Oath Surgical

About Oath Surgical

Oath Surgical operates a vertically integrated surgical care system, combining its own ambulatory surgery centers (ASCs) with a proprietary technology platform. The company was founded in 2024 by Dr. Oliver Keown, a physician and former healthcare investor who previously led Intuitive Ventures. His experience witnessing the fragmentation, rising costs, and inefficient use of technology in the healthcare system led him to establish Oath with the mission to reinvent surgical care from an outpatient perspective.

The firm's business model targets the inefficiencies of traditional, hospital-centric surgery by shifting complex procedures to a lower-cost outpatient setting. Oath generates revenue by owning and operating its own surgical centers, offering services through fee-for-service arrangements, and establishing value-based care partnerships with payors and health plans, including surgical bundles and risk-sharing models. This model is designed to provide cost savings of up to 40% compared to equivalent hospital-based procedures. The company serves patients, healthcare providers (surgeons), and payors. For surgeons, Oath offers an ownership stake in the centers where they practice and tools to monitor performance, allowing them to maintain control over their practice while participating in value-based programs.

The core of Oath's offering is OathOS, a full-stack operating system that manages the entire surgical journey. This proprietary software integrates AI for tasks like automated charting and real-time scribing during consultations, which reduces the administrative burden on surgeons. The platform also provides real-time data analytics, cost tracking, and surgical performance metrics. For patients, the system handles personalized education and automates pre-operative workflows to streamline the process from referral to post-recovery follow-up. Oath's centers in Portland, Oregon, are multi-specialty, covering general surgery, gynecology, gastroenterology, urology, orthopedics, and more. The company exited stealth mode in May 2025, announcing it had raised over $10 million in a seed funding round from investors including Oxford Science Enterprises, Black Opal Ventures, Rogue VC, and Tau Ventures. In its first year, Oath acquired two surgical centers, began development on a third, and built a national network of surgeon partners.