Foundation Surgical Hospital

What Foundation Surgical Hospital does

Foundation Surgical Hospital of San Antonio (FSH San Antonio) is a physician-owned, for-profit specialty surgical hospital established in 2007 and operating a single facility at 9522 Huebner Road in San Antonio's South Texas Medical Center. The facility runs 5 operating rooms and 20 private inpatient suites, providing elective and emergency surgical care across ten specialty lines: bariatric surgery, robotic surgery, general surgery, orthopedic surgery, spinal and neurological surgery, ENT surgery, pain management, urology, gynecology, and podiatry, supplemented by 24/7 emergency services and on-site CT, X-ray, and laboratory diagnostics. The hospital positions itself as a high-touch, patient-centered alternative to large acute-care systems, evidenced by 20 oversized private suites with family seating areas, flat-screen TVs, and free Wi-Fi, and a 94% patient satisfaction score based on likelihood-to-recommend surveys.

Core technological capabilities are anchored by the da Vinci Surgical System for robotic-assisted minimally invasive procedures and HD visualization across all operating rooms, supported by 24/7 in-house imaging and laboratory. The hospital holds MBSAQIP Comprehensive Bariatric Surgery Center with Adolescent Qualifications accreditation, DNV Healthcare Accreditation, ISO 9001, Medicare certification, and consecutive Healthgrades Bariatric Surgery Excellence and Outstanding Patient Experience Awards from 2022 to 2024, plus Aetna Institutes of Quality, Optum Clinical Sciences Institute recognition, Blue Distinction Specialty Care designation, and the Women's Choice Award.

The revenue model is built on fee-for-service surgical and diagnostic procedures reimbursed by Medicare, Medicaid, commercial insurers, HMO/PPO plans, Workers Compensation, and other government-sponsored programs, with patients responsible for residual cost-sharing collected through billing. Patient acquisition is primarily physician-driven via referring-provider relationships, supplemented by 24/7 walk-in emergency access, organic social (Facebook), and a content-rich website that supports price transparency. Distribution is regional, serving San Antonio and South Texas. FSH San Antonio operates within the United Surgical Partners International (USPI, a Tenet Healthcare subsidiary) Affiliated Covered Entity, which provides HIPAA, payer-contracting, and corporate infrastructure, while the facility itself is physician-owned with ownership interests disclosed to patients on request.

Name

Foundation Surgical Hospital

Legal name

Foundation Surgical Hospital of San Antonio

Website

https://fshsanantonio.com

Company type

Private

Founded year

2007

Operating status

Operating

Headcount range

51–100 employees

Short description

Foundation Surgical Hospital of San Antonio is a physician-owned specialty surgical hospital with 5 operating rooms and 20 private suites, providing bariatric, robotic, orthopedic, spinal, and general surgery plus 24/7 emergency and imaging services to San Antonio and South Texas patients.

Ownership category

akta.pro rank

Product category

Specialty Surgical Hospital Services

NAICS

Specialty (except Psychiatric and Substance Abuse) Hospitals (622310), Ambulatory Health Care Services (621)

SIC

Services-Hospitals (8060), Services-Specialty Outpatient Facilities, Nec (8093)

akta.pro primary industry

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

akta.pro secondary industry

Endoscopy & GI Diagnostic Centers (HLAFAKAG)

Keywords

• Surgical hospital services
• Bariatric surgery programs
• Robotic-assisted surgery
• Orthopedic surgical care
• Emergency diagnostic imaging

Headquarters

HQ city

San Antonio

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Surgical Services Revenue: Revenue from inpatient and outpatient surgical procedures across multiple specialties including bariatric, orthopedic, spinal, general, ENT, urology, and gynecological surgery. Services include pre-operative, operative, and post-operative care.
2. Diagnostic Services: Revenue from on-site imaging services (CT scans, X-rays) and laboratory testing available 24/7.
3. Pain Management Services: Pain management interventions including nerve blocks, epidural injections, and stimulator implant procedures.
4. Insurance Reimbursements: Payments from Medicare, Medicaid, commercial insurance, HMO/PPO plans, Workers Compensation, and other government-sponsored health coverage. Patient responsibility portions collected through billing.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels3 records

Core offering

Foundation Surgical Hospital of San Antonio is a physician-owned specialty surgical hospital delivering inpatient and outpatient surgical procedures across bariatric, orthopedic, spinal, general, ENT, urology, gynecological and pain management specialties, plus 24/7 emergency, imaging and laboratory services. The facility operates 5 operating suites and 20 private patient suites out of its South Texas Medical Center location in San Antonio, accepting Medicare, Medicaid and major commercial insurance plans.

Product overview

Foundation Surgical Hospital of San Antonio is a physician-owned surgical hospital providing a comprehensive range of surgical and medical services. The facility operates 5 operating rooms and 20 private suites, offering specialized surgical programs including Bariatric Surgery (with recognition from Healthgrades and the Women's Choice Award), Robotic Surgery using the da Vinci Surgical System, Orthopedic Surgery with joint replacement and sports medicine, Imaging and Lab Services (24/7 CT and X-ray), Spinal Surgery, ENT Surgery, Pain Management, and Urology & Gynecology Surgery. The hospital also provides Emergency Services and accepts most major insurance plans including Medicare and Workers' Compensation.

