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Surgery Partners Inc (SGRY)
NASDAQ:SGRY

Surgery Partners (SGRY) AI Stock Analysis

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Surgery Partners

(NASDAQ:SGRY)

Rating:60Neutral
Price Target:
$23.00
▲(3.84%Upside)
Surgery Partners shows strong revenue growth and strategic initiatives, but profitability challenges and high leverage are significant risks. Technical indicators suggest a bearish trend, and valuation metrics are weak due to net losses. Positive earnings call sentiment and strategic decisions to remain independent offer some optimism.
Positive Factors
Earnings
SGRY reported 1Q revenue of $776m, which was in-line with consensus but 2% above the estimate.
Financial Performance
Revenue increased, with 8.2% growth year over year.
Market Positioning
SGRY is well positioned relative to various macro issues with no material exposure to tariff-related price increases or supply chain risk.
Negative Factors
Interest Expense
Interest expense will increase on the $1.4B term loan following expiration of a swap with capped expense of 2.2% for a 5% cap.
Operating Cash Flow
Operating cash flow in the first quarter was just $6M compared to $41M a year ago, reflecting shifts in working capital.

Surgery Partners (SGRY) vs. SPDR S&P 500 ETF (SPY)

Surgery Partners Business Overview & Revenue Model

Company DescriptionSurgery Partners, Inc., through its subsidiaries, owns and operates a network of surgical facilities and ancillary services in the United States. The company operates through two segments, Surgical Facility Services and Ancillary Services. Its surgical facilities comprise ambulatory surgery centers and surgical hospitals that offer non-emergency surgical procedures in various specialties, including gastroenterology, general surgery, ophthalmology, orthopedics, and pain management. The company's surgical hospitals also provide ancillary services, such as diagnostic imaging, pharmacy, laboratory, obstetrics, oncology, physical therapy, and wound care; and ancillary services, which consist of multi-specialty physician practices, urgent care facilities, and anesthesia services. As of December 31, 2021, it owned or operated a portfolio of 126 surgical facilities, including 108 ambulatory surgical centers and 18 surgical hospitals in 31 states. Surgery Partners, Inc. was founded in 2004 and is headquartered in Brentwood, Tennessee.
How the Company Makes MoneySurgery Partners generates revenue primarily by providing surgical services through its network of ambulatory surgery centers and hospitals. The company earns money by billing patients, insurance companies, and government programs like Medicare and Medicaid for the surgical procedures and related services it provides. Key revenue streams include facility fees for use of its surgical centers, professional fees for services rendered by affiliated physicians, and ancillary services such as diagnostic imaging and laboratory testing. Additionally, Surgery Partners may engage in strategic partnerships and joint ventures with physicians and healthcare organizations to expand its service offerings and increase its market presence.

