Campus

Includes a 35,270 square foot medical office building.

Performance

Due to continuing case growth the hospital has recently added 3 ORs

Services

• Feasibility
• Organization
• Syndication
• Operational Development
• Construction Oversight
• Operational Management
• Equity Investment

PSG’s first business venture, Pine Creek was a “green field” project, created from the ground up beginning in 2003. Wanting to offer services beyond the constraints of conventional ambulatory surgery centers, Dr. Ramirez conceived the idea of a stand-alone, physician-owned, acute-care surgical hospital that would combine the specialized services of an ASC with the attentive post-operative care provided by in-patient hospitals.

The approximately 58,000 square-foot facility was designed for comfort and convenience, as well as optimal revenue generation, with its combination of spa-like design, services offered, and overall use of space.

Pine Creek opened its doors in 2005. Today, it is one of Dallas’ most successful hospitals, enjoying robust physician referrals, successful outcomes, high levels of patient satisfaction, and sustained profitability.

Configuration

• Operating rooms:  9
• Procedure rooms:  1
• Patient Beds:     15

Completion Date

March, 2005

Investors

57 physician investors

Campus

Located on the campus of Texas Health Presbyterian Hospital Denton as part of a 90,000 square foot facility including physician offices.

Performance

• Surgical Volume:
• 3,200 cases

Services

• Resyndication/Redevelopment
• Operational Management
• Central patient Financial Services

Configuration

• Operating rooms:  3
• Procedure rooms:  2

Completion Date

March, 2006

Investors

20+ physicians, Texas Health Presbyterian Hospital Denton

Campus

Facility located on ground floor of 160,000 sq.ft Medical Office Building IV on Presbyterian Hospital Campus in Plano, TX

Performance

Surgical Volume:

• Total Surgical Cases: 7,500+
• Endoscopy Cases: 1,000+
• Pain Mgmt. Cases: 3,000+

Services

• Feasibility
• Organization
• Syndication
• Development & construction oversight
• Operational management
• Equity investment

Configuration

• Operating rooms:  8
• Procedure rooms:  4
• Patient Beds:        18

Completion Date

December, 2004

Investors

• 76+ physicians
• Texas Health Resources

Campus

Includes a two-phase, 80,000 sq. ft. office building complex in Southlake, Texas

Performance

Surgical Volume:

• Total Surgical Cases: 4,400+
• Endoscopy Cases: 26
• Pain Mgmt. Cases: 2,500+

Services

• Feasibility
• Organization
• Syndication
• Development & construction oversight
• Operational management
• Equity investment
• Central patient financial services

Configuration

• Operating rooms:  6
• Procedure rooms:  2
• Patient Beds:        10

Completion Date

October, 2004

Investors

• 45+ physicians
• Texas Health Resources

Campus

Adjacent to a medical office building complex and freestanding medical office pad sites.

Performance

Developed on schedule and under budget.

Hospital is in the 4th year of operations, exceeding original projections, and currently is evaluating the addition of 2 operating rooms to the facility.

Services

• Feasibility
• Organization
• Syndication
• Development & construction oversight
• Operational management
• Central patient financial services

Configuration

• Operating rooms:  6
• Procedure rooms:  3
• Patient Beds:        103

Size

180,000 square feet

Completion Date

April, 2010

Investors

• 90+ physicians
• Texas Health Resources

Campus

Includes a two-phase 80,000 sq. ft. office building complex and freestanding medical office pad sites in Rockwall, TX

Performance

The hospital has exceeded all performance and is currently approaching capacity.

Services

• Feasibility
• Organization
• Syndication
• Development & construction oversight
• Operational management
• Equity investment

Configuration

• Operating rooms:  7
• Procedure rooms:  2
• Patient Beds:        44

Size

125.000 square feet

Completion Date

December, 2007

Investors

• 100+ physicians
• Texas Health Resources
• Texas Health Partners

Campus

Located on the campus of Texas Health Presbyterian Hospital Dallas as part of a 90,000 square foot facility including physician offices.

Performance

Total Surgical Cases: 7,900+

Services

• Feasibility
• Development & construction oversight
• Operational development
• Central patient financial services

Texas Institute for Surgery was developed from Surgery Center Southwest, a joint venture between local physicians and Texas Health Presbyterian Hospital Dallas.

Configuration

• Operating rooms:  9
• Procedure rooms:  3
• Patient Beds:         9

Completion Date

November, 2004

Investors

• 44 physicians
• Presbyterian Hospital of Dallas

Campus

Facility located in Salina, Kansas

Performance

Profitable since year one.  Has met or exceeded all THPR projections to date.

Services

• Business Planning
• Financial Advising
• Organizational Support
• Ongoing valuations

Configuration

• Operating rooms:  4
• Procedure rooms:  2

Size

26,400 square feet

Completion Date

1999

Investors

• 30+ physicians
• Salina Regional Medical Center

Campus

197,000 square feet facility located on the Fairlawn campus in Akron, Ohio.

Contains other ambulatory/wellness services including diagnostic imaging, O/P laboratory and a health club in addition to physician offices

Performance

Surgical Volume: 6,000+ cases

Services

Re-syndication of existing Ambulatory Surgery Center

Configuration

• Operating rooms:  4
• Procedure rooms:  2

Completion Date

2002

Investors

• 46 physicians
• Akron General Medical Center

Originally built in 1973, Dallas Medical Center (formerly RHD Medical Center) had languished in recent years in terms of both public perception and the overall efficiency of its operation. A full-service, 155-bed acute-care hospital, it had enjoyed the support of the community and a dedicated staff of employees, but many physicians felt unsupported by hospital management and many were severing their ties with the facility.

By November 2009, the hospital owners had decided to close the hospital. Aware of Pine Creek, a few of the physicians approached PSG. If they could get funding, would Dr. Ramirez and the PSG team manage the hospital? If anybody could get doctors to return, they felt Dr. Ramirez could. She had the local relationships. She had the track record. And she had founded PSG on the rock-solid commitment to being physician-centric and “physician-friendly.

The PSG team looked at every aspect of the hospital’s operation. Within a month, results were evident. Operating expenses were down. New sources of revenue had been identified. Capital investments in infrastructure and technologies were possible for the first time in years. Doctors started coming back and, as trusted practitioners returned, so did patients.

In addition to primary care physicians, specialists on the medical staff include cardiologists, gastroenterologists, orthopedic surgeons, otolaryngologists, urologists, general surgeons and oncologists.

There is usually a short wait time less than 10 minutes in Dallas Medical Center’s emergency room and the nurse-to-patient ratio during an inpatient stay is higher than at other area hospitals. New, state-of-the-art technologies have been implemented that enhance treatment, outcomes and the level of personalized care, including a Cysto Suite, Trumpf LED lights in the operating rooms, the world’s first in-light high-definition surgical camera, brand-new state-of-the-art laparoscopic and arthroscopic equipment, and Stryker InTouch critical-care beds.

Today, Dallas Medical Center is still a work in-progress, but trust has been restored and the facility is on stable financial footing. Borrowing from the healthcare vernacular, “the bleeding has stopped”—and the patient is on the road to a full recovery.