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Investment & Consolidation in Orthopedic Services

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Winter 2025

Orthopedic care has emerged as one of the most sought-after sectors in musculoskeletal care for investors. Driven by an aging and increasingly obese population, demand for orthopedic procedures continues to grow, fueling significant investment activity. The sector remains highly fragmented and is well-positioned for value-based payment models.

Despite robust growth potential, orthopedics faces pressures familiar to the broader healthcare industry, including rising costs, reimbursement challenges, and regulatory uncertainties. Strategic operators and independent practices are increasingly leveraging mergers and acquisitions to navigate these pressures, unlock operational efficiencies, and
expand market share.

Orthopedic consolidation began in 2018, with the initial wave of private equity platform creation concentrated between 2019 and 2021. Now, another wave of heightened consolidation appears to be underway, signaled by transaction and platform activity in 2024, including Revelstoke Capital’s sale of Ortho Alliance to UnitedHealth Group through SCA, Brookfield Asset Management’s investment in Varsity Healthcare Partners’ Orthopedic Care Partners, and the launch of a new Northeast platform through a Provident-led process. Looking ahead, established platforms will continue leveraging M&A to drive growth, while new private equity entrants compete for platform investments.

Whitepaper Summary:

  • Introduction
  • Orthopedic Market Overview & Key Trends
  • Key Factors Driving M&A
  • Shifting Reimbursement Environment
  • Mergers & Acquisitions Trends
  • Notable Transactions
  • Orthopedic Asset Value Drivers
  • Orthopedic Market Map
  • Conclusion
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