Pivotal Health Solutions

What Pivotal Health Solutions does

Pivotal Health Solutions is a U.S.-based manufacturer of complementary healthcare and wellness equipment, operating across seven sub-brands: PHS Chiropractic and Armedica (chiropractic and therapy tables), Custom Craftworks (massage tables), Athletic Edge (athletic training room equipment and lockers), PHS Medical (therapy tables and the Electric Epidural Positioning Device), Rev.247 (workspace products), and Pivotal Printing (custom signage). The company designs and builds its products in-house at two manufacturing facilities located in Watertown, South Dakota (headquarters) and Springfield, Oregon, supporting capabilities in steel fabrication, painting, woodworking, textile production, and large-format printing. Core product technologies include Apollo and Illuvia Class IV cold laser therapy systems, the FDA-cleared iTrac computer-controlled pneumatic traction system, quarter-inch steel Metal Drop Tables, LAST functional rehabilitation tables, and DOC spinal decompression tables.

The company generates revenue primarily through one-time hardware sales of medical and wellness equipment to chiropractic practitioners, massage therapists, athletic trainers, hospitals, sports organizations, and educational institutions. Pricing is predominantly quote-based, with select published price points (e.g., the Apollo 5,000 mW Cluster Probe at $5,049). Distribution combines direct field sales, regional dealer networks, specialty medical distributors (including Precision Surgical for the Southeast U.S.), exclusive franchise supply agreements (most notably with Maximized Living), and brand-specific e-commerce storefronts. The company employs between 11 and 50 people and has operated since 1993, growing through a combination of organic product development and acquisitions, including the 2008 purchase of the Chattanooga ErgoStyle line and the 2026 acquisition of Wareologie Technology for global rehabilitation expansion.

Name

Pivotal Health Solutions

Legal name

Pivotal Health Solutions

Website

https://pivotalhealthsolutions.com

Company type

Private

Founded year

1993

Operating status

Operating

Headcount range

11–50 employees

Short description

Pivotal Health Solutions is a U.S. manufacturer of complementary healthcare equipment — including chiropractic tables, Class IV laser therapy systems, massage tables, athletic training equipment, and medical positioning devices — sold through seven sub-brands to practitioners, hospitals, sports teams, and educational institutions.

Ownership category

akta.pro rank

Product category

Chiropractic and Medical Equipment

NAICS

Medical Equipment and Supplies Manufacturing (3391), Surgical and Medical Instrument Manufacturing (339112), Medical Equipment and Supplies Manufacturing (33911)

SIC

Surgical & Medical Instruments & Apparatus (3841), Orthopedic, Prosthetic & Surgical Appliances & Supplies (3842)

akta.pro primary industry

Surgical Navigation, Robotics & Patient-Matched Instrumentation (Ortho/Spine) (HLAHAEAL)

Keywords

• Chiropractic adjusting tables
• Laser therapy systems
• Massage therapy tables
• Athletic training equipment
• Medical positioning devices

Headquarters

HQ city

Watertown

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Hardware or Manufacturing

Cost components

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

Revenue model

1. Healthcare Equipment Manufacturing and Sales: Pivotal Health Solutions manufactures and sells health and wellness equipment across five brands: PHS Chiropractic (chiropractic adjusting tables), PHS Medical (medical therapy and surgical positioning equipment), Custom Craftworks (massage and therapy tables), The Athletic Edge (athletic training equipment), and Rev.247 (ergonomic workspace products). Revenue is generated through one-time product sales to healthcare practitioners, clinics, hospitals, sports organizations, and educational institutions.
2. Custom Printing Services: Pivotal Printing provides custom printing services including decals, banners, signs, door wraps, yard signs, magnets, canvas prints, wood prints, logo rugs, and wellness mats. Revenue generated through per-job printing service orders.

Pricing tiers

Go-to-market motion2 records

Distribution channels5 records

Marketing channels6 records

Core offering

Pivotal Health Solutions manufactures and sells health and wellness equipment for the complementary healthcare field through multiple specialized brands, including chiropractic adjusting tables (PHS Chiropractic, Armedica), massage and therapy tables (Custom Craftworks), athletic training room equipment (Athletic Edge), medical therapy and surgical positioning devices (PHS Medical), ergonomic workspace products (Rev.247), and custom printing services (Pivotal Printing). The company offers both standard catalog products and custom-built equipment developed in collaboration with practitioners and franchise customers.

Product overview

Pivotal Health Solutions is a manufacturer of health and wellness equipment for the complementary healthcare field, operating through multiple sub-brands. The portfolio includes PHS Chiropractic (chiropractic adjusting tables and Apollo laser therapy systems), Armedica (therapy tables), Custom Craftworks (massage tables), Athletic Edge (athletic training equipment), PHS Medical (rehab tables and epidural positioning devices), Rev.247 (workspace products), and Pivotal Printing (signage). Core products include the Apollo Class IV laser systems, Metal Drop Tables, LAST Tables, DOC decompression tables, iTrac traction therapy system, and FMST soft tissue tools. The company also acquired Wareologie™ technology to expand portable rehab offerings. Products serve chiropractic, massage therapy, sports medicine, physical therapy, and anesthesiology practices.

