Black Hills Orthopedic and Spine Center, P.C. Inc

What Black Hills Orthopedic and Spine Center, P.C. Inc does

Black Hills Orthopedic and Spine Center, P.C. is a private professional corporation founded in 1976 by six orthopedic surgeons in Rapid City, South Dakota. It operates a multi-specialty orthopedic practice providing diagnosis, surgical intervention, and rehabilitation for bone, joint, muscle, spine, and nerve conditions. The organization runs seven Centers of Excellence (Hand Center, Spine Center, Foot & Ankle Center, Podiatry Center, Sports Medicine Center, Orthopedic Trauma Center, Joint Replacement Center) supported by in-house diagnostic imaging (GE SIGNA Artist 1.5T MRI plus X-ray), physical therapy across three sites (including wholly-owned ProMotion Physical Therapy subsidiaries acquired in 2019), and walk-in Orthopedic Urgent Care in Rapid City and Gillette. The practice was the first in its region to deploy Mako Robotic-Arm Assisted technology for hip and knee joint replacement, and offers adjunctive services such as iovera cold therapy, cash-based sports-performance programs (golf, running, return-to-sport), workers' compensation care, and telemedicine.

The business operates as a regional, fee-for-service healthcare delivery model serving patients across South Dakota, Wyoming, Nebraska, and North Dakota through 13+ physical sites including main offices, hospital-co-located satellite clinics, and standalone urgent care and therapy locations. Go-to-market is direct-to-consumer combined with primary-care and employer referral networks, complemented by community-marketing channels such as sports team sponsorships (Rapid City Rush, Wyoming Mustangs, multiple high school programs) and niche sports-medicine positioning through Mountain Biking Doctors and Pickleball Doctors designations. The practice is affiliated with Sanford Health and partners with Black Hills Surgical Hospital for inpatient surgical procedures. Staffing comprises 20+ physicians, 20+ physician assistants and nurse practitioners, and 25+ physical therapists, with a physician-ownership structure, no parent company, and no private equity or public-market backing indicated in available materials.

Revenue is generated through professional-services billing for office consultations, diagnostic imaging, surgical procedures, physical therapy, and urgent care visits, billed to insurance, workers' compensation carriers, or patients directly. Limited public pricing disclosure exists for ancillary cash-pay programs. The practice remains privately held under physician ownership with no disclosed funding rounds, institutional investors, or revenue figures in the source data.

Name

Black Hills Orthopedic and Spine Center, P.C. Inc

Legal name

Black Hills Orthopedic & Spine Center, P.C.

Website

https://bhosc.com

Company type

Private

Founded year

1976

Operating status

Operating

Headcount range

1–10 employees

Ownership category

akta.pro rank

Product category

Orthopedic Healthcare Services

NAICS

Offices of Physicians (6211), Offices of Physical, Occupational and Speech Therapists, and Audiologists (621340), Diagnostic Imaging Centers (621512)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011)

akta.pro primary industry

Orthopedic Surgery (Operative Orthopedics) (HLAKALAC)

akta.pro secondary industries

General Orthopedics (HLAKALAA), Spine (Orthopedic Spine) (HLAKALAE), Foot & Ankle (HLAKALAG), Orthopedic Trauma (HLAKALAD), Orthopedic Physical Therapy & Post-Op Rehab (HSADAIAA)

Keywords

• Orthopedic medical services
• Musculoskeletal care
• Joint replacement surgery
• Sports medicine treatment
• Physical therapy services

Headquarters

HQ city

Rapid City

HQ country

United States

HQ region

North America

Offices13 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Clinical Patient Services: Fee-for-service healthcare delivery including office consultations, diagnostic imaging, surgical procedures, physical therapy, and urgent care services. Revenue generated through patient visits, procedures, and treatments billed to insurance or patients directly.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels5 records

Core offering

Black Hills Orthopedic and Spine Center is a multi-specialty orthopedic medical practice providing diagnosis, treatment, surgical intervention, and rehabilitation services for bone, joint, muscle, and spine conditions. The practice operates seven Centers of Excellence (Hand, Spine, Foot & Ankle, Podiatry, Sports Medicine, Orthopedic Trauma, Joint Replacement) supported by walk-in Orthopedic Urgent Care, on-site MRI and X-ray imaging, physical therapy clinics, and workers' compensation programs across South Dakota, Wyoming, Nebraska, and North Dakota.

Product overview

Black Hills Orthopedic & Spine Center is a comprehensive orthopedic practice founded in 1976, offering a multi-specialty, multi-site healthcare delivery model. The organization operates multiple Centers of Excellence (Hand Center, Spine Center, Foot & Ankle Center, Podiatry Center, Sports Medicine Center, Orthopedic Trauma Center, Joint Replacement Center) alongside core services including Orthopedic Urgent Care, Physical Therapy, Medical Imaging, iovera° Cold Therapy, Orthopedic Telemedicine, and Workers' Compensation Program. The practice serves Rapid City, SD and Gillette, WY as main offices, with satellite locations across South Dakota, Wyoming, Nebraska, and North Dakota. The center distinguishes itself through advanced technology including Mako® Robotic-Arm Assisted Surgery for joint replacement and GE SIGNA Artist MRI, while offering specialized cash-based Physical Therapy Programs for golf, running, and return-to-sport.

