4TH STREET LASER & SURGERY CENTER INC

What 4TH STREET LASER & SURGERY CENTER INC does

4th Street Laser & Surgery Center Inc is a physician-owned ambulatory surgery center (ASC) headquartered at 1720 Fourth Street, Santa Rosa, California, operating since January 1999. The 4,000 square foot facility is equipped with two operating rooms, eight recovery bays, and a dedicated laser procedure room, and performs approximately 2,000 outpatient ophthalmic procedures annually. The center is certified by the California Department of Public Health, Medicare-certified, and accredited by the Accreditation Association for Ambulatory Health Care (AAAHC), operating under the corporate ownership of five board-certified ophthalmologists (Drs. Robert Anderson, Gary Barth, Dan Lightfoot, Nina Ni, and Daniel Rich).

The center's core services span four ophthalmic specialties: cataract surgery (including femtosecond laser-assisted premium IOL procedures), glaucoma treatment and surgery (trabeculoplasty, iridotomy, trabeculectomy, cyclophotocoagulation), keratoplasty / corneal transplantation (penetrating, DALK, DSAEK, DSEK, DMEK), and oculoplastic surgery (eyelid reconstruction, orbital, cosmetic, tear duct procedures). Additional medical staff include Drs. Arwa Alsamarae, Venkatesh Brahma, Avni Shah, and Lillian Yang. The technology backbone consists of femtosecond laser platforms for premium cataract surgery and state-of-the-art surgical equipment, though no proprietary or AI-driven technology is disclosed.

Revenue is generated through facility fees billed to patients' primary and secondary insurance carriers (including Medicare), with patients paying deductibles, co-pays, and co-insurance on the day of surgery. Uninsured and cosmetic patients pay in advance. A CareCredit financing line is offered for premium intraocular lenses not covered by standard insurance. Surgeon, anesthesiologist, and pathology fees are billed separately by the respective providers. The center relies on a referral-based go-to-market model, drawing patients from local ophthalmologists and optometrists in the Sonoma County community, supplemented by a bilingual English/Spanish website and community outreach through international charitable surgery missions.

Name

4TH STREET LASER & SURGERY CENTER INC

Legal name

4th Street Laser & Surgery Center

Website

https://4thstreetlaser.com

Company type

Private

Founded year

1999

Operating status

Operating

Headcount range

1–10 employees

Short description

4th Street Laser & Surgery Center Inc is a physician-owned ambulatory surgery center in Santa Rosa, California, performing approximately 2,000 outpatient ophthalmic and oculoplastic procedures annually. It serves Sonoma County patients with cataract, glaucoma, corneal transplant, and oculoplastic surgeries under AAAHC, Medicare, and California DPH accreditation.

Ownership category

akta.pro rank

Product category

Outpatient Ophthalmic Surgery

NAICS

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

SIC

Services-Specialty Outpatient Facilities, Nec (8093)

akta.pro primary industry

Ophthalmology Surgery Centers (HLAFAIAF)

akta.pro secondary industries

Ambulatory Surgery Centers (Ophthalmic/Outpatient Eye Surgery) (HLAKAKAO), Ophthalmology Clinics (Medical & Surgical Eye Care) (HLAKAKAC)

Keywords

• Outpatient ophthalmic surgery
• Ambulatory surgery center
• Cataract surgery services
• Oculoplastic surgery
• Keratoplasty procedures

Headquarters

HQ city

Santa Rosa

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

Revenue model

1. Facility Fee Billing: The center charges facility fees for the use of the surgical center for approved outpatient ophthalmic procedures. Facility fees are billed directly to the patient's primary and secondary insurance carriers or governmental agencies (including Medicare). Patients pay deductibles, co-pays, and co-insurance amounts on the day of surgery. Uninsured patients and cosmetic surgery patients pay fees in advance.
2. Premium Lens Financing (CareCredit): A separate line of credit (CareCredit) is offered to cover premium intraocular lenses (IOLs) for cataract surgery patients who choose upgraded lens options not covered by standard insurance.
3. Surgical Services (Ophthalmology, Glaucoma, Keratoplasty, Oculoplastics): Revenue generated from outpatient surgical procedures across multiple specialties including cataract surgery, glaucoma surgery, keratoplasty (corneal transplants), and oculoplastic surgery. Surgeon fees, anesthesiologist fees, and pathology fees are billed separately by the respective providers.

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels3 records

Core offering

4th Street Laser & Surgery Center is a physician-owned ambulatory surgery center in Santa Rosa, California providing outpatient ophthalmic and oculoplastic surgical services. It offers cataract surgery (including premium femtosecond laser-assisted procedures), glaucoma treatment and surgery, keratoplasty (corneal transplantation), and oculoplastic surgery (eyelid, orbital, cosmetic, and tear duct procedures). The 4,000 sq ft facility includes two operating rooms, eight recovery bays, and a dedicated laser procedure room serving Santa Rosa and Sonoma County patients.

Product overview

4th Street Laser & Surgery Center is a physician-owned ambulatory surgery center offering ophthalmology and oculoplastic surgical services. The center provides four core surgical services: Cataract Surgery, Glaucoma Treatment, Keratoplasty (Corneal Transplants), and Oculoplastics. The 4,000 square foot facility features two operating rooms, 8 recovery bays, and a laser procedure room. The center is certified by the State of California Department of Public Health, Medicare, and accredited by AAAHC.