Surgery Partners Earnings Call Summary

Earnings Call Date:May 12, 2025
(Q1-2025)
|
% Change Since: -0.05%|
Next Earnings Date:Aug 05, 2025
Earnings Call Sentiment Positive
The earnings call highlighted strong revenue and case growth, successful physician recruitment, and a robust M&A pipeline, indicating a positive business trajectory. However, slight margin pressure, increased interest expenses, and first-quarter cash flow challenges were noted as concerns.
Q1-2025 Updates
Positive Updates
Strong Revenue and EBITDA Growth
Surgery Partners reported first quarter net revenue of $776 million and adjusted EBITDA of $103.9 million, both in line with expectations. Adjusted EBITDA grew nearly 7% and net revenue grew 8% compared to the prior year's first quarter.
Significant Surgical Case Growth
The company performed over 160,000 surgical cases in the first quarter, a 4.5% increase from 2024. Notably, orthopedic cases grew 3.4%, with total joint procedures increasing by 22%.
Successful Physician Recruitment
Nearly 150 new physicians were added in the first quarter, expected to bring higher overall acuity cases compared to prior cohorts. Revenue per physician from this cohort is up 14% compared to 2024.
Robust M&A Activity
To date in 2025, Surgery Partners deployed $55 million and added 5 surgical facilities at an effective multiple under 8x adjusted EBITDA. The M&A pipeline remains robust.
De Novo Facility Expansion
The company opened 8 de novo facilities in 2024 and currently has 10 under construction, focusing on higher acuity specialties like orthopedics.
Negative Updates
Slight Margin Pressure
The company experienced slight margin pressure primarily due to a mix of business that is expected to improve throughout the year.
Interest Rate Exposure
The expiration of an interest rate swap at the end of the first quarter introduces a headwind from higher interest costs, with the new interest rate cap at 5% compared to the previous 2.2%.
First Quarter Cash Flow Challenges
Operating cash flows were lower in the first quarter, primarily due to seasonal patterns and timing of working capital activities, including higher distributions to physician partners.
Company Guidance
In the first quarter of 2025, Surgery Partners reported net revenue of $776 million and adjusted EBITDA of $103.9 million, marking growth of 8% and nearly 7%, respectively, compared to the previous year. The company's growth was driven by a 6.5% increase in surgical case volume, although offset by a 1% decline in rates, primarily due to growth in lower acuity specialties. Same-facility revenue growth was over 5%, with expectations for full-year growth to reach or exceed 6%. Surgery Partners completed over 160,000 surgical cases, with a notable 22% growth in total joint procedures within orthopedics. The company also focused on expanding its capabilities, adding 150 new physicians and investing in 68 surgical robots. For M&A, $55 million was deployed to add five surgical facilities, and 10 de novo facilities are under construction. The company's liquidity stood at over $615 million, supporting its 2025 guidance of $3.3 to $3.45 billion in revenue and $555 to $565 million in adjusted EBITDA.

Surgery Partners Financial Statement Overview

Summary
Surgery Partners exhibits strong cash flow generation capabilities and a solid revenue base, though growth has been slow. The company's high leverage poses a risk, yet operations are managed efficiently. Focus on improving profitability and managing debt levels would benefit long-term stability and growth.
Income Statement
58
Neutral
The company exhibits a mixed income statement performance. Revenue growth from the previous year was modest at 1.88%, which indicates slow growth. The gross profit margin stands at 22.64% for TTM, showing consistent profitability at the gross level despite a decline from earlier years. However, the net profit margin remains negative at -6.09% due to consistent net losses, which is concerning for long-term profitability. EBIT and EBITDA margins are reasonable at 10.55% and 15.44% respectively, reflecting adequate operational efficiency.
Balance Sheet
65
Positive
The balance sheet indicates moderate financial health. The debt-to-equity ratio is high at approximately 2.22, suggesting significant leverage which can pose financial risks. Return on Equity (ROE) is negative due to net losses, which is a concern for shareholders. The equity ratio is 21.89%, pointing to a stable, but heavily leveraged capital structure. Overall, the company maintains a solid asset base but faces risks associated with high debt levels.
Cash Flow
72
Positive
Cash flow analysis shows a robust performance with a free cash flow to net income ratio of -0.90, indicating strong cash generation relative to net losses. The operating cash flow to net income ratio is -1.37, reflecting effective conversion of earnings into cash flows. Free cash flow growth rate has been volatile but remains positive, indicating cash flow strength despite net income challenges.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue3.17B3.11B2.74B2.54B2.23B1.86B
Gross Profit718.30M745.60M647.50M574.90M491.40M379.80M
EBITDA489.90M501.40M446.10M460.00M401.00M277.80M
Net Income-193.40M-168.10M-11.90M-54.60M-70.90M-116.10M
Balance Sheet
Total Assets7.95B7.89B6.88B6.68B6.12B5.41B
Cash, Cash Equivalents and Short-Term Investments229.30M269.50M195.90M282.90M389.90M317.90M
Total Debt3.86B3.70B3.06B2.93B3.29B3.20B
Total Liabilities4.36B4.37B3.51B6.68B3.82B3.79B
Stockholders Equity1.74B1.79B1.99B2.00B1.09B550.10M
Cash Flow
Free Cash Flow173.30M209.70M205.00M78.20M29.50M204.00M
Operating Cash Flow265.40M300.10M293.80M158.80M87.10M246.90M
Investing Cash Flow-481.80M-488.50M-225.60M-307.90M-331.70M-88.40M
Financing Cash Flow260.50M262.00M-155.20M42.10M316.30M66.70M

