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Surgery Partners Inc (SGRY)
NASDAQ:SGRY

Surgery Partners (SGRY) AI Stock Analysis

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SGRY

Surgery Partners

(NASDAQ:SGRY)

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Neutral 53 (OpenAI - 4o)
Rating:53Neutral
Price Target:
$16.00
▲(3.03% Upside)
Surgery Partners' overall score is driven by strong revenue growth and improving cash flow, but profitability challenges and bearish technical indicators weigh heavily. Revised guidance and valuation concerns further impact the score, despite positive corporate developments.
Positive Factors
Revenue Growth
Consistent revenue growth indicates a strong market position and effective business model, supporting long-term financial stability.
Cash Flow Improvement
Improved cash generation enhances financial flexibility, allowing for strategic investments and debt management.
Strategic Capital Deployment
Strategic acquisitions and a strong M&A pipeline can drive growth and expand market reach, bolstering competitive advantage.
Negative Factors
Profitability Challenges
Ongoing net losses and negative net profit margins hinder long-term profitability and may limit reinvestment opportunities.
Payer Mix Challenges
A shift in payer mix towards governmental sources may pressure margins and affect revenue predictability.
Regulatory Delays
Delays in regulatory approvals can disrupt expansion plans and delay revenue realization from new facilities.

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 through its network of ambulatory surgery centers and surgical hospitals, which perform a wide range of surgical procedures. The company earns money through facility fees billed to patients' insurance providers, including Medicare and private payers, for the use of its facilities and services. Additionally, Surgery Partners benefits from partnerships with physicians, who may refer patients to its centers, thereby driving patient volume. The company also capitalizes on ancillary services such as anesthesia and post-operative care, which further contribute to its revenue streams. Furthermore, Surgery Partners may engage in strategic acquisitions of ASCs to expand its footprint and enhance its service offerings, thereby increasing its market share and financial performance.

Surgery Partners Earnings Call Summary

Earnings Call Date:Nov 10, 2025
(Q3-2025)
|
% Change Since: |
Next Earnings Date:Mar 02, 2026
Earnings Call Sentiment Neutral
The earnings call presented a mixed picture with solid revenue and EBITDA growth, strong performance in surgical cases, and significant capital deployment in growth areas. However, the company faces challenges with softer than expected volume growth, unfavorable payer mix changes, delayed capital deployment, and regulatory delays impacting new facilities. These challenges have led to a revision in full-year guidance.
Q3-2025 Updates
Positive Updates
Revenue and EBITDA Growth
Net revenue was $821.5 million, up 6.6% year over year. Adjusted EBITDA was $136.4 million, up 6.1% year over year, with an adjusted EBITDA margin of 16.6%.
Strong Surgical Case Growth
The company performed over 166,000 surgical cases in the third quarter, representing a 2.1% growth. Significant growth in orthopedic procedures, with total joint surgeries in ASC facilities growing 16% in the third quarter and 23% year-to-date.
Capital Deployment in Growth
Approximately $71 million deployed for acquisitions, with a robust M&A pipeline of over $300 million in opportunities under active evaluation.
De Novo Facility Expansion
Two new de novo facilities opened in the third quarter, with nine under construction and more than a dozen in the development pipeline, primarily focused on higher acuity specialties like orthopedics.
Cost Management and Efficiency
Supply costs were down 70 basis points, and G&A expenses were reduced, reflecting lower stock-based and incentive-based compensation.
Negative Updates
Softer Than Expected Volume Growth
Same facility volume growth trailed internal expectations, prompting a revision of the fourth quarter outlook.
Payer Mix Challenges
Commercial payers represented 50.6% of revenues, down 160 basis points year over year, with governmental sources up 120 basis points.
Delayed Capital Deployment
Year-to-date capital deployment for acquisitions is below the target, impacting in-year earnings contributions.
Regulatory Delays in De Novo Facilities
Some newly opened de novo facilities have not reached breakeven due to construction and regulatory approval delays, creating near-term pressure on earnings.
Revised Full-Year Guidance
Full-year revenue guidance revised to $3.275 to $3.3 billion and adjusted EBITDA to $535 million to $540 million due to timing-related impacts of capital activity and cautious outlook on commercial payer mix and volume.
Company Guidance
During the third quarter of 2025, Surgery Partners reported net revenue of $821.5 million, marking a 6.6% increase year over year. The company achieved an adjusted EBITDA of $136.4 million, a 6.1% rise compared to the previous year, with an adjusted EBITDA margin of 16.6%. Same facility revenue grew by 6.3%, and the company completed over 166,000 surgical cases, exhibiting 2.1% growth. Notably, total joint surgeries in Ambulatory Surgery Center (ASC) facilities increased by 16% in the third quarter and 23% year-to-date. Despite these positive metrics, the company revised its full-year guidance, anticipating revenue between $3.275 billion and $3.3 billion and adjusted EBITDA between $535 million and $540 million, due to a softer-than-expected volume growth and payer mix changes, particularly a decline in commercial payers to 50.6% of revenues. Additionally, Surgery Partners deployed $71 million for acquisitions, divested interest in three ASCs at a combined enterprise value of $50 million, and maintained a robust M&A pipeline exceeding $300 million.

