SAMGI’s scalable surgicalist programs improve patient care and outcomes by helping hospitals close gaps in emergency surgical care. Our local board-certified surgeons and dedicated support team deliver 24/7/365 emergency surgery care and have no competing duties while on service. As a result, emergency patients at our partner hospitals undergo surgery without delays. This leads to better outcomes for patients and improved performance for hospitals.

Does your hospital have 24/7/365 onsite emergency surgery coverage?

With our evidence-based surgicalist program, your hospital has a surgeon and team onsite 24/7/365 to provide immediate care for emergency patients. Unlike locum tenens physicians, who fill staffing gaps on a temporary basis, SAMGI provides a long-term, high-quality local solution inside your hospital.

Our partner hospitals across the nation report increased patient throughput, improved efficiency, and fewer ED hurdles. SAMGI’s comprehensive, self-managed programs also help hospitals:

  • Integrate a standardized emergency general surgical care program
  • Eliminate costly call pay
  • Provide the level of services required to become an ACS-verified trauma center
  • Eliminate supply waste and workflow inefficiencies
  • Collect accurate case documentation for optimum reimbursement rates
  • Decrease care variations and optimize value-based purchasing
  • Improve surgical team morale through a better work/life balance
  • Improve operating margins and substantially grow your bottom line


Solutions to your surgical staffing challenges begin with a conversation. Let’s talk.

Peer reviewed study of surgicalist program

A five-year study of Sutter Medical Center, Sacramento, published in the
Journal of the American College of Surgeons, shows across-the-board
improvements with the help of SAMGI. Results include:


Overall complications down by 43%


Length of stay dropped from 6.5 to 5.7 days


Nearly $2 million per year savings

A better work-life balance for physicians

Nearly 2/3 of US physicians report feeling burned out (42%) depressed (15%) or both (14%).

To alleviate burnout, 56% of the physicians responding to the survey suggested fewer bureaucratic tasks and 39% suggested working fewer hours.

51% of physicians reported experiencing frequent or constant feelings of burnout in 2017, up from 40% in 2013.

SAMGI helps alleviate physician burnout. Our surgicalist programs support a predictable, full- or part-time scheduling alternative that allows surgeons to focus their efforts where they choose. The result: improved hospital workflow efficiencies and better patient outcomes for both elective and acute care surgical teams.


  • "The program was helpful to stabilize surgical service and we were able to improve quality of care, decrease the length of stay and decrease the cost of caring for our patient population. In fact, that’s the real value of this program. We have been able to move patients through the system in a more efficient, timely way and achieve higher quality outcomes at the same time."
    Gregory Graves, M.D., Sutter Medical Center–Sacramento, CA
  • "We had a case of angioedema in the ED that went south pretty quickly. Dr. Nichols arrived in the blink of an eye and was cool as a cucumber when it came to performing an ED tracheotomy. Thankfully, this was able to be done in the OR, as Dr. Kramer had stabilized the patient to the point where he could be safely transported to the OR for a proper OR emergent tracheotomy. This is a shining example of an entire hospital system coming together smoothly and quickly in a critical situation, which to me doesn't seem to get enough attention at times."
    Andrew J. Butki, D.O., McLaren Oakland – Pontiac, MI
  • "Since becoming a part of the Surgical Affiliates team, I only worry about taking care of my patients. I’m relieved of all the business side of running a practice and now have the priceless gift of being able to focus on being a surgeon, with a quality of life I could never have had in private practice."
    Paul Reichman, M.D., Surgical Affiliates Surgeon–Newburgh, NY
  • “The data published in the JACS (Journal of the American College of Surgeons) study demonstrates that our collaboration with Dr. Owens and his team at Surgical Affiliates is achieving our goals. The outcomes, both clinical and financial, have been quite amazing. We are most proud about sustaining these results and taking this model from just patching the tire to getting a whole new tire that never has to be repaired again.”
    Richard Soohoo, Chief Financial Officer of Sutter Medical Center–Sacramento, CA
  • “We now have a clinical partner we can turn to with questions about further improvements, for help in refin-ing our programs, and in driving constant improvements in quality care and efficiency.”
    Anne Platt, Sutter Amador CEO

    Patients benefit from higher quality standards

    We believe every emergency patient deserves the highest possible level of care. SAMGI’s local surgical partners are guided by the high-quality, standardized care protocols of our surgicalist programs.

    We manage the business side of the surgical practice, freeing our physicians to focus on delivering the highest quality of patient care. As a result, patients benefit from:

    • Decreased time to consult, shorter length of stay, and time to operation
    • Reduced complications and re-admissions
    • Reduced risk of possible life-threatening errors

    To further ensure quality care and increased efficiencies, a dedicated local medical director oversees your surgicalist program and serves as a responsive resource for your staff and administration.

    Patient stats

    Number of ED visits that result in admission to critical care each year: 2.1 million.
    Average time patients with broken bones wait for pain medication after arriving in the ED: 54 minutes.
    Average time spent waiting in the ED before seeing a physician, nurse practitioner or physician assistant: 24 minutes.
    Traumatic injuries are responsible for 59% of all deaths for people aged 1–44 years in the US per data from the Center for Disease Control.
    A study in the Canadian Medical Association Journal, showed that on average, delayed-surgery patients stayed in hospital after their operation 1.1 days longer and cost the hospital $1,409 more than patients who did not have to wait.

    Calculate how SAMGI can impact your hospital's bottom line

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    Average Annual ER Visits

    Let's have a conversation

    If your hospital is planning to reorganize its surgical coverage, or you’re a surgeon seeking the unique work-life balance our acute care surgery programs deliver, we’d love to hear from you.