What Center for Specialty Surgery does

Center for Specialty Surgery (legal entity: CSS JV, LLC) is an independent, multi-specialty ambulatory surgery center (ASC) headquartered at 11782 SW Barnes Rd #200 Bldg C in Portland, Oregon. Founded in November 2003 by the physician owners of Orthopedic + Fracture Specialists (O+FS) and joined in 2009 as a joint venture by Providence Health and Services, the facility operates a single Portland location serving the Portland metro and Pacific Northwest. It provides outpatient surgical services across 11 specialties — foot and ankle, knee, hip, shoulder, hand/wrist/elbow, spine, joint replacement, interventional pain management, plastic surgery, dental, and podiatry — delivered by fellowship-trained specialists using advanced equipment including fluoroscopy for real-time intra-operative imaging.

The center generates revenue through surgical procedure fees on a quote-based, pay-as-you-go model, with pricing determined by procedure complexity, insurance coverage, and patient financial circumstances; self-pay and financing options are available. Patient acquisition is sales-led and almost entirely referral-driven, anchored by the integrated O+FS orthopedic clinic (consult, surgery, rehab under one roof) and supplemented by referring physicians across the Portland metro. Pre-operative workflow is supported by the athenahealth patient portal and OBERD's digital health questionnaire system, but the technology stack is operational rather than proprietary or AI-driven. Staffing is reported at 101-250 employees.

The business is differentiated by the ASC cost-and-quality profile versus hospital outpatient departments (lower cost per case, lower infection rates, faster scheduling), a multi-specialty breadth that supports cross-referral, and recognized quality credentials including AAAHC accreditation, AORN and ASCA affiliations, the 2019 AAAHC Kershner Award finalist designation, and the U.S. News BEST Ambulatory Surgery Center 2026 recognition. Following a comprehensive facility remodel completed in February 2023, the center has continued to expand physician headcount and case mix, though it remains a single-site operator with no public funding events or geographic expansion.

Name

Center for Specialty Surgery

Legal name

CSS JV, LLC

Website

https://css-oregon.com

Company type

Private

Founded year

2003

Operating status

Operating

Headcount range

101–250 employees

Short description

Center for Specialty Surgery is an independent, multi-specialty ambulatory surgery center in Portland, Oregon, delivering outpatient orthopedic, spine, pain management, plastic, dental, and podiatric procedures via a referral-driven model anchored by its founding physician group and a Providence Health joint venture.

Ownership category

akta.pro rank

Product category

Ambulatory Surgery Center Services

NAICS

Freestanding Ambulatory Surgical and Emergency Centers (621493), Offices of Physicians (62111)

SIC

Services-Specialty Outpatient Facilities, Nec (8093)

akta.pro primary industry

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

akta.pro secondary industries

Orthopedic & Spine Surgery Centers (HLAFAIAG), Plastics / Cosmetic & Dermatologic Surgery Centers (HLAFAIAK)

Keywords

• Ambulatory surgery center
• Outpatient orthopedic surgery
• Joint replacement surgery
• Interventional pain management
• Multi-specialty surgical facility

Headquarters

HQ city

Portland

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Surgical Procedure Fees: The center generates revenue through performing outpatient surgical procedures across multiple specialties. As an ambulatory surgery center (ASC), it provides cost-effective alternatives to hospital-based surgeries for patients with insurance coverage or self-pay arrangements.

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels3 records

Core offering

Center for Specialty Surgery is an independent, multi-specialty ambulatory surgery center in Portland, Oregon that performs outpatient surgical procedures across 11 specialties, including foot and ankle, knee, hip, shoulder, hand/wrist/elbow, spine, joint replacement, interventional pain management, plastic surgery, dental, and podiatry. Services are delivered by fellowship-trained surgeons in an outpatient setting as a cost-effective alternative to hospital-based surgeries, with patient access primarily driven by physician referrals from Orthopedic + Fracture Specialists and other referring providers.

Product overview

Center for Specialty Surgery is an independent, multi-specialty outpatient surgery facility offering a comprehensive range of surgical services. The facility specializes in orthopedic surgeries including foot and ankle, knee, hip, shoulder, hand/wrist/elbow, spine, and joint replacement procedures. Additionally, the center provides interventional pain management, plastic surgery, dental surgery, and podiatry services. All services are delivered by fellowship-trained specialists using advanced surgical techniques including minimally invasive approaches and anterior approach hip replacement surgery.

