U.S. Oral Surgery Management (USOSM)

In a healthcare landscape often shaped by impersonal conglomerates and generalized management services, U.S. Oral Surgery Management (USOSM) stands apart for a simple reason: it was built with a singular focus on oral surgeons—by those who understand their world.

Launched in November 2017, USOSM wasn’t just another management services organization (MSO) entering the market—it was the first of its kind, created specifically to partner with board-certified oral and maxillofacial surgeons. That distinction matters. It reflects a deeper understanding of the profession’s challenges, as well as a profound respect for the clinical expertise that defines it.

From day one, USOSM set out to be different. Rather than offering one-size-fits-all services or imposing cookie-cutter processes on practices, the company has taken a collaborative, surgeon-first approach. Its business philosophy is to enable surgeons to focus on patient care—while USOSM handles the business side with precision, professionalism, and transparency.

“We leave the clinical decision-making to our surgeons, while we take care of the rest,” says Richard J. Hall, president and CEO of USOSM.

It’s not just a motto—it’s the company’s operational backbone. Surgeons retain full clinical autonomy, while USOSM provides the infrastructure and expertise to help their practices run more smoothly and grow sustainably, freeing up surgeons’ time. This benefits everyone—especially the patient.

That infrastructure is both broad and deep. USOSM offers full-spectrum support: accounting and finance, revenue cycle management, marketing, HR, recruiting, payor contracting, real estate, procurement, and daily operations. What this means is that a surgeon doesn’t have to worry about staffing issues, contract negotiations, or equipment upgrades. It’s all handled by an experienced team that understands how to keep a high-performing medical practice moving forward—without ever interfering in how surgeons treat their patients.

This philosophy has earned USOSM something few companies in the healthcare services world can claim: a 100 percent retention rate among its surgeon partners and an average Net Promoter Score (NPS) of 89 across all partner practices. For comparison, most healthcare companies hover around the 30–40 range. USOSM isn’t just meeting expectations—it’s consistently exceeding them.

But it’s in moments of crisis that the company’s value truly comes into focus. In early 2020, as the COVID-19 pandemic brought healthcare operations to a near standstill, USOSM had a dedicated task force in place by mid-March. The team rapidly rolled out PPE coordination, staff training, referral communication protocols, and clear OSHA-compliant processes across all partner practices. Thanks to this swift, organized response, the practices didn’t just survive—they recovered rapidly and even hit performance goals by year’s end.

In another example, a USOSM-affiliated practice was hit by a ransomware attack that infiltrated through a local MSP just days before Thanksgiving. While others affected in the same city struggled for weeks to restore service, USOSM had two IT professionals on a plane that very night. They arrived with new equipment, rebuilt systems over the holiday weekend, and had the practice back up and running by Monday morning. The difference was night and day.

These aren’t just technical wins—they’re real-life demonstrations of what it means to have a responsive, committed partner—one that’s willing to jump on a plane over a holiday weekend to keep a practice operational.

What also makes USOSM unique is its ownership structure. The company is surgeon-owned. That means partners aren’t just clients—they’re stakeholders in the company’s future. Every board-certified surgeon USOSM partners with is part of a larger vision: building a new standard for oral surgery management that protects clinical independence while driving business performance.

This shared ownership model is more than a financial arrangement—it creates alignment across every level of the organization. Surgeons are empowered to grow their practices on their own terms while benefiting from the scale, systems, and support that a national network can offer. And because all partners share in the success of the platform, there’s a genuine sense of community and collaboration that’s rare in modern healthcare organizations.

More importantly, patients benefit. They’re seen by highly trained specialists whose practices are run efficiently, professionally, and with all the resources needed to provide the highest standard of care. Referring dentists and physicians know their patients are in capable hands, while payors work with providers who operate with consistent performance and quality benchmarks.

For a company that’s still relatively young, USOSM has achieved a remarkable degree of trust and loyalty in a short period of time. Its growth has been steady—but more importantly, its relationships have been lasting. That’s the real story here: not just a company scaling up, but one building something meaningful for surgeons, staff, and patients alike.