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Surgery Partners Inc (SGRY)
NASDAQ:SGRY
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Surgery Partners (SGRY) AI Stock Analysis

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SGRY

Surgery Partners

(NASDAQ:SGRY)

Rating:60Neutral
Price Target:
$23.00
▲(4.17% Upside)
Surgery Partners' overall stock score is driven by strong earnings call performance and positive corporate events, which are offset by financial challenges and a weak valuation. The technical analysis indicates a bearish trend, further impacting the score.
Positive Factors
Financial Performance
Surgery Partners Inc. reported total revenues of $826M, up 8.4%, and Adj EBITDA of $129M, up 9% year over year, with a 10 basis points margin improvement.
Sector Trends
Ambulatory Surgery Centers are benefiting from payors pushing utilization to outpatient and lower cost settings, with a potential acceleration of this shift.
Strategic Initiatives
SGRY continues to advance efforts to strategically shift mix towards higher acuity, MSK/ortho-focused procedures with total joints up 26%.
Negative Factors
Capital Deployment
The company's capital deployment to date is trailing the annual target of at least $200M, which was included in the FY25 guidance ranges.
Debt and Leverage
The leverage ratio increased to 4.1x from 3.7x at the end of last year, indicating a need for the company to focus on cash flow initiatives.
Interest Expenses
Cash interest expense was +$23m yty in 2Q and is the primary hill to climb for operating cash flow growth in 2025.

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

Surgery Partners Business Overview & Revenue Model

Company DescriptionSurgery Partners, Inc. is a leading healthcare services company that specializes in the development and operation of surgical facilities, including ambulatory surgery centers (ASCs) and surgical hospitals. The company focuses on various surgical specialties, such as orthopedics, neurosurgery, gastroenterology, and pain management, providing high-quality, cost-effective surgical care. Surgery Partners partners with physicians and healthcare providers to deliver efficient surgical services and improve patient outcomes.
How the Company Makes MoneySurgery Partners generates revenue primarily through the operation of its surgical facilities, which includes performing surgeries and related services. Key revenue streams include facility fees charged for the use of the surgery centers, professional fees from physicians performing surgeries, and ancillary services such as anesthesia and laboratory services. The company also benefits from partnerships with healthcare providers and payers, which help secure patient referrals and ensure a steady flow of surgical cases. Additionally, Surgery Partners may receive reimbursements from government programs and private insurance companies, further contributing to its overall earnings.

Surgery Partners Earnings Call Summary

Earnings Call Date:Aug 05, 2025
(Q2-2025)
|
% Change Since: |
Next Earnings Date:Nov 11, 2025
Earnings Call Sentiment Positive
The earnings call reflects positive financial performance, strong organic growth, and strategic expansion activities, despite some challenges related to interest expenses and the pace of M&A. The company's outlook and strategic positioning remain strong.
Q2-2025 Updates
Positive Updates
Strong Financial Performance
Surgery Partners reported a second quarter net revenue of $826 million and adjusted EBITDA of $129 million, representing a 9% growth in adjusted EBITDA and just under 8.5% growth in net revenue compared to the prior year.
Organic Growth and Same-Facility Revenue
The company experienced same-facility revenue growth of over 5%, with 3.4% surgical case growth and 1.6% rate growth, consistent with expectations shared in the prior earnings call.
Surge in Orthopedic Procedures
Total joint procedures grew by 26% in the second quarter compared to the prior year, driven by an increase in joint-related surgeries.
De Novo Facility Expansion
Since 2022, Surgery Partners has opened 20 de novo facilities, with 12 already profitable. The company has 10 more facilities under construction and a robust pipeline for future development.
M&A Contributions and Pipeline
To date, $66 million has been deployed in 2025 for acquisitions, adding 8 surgical facilities at an effective multiple under 8x adjusted EBITDA. The company targets $200 million in acquisitions for the year.
Negative Updates
Interest Rate Impact on Cash Flows
The expiration of fixed interest rate swaps led to a $23 million increase in interest payments in the second quarter of 2025 over the same period in 2024, impacting operating cash flows.
Slower Pace of M&A
The pace of mergers and acquisitions has been slower than anticipated, with only $66 million deployed so far in 2025, potentially impacting the full year earnings guidance.
Company Guidance
During the second quarter of 2025, Surgery Partners, Inc. reported net revenue of $826 million and adjusted EBITDA of $129 million, marking an 8.4% increase in net revenue and a 9% growth in adjusted EBITDA compared to the previous year. The company achieved same-facility revenue growth of over 5%, driven by a 3.4% increase in surgical case growth and 1.6% rate growth. The total joint procedures saw a 26% increase, highlighting the rising demand for orthopedic surgeries. With nearly 173,000 surgical cases performed and the addition of approximately 300 new physicians in the first half of the year, the company maintained its strong growth trajectory. Furthermore, Surgery Partners invested in 69 surgical robots and opened 20 de novo facilities since 2022, with 10 more under construction. The company deployed $66 million to add 8 surgical facilities, aiming to reach $200 million in acquisitions by the end of the year. Despite higher interest costs impacting cash flow, the company ended the quarter with $250 million in cash and maintained a leverage ratio of 4.1x, supported by its robust pipeline and disciplined financial management.

