Physical Therapy Sector Overview
JANUARY 2024
JANUARY 2024
Physical therapy (PT) is a healthcare offering focused on the preservation, enhancement or restoration of movement and physical function impaired by disease, injury or disability. Common treatment applications include therapeutic exercise, physical modalities, assistive devices and patient education.
Sources: Publicly available information
Sources: Publicly available information
Aging U.S.
Population |
The Population of people 50+ is increasing each year, leading to proportionate growth across chronic and age-related disorders
|
Highly Competitive, Fragmented Market
|
Private equity-led consolidation is a growing theme in the Physical Therapy market, positioning established platforms, with set infrastructure, for continued growth
|
Increase in
Active Lifestyles |
The U.S. is trending towards an active, health-centric lifestyle, leading to a higher chance of rehabilitation therapy stemming from acute injuries
|
Reform of
Rehab Favoring Active Therapy |
Pain management from sports, chronic and age-related injuries or ailments, are moving towards movement therapy and away from opioid and medication usage
|
Barriers to
Access of PT Services |
Direct access to PT care is continuously improving, but the payment structure of therapy practices makes completing a full course of PT care challenging for many Americans
|
Surgical Advancements
|
Surgical safety innovations and new minimally invasive procedures have allowed more advanced treatments to be performed in outpatient settings (more incentive to get surgery vs. PT)
|
Future Physical Therapist Shortage
|
High demand and low unemployment rates are due in large to the number of therapists retiring – in 2019 ~49% of physical therapists were between ages 50-64, compared to 32% in 2010
|
Reimbursement Cap for Certain Therapies
|
High claim denials are the main limiting factor in the therapy market as of right now due to a reimbursement cap placed on Physical and Occupational Therapy
|
Sources: Publicly available information
Source: HealthcareAppraisers, IBISWorld
Despite years of private equity-led consolidation, the physical therapy market and payor mix remain highly fragmented.
Source: HealthcareAppraisers, IBISWorld
The Physical Therapist Workforce and Patient Access Act (H.R. 3759/S. 2676)
Allows physical therapists to participate in the National Health Service Corps Loan Repayment Program. This program assists primary care, mental health, and dental providers in repaying eligible student loans in exchange for working in areas with shortages of such providers
The Allied Health
Workforce Diversity Act (H.R. 3320/S. 1679)
Allows the DHHS to provide grants to accredited education programs increasing diversity in the physical therapy, occupational therapy, respiratory therapy audiology, and speech-language pathology professions. Grants may be used to provide scholarships or support for recruitment and retention of students from underrepresented groups
Physical Therapy Act of 2021
Physical therapists to receive payment under Medicare for services provided to the patients by another physical therapist through a qualifying temporary arrangement, regardless of the geographic area or population served
Source: HealthcareAppraisers, IBISWorld
Acquirer | ||||
---|---|---|---|---|
Operator | ||||
Initial Investment | May 2021 | December 2020 | November 2016 | January 2022 |
Geography | Wisconsin & South Carolina |
California, Washington & Wyoming | East Coast Locations GA, SC, DE, MD, NC, PA, VA, WV, DC |
U.S. Locations 22/50 States |
Locations as of December 2023 | 245 locations | 212 locations | 985 locations | 393 locations |
Locations Added | 4 add-ons & 18 locations |
4 add-ons & 83 locations |
2 add-ons & 56 locations |
1 add-on & 64 locations |
Add-Ons |
|
|
|
|
Source: Respective company websites
Date | Target | Acquirer | Transaction Type | |
---|---|---|---|---|
June 2023 | Was acquired by | Platform | ||
November 2023 | Was acquired by | Add-On | ||
April 2023 | Was acquired by | Add-On | ||
February 2023 | Was acquired by | Add-On | ||
February 2023 | Was acquired by | Add-On | ||
November 2022 | Was acquired by | Add-On | ||
November 2022 | Was acquired by | Add-On | ||
May 2022 | Was acquired by | Add-On | ||
May 2022 | Was acquired by | Add-On | ||
April 2022 | Was acquired by | Add-On | ||
April 2022 | Was acquired by | Add-On | ||
April 2022 | Was acquired by | Platform | ||
April 2022 | Was acquired by | Add-On | ||
February 2022 | Was acquired by | Add-On | ||
February 2022 | Was acquired by | Add-On | ||
January 2022 | Was acquired by | Platform | ||
January 2022 | Was acquired by | Add-On | ||
January 2022 | Was acquired by | Platform | ||
December 2021 | Was acquired by | Add-On | ||
December 2021 | Was acquired by | Add-On | ||
December 2021 | Was acquired by | Platform | ||
December 2021 | Was acquired by | Add-On | ||
November 2021 | Was acquired by | Add-On | ||
August 2021 | Was acquired by | Add-On | ||
July 2021 | Was acquired by | Add-On | ||
May 2021 | Was acquired by | Platform | ||
May 2021 | Was acquired by | Add-On | ||
April 2021 | Was acquired by | Add-On | ||
March 2021 | Was acquired by | Add-On | ||
December 2020 | Was acquired by | Platform |
Founded in 1991, Physical Rehabilitation Network ("PRN") maintains an owner-operator clinic model, which allows for the development of the physical therapy practice without the administrative burden providers typically face.