Differentiator

Problem solved

Functional benefit

Brands

• The Spine Center: Dedicated center for comprehensive care of back, neck, spine, and nerve-related conditions with specialty-trained spine surgeons and neurologist
• Hand Center
• Podiatry Center
• Sports Medicine Center
• Joint Replacement Center
• Foot & Ankle Center
• Orthopedic Trauma Center

Products and services

• Orthopedic Urgent Care

Quantifiable outcome

• Quicker, less painful recoveries with Mako robotic-assisted joint replacement
• +1 more outcomes

Named customers10 records

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Five partnerships are on record, tiered core and minor.

• Sanford HealthcoreOthersBlack Hills Orthopedic & Spine Center is affiliated with Sanford Health, utilizing Sanford Health for privacy policies, billing information, and integration with Sanford health system. The practice operates under Sanford Health's organizational structure with shared patient portal and privacy standards.
• Mountain Biking DoctorsminorGTM or Marketing PartnerDesignated as exclusive mountain biking injury experts for Rapid City region through Mountain Biking Doctors platform, providing injury care tips and clinical expertise for mountain biking-related injuries.
• Pickleball DoctorsminorGTM or Marketing PartnerDesignated as exclusive pickleball injury treatment leaders in South Dakota through Pickleball Doctors platform, offering injury care and prevention tips using data, clinical expertise, and experience.
• Black Hills Surgical HospitalcoreStrategic or Co-development PartnerMako Robotic-Arm Assisted joint replacement procedures performed at Black Hills Surgical Hospital, a partner surgical facility for advanced joint replacement surgeries.
• Black Hills Surgical HospitalcoreStrategic or Co-development PartnerNicholas Tolsma, PA-C has hospital affiliations with Black Hills Surgical Hospital for orthopedic patient care services in hospital settings.

Scale indicators3 records

Recent moves7 records

Expansion highlights5 records

Broad incumbents

• OrthoCarolina: Large multi-subspecialty orthopedic practice in the Carolinas with Centers of Excellence model across spine, sports medicine, hand, and joint replacement. Comparable to BHOSC's specialty-center structure and physician-owned independent model, but at much larger scale and urban footprint.
• OrthoVirginia: Independent multi-site orthopedic group with full continuum of care including physical therapy, imaging, and urgent care. Closely matches BHOSC's integrated service model and Centers of Excellence approach, but operates in Virginia/Maryland with significantly larger scale.
• The CORE Institute: Specialty orthopedic and musculoskeletal practice with strong emphasis on research, joint replacement, and sports medicine. Comparable subspecialty depth and physician-owned independence, with broader geographic reach across AZ and MI.
• U.S. Orthopedic Partners: PE-backed orthopedic platform aggregating independent practices across the Southeast. Relevant as a competing platform demonstrating the consolidation pathway available to BHOSC as a potential acquirer or acquiree.
• Sanford Health Orthopedics & Sports Medicine: Health system-affiliated orthopedic service line with which BHOSC maintains a billing/portal integration relationship. Represents both a partner and a potential competitive threat if Sanford directly employs orthopedists in the same geography.

Direct peers

• OrthoIndy: Indianapolis-based independent orthopedic practice with multi-subspecialty Centers of Excellence, urgent care, physical therapy, and surgical hospital. Closely comparable physician-owned model with integrated service lines — though at greater scale and with an owned surgical hospital.
• Twin Cities Orthopedics: Large independent orthopedic group serving the Upper Midwest with similar subspecialty centers, urgent care, and physical therapy. Strongest regional analog to BHOSC's Upper Midwest footprint and integrated care model.
• Campbell Clinic Orthopaedics: Multi-subspecialty orthopedic group with sports medicine, joint replacement, and spine across Tennessee/Mississippi. Comparable multi-site, multi-subspecialty physician-owned practice with strong sports medicine heritage.

Regional players

• Black Hills Surgical Hospital: Partner facility where BHOSC performs Mako joint replacements. Strong regional peer as the local specialty hospital partner; physician ownership at BHSH aligns closely with the independent orthopedic practice model.
• Steamboat Orthopaedic Associates: Independent multi-physician orthopedic practice in a similar rural/recreational geography (Steamboat Springs, CO). Comparable smaller-scale independent model with similar sports-medicine orientation driven by active-lifestyle patient base.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks5 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/black-hills-orthopedic-spine-center
• Xx.com/blackhillsortho

Revenue estimate

Valuation estimate

Number of profiles

Profiles8 records

Subsidiaries4 records

Funding overview

Funding rounds

Investors

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

M&A

Investments

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

Frequently asked questions about Black Hills Orthopedic and Spine Center, P.C. Inc