CRH Medical

What CRH Medical does

CRH Medical Corporation, founded in 2000 and headquartered at 3414 Peachtree Road NE, Suite 340, Atlanta, GA, is a commercial healthcare products and services company operating as a wholly owned subsidiary of WELL Health Technologies Corp. (TSX: WELL). The company delivers solutions across four integrated business lines: CRH Anesthesia (anesthesia management services for ambulatory surgery centers and gastroenterology practices, including majority-stake joint-venture partnerships, staffing, billing, and management); CRH GI Solutions (the CRH O'Regan System, a single-use disposable hemorrhoid banding technology distributed as a turnkey package including technology, protocols, training, and marketing support); Radar Healthcare Providers (locum tenens and permanent placement staffing for CRNAs and anesthesiologists across 29 states with a 70,000+ provider database); and Harmony Anesthesia Staffing (values-based locum tenens anesthesia staffing with transparent pricing and a 1% year-end provider profit share).

The company's platform technology stack combines proprietary clinical technology (the CRH O'Regan System), strategic investments in EMR (Graphium Health) and AI-driven revenue cycle management, and integrated back-office services including Premier Choice Billing for RCM, billing, and collections. CRH deploys AI and process automation across charge capture, denial management, and AR recovery, with documented pilot results showing 58% faster charge capture and 24% AR reduction. A June 2025 strategic partnership with WovenX Health adds virtual-first GI care delivery to the platform.

CRH generates revenue through multiple streams: anesthesia service fees billed to ASCs and GI practices under managed-service contracts (typically negotiated per contract, billed monthly); hardware sales of the CRH O'Regan System turnkey package to gastroenterology practices; locum tenens and permanent placement fees from Radar Healthcare Providers and Harmony Anesthesia Staffing; and revenue cycle management fees from Premier Choice Billing. The company serves gastroenterology practices, ambulatory surgery centers (140+ across 20 states), hospitals and health systems, and anesthesia providers, with 1,400+ credentialed anesthesia practitioners supporting 700,000+ procedures annually and 1M+ hemorrhoid patients treated cumulatively. CRH has executed a disciplined tuck-in M&A strategy, completing 50 anesthesia group acquisitions to date, supported by a $300M JPMorgan credit facility refinanced in January 2024.

Name

CRH Medical

Legal name

CRH Medical Corporation

Website

https://crhmedcorp.com

Company type

Private

Founded year

2000

Operating status

Operating

Headcount range

51–100 employees

Short description

CRH Medical is a healthcare products and services company delivering GI anesthesia management, the CRH O'Regan hemorrhoid banding system, and anesthesia staffing (Radar, Harmony) to ambulatory surgery centers, gastroenterology practices, hospitals, and anesthesia providers across 20+ U.S. states.

Ownership category

akta.pro rank

Product category

Anesthesia Management Services

NAICS

Offices of Physicians (62111), Specialty (except Psychiatric and Substance Abuse) Hospitals (62231)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Orthopedic, Prosthetic & Surgical Appliances & Supplies (3842)

akta.pro primary industry

Perioperative Anesthesia Services & Management (HLAFAIAM)

Keywords

• Anesthesia management services
• Hemorrhoid banding technology
• Locum tenens staffing
• Ambulatory surgery centers
• Gastroenterology practice solutions

