HOPCo

What HOPCo does

HOPCo (Healthcare Outcomes Performance Company), founded in 2005 by Dr. David Jacofsky after his tenure as a division chief at Mayo Clinic, is a physician-led healthcare management and technology company headquartered in Phoenix, Arizona. It operates as The Center for Orthopedic and Research Excellence, Inc. and is the largest orthopedic value-based care organization in the United States, with aligned musculoskeletal physician practices, health systems, and payors across more than 30 states and additional offices in Fort Lauderdale, London, and Amsterdam.

HOPCo's commercial offering combines management services with an integrated digital and AI platform structured around HOPCo Digital. Core products include HOPCo Vitals (orthopedic service line analytics and KPI benchmarking), myrecovery by HOPCo (digital patient engagement and patient-reported outcome collection), HOPCo CNS / Complete Network Solutions (IT and network infrastructure for providers), the HOPCo Specialty Care Network (the only URAC-accredited MSK clinically integrated network in the country), a Medical Economics and Analytics platform with proprietary claims analytics and actuarial benchmarks, and Caro Health's conversational AI acquired in August 2025. The portfolio is supported by ISO 27001 certification and the AAOS PROMs Vendor Program participation.

Revenue is generated through four primary streams: value-based care contracting (bundled payments, chronic episodes of care, population health programs), managed practice management services, enterprise licensing of digital health platforms (HOPCo Vitals, myrecovery, AI patient engagement), and MSK service line management for hospitals. The go-to-market is enterprise sales to three primary verticals — MSK physician practices, health systems and hospitals, and payors — augmented by a channel partnership with Smith+Nephew for distribution to ambulatory surgery centers. The company has grown through a sequence of acquisitions (Stryker Performance Solutions 2020, Future Health Works 2022, MoonlightOrtho 2024, Caro Health 2025), strategic partnerships, and a multi-state population health expansion that added more than 845,000 members in 2026.

Name

HOPCo

Legal name

The Center for Orthopedic and Research Excellence, Inc

Website

https://hopco.com

Company type

Private

Founded year

2005

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

HOPCo is a physician-led healthcare management and technology company that partners with musculoskeletal practices, health systems, and payors across more than 30 states to deliver value-based orthopedic care through practice management, analytics, and digital engagement platforms.

Ownership category

akta.pro rank

Product category

Musculoskeletal Care Management

NAICS

Offices of Other Health Practitioners (6213)

SIC

Services-Misc Health & Allied Services, Nec (8090), Services-Health Services (8000)

akta.pro primary industry

Virtual PT/OT/MSK & Rehab Programs (Payer-Sponsored) (HLALACAI)

Keywords

• Musculoskeletal care management
• Value-based care
• Orthopedic practice management
• Healthcare analytics platform
• Population health programs

Headquarters

HQ city

Phoenix

HQ country

United States

HQ region

North America

Offices4 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. Value-Based Care Contracting: HOPCo generates revenue through value-based care arrangements including bundled payments, chronic episodes of care initiatives, and population health programs. The company participates in advanced risk-based arrangements with affiliated payors, practices, and health systems, earning compensation based on quality outcomes and cost savings achieved.
2. Practice Management Services: Management services for musculoskeletal physician practices including operational support, growth optimization, and value creation through alignment with health systems and payors. Revenue derived from comprehensive practice management agreements.
3. Digital Health Platform Licensing: Licensing of HOPCo's digital health technology platforms including HOPCo Vitals, myrecovery, and AI-powered patient engagement tools to practices, ASCs, health systems, and payors.
4. Health System Service Line Management: MSK service line optimization services for hospitals including evidence-based care protocols, data analytics platforms, clinical outcomes tracking, and facilities development management to improve quality and reduce total cost of care.