Gryphon Investors made their third physical therapy investment with the acquisition of PRN in 2020. At the time of the transaction, PRN consisted of over 200 clinics in more than 12 states.
Gryphon Investors is a leading Private Equity firm focused on partnerships with experienced management teams and their companies to enhance profitability and generate competitive market advantages. The firm has deployed over $5.0 billion of capital since 1997.
Source: Respective company websites
This document is being provided in connection with an actual or potential mandate or engagement and may not be used or relied upon for any purpose other than as specifically contemplated by a written agreement with the Allen, Mooney & Barnes companies. This document is intended solely for the use of the party to whom it was provided to and is not to be disclosed (in whole or in part), summarized, reprinted, sold, redistributed or otherwise referred to without the prior written consent of the AMB companies.
Allen Mooney & Barnes Brokerage Services is a broker/dealer member of FINRA and SIPC. Allen Mooney & Barnes Investment Advisors, Inc. is an investment adviser registered with the U.S. Securities and Exchange Commission.
Information presented in this document is for informational, educational and illustrative purposes only. While the information in this document is from sources believed to be reliable, the AMB companies make no representations or warranties, express or implied, as to whether the information is accurate or complete and assume no responsibility for independent verification of such information. In addition, the analyses in this document are narrowly focused and are not intended to provide a complete analysis of any matter.
Past performance is not necessarily indicative of future performance. Estimates, projections or indications of future performance can be identified by certain statements, such as "believes," "expects," "may," "will," "should," "seeks," "approximately," "plans," "estimates" or "anticipates" or the negative of those words or other comparable terminology, as well as by statements concerning projections, future performance, developments, events, revenues, expenses, earnings, run rates and any other guidance on present or future periods. Any such statements are forward-looking in nature and involve risks and uncertainties. Any statements of future performance are based on assumptions that might not be realized and a number of factors, including without limitation, the volatility of the securities markets, the overall environment for interest rates, risks associated with private equity investments, the demand for public offerings, activity in the secondary securities markets, competition among financial services firms for business and personnel, the effect of demand for public offerings, available technologies, the effect of government regulation and of general economic conditions on our own business and on the business in the industry areas on which we focus and the availability of capital to us. We are under no obligation to update the information presented in this document or to inform you if any such information turns out to be inaccurate or misleading.
The information in this document is not, and is not to be construed as, an offer or a solicitation to buy or sell any securities or any other financial instruments or a recommendation or endorsement to engage in or effect any particular investment or transaction. Moreover, under no circumstances should the information in this document be considered legal, tax or accounting advice or relied upon, therefore. The recipient is advised to rely on the advice of its own professionals and advisors for such matters and should make an independent analysis and decision regarding any transaction based upon such advice.
The information in this document is not intended for distribution to, or use by, any person or entity in any jurisdiction or country where such distribution or use would be contrary to law or regulation or for any distribution or use that would subject the AMB companies to any registration requirement within such jurisdiction or country.
AMB focuses on lower middle-market healthcare niches where consumerism and fragmentation meet to disrupt traditional healthcare channels. We typically advise companies with EBITDA of $5M to $20M and an average enterprise value of $100M, but will move up and down the spectrum. AMB’s research-oriented approach to business development has resulted in a vast network of strategic and financial sponsor relationships that yield industry leading intelligence and optimal outcomes for our clients.
Managing Director
843-501-2183 Direct
mikel.parker@ambadvisors.com
Managing Director
843-405-1108 Direct
ryan.loehr@ambadvisors.com
Vice President
843-371-8596 Direct
johnny.cross@ambadvisors.com
Senior Associate
843-473-7981 Direct
kevin.williams@ambadvisors.com
Associate
843-576-4709 Direct
sully.hagood@ambadvisors.com
Analyst
843-405-1112 Direct
josh.hall@ambadvisors.com