Differentiator

Problem solved

Functional benefit

Products and services

• Cataract Surgery Surgical procedure to improve vision by replacing a clouded lens with an artificial intraocular lens (IOL), offered to patients with cataracts; the center uses femtosecond laser technology for complex and premium cataract procedures.
• Glaucoma Treatment Medical and surgical management of glaucoma, including laser procedures (trabeculoplasty, iridotomy, cyclophotocoagulation) and surgical procedures such as trabeculectomy, for patients with glaucoma-related optic nerve damage.
• Keratoplasty (Corneal Transplantation) Corneal transplant surgery for patients whose cornea curvature is too steep or flat for other treatments, including penetrating keratoplasty, deep anterior lamellar keratoplasty (DALK), and endothelial keratoplasty procedures (DSAEK, DSEK, DMEK).
• Oculoplastics Oculoplastic surgery encompassing eyelid reconstructive surgery (drooping eyelids, blepharoplasty, eyelid malposition), orbital surgery (trauma repair, tumor removal), cosmetic eye and facial surgery, and tear duct (lacrimal) surgery.

Quantifiable outcome

• A very high percentage of patients demonstrates improved vision after cataract surgery
• +1 more outcomes

Named customers2 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

Feature2 records

Partnerships

Five partnerships are on record, tiered minor.

• Seva FoundationminorStrategic or Co-development PartnerDr. Gary Barth serves as a trustee of the Seva Foundation, which works to eliminate preventable blindness globally. The center's physicians participate in charitable eye surgery missions in developing countries in partnership with Seva Foundation programs.
• Project OrbisminorStrategic or Co-development PartnerDr. Kalane Wong worked as a medical education coordinator in over 20 developing countries with Project Orbis, which fights blindness worldwide through training and eye care programs. The partnership provides international charitable surgery and training.
• Operation AccessminorStrategic or Co-development PartnerThe center partners with Operation Access, a nonprofit that coordinates donated surgical care for uninsured patients. In 2016, the center staff and Operation Access received the USA Today/Newman's Own 'All Star Award' for charitable work on National Make a Difference Day, and previously received a $10,000 grant for charitable surgical services.
• CareCreditminorGTM or Marketing PartnerCareCredit is offered as a financing plan to cover premium intraocular lenses for cataract surgery patients. This partnership enables patients to finance upgraded lens options not covered by standard insurance.
• PRASAD (Project for Surgical Care)minorStrategic or Co-development PartnerDr. Gary Barth previously served as a director of PRASAD, a charitable organization providing medical care, including ophthalmic surgery, to underserved populations.

Scale indicators4 records

Recent moves6 records

Expansion highlights3 records

Direct peers

• Pacific Laser Eye Center: Santa Rosa-based ophthalmology practice where 4th Street's co-owner Dr. Daniel Rich serves as Medical Director. Directly comparable as a Sonoma County ophthalmic surgery provider with overlapping referral and patient populations.
• LaserVue Eye Center: Bay Area ophthalmology practice specializing in LASIK, cataract, and refractive surgery. Comparable in patient demographic (Northern California), premium-lens business model, and ophthalmologist-owned structure.
• Eye Surgery Center of San Francisco: Freestanding ophthalmic ASC in the San Francisco Bay Area offering cataract and other ophthalmic surgical services. Closest comparable in service mix, freestanding ASC structure, and Bay Area/Northern California market.

Broad incumbents

• United Surgical Partners International (USPI): Largest operator of ambulatory surgery centers in the U.S., including ophthalmology-focused ASCs. Represents the PE-backed ASC consolidator model and a potential strategic acquirer or partner for independent physician-owned ASCs.
• Barnet Dulaney Perkins Eye Center: Multi-location ophthalmology and ASC group serving the Western U.S. Comparable as a physician-led, multi-site ophthalmic platform with cataract, glaucoma, and oculoplastic service lines similar to 4th Street.
• Surgery Partners: National ASC operator with significant ophthalmology exposure. Comparable as a scaled, multi-site ASC platform pursuing roll-up strategies in markets similar to Northern California.
• Kaiser Permanente Santa Rosa: Vertically integrated payor-provider system with ophthalmology services in Santa Rosa, where 4th Street's Dr. Daniel Rich previously served as National Medical Director of Refractive Surgery. Competes for insured ophthalmology volume in the same geography.

Others

• AAASC (Ambulatory Surgery Center Association / AAAHC-accredited ASC peers): Industry association and accreditation ecosystem for ambulatory surgery centers. Relevant as the governing body for AAAHC accreditation, which is a core credentialing requirement for 4th Street's operating model.

Regional players

• Providence Santa Rosa Memorial Hospital: Regional hospital system operating outpatient ophthalmology services in Sonoma County. Represents a competing outpatient channel and a source of potential referral pull-through into hospital-based settings.
• Sutter Santa Rosa Regional Hospital: Hospital-based outpatient surgical provider serving the same Sonoma County catchment. Represents the hospital-outpatient alternative to 4th Street's ASC model and a primary referral relationship for non-ASC-eligible cases.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks7 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/4th-street-laser-&-surgery-center-inc

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles7 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 →

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