Hamilton Orthopaedics

What Hamilton Orthopaedics does

Hamilton Orthopaedics (legal name Hamilton Orthopedics, Spine & Sports Medicine) is an independent, physician-owned orthopedic medical practice founded in 1984 by Dr. Ivan Gowan in Central New York. The practice operates two clinical offices—one in Hamilton (85 College Street) and one in New Hartford (1 Oxford Road)—plus a tri-hospital surgical footprint spanning APEX Surgical Center (same-day procedures), UHS Chenango Memorial Hospital, and Oneida Health Hospital. It treats thousands of patients per year across age cohorts (children through seniors) and acuity levels, with a 0.2% spine surgery infection rate compared to a 2% national average.

The practice's core services span the full orthopedic continuum: sports medicine (with exclusive coverage of Colgate University, Morrisville State College, Utica College, and high schools across four counties), arthroscopy (knee, shoulder, hip, wrist), total joint replacement (hip, knee, shoulder), spine surgery (including minimally invasive techniques, artificial disc replacement, and SI joint fusion via the iFuse TORQ system from SI-BONE), foot/ankle and hand/wrist surgery, on-site X-ray and casting, therapeutic injections (cortisone, hyaluronic acid, PRP, transforaminal epidural), and in-house physical therapy staffed by three licensed therapists offering physician-specific post-operative protocols plus vestibular rehabilitation. The clinical team includes Drs. Gowan, Buckley (spine), LaFrance, and Zahn, two PAs, and physical therapists. Technology is conventional: digital on-site X-ray at both offices and a third-party Medent patient portal for scheduling and communications.

Hamilton Orthopaedics makes money through insurance-billed professional services across three streams—clinical patient services, surgical procedures performed at affiliated facilities, and physical therapy. The go-to-market is sales-led and almost entirely referral-driven: patients are referred by family physicians and other specialists, supplemented by community sports medicine partnerships, walk-in sports clinics at both locations, free sports medicine seminars for schools and athletic programs, and a basic website with appointment requests. Pricing is not publicly disclosed; the firm is privately held with no parent company, institutional investors, or fundraising activity.

Name

Hamilton Orthopaedics

Legal name

Hamilton Orthopedics, Spine & Sports Medicine

Website

https://hamiltonorthopedic.com

Company type

Private

Founded year

1984

Operating status

Operating

Headcount range

11–50 employees

Short description

Hamilton Orthopaedics is an independent, physician-owned orthopedic practice in Central New York offering sports medicine, spine and joint surgery, arthroscopy, physical therapy, and on-site X-ray across two clinics and three affiliated surgical facilities, serving thousands of regional patients annually including collegiate athletes.

Ownership category

akta.pro rank

Product category

Orthopedic Healthcare Services

NAICS

Offices of Physicians (62111), Offices of Physicians (6211)

SIC

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

akta.pro primary industry

Orthopedic Surgery (Operative Orthopedics) (HLAKALAC)

Keywords

• Orthopedic care
• Sports medicine
• Joint replacement
• Spine surgery
• Physical therapy

Headquarters

HQ city

New Hartford

HQ country

United States

HQ region

North America

Offices5 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Clinical Patient Services: Revenue generated from patient consultations, examinations, diagnostic imaging (X-ray), casting, injections, and other in-office clinical services. Both insured and self-pay patients.
2. Surgical Procedures: Revenue from surgical procedures performed at surgical facilities including APEX Surgical Center, UHS Chenango Memorial Hospital, and Oneida Health Hospital. Covers joint replacements, arthroscopy, spine surgery, fracture fixation, and other orthopedic procedures.
3. Physical Therapy Services: Revenue from on-site physical therapy rehabilitation services, including post-operative protocols, vestibular rehabilitation, and balance training. Staffed by three licensed physical therapists.

Go-to-market motion1 record

Distribution channels3 records

Marketing channels5 records

Core offering

Hamilton Orthopaedics, Spine & Sports Medicine is a private, multi-specialty orthopedic medical practice providing comprehensive musculoskeletal care — including sports medicine, arthroscopy, total joint replacement (hip, knee, shoulder), spine surgery (including minimally invasive procedures and SI joint fusion), physical therapy and rehabilitation, on-site X-ray and casting, and therapeutic injections — across two clinical locations in Hamilton and New Hartford, NY, with surgical cases performed at APEX Surgical Center, UHS Chenango Memorial Hospital, and Oneida Health Hospital.

