Ortho & MSK Practice Mergers & Acquisitions
Expert guidance for orthopedic and musculoskeletal practice owners navigating the complex landscape of mergers, acquisitions, and strategic partnerships in today’s competitive healthcare environment.
Ortho & MSK Market Overview
The orthopedic and musculoskeletal practice sector continues to experience robust consolidation activity, with valuations typically ranging from 6.0-8.5x EBITDA for well-established, multi-location practices. Recent market analyses indicate that orthopedic practices command premium multiples compared to other specialties, with an average valuation increase of 12% over the past 24 months. Private equity firms remain particularly active in this space, seeking platform investments with minimum EBITDA thresholds of $2-3 million.
Ortho & MSK Practice Acquisition Trends
Strategic acquirers and private equity groups are aggressively pursuing orthopedic and MSK practices with strong ancillary service lines including physical therapy, imaging, and ambulatory surgery centers. Notable recent transactions include:
- Orthopedic Care Partners’ expansion to 8 states through strategic acquisitions
- Welsh, Carson, Anderson & Stowe’s formation of a new MSK platform with $200+ million in committed capital
The market is particularly favorable for practices demonstrating value-based care capabilities and technology integration, with 65% of recent transactions involving groups with 10+ physicians.
Valuation multiples vary significantly based on specialty, location, and profitability.
M&A ADVISORY
A trusted partner in delivering high-value M&A transactions and exit planning for healthcare organizations & private practices
Detailed Financial Projections
Bespoke Acquisition Strategies
Buyer Targeting and Outreach
Confidential Information Memorandums
Teaser Documents
Data Room Management
Indications of Interest (IOIs)
Letters of Intent (LOIs)
Facilitation of Management Presentations
Deal Negotiation and Closing Support
Our M&A Playbook
Simplifying the M&A process to delivery value-driven results
Preparation
- Build a compelling narrative with financial models & investor presentations
- Identify and prioritize strategic and financial buyers tailored to your goals
01
Marketing
- Present teasers and distribute CIMs to targeted buyers under NDAs
- Gather and evaluate Indications of Interest (IOIs) to identify qualified prospects
02
Initial Engagement
- Facilitate initial buyer reviews and address questions about the opportunity
- Shortlist top buyers and begin preliminary deal negotiations
03
Due Diligence & LOI
- Conduct management presentations and finalize Letters of Intent (LOIs)
- Manage virtual data rooms (VDR) and coordinate due diligence efforts
04
Closing
- Negotiate final terms and oversee confirmatory due diligence
- Execute the purchase agreement and ensure a smooth transaction close
05
Disclaimer: The steps or stages are based on investor demand and general market factors.