Executive Surgery Center

What Executive Surgery Center does

SCA Health (formerly Surgical Care Affiliates) is a national specialty care delivery and practice management company that operates 370+ ambulatory surgery centers (ASCs) and supports 400+ physician practice clinics across 11 practice groups and 34 U.S. states. The company serves 9,700+ affiliated physicians and approximately 2 million patients annually, with deep specialization in gastroenterology (170+ GI facilities), cardiovascular care (200+ facilities), orthopedics (OrthoAlliance: 80 clinics, 9 ASCs), and additional surgical specialties including ophthalmology, urology, and pain management. The company maintains joint ventures or strategic affiliations with 60+ health systems including Indiana University Health, Texas Health Resources, Ascension, AdventHealth, Atrium Health, Virtua, and Providence, with roughly 50% of facilities operating under health-system partnerships.

The platform is anchored by the HiVE (Health Innovation Value Enterprise) value-based care solution, which provides clinical model development, advanced analytics integrated with Optum's healthcare data infrastructure, and specialty-focused payment models for risk-sharing, bundled payments, and capitation. Core revenue streams include ASC facility services (transaction fees on surgical procedures), MSO/practice management fees from 400+ physician practice clinics, value-based care contracts with major payers (Aetna, Anthem, BCBS, Cigna, Humana, UnitedHealthcare, Optum), and direct-to-employer specialist management solutions. Distribution is executed via enterprise field sales and dedicated business development teams targeting physicians, health systems, and health plans through joint ventures, strategic affiliations, and MSO agreements.

SCA Health is a wholly-owned subsidiary of UnitedHealth Group, operating within the Optum enterprise. The company rebranded from Surgical Care Affiliates to SCA Health in 2025 alongside the appointment of Winborne Macphail as CEO. Additional leadership additions include Dr. Jerome Williams Jr. as Chief Physician Executive and CMO (2024) and Kerri Milless as the first CHRO (2023). Operating subsidiaries include OrthoAlliance (orthopedics), US Digestive Health (gastroenterology), PE GI Solutions, and National Cardiovascular Partners, each contributing specialized capability and regional density to the national platform.

Name

Executive Surgery Center

Legal name

Surgical Care Affiliates

Website

https://executivesurgerycenter.net

Company type

Private

Founded year

2013

Operating status

Operating

Headcount range

11–50 employees

Short description

SCA Health (formerly Surgical Care Affiliates) operates 370+ ambulatory surgery centers and 400+ physician practice clinics across 34 U.S. states, serving 2 million+ patients annually through 9,700+ affiliated physicians and 60+ health system partnerships as part of UnitedHealth Group's Optum enterprise.

Ownership category

akta.pro rank

Product category

Ambulatory Surgery Centers

NAICS

Offices of Physicians (62111), Offices of Physicians (except Mental Health Specialists) (621111)

SIC

Services-Health Services (8000), Services-Offices & Clinics Of Doctors Of Medicine (8011)

akta.pro industry

PRIMARYHLAFAIAA

Multi-Specialty Ambulatory Surgery Centers (ASCs)

Healthcare & Life Sciences/Healthcare Providers & Systems/Surgical Centers & Perioperative Care (ASCs)

SECONDARYHLAFAIAB

Single-Specialty ASCs

Healthcare & Life Sciences/Healthcare Providers & Systems/Surgical Centers & Perioperative Care (ASCs)

SECONDARYHLAFAIAM

Perioperative Anesthesia Services & Management

Healthcare & Life Sciences/Healthcare Providers & Systems/Surgical Centers & Perioperative Care (ASCs)

SECONDARYHLAFAIAG

Orthopedic & Spine Surgery Centers

Healthcare & Life Sciences/Healthcare Providers & Systems/Surgical Centers & Perioperative Care (ASCs)

SECONDARYHLAFAIAF

Ophthalmology Surgery Centers

Healthcare & Life Sciences/Healthcare Providers & Systems/Surgical Centers & Perioperative Care (ASCs)

Keywords

• Ambulatory surgery centers
• Physician practice management
• Specialty healthcare services
• Value-based care solutions
• Surgical care partnerships

Headquarters

HQ city

Tomball

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. ASC Facility Services: Ambulatory surgery center (ASC) operations providing same-day surgical care. Revenue generated from surgical procedures, facility fees, and related clinical services performed at 370+ ASC locations.
2. Practice Management / MSO Services: Management services organization (MSO) model providing administrative, operational, and strategic support to physician practices. Revenue generated through practice management agreements with 400+ physician practice clinics.
3. Value-Based Care Contracts: Risk-sharing, shared savings, bundled payments, and capitation arrangements with health plans. The company participates in quality incentives and value-based contracting across the risk spectrum.
4. Specialist Management Solutions: Direct-to-employer services connecting employees with local surgeons and facilities offering cost-effective specialty care options.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels6 records

Core offering

Executive Surgery Center operates as part of SCA Health, providing ambulatory surgery center (ASC) services and physician practice management across 370+ clinical locations and 400+ physician practice clinics nationwide. The company delivers same-day surgical care across multiple specialties, manages the business operations of physician practices through MSO agreements, and partners with health systems and health plans on value-based care arrangements. Revenue is generated from surgical procedure fees, facility fees, practice management agreements, and value-based contracts.