Product overview

Hamilton Orthopaedics, Spine & Sports Medicine is a multi-specialty orthopedic practice offering comprehensive musculoskeletal care. The practice operates as a unified service platform combining surgical procedures (shoulder, knee, hip, ankle, hand/wrist, foot, and spine surgery), sports medicine, physical therapy, diagnostic imaging (X-ray and casting), and therapeutic injections. Core services include arthroscopic procedures, joint replacement, and spine surgery with advanced techniques like minimally invasive procedures and artificial disc replacement. Supporting services include on-site physical therapy with specialized vestibular rehabilitation and balance training, a patient portal for convenient access, and free sports medicine seminars for the athletic community. The practice serves Central New York with two locations and surgical partnerships at APEX Surgical Center, UHS Chenango Memorial Hospital, and Oneida Health Hospital.

Differentiator

Problem solved

Functional benefit

Products and services

• Sports Medicine Specialized orthopedic care for diagnosing, treating and preventing injuries to muscles and bones for athletes and physically active patients, including sports medicine coverage for Colgate University, Morrisville State College, and Utica College athletic programs.
• Arthroscopy Minimally invasive surgical procedures using fiberoptic arthroscope technology to diagnose and treat joint problems including ACL reconstruction, rotator cuff repair, and other knee, shoulder, and wrist procedures.
• Orthopedic Surgical Procedures Advanced surgical interventions including shoulder, knee, hip, ankle, hand/wrist, foot, and spine surgeries performed by orthopedic specialists.
• Joint Replacement Total joint replacement procedures including hip and knee replacements using state-of-the-art procedures and prostheses to relieve severe joint pain and restore function.
• Spine Surgery Comprehensive spine care including minimally invasive surgeries, artificial disc replacements, nucleus pulposus replacement, kyphoplasty, and sacroiliac joint fusion performed by Dr. Rudolph Buckley.
• Physical Therapy Rehabilitation services with licensed physical therapists providing patient-specific programs including vestibular rehabilitation, balance training, and physician-specific post-operative protocols.
• X-Ray & Casting On-site radiology capabilities at both Hamilton and New Hartford locations offering convenient X-ray services with full digital imaging for diagnosis and treatment planning, plus casting.
• Therapeutic Injections Therapeutic injection treatments including cortisone injections, hyaluronic acid injections, PRP (Platelet-Rich Plasma) injections, and transforaminal epidural injections.
• Foot and Ankle Surgery Treatment of foot and ankle injuries including fractures, ligament sprains, tendinitis, arthritis, bunions, hammer toe corrections, plantar fasciitis, and Morton's neuroma.
• Shoulder Surgery Shoulder procedures including arthroscopy, decompression, rotator cuff repair, capsulolabral repairs, Bankart procedures, total and reverse total shoulder replacement, and fracture fixation.
• Hip Surgery Hip procedures including total hip replacements (anterior and posterior approaches), hip fracture fixation, hip arthroscopy, labral repair, and ultrasound-guided hip injections.
• Knee Surgery Knee procedures including diagnostic arthroscopy, meniscus repair/excision, ACL reconstruction, lateral release, and chondroplasty.
• Hand and Wrist Surgery Hand and wrist procedures including fracture reduction and fixation, trigger release, tendon repair, fusions, Dupuytren's contracture releases, carpal tunnel release, and DeQuervain's release.
• iFuse TORQ SI Joint Fusion Minimally invasive sacroiliac joint fusion using the iFuse Implant System from SI-BONE for treatment of SI joint dysfunction and chronic lower back pain.

Quantifiable outcome

• 0.2% infection rate for spine surgery vs. national average of 2%
• +2 more outcomes

Named customers7 records

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration1 record

Partnerships

Eight partnerships are on record, tiered core and strategic.

