- Business
- Medical Facilities Corporation (DR.TO) owns and operates, in partnership with physicians, a portfolio of specialty surgical hospitals and an ambulatory surgery center focused on high-volume, non-emergency procedures in the United States. The company holds controlling interests in three specialty surgical hospitals—Arkansas Surgical Hospital in North Little Rock, Arkansas (orthopedics, neurosurgery; 13 operating rooms, 41 overnight rooms); Oklahoma Spine Hospital in Oklahoma City, Oklahoma (neurosurgery, pain management; 7 operating rooms, 25 overnight rooms); Sioux Falls Specialty Hospital in Sioux Falls, South Dakota (orthopedics, pain management, gastroenterology/urology, ear/nose/throat; 15 operating rooms, 33 overnight rooms)—and Newport Center Surgical, an ambulatory surgery center in Newport Beach, California (orthopedics, obstetrics/gynecology, pain management, gastroenterology/urology; 2 operating rooms, 1 procedure room). These facilities provide inpatient and outpatient surgical, imaging, diagnostic, and pain management services; ancillary offerings including primary care, urgent care, and occupational health; facility fees for infrastructure, equipment, nursing, drugs, supplies, and support services; with orthopedic and neurosurgical cases comprising a significant portion of volumes. Founded in 2004 and headquartered in Toronto, Canada, with operations exclusively in the US, Medical Facilities generates nearly all revenue from facility service income targeting surgeons, patients, and insurers seeking efficient alternatives to traditional hospitals. Recent developments include the completion of a substantial issuer bid on March 12, 2025, under which the company purchased and cancelled 3,374,313 common shares for C$60.7 million at C$18.00 per share; entry into a new $40 million credit agreement on August 6, 2025; renewal of its normal course issuer bid on November 27, 2025; divestiture of Black Hills Surgical Hospital on November 15, 2024; board changes announced on March 3, 2025; and a strategic shift announced September 13, 2022, away from acquisitions toward divestitures of non-core assets, cost reductions, and capital returns to shareholders.