Surgery Partners Financial Statement Overview

Summary
Surgery Partners shows strong revenue growth and improving operational efficiencies, but profitability remains a challenge with consistent net losses. The balance sheet shows improved leverage, but negative returns on equity are concerning. Cash flow generation is a bright spot, with positive growth and better cash flow ratios, indicating potential for future financial stability if profitability issues are addressed.
Income Statement
65
Positive
Surgery Partners has shown consistent revenue growth, with a TTM revenue increase of 1.58% and a strong historical growth trajectory. However, the company is struggling with profitability, as indicated by negative net profit margins across the periods. The gross profit margin is stable around 23.9%, but the net loss impacts overall performance. EBIT and EBITDA margins are improving, suggesting operational efficiencies, but the net income remains negative.
Balance Sheet
55
Neutral
The company's debt-to-equity ratio has improved significantly in the TTM period, dropping to 0.21 from much higher levels in previous years, indicating better leverage management. However, the return on equity is negative, reflecting ongoing net losses. The equity ratio is stable, but the negative ROE is a concern for long-term equity growth.
Cash Flow
70
Positive
Surgery Partners has shown positive free cash flow growth of 10.72% in the TTM period, indicating improved cash generation capabilities. The operating cash flow to net income ratio is positive, suggesting that cash flows are more robust than net income figures. However, the free cash flow to net income ratio is low, reflecting the impact of net losses on cash flow metrics.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue3.29B3.11B2.74B2.54B2.23B1.86B
Gross Profit786.40M745.60M647.50M574.90M491.40M379.80M
EBITDA816.60M501.40M446.10M460.00M401.00M277.80M
Net Income-171.40M-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 Investments203.40M269.50M195.90M282.90M389.90M317.90M
Total Debt3.87B3.70B3.06B2.93B3.29B3.20B
Total Liabilities4.39B4.25B3.51B3.40B3.82B3.79B
Stockholders Equity1.73B1.79B1.99B2.00B1.09B550.10M
Cash Flow
Free Cash Flow194.10M209.70M205.00M78.20M29.50M204.00M
Operating Cash Flow282.30M300.10M293.80M158.80M87.10M246.90M
Investing Cash Flow-232.20M-488.50M-225.60M-307.90M-331.70M-88.40M
Financing Cash Flow-68.50M262.00M-155.20M42.10M316.30M66.70M

Surgery Partners Technical Analysis

Technical Analysis Sentiment
Negative
Last Price15.53
Price Trends
50DMA
18.26
Negative
100DMA
20.17
Negative
200DMA
21.32
Negative
Market Momentum
MACD
-0.65
Negative
RSI
36.16
Neutral
STOCH
21.88
Neutral
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 15.53 is below the 20-day moving average (MA) of 16.42, below the 50-day MA of 18.26, and below the 200-day MA of 21.32, indicating a bearish trend. The MACD of -0.65 indicates Negative momentum. The RSI at 36.16 is Neutral, neither overbought nor oversold. The STOCH value of 21.88 is Neutral, 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
74
Outperform
$2.16B21.489.94%1.80%23.74%-18.99%
74
Outperform
$14.20B10.8019.97%0.35%10.21%39.58%
74
Outperform
$17.47B13.6334.51%-0.56%-53.50%
70
Neutral
$108.17B18.320.61%6.82%15.82%
64
Neutral
$10.79B20.2724.94%0.65%11.13%27.53%
53
Neutral
$2.01B-11.46-9.45%10.14%-182.12%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
SGRY
Surgery Partners
15.53
-5.41
-25.84%
HCA
HCA Healthcare
474.04
173.77
57.87%
EHC
Encompass Health
107.23
14.24
15.31%
NHC
National Healthcare
139.23
32.14
30.01%
THC
Tenet Healthcare
198.76
70.79
55.32%
UHS
Universal Health
227.27
47.55
26.46%

Surgery Partners Corporate Events

Private Placements and Financing
Surgery Partners Issues $425M Senior Notes for Flexibility
Positive
Dec 16, 2025

On December 16, 2025, Surgery Center Holdings, Inc., a subsidiary of Surgery Partners, Inc., issued an additional $425 million in 7.250% Senior Notes due 2032. This issuance is part of a single series with $800 million of existing notes issued in April 2024, and is expected to enhance the company’s financial flexibility and market positioning.

Private Placements and FinancingBusiness Operations and Strategy
Surgery Partners Prices $425M Senior Notes Offering
Positive
Dec 12, 2025

On December 11, 2025, Surgery Partners, Inc. announced the pricing of $425 million in senior unsecured notes due 2032 by its subsidiary, Surgery Center Holdings, Inc. The offering, which is expected to close on December 16, 2025, will be used for general corporate purposes, including repaying outstanding borrowings. This move is part of Surgery Partners’ strategy to strengthen its financial position and support its growth in the healthcare services industry.

Private Placements and FinancingBusiness Operations and Strategy
Surgery Partners Announces $425M Senior Notes Offering
Neutral
Dec 11, 2025

On December 11, 2025, Surgery Partners, Inc. announced that its subsidiary, Surgery Center Holdings, Inc., plans to offer $425 million in additional 7.250% Senior Notes due 2032. The proceeds from this offering are intended for general corporate purposes, including repaying outstanding borrowings under its revolving credit facility. This move is part of the company’s strategy to manage its financial obligations and enhance its liquidity position, potentially impacting its market positioning and stakeholder interests.

Executive/Board ChangesBusiness Operations and Strategy
Surgery Partners Appoints New COO and President
Positive
Nov 12, 2025

On November 12, 2025, Surgery Partners, Inc. announced the appointment of Justin Oppenheimer as Chief Operating Officer and National Group President, effective January 1, 2026. Oppenheimer brings a wealth of experience from his previous roles at the Hospital for Special Surgery, which may enhance Surgery Partners’ operational capabilities and strategic positioning in the healthcare sector.

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: Dec 19, 2025