Differentiator

Problem solved

Functional benefit

Products and services

• Foot & Ankle Surgery Orthopedic surgical services for foot and ankle conditions including Achilles tendon injuries, arthritis, ankle replacement, and various foot deformities.
• Knee Surgery Comprehensive knee surgical services including total and partial knee replacement, ACL reconstruction, meniscal repairs, and patella realignment procedures.
• Hip Surgery Hip surgical services including anterior approach total hip replacement, minimally invasive posterior approach hip replacement, partial hip replacement, and hip arthroscopy for labral tears.
• Shoulder Surgery Shoulder surgical services including total shoulder arthroplasty, rotator cuff repair, labral tear repairs, and treatment for frozen shoulder and instability.
• Hand + Wrist + Elbow Surgery Fellowship-trained surgical services for hand, wrist, and elbow conditions including carpal tunnel syndrome, trigger finger, arthritis, and trauma.
• Spine Surgery Back and spine surgical services including herniated disc treatment, spinal stenosis decompression, spinal cord stimulator implantation, kyphoplasty, and disc replacement.
• Interventional Pain Management Pain management treatments including epidural steroid injections, facet joint injections, radiofrequency ablation, spinal cord stimulator trials, and diagnostic procedures.
• Joint Replacement Joint replacement surgeries including total knee and hip replacement (anterior and posterior approaches), partial knee replacement, shoulder replacement, and revision surgeries.
• Plastic Surgery Cosmetic and reconstructive surgery services including face lift, blepharoplasty, rhinoplasty, brow lift, and body liposuction performed by board-certified specialists.
• Dental Surgery Oral and maxillofacial surgical services including jaw reconstruction, facial bone surgery, and comprehensive dental procedures performed by oral surgeons.
• Podiatry Foot and ankle surgical services provided by professional medical practitioners with a focus on patient comfort and comprehensive care.

Quantifiable outcome

• Lower infection rates compared to hospital settings
• +2 more outcomes

Named customers1 record

Segments1 record

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Two partnerships are on record, tiered core and minor.

• Orthopedic + Fracture Specialists (O+FS)coreStrategic or Co-development Partner · 1 January 2003The center was founded in November 2003 by the physician owners of Orthopedic + Fracture Specialists who had a long and rich history in the local community. O+FS is the only full-service orthopedic clinic in the Portland Metro Area with physician consultations, surgery center, and rehabilitation services within the same facility.
• Fortis ConstructionminorImplementation/ SI/ Consulting PartnerFortis Construction was the expert construction partner for the facility's major remodel project completed in early 2023.

Scale indicators4 records

Recent moves7 records

Expansion highlights4 records

Direct peers

• Surgery Partners: Surgery Partners is a publicly traded operator of short-stay surgical facilities with a heavy orthopedic and multi-specialty ASC footprint. It is directly comparable to CSS in business model (ASC-based outpatient surgery), specialty mix, and physician-partnership orientation.
• Surgical Care Affiliates (Optum): Surgical Care Affiliates is one of the largest ambulatory surgery center operators in the U.S., operating a network of multi-specialty ASCs. It is directly comparable to CSS as a multi-specialty outpatient surgery platform serving similar physician and patient mix.
• SurgCenter Development: SurgCenter Development develops and operates physician-owned, multi-specialty ambulatory surgery centers nationally. It is directly comparable to CSS in operating model (physician-led, multi-specialty ASC) and orthopedic-heavy specialty mix.
• ASD Management: ASD Management operates and manages a portfolio of multi-specialty ambulatory surgery centers across multiple U.S. states. It is directly comparable to CSS as a multi-specialty ASC operator with similar specialty breadth and physician-partnership model.
• United Surgical Partners International (USPI / Tenet): USPI is the largest operator of ambulatory surgery centers in the U.S., a subsidiary of Tenet Healthcare. It is directly comparable to CSS as a multi-specialty ASC operator with deep hospital-health-system JV relationships similar to CSS's Providence partnership.

Broad incumbents

• HCA Healthcare: HCA Healthcare is one of the largest U.S. for-profit hospital operators and runs a growing network of ambulatory surgery centers. It is broadly comparable as a multi-specialty provider whose outpatient surgical footprint overlaps with CSS's category.
• Providence Health & Services: Providence is a large regional health system that is also CSS's joint-venture partner. It is broadly comparable as an integrated delivery network that operates ASCs and acute hospitals across the same Pacific Northwest catchment as CSS.

Regional players

• Rebound Orthopedics & Neurosurgery: Rebound is a Pacific Northwest orthopedic and neurosurgery physician group operating in the Portland/Vancouver metro. It is regionally comparable to O+FS and CSS as a multi-specialty orthopedic provider group competing for similar patient and referral markets.
• Oregon Surgical Institute: Oregon Surgical Institute is a Pacific Northwest-based outpatient surgical facility focused on orthopedic and spine procedures. It is regionally comparable to CSS as a Portland-area multi-specialty ASC competing for the same referring physicians and patient base.

Others

• Northwest Permanente: Northwest Permanente is the physician group serving Kaiser Permanente members in the Pacific Northwest, providing multi-specialty surgical services including orthopedics. It is an adjacent comparable as an integrated multi-specialty provider in the same regional market, though it operates under a closed-panel model rather than as an open ASC.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/center-for-specialty-surgery

Compliance5 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&A

Investments

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

Frequently asked questions about Center for Specialty Surgery