Surgery Partners Financial Statement Overview

Summary
Surgery Partners is experiencing robust revenue growth, but profitability remains a challenge due to ongoing net losses and high leverage. The balance sheet reflects significant debt, which could pose risks if not managed carefully. Cash flow generation is strong, providing some stability amidst financial challenges. The company needs to focus on improving profitability and reducing leverage to enhance its financial health.
Income Statement
65
Positive
Surgery Partners has shown consistent revenue growth, with a TTM (Trailing-Twelve-Months) revenue of $3.17 billion, up from $2.54 billion in 2022. However, the company has been struggling with profitability, as evidenced by negative net income margins over the years. The gross profit margin is healthy at approximately 22.6% for TTM, but the net profit margin remains negative due to high operating expenses and interest costs.
Balance Sheet
55
Neutral
The company's balance sheet shows a high debt-to-equity ratio of 2.22, indicating significant leverage. While the equity ratio is fairly stable at 21.9%, the high level of debt poses a potential risk. Return on equity is negative due to the company's net losses, which impacts the overall financial stability.
Cash Flow
70
Positive
Surgery Partners has demonstrated strong operating cash flow, with a TTM figure of $265.4 million. The free cash flow to net income ratio is positive, indicating effective cash management despite net losses. However, free cash flow growth has been inconsistent, reflecting fluctuating capital expenditures and financing activities.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue3.24B3.11B2.74B2.54B2.23B1.86B
Gross Profit768.60M745.60M647.50M574.90M491.40M379.80M
EBITDA522.30M501.40M446.10M460.00M401.00M277.80M
Net Income-180.40M-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 Investments250.10M269.50M195.90M282.90M389.90M317.90M
Total Debt3.88B3.70B3.06B2.93B3.29B3.20B
Total Liabilities4.38B4.25B3.51B6.68B3.82B3.79B
Stockholders Equity1.75B1.79B1.99B2.00B1.09B550.10M
Cash Flow
Free Cash Flow94.00M209.70M205.00M78.20M29.50M204.00M
Operating Cash Flow263.90M300.10M293.80M158.80M87.10M246.90M
Investing Cash Flow-235.60M-488.50M-225.60M-307.90M-331.70M-88.40M
Financing Cash Flow8.30M262.00M-155.20M42.10M316.30M66.70M

Surgery Partners Technical Analysis

Technical Analysis Sentiment
Negative
Last Price22.08
Price Trends
50DMA
22.47
Negative
100DMA
22.41
Negative
200DMA
22.66
Negative
Market Momentum
MACD
-0.04
Positive
RSI
44.35
Neutral
STOCH
16.62
Positive
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For SGRY, the sentiment is Negative. The current price of 22.08 is below the 20-day moving average (MA) of 22.83, below the 50-day MA of 22.47, and below the 200-day MA of 22.66, indicating a bearish trend. The MACD of -0.04 indicates Positive momentum. The RSI at 44.35 is Neutral, neither overbought nor oversold. The STOCH value of 16.62 is Positive, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative 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 (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
79
Outperform
$2.08B24.978.54%14.29%7.85%
73
Outperform
7.26%4.92%-7.34%
72
Outperform
$2.19B15.634.62%5.64%
72
Outperform
$1.48B57.543.50%51.97%-64.10%
71
Outperform
$1.62B12.288.15%1.92%-16.10%-48.97%
60
Neutral
$2.89B-9.75%12.05%-432.59%
51
Neutral
$7.95B-0.38-43.43%2.22%22.30%-1.83%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
SGRY
Surgery Partners
22.08
-7.69
-25.83%
ACHC
Acadia Healthcare
22.54
-53.79
-70.47%
ADUS
Addus Homecare
114.36
-12.67
-9.97%
AMED
Amedisys
100.99
3.74
3.85%
SEM
Select Medical
13.25
-4.57
-25.65%
ASTH
Astrana Health
29.51
-18.42
-38.43%

Surgery Partners Corporate Events

Private Placements and FinancingBusiness Operations and Strategy
Surgery Partners Announces Credit Agreement Amendment
Positive
Aug 13, 2025

On August 13, 2025, Surgery Partners, Inc. announced a second amendment to its credit agreement, involving a significant refinancing effort. The amendment introduces a new tranche of term loans totaling $1,383 million, replacing existing loans and revolving credit commitments. This strategic financial restructuring aims to enhance the company’s financial flexibility and operational stability, with the new loans maturing in 2028 and 2030, respectively.

Executive/Board Changes
Surgery Partners Appoints New Chairman After Resignation
Neutral
Aug 6, 2025

On August 4, 2025, Wayne S. DeVeydt resigned as a director and the Executive Chairman of the Board of Directors of Surgery Partners, Inc., with no disagreements cited regarding company operations, policies, or practices. Following his resignation, Blair E. Hendrix was appointed as Chairman, and the Board’s size was reduced from 11 to 10 directors.

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.

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: Sep 09, 2025