Yellowstone Surgery Center

What Yellowstone Surgery Center does

Yellowstone Surgery Center is a privately held outpatient ambulatory surgery center headquartered in Billings, Montana, jointly owned by 45 independent physicians and Intermountain Health. Founded in 2002, it operates two facilities — a 23,000-square-foot downtown campus with six surgery suites located on the Intermountain Health campus, and a 9,000-square-foot YSC West site at the Montana Hip and Knee Center dedicated to total joint replacements — serving patients across Southeast Montana. The center provides multi-specialty outpatient surgical services spanning orthopedics, ENT, urology, plastics, general surgery, pain management (including epidural steroid injections, nerve blocks, medial branch procedures, and radiofrequency ablation), and pediatric care via its proprietary YSC Kids program, with selected cases supported by a 23-hour overnight observation stay program introduced in 2005.

The business operates on a fee-for-service model in which patients receive a separate bill for the facility fee (ranging from roughly $5,200 to $12,250 per listed procedure) in addition to physician, anesthesia, and ancillary provider charges. Cosmetic procedures are self-pay and require prepayment; insured procedures follow a $100 down-payment or copay model with balance due within 4-6 months, supported by in-house financing and an outside billing service. Patient acquisition is driven primarily by physician referrals through a formal partnership network that includes Ortho Montana, Anesthesia Partners of Montana, Surgical Associates, Ear Nose & Throat Associates, Billings Plastic Surgery, and Intermountain Health St. Vincent Urology, supplemented by sports medicine demand routed through the AMP partnership (a collaboration with St. Vincent Healthcare and Ortho Montana active since 1991). Patient-facing digital infrastructure is limited to third-party pre-registration (One Medical Passport), online bill payment (PatientNotebook), and transparent procedure price estimation on the company website.

Name

Yellowstone Surgery Center

Legal name

Yellowstone Surgery Center, LLC

Website

https://yellowstonesurgerycenter.com

Company type

Private

Founded year

2002

Operating status

Operating

Headcount range

51–100 employees

Short description

Yellowstone Surgery Center is a multi-specialty outpatient ambulatory surgery center in Billings, Montana, jointly owned by 45 independent physicians and Intermountain Health, serving Southeast Montana patients across two facilities with same-day, overnight, pain management, pediatric, and orthopedic surgical services.

Ownership category

akta.pro rank

Product category

Ambulatory Surgery Services

NAICS

Freestanding Ambulatory Surgical and Emergency Centers (621493)

SIC

Services-Specialty Outpatient Facilities, Nec (8093)

akta.pro primary industry

Orthopedic & Spine Surgery Centers (HLAFAIAG)

akta.pro secondary industries

Pain Management & Interventional Procedure Centers (HLAFAIAH), ENT / Otolaryngology Surgery Centers (HLAFAIAJ)

Keywords

• Ambulatory surgery center
• Outpatient surgical procedures
• Pain management services
• Same day surgery
• Pediatric surgery program

Headquarters

HQ city

Billings

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Supply Chain, Marketing or Sales

Revenue model

1. Outpatient Surgical Procedure Fees: Fee-for-service revenue from performing outpatient surgical procedures. Patients receive separate bills from the facility (Yellowstone Surgery Center), the physician, Anesthesia Partners of Montana, and potentially pathology, laboratory, and physical therapy providers.
2. Pain Management Services: Revenue from pain management procedures including epidural steroid injections, nerve blocks, medial branch procedures, and radiofrequency ablation.
3. Cosmetic Procedures: Self-pay cosmetic procedures requiring full payment prior to surgery. Not covered by insurance.

Pricing tiers

Go-to-market motion1 record

Distribution channels2 records

Marketing channels4 records

Core offering

Yellowstone Surgery Center is a multi-specialty outpatient ambulatory surgery center that performs same-day and 23-hour overnight surgical procedures across orthopedics, ENT, urology, plastic surgery, and general surgery, along with interventional pain management services. It operates two facilities in Billings, Montana and serves patients from Southeast Montana through physician referrals and direct scheduling.

Product overview

Yellowstone Surgery Center operates as an outpatient surgical facility with two locations in Billings, Montana, offering a unified platform of surgical and pain management services. The core offerings include Same Day Procedures for outpatient surgeries (covering specialties such as orthopedics, ENT, urology, and plastic surgery), Overnight Procedures utilizing the 23-Hour Stay Program for more extensive surgeries like total joint replacements, and comprehensive Pain Services featuring interventional procedures such as epidural steroid injections, nerve blocks, radiofrequency ablation, and sacroiliac joint injections. The facility also provides specialized programs including YSC Kids for pediatric surgical patients and Athletic Medicine & Performance (AMP), a collaborative sports medicine initiative. Patient-facing digital services include online procedure price estimation, patient registration via One Medical Passport, and online bill payment through PatientNotebook portals. The center was founded in 2002 as a joint venture between independent physicians and Intermountain Health, with its downtown location expanded to 23,000 square feet in 2007 and a second location opening in 2017 at Montana Hip and Knee Center.

Differentiator

Problem solved

Functional benefit

Brands

• YSC Kids: Pediatric services program designed to help children and families prepare for and cope with pediatric medical procedures through education and support.