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels5 records

Core offering

HOPCo partners with musculoskeletal practices, health systems, and payors to deliver value-based MSK care through practice management, service line optimization, population health programs, and proprietary digital platforms including HOPCo Vitals, myrecovery, Caro Health AI, and HOPCo CNS. The company operates the only URAC-accredited MSK clinically integrated network in the country, aligning over 230 specialty physicians in Arizona and serving more than 845,000 members in multi-state MSK population health programs.

Product overview

HOPCo is a platform company offering an integrated suite of digital health and care management solutions for musculoskeletal (MSK) care. The portfolio is organized around HOPCo Digital, an advanced technology and AI ecosystem comprising: HOPCo Vitals (orthopedic service line analytics and performance benchmarking), myrecovery (mobile patient engagement and outcomes tracking), HOPCo CNS (complete IT network solutions), and Caro Health (conversational AI for patient communication, acquired 2025). Supporting infrastructure includes the URAC-accredited HOPCo Specialty Care Network (HSCN), a clinically integrated network platform, and a Medical Economics and Analytics platform powering value-based care programs. The core platform integrates these tools to enable data-driven, patient-centered MSK care across practices, ASCs, health systems, and payors.

Differentiator

Problem solved

Functional benefit

Brands

• HOPCo Digital: Advanced technology and AI platform for practices, ambulatory surgery centers, payors, suppliers, and health systems enabling integrated, data-driven, and patient-centered care.
• HOPCo Vitals
• myrecovery by HOPCo
• HOPCo CNS (Complete Network Solutions)
• HOPCo Specialty Care Network (HSCN)
• HOPCo CNS (Clinical Network Solutions)

Quantifiable outcome

• Reduced total cost of MSK care while improving quality outcomes
• +3 more outcomes

Named customers9 records

Segments4 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

AI capability7 records

Feature6 records

Partnerships

Nine partnerships are on record, tiered regional and core.

• Orthopaedic Specialty Group and OrthoConnecticutregionalImplementation/ SI/ Consulting Partner · 13 May 2026Physician-led partnership merging two Connecticut practices to create leading physician-led MSK care platform. Combined organization benefits from HOPCo's advanced analytics, digital patient engagement tools, and value-based care program management platform.
• HumanacoreStrategic or Co-development Partner · 28 October 2025Partnership to add Humana members in Arizona to HOPCo's advanced MSK population health solution. HOPCo's specialty care platform with integrated analytics and member engaging digital tools aligns providers and members around clinical best practices for eligible Humana members receiving MSK care.
• Indiana Orthopedic InstitutecoreImplementation/ SI/ Consulting Partner · 14 October 2025Dr. Michael Meneghini serves as Founder and CEO of Indiana Orthopedic Institute while also serving as Chief Market Development Officer of HOPCo. IOI leverages HOPCo's fully integrated suite of digital solutions for provider efficiency and elevated patient care.
• Caro HealthcoreStrategic or Co-development Partner · 7 August 2025HOPCo acquired Amsterdam-based Caro Health, a leading AI-powered digital health company, to enhance its AI-powered healthcare platforms and expand in Europe. Caro Health's conversational AI technology will be integrated into HOPCo's services to improve patient engagement and clinical workflows. Caro Health founders Thomas Goijarts and Guusje van der Heijden joined HOPCo leadership.
• Smith+NephewcoreChannel Partner/ Reseller/ Distributor · 30 July 2024Exclusive digital and advanced analytics collaboration where Smith+Nephew distributes HOPCo's AI-powered analytics and solutions to ASC (ambulatory surgery center) customers. Smith+Nephew is a major medical technology company (LSE:SN, NYSE:SNN) providing HOPCo with expanded market access to the ASC customer segment.
• Watertown Regional Medical CenterregionalImplementation/ SI/ Consulting Partner · 18 June 2024Partnership to enhance orthopedic and spine care services. Watertown Regional Medical Center leverages HOPCo's proven MSK service line transformation platform, evidence-based care protocols, advanced data analytics, and digital patient engagement infrastructure to improve patient care and experience.
• Pardee UNC Health CareregionalImplementation/ SI/ Consulting Partner · 2 June 2022Partnership to transform musculoskeletal and neurosurgical care in western North Carolina. HOPCo helps manage MSK services and develop a neurosurgical and musculoskeletal specialty care center, creating the region's first facility focused on these procedures.
• Premier OrthopaedicsregionalImplementation/ SI/ Consulting Partner · 11 May 2022Partnership to create value-based musculoskeletal care platform in Pennsylvania. Premier Orthopaedics (200+ providers across 35+ locations) empowered with HOPCo's clinical, quality, outcomes, and claims analytics infrastructure.
• Ascension Sacred HeartregionalImplementation/ SI/ Consulting Partner · 2 November 2021Performance Orthopedics and Spine program expansion into Florida Panhandle. Collaboration brings together orthopedic surgeons and neurosurgeons exclusively at Ascension Sacred Heart around innovative care delivery and medical economics platform.

