Anesthesia built for
Houston facilities.
Physician-owned, Houston-based, and delivering anesthesia and pain care across the region since 1995 — national-caliber standards with real local accountability.
The era of free anesthesia coverage is over.
Your anesthesia decision is now a cost, quality, and risk decision — not a formality.
Climbing subsidies
Hospitals and ASCs are paying more to keep rooms covered, with premium and locum pay driving costs up sharply.
Staffing shortages
Demand for anesthesiologists and CRNAs outpaces supply, leaving facilities exposed to coverage gaps.
Consolidation
National, PE-backed groups are buying up local practices and moving decisions out of your market.
Anesthesia is not a commodity.
The group in your ORs sets your on-time starts, turnover, surgeon satisfaction, patient outcomes — and the size of your subsidy.
Treated as a price
Rising stipends. Coverage gaps and cancellations. Provider turnover. Frustrated surgeons taking cases elsewhere.
Treated as a partner
Efficient, predictable ORs. Stable coverage. Loyal surgeons. A subsidy you can explain and defend to your board.
ORs that run on time. A spend you can defend. A partner who picks up the phone.
- Reliable coverage, every room, every day
- Efficient throughput that protects your margin
- Surgeons and patients who want to come back
- A predictable, transparent anesthesia spend
- A local partner that is accountable to you
National-caliber standards. Real local ownership.
Lonestar is physician-owned and Houston-based, serving the region since 1995 — accountable to the facilities and communities we serve, not to a distant corporate parent.
Reliable coverage
Stable, well-staffed teams with the subspecialty depth your cases require.
Clinical quality
Board-certified physicians and data-informed care that meets and exceeds the standard.
Local partnership
On-site physician leadership and a single point of contact who knows your ORs.
The scale of a national group. The accountability of a local one.
| National roll-ups (USAP, NAPA, NorthStar) | Small local groups | Lonestar | |
|---|---|---|---|
| Physician-owned, decisions made in Houston | ✕ PE-backed | ✓ | ✓ |
| Independent Houston group since 1995 | By acquisition | Varies | ✓ 30 yrs |
| Full subspecialty depth (cardiac, OB, peds, regional) | ✓ | Limited | ✓ |
| Deep, reliable staffing bench | ✓ | ✕ Thin | ✓ |
| Integrated pain management | Limited | ✕ | ✓ |
| On-site physician leadership & accountability | Corporate team | ✓ | ✓ |
| Long-term continuity (not contract-flipping) | ✕ Churn risk | Succession risk | ✓ |
Coverage, efficiency, and quality — measured.
Reliable coverage
Stable, employed Houston clinicians — not a rotating locum bench — with subspecialty depth and a partnership track that keeps proven providers in your rooms.
OR efficiency & leadership
On-time first-case starts, fast turnover, staffing matched to your actual schedule, and an on-site physician lead as your single point of contact.
Clinical quality & safety
Board-certified physicians, ultrasound-guided regional anesthesia, multimodal opioid-sparing (ERAS) pain control, and outcome tracking you can review.
A subsidy you can actually defend.
Subsidies are rising everywhere. The question isn't whether you support anesthesia — it's what you get for every dollar, and whether you can prove it.
Illustrative model. We build this on your facility’s actual stipend, locum run-rate, and cancellation data.
A full anesthesia service line for every facility type.
Across Houston and the surrounding communities, delivered by one physician-led group.
Hospitals
Anesthesia and OR management with a consistent, well-staffed team around the clock, focused on OR efficiency and data-informed care that meets and exceeds high standards.
Surgery Centers (ASCs)
Safe, efficient anesthesia and OR management, with responsive staffing support for your busiest schedules.
Office-Based Practices
We help set up and run office-based anesthesia programs: flexible, consistent staffing, equipment procurement, procedure setup, and inspection and compliance support.
Pain Management Practices
Integrated practice management and billing support, built on decades of anesthesia and pain operational experience.
Anesthesia and pain, under one roof.
Through Superior Pain Relief, Lonestar extends care beyond the OR — perioperative and chronic pain management, opioid-sparing protocols, and a continuity of care most anesthesia groups can't offer your patients.
Switching groups without the risk.
- Credentialing and privileging handled, with a clear checklist
- No gaps in coverage during the transition
- We keep your proven providers in place wherever possible
- A defined onboarding timeline and a single point of contact
We already run anesthesia across Houston.
We'd like to do the same for your ORs.
Get your facility's anesthesia spend review.
A 30-minute, no-obligation review: we map your current coverage, cost, and risk, and show you the model for your ORs.
Let's talk about your ORs.
Bring Lonestar in for a conversation about coverage, quality, and the math behind your current anesthesia spend.
George Skaria, MD · Anesthesiologist & Director of Business Development
[phone] · [email]