Northern Rockies Surgery Center

What Northern Rockies Surgery Center does

Northern Rockies Surgery Center is a physician-owned ambulatory surgery center (ASC) located at 940 North 30th Street in Billings, Montana, operating as a single-site facility within the SCA Health national network of 200+ surgical facilities. The center provides same-day outpatient surgical care across seven medical specialties: anesthesiology, gynecology, ophthalmology, oral and maxillofacial surgery, pediatric dental, facial plastic surgery, and podiatry. Supporting clinical services include pre-registration (online and by phone), ultrasound-guided nerve blocks for post-operative pain management lasting 8-24 hours, and post-operative follow-up calls.

The center is accredited by the Accreditation Association for Ambulatory Health Care (AAAHC) and emphasizes a family-friendly, lower-cost alternative to hospital-based surgery, with patients reportedly paying approximately 45% less than for identical procedures performed in a hospital setting. Its technology stack is primarily clinical rather than software-based: the facility's differentiator is its advanced surgical environment, particularly ultrasound-guided regional anesthesia for shoulder, arm, hand, leg, knee, and ankle procedures, which can reduce or eliminate post-operative nausea and the need for additional pain medication in recovery.

The business model is transaction-based facility-fee billing per surgical procedure, with separate bills issued by the anesthesiologist, surgeon, pathologist, and laboratory. The center accepts all major credit cards, CareCredit, and payment plans (full payment due within 60 days), with self-pay and elective cosmetic procedures requiring payment in full prior to surgery. Patient acquisition is driven by physician referral networks and direct patient inquiry through a Pre-Registration Department (phone and online), with online bill payment processed via the Patient Notebook portal. The center has not disclosed revenue, headcount, funding, or M&A activity, and operates under CEO Debbie Howe, RN, MSN, with management supported by SCA Health's corporate infrastructure for training, education, and quality measurement.

Name

Northern Rockies Surgery Center

Legal name

Northern Rockies Surgery Center

Website

https://northernrockiessurgery.com

Company type

Private

Operating status

Operating

Ownership category

akta.pro rank

Product category

Ambulatory Surgery Center Services

NAICS

Freestanding Ambulatory Surgical and Emergency Centers (621493)

SIC

Services-Specialty Outpatient Facilities, Nec (8093)

akta.pro primary industry

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

akta.pro secondary industry

Perioperative Anesthesia Services & Management (HLAFAIAM)

Keywords

• Ambulatory surgery services
• Outpatient surgical procedures
• Same-day surgery center
• Anesthesia pain management
• Specialty surgical care

Headquarters

HQ city

Billings

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Facility fees for surgical procedures: The surgery center charges a facility fee for performing surgical procedures. Separate bills are issued from the anesthesiologist, surgeon, pathologist, and laboratory services. The center accepts all major credit cards, CareCredit, and offers payment plans with full payment due within 60 days.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels3 records

Core offering

Northern Rockies Surgery Center is a physician-owned ambulatory surgery center (ASC) that provides same-day outpatient surgical procedures across multiple medical specialties, including Anesthesiology, Gynecology, Ophthalmology, Oral and Maxillofacial Surgery, Pediatric Dental, Facial Plastic Surgery, and Podiatry. The center operates as a single facility in Billings, Montana, accredited by AAAHC, and is part of the SCA Health network of 200+ surgical facilities. Surgical care is augmented by advanced technology such as ultrasound-guided nerve blocks for perioperative pain management.

Product overview

Northern Rockies Surgery Center is a physician-owned ambulatory surgery center (ASC) operated by SCA Health, providing same-day surgical care across multiple medical specialties. The center offers a unified set of surgical services including Anesthesiology, Gynecology, Ophthalmology, Oral and Maxillofacial Surgery, Pediatric Dental, Facial Plastic Surgery, and Podiatry. Supporting services include pre-registration, anesthesia services with nerve blocks, and online bill payment through Patient Notebook. The center is accredited by AAAHC and emphasizes quality care in a family-friendly environment.