Scale indicators8 records

Recent moves10 records

Expansion highlights6 records

Direct peers

• Sword Health: Sword Health is a digital MSK and pelvic health virtual care provider using AI-guided exercise therapy. It competes with HOPCo in digital MSK therapy delivery and increasingly in payer- and employer-sponsored value-based MSK programs.
• Hinge Health: Hinge Health is a leading digital MSK care platform delivering virtual physical therapy, exercise, and education to employer- and payer-sponsored populations. It is a direct competitor to HOPCo's digital MSK offerings (myrecovery, MoonlightOrtho, Caro Health) and overlaps with HOPCo's payer value-based care contracting in the MSK space.
• ATI Physical Therapy: ATI Physical Therapy is one of the largest outpatient physical therapy providers in the U.S., operating hundreds of clinics with employer and payer partnerships. It overlaps with HOPCo's MSK practice partner network and serves the same payer-sponsored populations.

Broad incumbents

• Privia Health: Privia Health is a physician-enablement platform providing practice management, value-based care, and technology infrastructure to medical groups across multiple specialties. Its multi-specialty practice aggregation model and payer contracting capabilities are structurally similar to HOPCo's MSK practice partnership business.
• agilon health: agilon health is a publicly traded value-based care platform that partners with primary care physician groups to manage senior populations under global capitation. While focused on primary care rather than MSK, agilon is a comparable scaled, PE-aligned VBC platform built on physician practice aggregation.
• VillageMD: VillageMD (a Walgreens-owned primary care platform) operates value-based primary care clinics for seniors and has expanded into MSK and home-based care. It is a broader incumbent that competes with HOPCo for risk-bearing contracts with payers and integrated care delivery.
• U.S. Anesthesia Partners: USAP is a physician-led, private equity-backed specialty practice management platform focused on anesthesiology. It shares HOPCo's model of consolidating specialty physician practices and partnering with health systems and payers, and is often cited alongside HOPCo as a comparable physician-platform roll-up.

Regional players

• Cano Health: Cano Health is a value-based primary care provider focused on seniors, with a strong regional footprint in Florida and other states. While focused on primary rather than MSK care, its payer-partnered VBC model and senior population focus make it a comparable value-based care platform to HOPCo.

Emerging players

• Omada Health: Omada Health is a digital chronic care management platform addressing diabetes, hypertension, and MSK conditions through employer- and payer-sponsored programs. It competes for the same payer and employer dollars as HOPCo's digital MSK and value-based care offerings.
• Kaia Health: Kaia Health is a digital MSK and chronic pain therapy platform using computer-vision-guided exercise, similar to HOPCo's digital MSK patient engagement tools. It is a more narrowly focused competitor in the virtual MSK therapy niche.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/hopco17
• Instagraminstagram.com/hopco_msk
• Facebookfacebook.com/people/Healthcare-Outcomes-Performance-Company-HOPCo/61550232833178

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles11 records

Subsidiaries4 records

Funding overview

Funding rounds1 record

Investors1 record

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A2 records

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about HOPCo