Big Sky Surgery Center

What Big Sky Surgery Center does

Big Sky Surgery Center is a multi-specialty ambulatory surgery center (ASC) headquartered at 2833 Fort Missoula Road in Missoula, Montana. Founded in 1998, the facility provides outpatient surgical procedures across eight specialties — general surgery, gynecology, ophthalmology, orthopedics, otolaryngology, pain management, plastic/cosmetic & reconstructive surgery, and urology — delivered through affiliated independent physicians. The center serves patients who are referred by surgeons for procedures that do not require hospital admission, operating Monday through Friday from 6:30am to 5pm. Its stated mission is to deliver quality care at affordable rates in a personal, attentive atmosphere, positioning itself as a cost-effective alternative to hospital-based outpatient surgery.

The company operates on a facility-fee revenue model, charging per procedure based on surgical complexity. It accepts most major insurance plans including Medicare, files primary and secondary insurance claims on patients' behalf, and offers financing options (CareCredit) and credit union payment routing (Clearwater) for uninsured or underinsured patients. Patient acquisition flows primarily through a referral network of affiliated physician practices (e.g., Orthopaedic Associates, Rocky Mountain Eye Center, Five Valleys Urology, Rocky Mountain ENT Center, and Missoula Anesthesiology for anesthesia services) supplemented by a website providing patient resources, downloadable forms, and discounted hotel partnerships with three Missoula hotels for out-of-town patients.

Big Sky is a privately held, for-profit entity with 11–50 employees and no disclosed parent company, funding history, acquisitions, or leadership changes. It is a single-site, locally focused operation with over 25 years of operating history and a mature, stable footprint rather than a scaling one. The technology stack is conventional (WordPress website, standard billing/payment integrations) with no proprietary platform or AI/ML capabilities identified in the source material.

Name

Big Sky Surgery Center

Legal name

Big Sky Surgery Center

Website

https://bigskysurgery.com

Company type

Private

Founded year

1998

Operating status

Operating

Headcount range

11–50 employees

Short description

Big Sky Surgery Center is a multi-specialty ambulatory surgery center in Missoula, Montana, founded in 1998. It provides outpatient surgical procedures across eight specialties through affiliated independent physicians, serving patients referred for same-day surgery.

Ownership category

akta.pro rank

Product category

Ambulatory Surgery Services

NAICS

Freestanding Ambulatory Surgical and Emergency Centers (621493), Outpatient Care Centers (6214)

SIC

Services-Specialty Outpatient Facilities, Nec (8093), Services-Health Services (8000)

akta.pro primary industry

Single-Specialty ASCs (HLAFAIAB)

akta.pro secondary industries

Orthopedic & Spine Surgery Centers (HLAFAIAG), Ophthalmology Surgery Centers (HLAFAIAF), Pain Management & Interventional Procedure Centers (HLAFAIAH)

Keywords

• Ambulatory surgery services
• Outpatient surgical procedures
• Multi-specialty surgery center
• Same-day surgery
• Surgical facility services

Headquarters

HQ city

Missoula

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 Facility Services: The surgery center generates revenue through facility fees charged for surgical procedures. Fees are based on the complexity of the procedure performed. The center accepts most insurance plans including Medicare and files primary and secondary insurance claims as a courtesy to patients. Uninsured patients have payment options including full payment prior to surgery with potential discounts, or 50% deposit with balance due upon receipt of first statement.

Pricing tiers

Go-to-market motion1 record

Distribution channels2 records

Marketing channels3 records

Core offering

Big Sky Surgery Center operates a multi-specialty ambulatory surgery center delivering outpatient surgical procedures across eight specialties: General Surgery, Gynecology, Ophthalmology, Orthopedics, Otolaryngology, Pain Management, and Plastic/Cosmetic/Reconstructive Surgery, and Urology. Procedures are performed by affiliated independent surgeons on patients referred for outpatient care that does not require hospital admission, with facility fees based on procedure complexity and insurance billing support.