Differentiator

Problem solved

Functional benefit

Products and services

• Bariatric Surgery Comprehensive weight-loss surgery program including laparoscopic Roux-en-y gastric bypass, sleeve gastrectomy, Lap-Band removal, and duodenal switch procedures, delivered by fellowship-trained bariatric surgeons with an RN bariatric coordinator. Designated as a Comprehensive Bariatric Surgery Center with Adolescent Qualifications through MBSAQIP.
• Robotic Surgery (da Vinci Surgical System) Robotic-assisted minimally invasive surgery using the da Vinci Surgical System, where surgeons control robotic arms with surgical instruments and a high-resolution 3D camera from a computer console to perform procedures with enhanced precision.
• General Surgery General surgical procedures covering a range of conditions and treatments for patients requiring inpatient or outpatient intervention.
• Imaging and Lab Services 24/7 on-site medical imaging including CT scans and X-rays along with full-service laboratory testing to support pre-operative, operative and emergency care without requiring outsourced diagnostic services.
• Spinal Surgery (Neuro and Spinal Surgery) Surgical procedures addressing spine and neurological conditions for patients with back pain, nerve compression or related disorders.
• Orthopedic Surgery Surgical treatments for musculoskeletal conditions including shoulder arthroscopy, joint replacement (hip, knee, shoulder), sports medicine, and arthroscopic surgery, supported by in-patient physical therapy services.
• Otolaryngology (ENT) Surgery Ear, nose, and throat surgical procedures for patients with conditions affecting these anatomical areas.
• Pain Management Pain management interventions including peripheral nerve blocks, epidural and subarachnoid injections, femoral and scalene blocks, medical management, pain management consultation, and stimulator implant procedures.
• Urology and Gynecology Surgery Surgical procedures including hysteroscopy, stress urinary incontinence treatment, hysterectomy, oophorectomy, salpingo-oophorectomy, lithotripsy, TURBT, TURP, cystoscopy, and laparoscopic and robotic gynecologic and urologic procedures.
• Emergency Services 24/7 emergency department services for acute medical conditions including broken bones, chest pain, concussions, severe cuts, and other urgent health situations requiring immediate evaluation and possible surgical intervention.

Quantifiable outcome

• 94% Patient Satisfaction rate based on survey responses rating Likelihood to Recommend as 'Very Good' or 'Good'
• +2 more outcomes

Segments5 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

One partnership is on record.

• United Surgical Partners International (USPI)coreOthersFoundation Surgical Hospital is part of the United Surgical Partners International Affiliated Covered Entity (ACE) network. The ACE is a group of organizations under common ownership or control that designates itself as a single entity for HIPAA compliance purposes. The hospital operates under USPI's corporate structure and shares Protected Health Information with other ACE members for treatment, payment, and healthcare operations.

Scale indicators4 records

Recent moves5 records

Expansion highlights3 records

Broad incumbents

• HCA Healthcare: HCA Healthcare is one of the largest U.S. for-profit hospital operators with extensive ambulatory surgery and specialty surgical programs. While a broad incumbent rather than a direct niche competitor, HCA's Texas facilities compete for the same physician referrals and payor contracts in overlapping service lines.
• Tenet Healthcare: Tenet Healthcare is the ultimate corporate parent of USPI and therefore of Foundation Surgical Hospital. It is a large diversified health system operating acute care hospitals, ambulatory surgery, and outpatient services broadly, with FSH as a small specialty asset within its much larger portfolio.

Regional players

• Baylor Scott & White Health: Baylor Scott & White Health is the largest not-for-profit healthcare system in Texas with extensive surgical service lines. While based outside San Antonio, it competes in Texas-wide specialty surgery markets and draws some patient referrals from South Texas for higher-acuity bariatric and orthopedic cases.
• CHRISTUS Health: CHRISTUS Health is a large Catholic health system operating hospitals and surgical facilities across Texas, including in San Antonio. It competes in overlapping multi-specialty surgical service lines and shares the same payor mix of Medicare, Medicaid, and commercial insurance.
• Baptist Health System (San Antonio): Baptist Health System operates multiple acute care hospitals in San Antonio offering broad surgical service lines including bariatric, orthopedic, and general surgery. It competes with FSH for local physician referrals and patient self-referrals within the same metropolitan market.
• Methodist Healthcare System (San Antonio): Methodist Healthcare is the dominant hospital system in San Antonio, operating multiple acute care hospitals and surgical programs in the South Texas Medical Center area. It is a direct regional competitor for surgical referrals, payor contracts, and specialist physician relationships in FSH's service area.
• University Health (San Antonio): University Health is the Bexar County public hospital system in San Antonio, providing a broad range of surgical and specialty services including bariatric and orthopedic surgery. As a regional competitor, it draws insured and uninsured patients from the same South Texas referral pool.

Direct peers

• Surgical Care Affiliates (Optum): Surgical Care Affiliates, an Optum subsidiary, operates a large network of ambulatory surgery centers and surgical hospitals across the U.S. with a comparable multi-specialty outpatient surgical model serving similar physician-referred patient populations and payor mix.
• Surgery Partners: Surgery Partners is a publicly traded operator of short-stay surgical facilities and ambulatory surgery centers with a multi-specialty model overlapping FSH's bariatric, orthopedic, and pain management service lines. Comparable business model focused on high-volume, physician-aligned outpatient surgery.
• United Surgical Partners International (USPI): USPI is the direct parent network and operator of Foundation Surgical Hospital, running a national portfolio of ambulatory surgery centers and short-stay surgical hospitals with similar multi-specialty surgical models. Most directly comparable as it operates the parent ACE structure in which FSH participates.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/FSHSanAntonio
• Xx.com/fshsanantonio
• LinkedInlinkedin.com/company/foundation-surgical-hospital-of-san-antonio

Compliance4 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 Foundation Surgical Hospital