Headquarters

HQ city

Vancouver

HQ country

Canada

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Anesthesia Services (GI): CRH provides anesthesia management services for patients undergoing endoscopic procedures in ambulatory surgical centers. The company acquires majority stakes (typically 51%) in GI anesthesia groups and manages billing, operations, and staffing. Revenue is generated through anesthesia service fees billed to ASCs and GI practices.
2. CRH O'Regan System (Hemorrhoid Products): Sale and distribution of the CRH O'Regan System, a single-use disposable hemorrhoid banding technology. Sold as a turnkey package to gastroenterology practices including technology, protocols, training, and marketing support. Used in all 50 US states, Puerto Rico, USVI, and Canada.
3. Anesthesia Staffing (RADAR / Harmony): Locum tenens and permanent placement staffing for anesthesia providers (CRNAs, anesthesiologists). RADAR Healthcare Providers serves hospitals, ASCs, and provider groups across 29 states with a database of 70,000+ anesthesia providers. Harmony Anesthesia Staffing offers transparent, values-based locum tenens staffing.
4. Revenue Cycle Management (RCM) / Billing: Premier Choice Billing provides billing, revenue cycle management, and collection services for healthcare entities including owned and managed anesthesia services. Digitization through Graphium Health improves charge capture and AR performance.

Pricing tiers

Go-to-market motion3 records

Distribution channels4 records

Marketing channels5 records

Core offering

CRH Medical Corporation delivers gastrointestinal-focused anesthesia management services to ambulatory surgery centers (ASCs) and gastroenterology practices, distributes the CRH O'Regan System single-use hemorrhoid banding technology as a turnkey package, and operates anesthesia staffing subsidiaries (Radar Healthcare Providers and Harmony Anesthesia Staffing) providing locum tenens and permanent placement of CRNAs and anesthesiologists. The company also runs Premier Choice Billing for revenue cycle management and partners with Graphium Health for EMR digitization.

Product overview

CRH Medical Corporation is a multi-segment healthcare products and services company operating under a platform-plus-modules architecture. The core offerings include CRH Anesthesia (anesthesia management services for ASCs and GI practices) and CRH GI Solutions (featuring the CRH O'Regan System hemorrhoid treatment). Supporting these core businesses are staffing subsidiaries: Radar Healthcare Providers (permanent and locum tenens placement) and Harmony Anesthesia Staffing (another locum tenens staffing operation). All segments are unified under the WELL Health USA parent company, which provides shared services including billing/credentialing and digitization initiatives through partnerships like Graphium Health.

Differentiator

Problem solved

Functional benefit

Brands

• CRH Anesthesia: Anesthesia management services for ambulatory surgery centers and gastroenterology practices, offering staffing, billing, management, and joint venture solutions.
• CRH GI Solutions
• Radar Healthcare Providers
• Harmony Anesthesia Staffing
• CRH O'Regan System

Products and services

• CRH Anesthesia Comprehensive anesthesia management services for ambulatory surgery centers and gastroenterology practices, offering staffing, billing and management, and joint venture partnership models with 51% majority ownership.
• CRH O'Regan System Single-use, disposable hemorrhoid banding technology for treating all grades of hemorrhoids, distributed as a complete turnkey package including technology, training, treatment protocols, and marketing support to gastroenterology practices across all 50 US states, Puerto Rico, USVI, and Canada.
• Radar Healthcare Providers Premier anesthesia staffing solutions firm providing locum tenens and permanent placement services for CRNAs and anesthesiologists, connecting qualified providers with hospitals, surgery centers, and outpatient facilities across 29 states. Maintains a database of 70,000+ anesthesia providers.
• Harmony Anesthesia Staffing Values-based locum tenens anesthesia staffing firm offering price transparency, sustainable solutions, and a unique 1% year-end profit share for providers. Serves anesthesia practice groups, ASCs, and hospitals.
• Premier Choice Billing (Revenue Cycle Management) Billing, revenue cycle management, and collection services for healthcare entities including owned and managed anesthesia services. Digitized through Graphium Health EMR to improve charge capture and accounts receivable performance.

Quantifiable outcome

• 58% reduction (5.6 days) in charge capture delays following Graphium Health EMR implementation at pilot sites
• +5 more outcomes

Named customers13 records

Segments5 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration1 record

Feature4 records

Partnerships

Eight partnerships are on record, tiered core.