Surgery Partners Technical Analysis

Technical Analysis Sentiment
Neutral
Last Price22.15
Price Trends
50DMA
22.48
Negative
100DMA
23.04
Negative
200DMA
24.50
Negative
Market Momentum
MACD
-0.19
Negative
RSI
50.35
Neutral
STOCH
84.55
Negative
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For SGRY, the sentiment is Neutral. The current price of 22.15 is above the 20-day moving average (MA) of 22.02, below the 50-day MA of 22.48, and below the 200-day MA of 24.50, indicating a neutral trend. The MACD of -0.19 indicates Negative momentum. The RSI at 50.35 is Neutral, neither overbought nor oversold. The STOCH value of 84.55 is Negative, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Neutral sentiment for SGRY.

Surgery Partners Risk Analysis

Surgery Partners disclosed 41 risk factors in its most recent earnings report. Surgery Partners reported the most risks in the "Finance & Corporate" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Surgery Partners Peers Comparison

Overall Rating
UnderperformOutperform
Sector (52)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
78
Outperform
$2.06B25.279.18%11.38%10.29%
73
Outperform
$1.23B33.995.00%54.81%-45.07%
71
Outperform
$3.15B35.567.85%5.34%
SESEM
64
Neutral
$1.95B11.2710.38%1.65%-8.86%-36.22%
60
Neutral
$2.15B11.476.35%5.48%
60
Neutral
$2.84B-10.43%13.54%-30732.00%
52
Neutral
$7.50B0.31-61.87%2.27%17.10%1.59%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
SGRY
Surgery Partners
22.15
-1.26
-5.38%
ACHC
Acadia Healthcare
23.36
-42.57
-64.57%
ADUS
Addus Homecare
111.86
-5.87
-4.99%
AMED
Amedisys
96.10
-1.15
-1.18%
SEM
Select Medical
15.14
-4.03
-21.02%
ASTH
Astrana Health
25.28
-14.48
-36.42%

Surgery Partners Corporate Events

M&A TransactionsBusiness Operations and Strategy
Surgery Partners Decides to Remain Independent
Positive
Jun 17, 2025

On June 17, 2025, Surgery Partners, Inc. announced that its Special Committee of independent directors, after discussions with Bain Capital regarding a proposal to acquire all outstanding shares not owned by Bain, decided to continue as an independent publicly traded company. The decision reflects the Committee’s confidence in Surgery Partners’ long-term growth prospects and ability to enhance shareholder value through its established growth algorithm and business execution. The company reaffirmed its financial guidance for 2025 and plans to host an Investor Day in the second half of the year to discuss future growth plans and industry trends.

The most recent analyst rating on (SGRY) stock is a Buy with a $28.00 price target. To see the full list of analyst forecasts on Surgery Partners stock, see the SGRY Stock Forecast page.

Executive/Board ChangesShareholder Meetings
Surgery Partners Holds Annual Meeting, Re-elects Directors
Neutral
Jun 6, 2025

On June 6, 2025, Surgery Partners held its Annual Meeting, where stockholders voted on several key proposals. The election of Class I directors resulted in the re-election of current directors John A. Deane, Teresa DeLuca, M.D., and Wayne S. DeVeydt, who will serve until the 2028 annual meeting. Additionally, stockholders approved the executive compensation on an advisory basis, the 2025 Omnibus Incentive Plan, and ratified Ernst & Young LLP as the independent registered public accounting firm for the fiscal year 2025.

The most recent analyst rating on (SGRY) stock is a Buy with a $28.00 price target. To see the full list of analyst forecasts on Surgery Partners stock, see the SGRY Stock Forecast page.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Jul 03, 2025