4.10.2.4Vertical

Orthopedic & Spine ASCs

ASCs focused on orthopedic and spinal surgical procedures.

Market snapshot

These figures describe Ambulatory Surgery Centers (ASC) (4.10.2), the segment that Orthopedic & Spine ASCs sits within — not Orthopedic & Spine ASCs on its own.

Market size
~$44B
Growth
~7.4%CAGR (2017–22, nominal)
Companies
~10,200
FragmentationConsolidatingEstimate

U.S. Census Bureau 2022 CBP/Economic Census, NAICS 621493 (Freestanding Ambulatory Surgical & Emergency Centers).

Business model & economics

Revenue model

Facility fees on outpatient surgical procedures

Key economics

Recurring revenue
Moderate

procedure-volume-driven

EBITDA margin
Strong

efficient outpatient surgical economics

Capex intensity
High

Characteristics

  • Migration of surgery from hospitals to ASCs.
  • Physician-ownership and ancillary economics attractive.
  • Scaled operators and MSOs consolidating via JVs.

M&A deal context

Deal activityHigh

Who’s acquiring

  • Scaled ASC operators
  • Specialty MSO platforms
  • Health-system & physician JV partners

What’s driving deals

  • Surgery migration to outpatient settings.
  • Physician-JV and ancillary economics.
  • Consolidation by scaled ASC platforms.

Find Orthopedic & Spine ASCs acquisition targets

Search Acquisera’s index for companies classified under Orthopedic & Spine ASCs (4.10.2.4) and build a targeted deal pipeline.

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