Product overview

SCA Health operates as a national surgical and practice management company offering a platform-plus-partnerships model. The core offerings include 370+ ambulatory surgery centers (ASCs) providing same-day surgical care and 400+ physician practice clinics across 11 practice groups. The portfolio is enhanced by HiVE (Health Innovation Value Enterprise) for value-based care solutions, Optum Specialty Practices for physician-led practice management, and Specialist Management Solutions for direct-to-employer healthcare navigation. Recent acquisitions include OrthoAlliance (orthopedic services) and US Digestive Health (gastroenterology services). The company serves over 2 million patients annually through partnerships with 9,700+ physicians, supporting specialties including gastroenterology, orthopedics, cardiovascular, ophthalmology, urology, and pain management.

Differentiator

Problem solved

Functional benefit

Brands

• HiVE (Health Innovation Value Enterprise): A value-based care solution platform that provides tools and resources for specialists to deliver exceptional clinical experiences and drive meaningful patient outcomes.
• Optum Specialty Practices
• Specialist Management Solutions

Products and services

• Ambulatory Surgery Centers (ASCs) Same-day surgical care facilities providing quality-driven, lower cost care with exceptional patient and physician satisfaction scores across 370+ locations nationwide. Services span multiple specialties including gastroenterology, orthopedics, cardiovascular, ophthalmology, urology, and pain management.
• Physician Practice Management (MSO) Services Management services organization (MSO) model providing administrative, operational, and strategic support to 400+ physician practice clinics across 11 practice groups. Supports physician specialists with practice management and operational support.
• HiVE (Health Innovation Value Enterprise) Value-based care solutions platform providing tools and resources for specialists to deliver exceptional clinical experiences and drive meaningful patient outcomes through aligned incentives and data-driven insights. Includes clinical model development, advanced analytics, and specialty-focused payment models.
• Specialist Management Solutions Direct-to-employer solution helping employers and employees navigate healthcare challenges by connecting them with local surgeons and facilities offering cost-effective specialty care options.

Quantifiable outcome

• 2 million+ patients served annually
• +3 more outcomes

Named customers2 records

Segments3 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

20 partnerships are on record, tiered core and supporting.

