Orthopedics Practices
Sell Your Orthopedic Practice to a Buyer Who Gets the Model
Orthopedic practices combine surgical care with high-value ancillary revenue — imaging, physical therapy, and often an ambulatory surgery center — that most buyers don’t fully understand. We help you get a valuation that reflects that complexity, and find the right buyer.
Market Snapshot
Orthopedics Sits at the Center of the Consolidation Wave
Orthopedic practice sales don’t follow the same playbook as other specialties. A few things make this market distinct.
ASC Ownership Is the Biggest Value Driver
Practices that own or co-own an ambulatory surgery center generate facility-fee revenue on top of professional fees, and buyers pay a premium for that ownership stake.
Outpatient Joint Replacement Is Accelerating
CMS’s shift of major joint procedures to outpatient and ASC settings has opened a large new revenue opportunity, and buyers want practices positioned to capture it.
Ortho Is One of PE's Most Active Targets
Alongside dermatology and ophthalmology, orthopedics has seen some of the heaviest private equity consolidation activity in medicine, creating strong competitive interest in well-run practices.
Valuation
Three Things That Move Orthopedic Practice Value
ASC & Facility Ownership
Ownership stakes in an ambulatory surgery center add facility-fee revenue that’s structurally different — and often more valuable — than professional fee revenue alone.
Ancillary Services (Imaging, PT, DME)
In-house imaging, physical therapy, and durable medical equipment dispensing create additional revenue streams buyers weigh alongside surgical volume.
Subspecialty & Case Mix
Joint replacement, spine, sports medicine, and hand/foot & ankle each carry different reimbursement and referral profiles, shaping how buyers value and can scale a practice.
Buyer Landscape
Understanding Your Buyer Pool
Because surgical volume and ASC economics carry real weight in orthopedics, we help you understand not just what each buyer will pay, but how they tend to run a practice — and its facility operations — after close.
| Buyer Type | What They're Looking For |
|---|---|
| Private equity–backed orthopedic platforms | Multi-site groups with ASC ownership, strong ancillary revenue, and room to standardize operations across locations. |
| Health systems & hospitals | Practices that strengthen surgical service lines and referral networks within their existing footprint. |
| Individual orthopedic surgeons | Solo or small practices, often prioritizing patient continuity and clinical culture as much as price. |
Our Process
How We Approach an Orthopedic Practice Sale
01
Confidential Consultation
Understanding your case mix, ancillary services, and what continuity means to you.
02
Specialty Valuation
Accounting for ASC ownership, ancillary revenue, and subspecialty mix.
03
Confidential Marketing
Preparing a confidential executive summary and readying your practice for the market.
04
Buyer Vetting & Offers
Introducing vetted buyers and evaluating how each plans to support your patients and surgical team.
05
Negotiation & Diligence
Navigating diligence, including ASC ownership structure, imaging/DME licensure, and payer contracts.
06
The Handoff
A transition plan built to keep patients, physicians, and referral sources intact.
Proof
Our Track Record
85%
of engagements reach close
80+
combined years of healthcare-specific brokerage experience
95%
of clients land within 10% of expected valuation
FAQ
Common Questions
Will my patients keep seeing the same surgeons after a sale?
In most transitions, yes — buyers acquiring an orthopedic practice are typically buying the surgical team along with the patient base, since continuity of surgical relationships matters to patients and referring physicians alike. We prioritize buyers who plan to retain your surgeons, and we build retention terms into the deal structure wherever possible.
How does owning a stake in an ASC affect my valuation?
An ownership stake in an ambulatory surgery center is one of the strongest value drivers in orthopedics, since it adds facility-fee revenue that's structurally separate from — and often larger than — professional fee revenue. We help you document your ASC economics clearly so buyers price the ownership stake as its own distinct asset.
Does the shift to outpatient joint replacement affect what my practice is worth?
It can work in your favor — practices already set up to perform joint replacements in an outpatient or ASC setting are well positioned to capture a growing share of this procedure volume as CMS policy continues to shift. We help you present your outpatient surgical capacity and case mix clearly, so buyers price the practice on where this trend is heading, not just where it stands today.
I'm the only injector — can I still sell?
Yes, though owner-dependent practices are typically valued differently than those with multiple trained providers. Bringing on additional injectors before a sale can meaningfully increase what buyers are willing to pay.