Differentiator

Problem solved

Functional benefit

Brands

• PHS Chiropractic: Leading manufacturer of quality-built, ergonomically sound chiropractic adjusting tables and equipment. Includes product lines like Eurotech Tables and ErgoStyle tables acquired in 2008.
• Custom Craftworks
• Athletic Edge
• PHS Medical
• Rev.247
• Pivotal Printing
• Armedica

Products and services

• Apollo Laser Therapy System
• Metal Drop Table
• LAST Table (Lower Advanced Spinal Table)
• DOC Decompression Table
• iTrac Extension Traction Therapy System
• Fluid Motion Soft Tissue Tools (FMST)
• Electric Epidural Positioning Device (EPD)
• Illuvia Class IV Laser
• Pivotal Printing Custom Signage Services

Quantifiable outcome

• Apollo laser therapy with 5,000 mW cluster probe cuts treatment times to as little as 1-2 minutes compared to significantly longer sessions with lower-power probes
• +1 more outcomes

Named customers9 records

Segments5 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature8 records

Partnerships

Three partnerships are on record, tiered core and flagship.

• WareologiecoreTechnology or Integration · 21 April 2026Pivotal Health Solutions acquired Wareologie™ Technology to expand its rehabilitation offerings globally. The acquisition aims to increase the reach of portable parallel bars and enhance mobility support across more clinics and patients worldwide.
• Precision SurgicalcoreChannel Partner/ Reseller/ Distributor · 14 March 2016PHS Medical signed Precision Surgical as a new distributor to service TN, AR, MS, and LA territories. Precision Surgical has been serving the healthcare industry since 1982, bringing decades of distribution experience to PHS Medical's epidural positioning devices and medical therapy equipment.
• Maximized LivingflagshipChannel Partner/ Reseller/ DistributorPHS Chiropractic was chosen as the exclusive metal drop table provider for Maximized Living, a national franchise of chiropractic clinics with nearly 500 doctors in 92 clinics nationwide. Pivotal Health Solutions custom-builds tables for all Maximized Living clinics using quarter-inch steel construction with three drops designed for Maximized Living's specific technique package. PHS also donated a custom Metal Drop Table to Maximized Living's Dream Center nonprofit facility in Los Angeles serving underserved populations.

Scale indicators4 records

Recent moves8 records

Expansion highlights6 records

Direct peers

• Mettler Electronics: Mettler makes ultrasound, electrotherapy, and laser therapy devices used by physical therapists and chiropractors. Directly comparable to PHS's Apollo and Illuvia Class IV laser therapy systems.
• Tri W-G: Tri W-G manufactures athletic training room tables, mat platforms, and rehab equipment for high school, college, and pro sports teams. Direct competitor to The Athletic Edge brand.
• Midmark Corporation: Midmark manufactures medical, dental, and animal health equipment including treatment and procedure tables for physicians and PT/chiropractic clinics, directly overlapping with PHS's PHS Chiropractic and PHS Medical product lines.
• Hausmann Industries: Hausmann Industries is a long-standing US manufacturer of physical therapy and rehabilitation tables, treatment tables, and parallel bars. Comparable product overlap with Custom Craftworks and the newly acquired Wareologie parallel bar line.
• Dynatronics: Dynatronics manufactures and distributes physical therapy, rehabilitation, and sports medicine products including treatment tables and modality equipment, overlapping with both PHS Medical and Athletic Edge lines.
• Enovis (DJO Global / Chattanooga): Enovis owns the former Chattanooga Group, which makes chiropractic adjustment tables, traction devices, and physical therapy equipment. It is the most direct competitor to PHS Chiropractic in the adjusting table and rehab modality space.

Broad incumbents

• Performance Health: Performance Health owns multiple therapy and rehab brands (TheraBand, Biofreeze, Sammons Preston, Rolyan) and distributes a broad catalog to PT, chiropractic, and athletic training markets, overlapping with several PHS brand positions.
• Hillrom (Baxter International): Hillrom (acquired by Baxter) is a large incumbent in hospital and clinic equipment including treatment tables, surgical positioning, and patient handling solutions. PHS Medical's EPD and therapy tables compete in adjacent hospital niches.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights6 records

Customer concentration

• Xx.com/PivotalHealth
• Facebookfacebook.com/pivotalhealthsolutions

Revenue estimate

Valuation estimate

Number of profiles

Profiles4 records

Subsidiaries8 records

Funding overview

Funding rounds

Investors

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

M&A1 record

Investments

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

Frequently asked questions about Pivotal Health Solutions