PE interest in Orthopedics has picked up momentum in 2022 with transaction volume increasing. However, these are still the ‘early-innings’ of private equity investment compared to other healthcare specialties. With a mixture of provider fragmentation, high infrastructure costs (surgical hospitals, imaging, etc.), and profitable ancillary services, the Orthopedic market continues to show signs of successful consolidation.
There are just over 15 PE-backed Ortho platforms operating nationally, so groups are still looking to capitalize on first-mover advantages, especially in untouched cities and regions. This year we have seen healthcare-focused private equity that is successful in other sectors (Shore Capital, Archimedes Health) make their Ortho platform entry, with more expected. Additionally, United Musculoskeletal Partners merged with Novum Orthopedic Partners in a race to establish a national presence.
The current activity (despite the state of capital markets) indicates continued and accelerated activity, specifically in terms of add-on acquisitions by strategic acquirers. PGP advised on two Orthopedic transactions this year and expects to close two more before the end of 2022. With new Ortho platforms being announced regularly, we expect an increase of add-on transactions as existing groups look to capture market share and expand into untapped geographies.
| Date | Target | Platform | PE Sponsor | State |
|---|---|---|---|---|
| September 2022 | Georgia Bone and Joint Surgeons | Triumph Orthopedics | Shore Capital | Georgia |
| September 2022 | Orthopaedic Associates of Zanesville | OrthoAlliance | Revelstoke Capital | Ohio |
| August 2022 | Jordan-Young Institute | Aligned Orthopedic Partners | Atlantic Street Capital | Virginia |
| August 2022 | The Wilsonville Foot Health Center | Unity MSK | Trinity Hunt | Oregon |
| July 2022 | Orthopedic Foot & Ankle Center | OrthoAlliance | Revelstoke Capital | Ohio |
| July 2022 | Clintonville Foot & Ankle Group | OrthoAlliance | Revelstoke Capital | Ohio |
| July 2022 | Panorama Orthopedics | United Musculoskeletal Partners | WCAS | Colorado |
| July 2022 | North Texas Orthopedics & Spine Center | Novum Orthopedic Partners | A&M Capital Partners | Texas |
| June 2022 | OrthoNeuro | OrthoAlliance | Revelstoke Capital | Ohio |
| June 2022 | Orthopedics Specialties of Austin* | Growth Ortho | Trivest Partners | Texas |
| May 2022 | Premier Orthopaedics | HOPCo | Linden | Pennsylvania |
| April 2022 | Shady Grove Orthopaedics | Aligned Orthopedic Partners | Atlantic Street Capital | Maryland |
| April 2022 | Sports Medicine North | Spire Orthopedic Care | Kohlberg & Company | Massachusetts |
| January 2022 | JIS Orthopedics | OrthoAlliance | Revelstoke Capital | Ohio |
| January 2022 | Washington Orthopaedics and Sports Medicine* | Aligned Orthopedic Partners | Atlantic Street Capital | DC |
| December 2021 | Resurgens Orthopaedics | United Musculoskeletal Partners | WCAS | Georgia |
| December 2021 | Arlington Orthopedic Associates | Novum Orthopedic Partners | A&M Capital Partners | Texas |
| December 2021 | Andrews Sports Medicine & Orthopaedic Center | US Orthopaedic Partners | FFL Partners | Alabama |
| November 2021 | Anderson Orthopaedic Clinic | M2 Orthopedics | Archimedes | Virginia |
| October 2021 | Orthopaedic Associates of St. Augustine | HOPCo | Linden | Florida |