4.10.11.2Vertical
General Surgery Group Practices
Multi-surgeon general surgery practices providing elective and emergent surgical care including appendectomy, cholecystectomy, bowel resection, and soft tissue surgery.
Market snapshot
These figures describe General Surgery Groups (4.10.11), the segment that General Surgery Group Practices sits within — not General Surgery Group Practices on its own.
FragmentationFragmentedEstimate
Within Offices of Physicians (NAICS 621111); the Census Bureau does not split physician offices by specialty, so general surgery is not separately sized.
Business model & economics
Revenue model
Surgical and office reimbursement; ASC participation
Key economics
- Recurring revenue
- Low
- EBITDA margin
- 15–25%
- Capex intensity
- Moderate
procedure-driven
Characteristics
- More hospital-affiliated than procedure-rich specialties.
- Procedure migration to ASCs.
- Less active standalone roll-up than GI/ortho/urology.
M&A deal context
Deal activityModerate
Who’s acquiring
- Multispecialty groups
- Health-system-aligned platforms
- ASC-focused acquirers
What’s driving deals
- Consolidation within multispecialty groups.
- Surgical-volume and ASC-migration demand.
- Health-system alignment.
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