Products and services

• Same Day Procedures Outpatient surgical procedures where patients are discharged the same day as their surgery, covering specialties from tonsillectomies to knee replacements.
• Overnight Procedures (23-Hour Stay Program) Outpatient procedures with a 23-hour overnight observation stay, commonly used for total joint replacements and more complex surgeries requiring post-operative monitoring.
• Pain Management Services Interventional pain management including epidural steroid injections, nerve blocks, medial branch procedures, radiofrequency ablation, and sacroiliac joint injections for chronic pain relief.
• YSC Kids Pediatric Surgery Program

Quantifiable outcome

• YSC Kids program has been shown to successfully educate pediatric patients and their parents about the entire perioperative process, easing anxiety about unfamiliar situations

Named customers5 records

Segments5 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

Nine partnerships are on record, tiered core.

• AMP (Athletic Medicine & Performance)coreStrategic or Co-development Partner · 1 January 2008Sports medicine collaboration between St. Vincent Healthcare, Ortho Montana, and Yellowstone Surgery Center providing sports medicine services to Southeast Montana since 1991. Includes Sports Physicians, Athletic Trainers, and Rehabilitation Specialists.
• Intermountain HealthcoreStrategic or Co-development Partner · 1 January 2002Joint owner and operator of Yellowstone Surgery Center alongside 45 independent physicians. Intermountain Health provides hospital backup for patient transfers and collaborates on sports medicine through the AMP partnership.
• 45 Independent Physician InvestorscoreStrategic or Co-development Partner · 1 January 200245 independent physicians jointly own and operate Yellowstone Surgery Center with Intermountain Health. These physician investors provide surgical services across multiple specialties.
• Ortho MontanacoreStrategic or Co-development PartnerPartner orthopedic practice providing surgical services at Yellowstone Surgery Center, including total joint replacements. Collaborated on opening YSC West at Montana Hip and Knee Center.
• Anesthesia Partners of MontanacoreStrategic or Co-development PartnerProvider of anesthesia services at Yellowstone Surgery Center. Team includes multiple anesthesiologists listed on the provider roster.
• Surgical AssociatescoreStrategic or Co-development PartnerGeneral surgery practice partner providing surgical services at Yellowstone Surgery Center.
• Ear, Nose & Throat AssociatescoreStrategic or Co-development PartnerENT specialty practice partner providing ear, nose, and throat surgical procedures at Yellowstone Surgery Center.
• Billings Plastic SurgerycoreStrategic or Co-development PartnerPlastic surgery practice partner providing cosmetic and reconstructive surgical procedures at Yellowstone Surgery Center.
• Intermountain Health St. Vincent UrologycoreStrategic or Co-development PartnerUrology specialty services provided at Yellowstone Surgery Center through Intermountain Health St. Vincent.

Scale indicators4 records

Recent moves8 records

Expansion highlights5 records

Regional players

• OrthoMontana: Orthopedic specialty practice with physician investors in Yellowstone Surgery Center and co-developer of the YSC West total joint replacement center; directly tied to referral volume and overlapping in orthopedic surgical services in Southeast Montana.
• St. Vincent Healthcare (Intermountain Health): Yellowstone Surgery Center's hospital partner and Intermountain Health facility in Billings, MT; provides hospital backup and referral overlap for outpatient surgery and related specialties in the same regional market.
• Benefis Health System: Regional Montana health system that operates outpatient surgical and specialty services analogous to Yellowstone Surgery Center, competing for outpatient surgical cases in the broader Montana market.
• Bozeman Health Deaconess Hospital (Outpatient Surgery): Another Montana-based provider of outpatient surgical services including orthopedics, ENT, pain management, and general surgery; serves a similar rural/semi-urban Montana population to Yellowstone Surgery Center.

Direct peers

• Surgery Partners: Large publicly-traded operator of multi-specialty ambulatory surgery centers across the US, directly comparable in offering same-day surgical procedures across orthopedics, ENT, pain management, and other specialties.
• Ambulatory Surgical Centers of America (ASCOA): Boutique ASC development and management company specializing in multi-specialty outpatient surgery centers, directly comparable in operating model, physician partnership structure, and outpatient surgical service mix.

Broad incumbents

• HCA Healthcare: Major for-profit hospital system with a substantial ASC portfolio across multiple specialties; competes with and parallels the multi-specialty outpatient surgical service model, frequently partnering with physicians similar to Yellowstone Surgery Center's structure.
• Tenet Healthcare / United Surgical Partners International (USPI): Through USPI, the largest network of ambulatory surgery centers in the US; offers multi-specialty outpatient surgical services across orthopedic, pain, ENT, and other specialties analogous to Yellowstone Surgery Center's portfolio.
• Envision Healthcare: Large-scale ambulatory and physician services company with strong outpatient surgical and anesthesia service offerings, comparable through its pain management and multi-specialty outpatient surgery focus.
• Surgical Care Affiliates (Optum): Optum-owned ASC operator running hundreds of outpatient surgical facilities across multiple specialties, providing a comparable multi-specialty ASC model within a broader integrated portfolio.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks4 records

Key highlights7 records

Customer concentration

• Xfacebook.com/YellowstoneSurgeryCenter
• YouTubeyoutube.com/user/yscmt
• Facebookfacebook.com/YellowstoneSurgeryCenter
• Instagraminstagram.com/yellowstonesurgerycenter
• LinkedInlinkedin.com/company/yellowstone-surgery-center

Compliance1 record

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&A

Investments

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

Frequently asked questions about Yellowstone Surgery Center