• Carolina Digestive Health AssociatescoreStrategic or Co-development Partner · 16 December 2025CRH Anesthesia completed a strategic partnership with Carolina Digestive Health Associates through a majority stake acquisition (51%) in Greater Charlotte Sedation Associates, LLC (GCSA), a provider of GI-related anesthesia services in the Charlotte metro market. Carolina Digestive and GCSA serve patients across four ambulatory surgical centers in Charlotte and surrounding areas. The partnership involves 15 GI physicians, expanding CRH's North Carolina presence to 18 total locations across the state. CEO Jay Kreger noted the Charlotte market represents a significant opportunity for consistent performance and patient-centered care.
• WovenX HealthcoreTechnology or Integration · 10 June 2025CRH Medical and WovenX Health announced a strategic partnership on June 10, 2025, to advance GI patient access and streamline care delivery. The collaboration merges CRH's GI solutions (including the CRH O'Regan System) with WovenX's on-demand virtual visit platform to create a scalable framework that enhances operational performance, expands patient access, and elevates care delivery. WovenX enables practices to increase appointment availability, unlock underutilized capacity in procedural areas, and deliver timely, patient-centered care. Net Promoter Score for WovenX ranks among the highest in healthcare.
• Northern Georgia Anesthesia Associates (NGAA)coreStrategic or Co-development Partner · 4 June 2025CRH Medical completed a majority stake acquisition (51%) in Northern Georgia Anesthesia Associates, LLC on June 4, 2025. NGAA provides GI anesthesia services at two endoscopic surgery locations in the Atlanta metro area and creates a strategic partnership with 10 GI physicians. The acquisition adds two additional sites of service and is part of CRH's strategy to grow its Georgia presence. NGAA is immediately accretive to CRH's cash flows and represents approximately $6.5 million in combined estimated annual revenue run-rate (along with MBAA).
• Myrtle Beach Anesthesia Associates (MBAA)coreStrategic or Co-development Partner · 4 June 2025CRH Medical completed a majority stake acquisition (51%) in Myrtle Beach Anesthesia Associates, LLC on June 4, 2025. MBAA provides GI anesthesia services at one endoscopy center in Myrtle Beach and creates a strategic partnership with 5 GI physicians. This acquisition expands CRH's presence in South Carolina (entered mid-2024) with one additional site of service. MBAA is immediately accretive to CRH's cash flows and represents approximately $6.5 million in combined estimated annual revenue run-rate (along with NGAA).
• North Denver Anesthesia Associates (NDAA)coreStrategic or Co-development Partner · 19 November 2024CRH Medical Corporation completed a majority stake acquisition (51%) in North Denver Anesthesia Associates, LLC on November 19, 2024. NDAA is a provider of GI-related anesthesia services at six endoscopic surgery locations in Denver, Colorado. The acquisition creates a strategic partnership with one of the most prominent GI groups in Denver, with 16 practicing GI physicians and 14 practitioners joining CRH's team. The transaction marks CRH's 3rd acquisition in Colorado and 15th since joining WELL, expanding to 15 sites of service across the Denver market. Estimated annual revenue run-rate of approximately $9.0 million, immediately accretive to cash flow and EBITDA.
• Graphium Health LPcoreTechnology or Integration · 22 June 2023CRH Medical made a strategic investment in Graphium Health LP, a leading EMR (Electronic Medical Records) company focused on anesthesia practices in inpatient and outpatient settings across the US. The investment is part of a Strategic Alliance designed to further digitize and modernize CRH's billing and back-office processes. A pilot program at two CRH Anesthesia sites demonstrated a 58% (5.6 days) improvement in charge capture time and a 24% reduction in accounts receivable. CRH planned to expand Graphium's software to at least 54 additional ASCs over three years, with the goal of achieving full EMR digitization across its entire platform.
• Grand Canyon Anesthesia (GCA)coreStrategic or Co-development Partner · 1 September 2022CRH completed the acquisition of Grand Canyon Anesthesia (GCA) in September 2022, bringing over 100 credentialed providers into WELL's practitioner-centric business. GCA is headquartered in Phoenix, Arizona, supporting delivery of anesthesia for more than 50,000 surgical cases annually. The acquisition marks CRH's entry into its 18th state of service (Arizona/Western US). GCA generates over $16 million in annual revenue and more than $2 million in Adjusted EBITDA. GCA also provides anesthesia beyond GI procedures, including orthopedic, spine, pain, dental, ENT, and ophthalmology.
• Greater Washington Anesthesia AssociatescoreStrategic or Co-development Partner · 3 August 2021WELL Health Technologies' subsidiary CRH acquired a 51% stake in Greater Washington Anesthesia Associates, a provider of gastro-intestinal anesthesia services in Northern Virginia. This acquisition expanded CRH's presence in the mid-Atlantic region and is consistent with its tuck-in M&A strategy for GI anesthesia groups.