Product overview

Big Sky Surgery Center operates as a multi-specialty ambulatory surgery center (ASC) offering a unified platform of outpatient surgical services. The core offering is the Ambulatory Surgery Services platform, which encompasses eight surgical specialties: General Surgery, Gynecology, Ophthalmology, Orthopedics, Otolaryngology, Pain Management Procedures, Plastic/Cosmetic & Reconstructive Surgery, and Urology. These services are delivered through affiliated independent physicians across multiple specialties. The organization complements its surgical services with patient support offerings including a digital Patient Resources portal providing downloadable forms (Patient Information Guide, Good Faith Estimate, Privacy Practices), billing and payment processing services with multiple payment options and insurance claim submission, and a Discounted Hotel Stays program with partner hotels for out-of-town patients.

Differentiator

Problem solved

Functional benefit

Products and services

• Ambulatory Surgery Services

Named customers5 records

Segments1 record

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration3 records

Partnerships

Three partnerships are on record, tiered minor.

• Big Sky InnminorOthersPartner hotel offering discounted stays for Big Sky Surgery Center patients traveling to Missoula for procedures. Located at 3803 Brooks St, Missoula MT 59804. Offers 10% discount, breakfast, fitness area, and game room. Contact: (406) 251-2665.
• C'mon InnminorOthersPartner hotel offering discounted stays for Big Sky Surgery Center patients traveling to Missoula for procedures. Located at 2775 Expo Parkway, Missoula MT 59808. Offers 8% discount, breakfast, pool, hot tubs, exercise room, game room, and free WiFi. Contact: (406) 543-4600.
• Comfort InnminorOthersPartner hotel offering discounted stays for Big Sky Surgery Center patients traveling to Missoula for procedures. Located at 1021 E Broadway St, Missoula MT 59802. Offers 15% discount, breakfast, fitness center, vending machines, free WiFi, and pet-friendly. Contact: (406) 317-7957.

Scale indicators2 records

Recent moves3 records

Expansion highlights4 records

Direct peers

• Regent Surgical Health: ASC management and development partner that owns/operates multi-specialty ambulatory surgery centers in partnership with surgeons and health systems. Closely matches Big Sky's affiliated-physician operating model.
• Surgical Care Affiliates (SCA): Optum/UnitedHealth Group subsidiary operating a national network of multi-specialty ASCs. Comparable multi-specialty ambulatory surgery platform with similar payer relationships and physician affiliation structure.
• Ambulatory Surgical Centers of America (ASCOA): Multi-specialty ASC development and management company partnering with surgeons and hospitals to own/operate outpatient surgery centers. Operates similarly structured multi-specialty ASCs to Big Sky across multiple states.
• United Surgical Partners International (USPI): Tenet Healthcare subsidiary and the largest U.S. operator of ambulatory surgery centers, with a strong multi-specialty footprint. Directly comparable business model to Big Sky's multi-specialty ASC operations.
• ASD Management: Operator and manager of multi-specialty ambulatory surgery centers with a partnership-physician model similar to Big Sky's affiliated-physician structure.
• Surgery Partners: NASDAQ-listed multi-specialty ambulatory surgery center operator with ~180+ short-stay surgical facilities across the U.S. Closest large-scale public comparable for Big Sky's multi-specialty ASC model.

Broad incumbents

• Tenet Healthcare: Parent of USPI, one of the largest ASC platforms in the U.S. Relevant incumbent competitor and acquirer in the outpatient surgery space where Big Sky operates.
• HCA Healthcare: Large for-profit hospital system that has been expanding its outpatient/ASC footprint. Provides hospital outpatient competition that increasingly overlaps with multi-specialty ASCs like Big Sky.
• Optum (UnitedHealth Group): Owns Surgical Care Affiliates and operates an extensive outpatient care delivery network. Acts both as a payer-counterparty for ASCs like Big Sky and as a competing outpatient surgery platform via SCA.

Emerging players

• Physicians Endoscopy: Specialty ASC company focused on GI/endoscopy ambulatory surgery centers. Comparable site-of-service and outpatient procedural model, though narrower specialty scope than Big Sky.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/108163719225777

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 Big Sky Surgery Center