States.

Product overview

Surgery Partners operates as an integrated healthcare delivery platform consisting of more than 300 surgical facilities and ancillary services across 30 states. The core portfolio includes Ambulatory Surgery Centers (ASCs), surgical hospitals, multi-specialty physician practices, and anesthesia services. The company offers flexible physician partnership models including joint ventures, employment, and practice affiliations, allowing physicians to maintain independence while accessing corporate infrastructure and resources. The network provides services across over 30 medical specialties including orthopedics, ophthalmology, gastroenterology, cardiology, pain management, and spine surgery.

Differentiator

Problem solved

Functional benefit

Products and services

• Surgical Facilities (Ambulatory Surgery Centers) Operates ambulatory surgery centers (ASCs) providing outpatient surgical procedures across multiple medical specialties including orthopedics, ophthalmology, gastroenterology, pain management, and cardiology, targeting patients, physicians, and payors.
• Surgical Hospitals Physician-partnered short-stay surgical hospitals offering inpatient surgical services with specialized focus and high nurse-to-patient ratios, designed for patients requiring overnight or extended post-operative stays.
• Multi-Specialty Physician Practices Integrated physician practice network offering specialized medical services across multiple disciplines including cardiology, oncology, orthopedics, and internal medicine, supporting the surgical facility ecosystem.
• Anesthesia Services Comprehensive anesthesia management and services provided across the surgical facility network, supporting various surgical procedures.
• Physician Partnership Programs Flexible partnership models including joint ventures, employment, and practice affiliations that allow physicians to maintain autonomy while accessing operational support and infrastructure for surgical facilities.
• Physician Equity Partner Program Equity partnership opportunities for physicians in surgery centers or surgical hospitals, unlocking income through shared profits with tailored ownership stakes and operational input.

Quantifiable outcome

• 10% annual same-facility growth over the past five years
• +7 more outcomes

Named customers8 records

Segments4 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature2 records

Partnerships

Four partnerships are on record, tiered core and minor.

• Vanderbilt Health SystemscoreStrategic or Co-development PartnerSurgery Partners has a longstanding joint venture with Vanderbilt Health Systems to develop and manage freestanding outpatient surgery centers. The partnership has enabled Vanderbilt University Medical Center to expand into community-based surgery settings where health systems generally lack experience. Currently operates Vanderbilt Surgery Center Cool Springs in Franklin, Tennessee. Surgery Partners provides operational expertise, management, and capital while Vanderbilt provides physician relationships and health system infrastructure.
• Baptist Memorial Health ServicescoreStrategic or Co-development PartnerLongstanding joint venture partnership with Baptist Memorial Health Services for surgical facility management in Memphis, Tennessee. Baptist Memorial provides health system infrastructure and physician relationships while Surgery Partners delivers operational expertise, development, and management of outpatient surgical facilities.
• Intermountain HealthcoreStrategic or Co-development PartnerPartnership with Intermountain Health for ASC and MSO management expanded to more than 30 sites across eight states. The relationship has grown from five to more than a dozen sites through joint development and management of Intermountain Health Surgery Centers. Surgery Partners leads operational processes and strategic growth while Intermountain provides physician alignment and health system backing.
• ProviderTrustminorImplementation/ SI/ Consulting PartnerSurgery Partners partners with ProviderTrust and its VendorProof solution for vendor compliance management. ProviderTrust monitors vendors across federal and state databases to screen for exclusions, OIG compliance, Medicare fraud, and IRS issues. All vendors are required to enroll in VendorProof for annual compliance verification.

Scale indicators8 records

Recent moves8 records

Expansion highlights6 records

Direct peers

• United Surgical Partners International (USPI): USPI is the largest operator of ambulatory surgery centers in the US and a wholly-owned subsidiary of Tenet Healthcare. It competes head-to-head with Surgery Partners in physician-partnered ASCs, surgical hospitals, and short-stay surgical facilities, with overlapping specialties (orthopedics, GI, ophthalmology) and identical joint-venture health-system GTM.
• SCA Health (Optum): SCA Health is a leading national operator of ambulatory surgery centers and surgical hospitals, owned by Optum (UnitedHealth Group). It directly competes with Surgery Partners for physician partnerships, multi-specialty ASC development, and orthopedic/surgical hospital opportunities across the same geographies.
• AmSurg (Envision Healthcare legacy): AmSurg is a national ASC operator (legacy Envision) running hundreds of multi-specialty ambulatory surgery centers with strong GI and ophthalmology exposure. It directly mirrors Surgery Partners' core ASC operating model and physician-partnership structure.

Broad incumbents

• Tenet Healthcare: Tenet Healthcare owns USPI and is the closest larger competitor with both hospital and ASC operations. It competes with Surgery Partners for physician relationships, health-system JVs, and the same outpatient migration tailwinds, but at much larger scale via USPI.
• HCA Healthcare: HCA is the largest for-profit hospital operator in the US and increasingly operates its own ASC capacity and surgical hospital facilities. It competes with Surgery Partners for surgeons, referrals, and outpatient case volume, though its core business remains acute inpatient care.
• Ardent Health Partners: Ardent is a regional health system operator with hospitals and growing outpatient/ambulatory surgery exposure. It overlaps with Surgery Partners in short-stay surgical settings and physician partnership models, particularly in Texas, New Jersey, and Oklahoma.
• Acadia Healthcare: Acadia operates specialty inpatient facilities (behavioral health focus) and is adjacent in the specialty-facility management space. It shares the multi-site specialty-operator model with Surgery Partners but operates in a different clinical vertical.
• Select Medical Holdings: Select Medical operates specialty hospitals (including outpatient surgical and rehabilitation facilities) and competes with Surgery Partners in short-stay surgical hospitals, particularly for orthopedic and post-acute patients.

Regional players

• Encompass Health: Encompass Health is the largest owner and operator of inpatient rehabilitation hospitals in the US. While focused on rehab rather than surgical ASCs, it competes with Surgery Partners for post-surgical orthopedic patient flow and physician referrals in overlapping markets.

Emerging players

• Privia Health: Privia Health is a national physician enablement platform building multi-specialty medical groups and value-based care arrangements. It is comparable to Surgery Partners' physician practice and partnership layer, though its model is more ambulatory-care rather than ASC-focused.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks5 records

Key highlights6 records

Customer concentration

• Xtwitter.com/SurgeryPartners
• YouTubeyoutube.com/@SurgeryPartners
• Facebookfacebook.com/SurgeryPartners
• LinkedInlinkedin.com/company/surgery-partners

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A1 record

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about National Surgical Healthcare, Inc.