Scale indicators17 records

Recent moves7 records

Expansion highlights5 records

Emerging players

• GI Alliance: Largest US gastroenterology physician network (PE-backed by KKR and CD&R), spanning 400+ providers across 20+ states. Both a CRH O'Regan System customer and a potential JV partner; a structural comparable as a GI platform consolidator in CRH's core specialty.
• Gastro Health: One of the largest US gastroenterology physician platforms (PE-backed by Olympus Partners), operating 100+ locations. Directly comparable as both a CRH Anesthesia JV partner and a CRH O'Regan System customer; an adjacent consolidator within CRH's core GI end-market.

Direct peers

• Premier Anesthesia: National anesthesia management company partnering with hospitals and health systems on exclusive anesthesia service agreements. Comparable in delivering turnkey anesthesia staffing and management, though weighted more toward hospital systems versus CRH's ASC/GI concentration.
• NorthStar Anesthesia: PE-backed (TPG) anesthesia management company serving hospitals and ASCs across 25+ states. Operates a similar outsourced-anesthesia model with clinical staffing and RCM services, making it a close structural comparable to CRH Anesthesia.
• US Anesthesia Professionals (USAP-affiliated staffing arm equivalents): Anesthesia locum tenens and permanent placement services that overlap with CRH's Radar Healthcare Providers and Harmony Anesthesia Staffing subsidiaries, serving the same hospital and ASC customers.
• US Anesthesia Partners (USAP): Largest US anesthesia physician group, PE-backed by Berkshire Partners and GIC, operating a similar JV-rollup model across 40+ states. Directly comparable business model, customer base (ASCs and hospitals), and growth strategy, though USAP spans all surgical specialties whereas CRH concentrates in GI.
• North American Partners in Anesthesia (NAPA): One of the largest single-specialty anesthesia and perioperative services platforms in the US, serving hospitals and ASCs across more than 20 states. Directly comparable as a multi-state anesthesia services provider with staffing, billing, and clinical management offerings overlapping CRH Anesthesia.

Broad incumbents

• Surgery Partners: Public ASC operator and owner (NASDAQ: SGRY) with 180+ surgical facilities across the US. Comparable as a counterparty and indirect competitor in the GI/ASC ecosystem, since CRH supplies anesthesia services to ASCs that Surgery Partners owns or that compete with it.
• Envision Healthcare: Large multispecialty physician services and ambulatory surgery platform with a sizable anesthesia services arm alongside emergency, hospitalist, and surgical offerings. Comparable as a diversified physician-services consolidator with overlapping anesthesia customer base, though broader in scope than CRH's GI focus.

Others

• Anesthesia Business Consultants (ABC): Long-standing anesthesia-specific RCM and billing services provider. Comparable as an enabling-services peer to CRH's Premier Choice Billing RCM arm, addressing the same anesthesia practice back-office pain points.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/crh-medical-corporation

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles14 records

Subsidiaries10 records

Funding overview

Funding rounds1 record

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A13 records

Investments1 record

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

Frequently asked questions about CRH Medical