Third-party payor reimbursement risk
A large share of patient service revenue is paid by government and private insurers.
- Scope
- Patient service revenues
- Materiality
- high
Surgery Partners, Inc. owns and operates a national network of outpatient surgical facilities and related physician practices across the United States through its subsidiaries. Its portfolio includes ambulatory surgery centers, short-stay surgical hospitals, and ancillary services that support surgical and diagnostic care.
17,1 %
−2,4 %
+6,2 %
1.87
1.71
| % | |
|---|---|
| Surgical facilities | 90% Outpatient and short-stay facilities where surgical and diagnostic procedures are performed. |
| Physician practices | 5% Multi-specialty practices that support referrals, patient visits, and integrated care delivery. |
| Ancillary services | 2% Anesthesia, pharmacy, diagnostic screens, and other services tied to patient care. |
| Management and administrative services | 3% Fees from managing non-consolidated facilities and physician networks. |
The company serves physicians who use its facilities to perform surgical and diagnostic procedures, along with patients...
They use Surgery Partners' facilities for surgical cases and value scheduling efficiency, equipment, and local access.
They receive outpatient surgical, diagnostic, anesthesia, pharmacy, and related services at the company's facilities.
They reimburse procedures and contract with the company because outpatient settings can offer lower-cost care.
Medicare and Medicaid pay for a portion of patient services and influence reimbursement economics.
They buy management, administrative, and ancillary support services tied to facility operations.
Surgery Partners operates primarily in the United States and reported more than 200 locations across 30 states...
The company focuses on improving same-facility performance, expanding physician engagement, and selectively adding...
Improves utilization of the existing network and leverages local operating infrastructure.
The business depends on physicians choosing the company's facilities for procedures.
Adds scale and market presence in attractive outpatient surgical markets.
Favorable contracting supports patient access and reimbursement for outpatient care.
The business depends on reimbursement from private insurers and government programs, so changes in payor mix or payment...
A large share of patient service revenue is paid by government and private insurers.
Facilities depend on affiliated physicians to generate surgical cases.
Growth depends partly on acquiring and integrating facilities and practices.
The company stores sensitive patient and employee information and relies on networked systems.
Healthcare laws and program rules can alter access, billing, and margins.
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SI · Surgical & Medical Instruments & Apparatus
SSII · Surgical & Medical Instruments & Apparatus
: 29/04/2026