Differentiator

Problem solved

Functional benefit

Products and services

• Ambulatory Surgical Services Ambulatory surgical care providing same-day surgical procedures across multiple medical specialties in an AAAHC-accredited surgery center setting, for patients who do not require overnight hospital stays.
• Anesthesiology Anesthesia services provided by board-certified physicians and certified registered nurse anesthetists (CRNAs), offering sedation, regional, and general anesthesia options for outpatient surgical patients.
• Ophthalmology Eye and vision-related surgical procedures performed by experienced physicians in an outpatient ASC setting.
• Gynecology Women's health surgical procedures performed in an ambulatory surgery center environment for outpatient cases.
• Oral and Maxillofacial Surgery Surgical procedures involving the mouth, jaw, and face performed by specialized surgeons in an outpatient setting.
• Pediatric Dental Dental surgical services for children provided in a family-friendly surgery center environment.
• Facial Plastic Surgery Cosmetic and reconstructive facial surgical procedures performed by plastic surgeons in an outpatient setting.
• Podiatry Foot and ankle surgical procedures performed by podiatric surgeons in an outpatient setting.
• Ultrasound-Guided Nerve Block Pain Management Pain management service performing nerve blocks under ultrasound guidance for shoulder, arms, hands, legs, knees, ankles, and abdominal procedures, reducing or eliminating pain for 8-24 hours post-surgery and reducing nausea and vomiting risk.
• Pre-Registration Service Online and phone-based pre-registration service allowing patients to complete registration forms before their surgery date, taking 20-25 minutes, with insurance verification and authorization/pre-certification confirmed prior to surgery.
• Online Bill Payment Digital payment service allowing patients to pay surgical bills online through the Patient Notebook payment portal.

Quantifiable outcome

• Approximately 45 percent lower cost than hospital procedures
• +1 more outcomes

Segments1 record

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration1 record

Feature1 record

Partnerships

One partnership is on record.

• SCA HealthcoreStrategic or Co-development PartnerNorthern Rockies Surgery Center is proud to be a part of SCA Health, a national surgical solutions provider committed to improving healthcare in America. SCA Health is a value-based healthcare provider committed to delivering world-class service. The management team at Northern Rockies focuses on providing the highest level of care and communication to patients, physicians and their staff, with dedicated SCA Health support for training, education, and advancement.

Scale indicators2 records

Recent moves5 records

Expansion highlights3 records

Direct peers

• Regent Surgical Health: ASC management and development company partnering with hospitals and physicians. Directly comparable as an ASC-focused operator with similar physician partnership and multi-specialty service model.
• AMSURG: Nationwide operator of ambulatory surgery centers, now part of Optum. Comparable multi-specialty ASC network serving similar outpatient surgical procedures with physician-aligned ownership structures.
• ASD Management: ASC management company operating multi-specialty ambulatory surgery centers nationwide. Comparable to Northern Rockies as a peer providing outpatient surgical services with physician partnerships.
• United Surgical Partners International (USPI): One of the largest ASC operators in the U.S., majority-owned by Tenet Healthcare. Directly comparable as a multi-specialty ambulatory surgery platform with strong physician partnership model and similar payer mix.
• Surgery Partners: Public ASC chain operating ~180 short-stay surgical facilities across the U.S. Highly comparable as a multi-site ASC operator with a similar mix of specialties and physician-partnership model.
• Constitution Surgery Alliance: ASC development and management company specializing in multi-specialty surgery centers. Comparable to Northern Rockies as a developer/operator of single- and multi-site ASCs with similar specialty mixes.

Broad incumbents

• SCA Health: Parent organization and national ASC operator with 200+ surgical facilities. Directly comparable as the network that Northern Rockies belongs to and operates under, providing shared clinical quality programs and operational infrastructure.
• Tenet Healthcare: Parent of USPI and a major hospital operator. Comparable as a healthcare system with significant ASC presence competing for outpatient surgical volumes and physician partnerships.
• Envision Healthcare: Large healthcare services company historically involved in ASC and physician services. Broad incumbent with overlapping ambulatory surgical capabilities and anesthesia service lines.
• HCA Healthcare: Large hospital system operating outpatient surgery programs and ASCs across the U.S. A broader incumbent competitor with overlapping ambulatory surgical capabilities, particularly in regional markets.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks5 records

Key highlights6 records

Customer concentration

• Xtwitter.com/SCA__Health
• Facebookfacebook.com/SCAHealth
• LinkedInlinkedin.com/company/northern-rockies-surgery-center-l.p.

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

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 Northern Rockies Surgery Center