• OrthoAlliancecoreStrategic or Co-development PartnerFounded in 2019, OrthoAlliance is one of the largest orthopedic platforms in the United States, consisting of 80 clinics, nine ASCs, and a full suite of complementary ancillary services across Indiana, Ohio, and Kentucky. With more than 2,000 dedicated teammates and 200+ value-driven providers, the partnership strengthens SCA Health's orthopedic specialty practices and ASC growth.
• US Digestive HealthcoreStrategic or Co-development PartnerFounded in 2019 and managed by US Digestive Health Management, USDH is a leading gastroenterology practice with 35+ clinical locations and 20 ASCs across Pennsylvania and Delaware. With more than 1,300 teammates, the partnership strengthens SCA Health's GI offerings using technological advancements and research breakthroughs.
• PE GI SolutionssupportingStrategic or Co-development PartnerPE GI Solutions specializes in providing integrated business strategies and insights for GI specialists and healthcare partners to help their practices, ASCs, and ancillary services grow through professional management, aligned investments, and strategic partnerships.
• National Cardiovascular PartnerssupportingStrategic or Co-development PartnerNational Cardiovascular Partners is a leading outpatient cardiology and vascular platform committed to delivering quality-driven, patient-centered care in communities across the United States.
• OrthoCarolinasupportingStrategic or Co-development PartnerHiVE partner providing orthopedic specialty care and value-based care collaboration through the Health Innovation Value Enterprise program.
• Emerge OrthosupportingStrategic or Co-development PartnerHiVE partner providing orthopedic specialty care and value-based care collaboration through the Health Innovation Value Enterprise program.
• OPA (Orthopedic Physicians Alaska)supportingStrategic or Co-development PartnerHiVE partner providing orthopedic specialty care and value-based care collaboration through the Health Innovation Value Enterprise program.
• OCC (Orthopedic Center of Colorado Springs)supportingStrategic or Co-development PartnerHiVE partner providing orthopedic specialty care and value-based care collaboration through the Health Innovation Value Enterprise program.
• Indiana University HealthsupportingStrategic or Co-development PartnerHealth system partnership providing physician alignment, joint venture opportunities, and integrated care delivery in the Indiana region.
• Texas Health ResourcessupportingStrategic or Co-development PartnerHealth system partnership providing physician alignment, joint venture opportunities, and integrated care delivery in the Texas region.
• AscensionsupportingStrategic or Co-development PartnerNational health system partnership providing physician alignment and integrated care delivery across Ascension's service areas.
• AdventHealthsupportingStrategic or Co-development PartnerHealth system partnership providing physician alignment, joint venture opportunities, and integrated care delivery across AdventHealth's service areas.
• Atrium HealthsupportingStrategic or Co-development PartnerHealth system partnership providing physician alignment, joint venture opportunities, and integrated care delivery in the Southeast region.
• One World SurgerysupportingStrategic or Co-development PartnerFoundational corporate partner to the nonprofit One World Surgery, which provides access to high-quality surgical care globally. SCA Health teammates participate in medical mission trips to Honduras and the Dominican Republic.
• Aetna (CVS Health)supportingStrategic or Co-development PartnerHealth plan partnership for value-based care contracting, professional and facility fee arrangements, and quality incentive programs.
• Anthem Blue Cross Blue ShieldsupportingStrategic or Co-development PartnerHealth plan partnership for value-based care contracting, professional and facility fee arrangements, and quality incentive programs.
• CignasupportingStrategic or Co-development PartnerHealth plan partnership for value-based care contracting, professional and facility fee arrangements, and quality incentive programs.
• HumanasupportingStrategic or Co-development PartnerHealth plan partnership for value-based care contracting, professional and facility fee arrangements, and quality incentive programs.
• UnitedHealthcaresupportingStrategic or Co-development PartnerHealth plan partnership for value-based care contracting, professional and facility fee arrangements, and quality incentive programs.
• OptumcoreStrategic or Co-development PartnerParent company providing access to the broader Optum care delivery system, including Optum Care network and direct-to-employer Specialist Management Solutions. Enables referral pathways between primary care and specialists and supports transition to value-based care.

Scale indicators9 records

Recent moves6 records

Expansion highlights6 records

Broad incumbents

• Tenet Healthcare: Parent of USPI and a major hospital operator. Tenet competes with SCA both through USPI in ASCs and through its hospital outpatient departments that draw the same procedural volumes.
• HCA Healthcare: Largest U.S. for-profit hospital system with a significant ASC strategy and physician-aligned surgery network. Competes with SCA for physician alignment and outpatient surgical share in overlapping geographies.
• Kaiser Permanente: Integrated payer-provider with owned ASC and specialty care delivery. Competes with SCA in select markets by internalizing specialty care that SCA would otherwise deliver via joint venture.

Direct peers

• Envision Healthcare: Historically a major physician services and ASC operator; comparable in offering outsourced specialty care infrastructure (anesthesia, emergency, and ASCs) to health systems and payers similar to SCA's MSO model.
• AMSURG: Formerly a standalone ASC leader (was Envision's ASC arm before the 2024 sale to a private buyer); continues to operate multi-specialty ASCs and gastroenterology centers directly competitive with SCA's footprint.
• Surgery Partners: Public ASC operator (NASDAQ: SGRY) running 180+ short-stay surgical facilities across the U.S. Competes head-to-head with SCA in physician-aligned ASCs, surgical hospitals, and multi-specialty outpatient surgery.
• United Surgical Partners International (USPI): Largest direct competitor to SCA Health; operates hundreds of ambulatory surgery centers and short-stay surgical hospitals across the U.S. Owned by Tenet Healthcare. Both SCA and USPI pursue physician joint ventures and health system partnerships in the same specialty mix.

Others

• Cardinal Health (Specialty Networks): Distribution and supply-chain partner across ambulatory and specialty care; relevant ecosystem participant given SCA's procurement of anesthesia, surgical supplies, and specialty pharmacy across its 370+ ASCs.
• Privia Health: Physician practice management and MSO services provider. Comparable to SCA's practice management arm for specialty physician enablement, value-based contracting, and payer relationships.

Emerging players

• ValueHealth: Emerging value-based ambulatory surgical and cardiology platform; overlaps with SCA's HiVE value-based contracting strategy and cardiovascular capabilities (200+ facilities at SCA).

Market position

Strengths4 records

Weaknesses4 records

Competitive moat7 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/SCA__Health
• Facebookfacebook.com/SCAHealth
• LinkedInlinkedin.com/company/scahealth

Revenue estimate

Valuation estimate

Number of profiles

Subsidiaries4 records

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 Executive Surgery Center