• Colgate UniversitycoreStrategic or Co-development PartnerHamilton Orthopaedics provides sports medicine coverage for Colgate University's athletic programs. Physicians and physical therapists attend games and treat athletes, generating referrals and establishing the practice as the regional leader in collegiate sports medicine.
• Morrisville State CollegecoreStrategic or Co-development PartnerHamilton Orthopaedics provides sports medicine coverage for Morrisville State College athletic programs. Physicians and physical therapists attend games and treat athletes.
• Utica CollegecoreStrategic or Co-development PartnerHamilton Orthopaedics provides sports medicine coverage for Utica College athletic programs. Physicians and physical therapists attend games and treat athletes.
• High Schools in Madison, Oneida, Herkimer and Chenango CountiescoreStrategic or Co-development PartnerHamilton Orthopaedics provides sports medicine coverage for high school athletic programs across multiple counties in Central New York. Physicians and physical therapists attend games and treat student athletes.
• APEX Surgical CentercoreStrategic or Co-development PartnerState-of-the-art same-day surgical facility where Hamilton Orthopaedics surgeons perform orthopedic procedures. Apex Surgical Center is designed specifically to provide same-day, highly specialized surgical care for healthy patients that do not require hospitalization.
• UHS Chenango Memorial HospitalcoreStrategic or Co-development PartnerUHS Chenango Memorial Hospital in Norwich serves the greater Chenango County area. Hamilton Orthopaedics surgeons perform orthopedic surgeries at this facility.
• Oneida Health HospitalcoreStrategic or Co-development PartnerOneida Health Hospital provides state-of-the-art facilities for Hamilton Orthopaedics' orthopedic surgeries. The hospital prioritizes health and comfort of every patient.
• SI-BONEstrategicTechnology or IntegrationSI-BONE is the manufacturer of the iFuse Implant System and iFuse TORQ Implant System used for minimally invasive sacroiliac joint fusion. Dr. Buckley is trained and certified in the iFuse procedure. SI-BONE has over 100 peer-reviewed publications demonstrating the safety and effectiveness of iFuse implants.

Scale indicators5 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Resurgens Orthopaedics: Large independent orthopedic group in Georgia providing sports medicine, spine, joint replacement, and PT/imaging across multiple offices and ASCs. Directly comparable to Hamilton's physician-owned multi-specialty orthopedic model, with a broader geographic footprint in the Southeast.
• OrthoCarolina: Independent physician-owned orthopedic practice in the Carolinas offering sports medicine, spine, joint replacement, PT, and imaging across multiple locations. Directly comparable to Hamilton Orthopaedics in service line breadth, in-house PT/imaging, and physician-owned structure, but at a larger regional scale.
• Twin Cities Orthopedics: Large independent orthopedic practice in Minnesota offering sports medicine, spine, joint replacement, and rehabilitation across many suburban offices. Closely comparable to Hamilton in physician-owned multi-specialty orthopedic model with embedded PT and ASCs.
• Syracuse Orthopedic Specialists (SOS): Multi-specialty orthopedic group serving the Syracuse/Central New York region with sports medicine, spine, joint replacement, PT, and imaging. The closest geographic and service-line peer to Hamilton Orthopaedics, competing for the same regional patient base and physician-referral network.

Broad incumbents

• Rothman Orthopaedic Institute: Large multi-specialty orthopedic practice based in the Mid-Atlantic with sports medicine, spine, joint replacement, and on-site PT/Imaging across many locations. Comparable in service mix to Hamilton Orthopaedics, but operating at significantly greater geographic and capital scale.
• OrthoVirginia: Independent orthopedic group in Virginia with comprehensive orthopedic services including sports medicine, spine, joint replacement, and PT across many offices. Comparable to Hamilton in service breadth and physician-ownership, but operating at substantially larger scale in the Mid-Atlantic.
• Hospital for Special Surgery (HSS): Premier orthopedic specialty hospital in New York City offering sports medicine, spine surgery, joint replacement, and rehabilitation. Comparable to Hamilton in clinical focus (especially sports medicine and spine) but operates as a nationally recognized academic specialty hospital rather than a community practice.

Others

• SI-BONE: Medical device company that manufactures the iFuse Implant System and iFuse TORQ used by Hamilton for minimally invasive SI joint fusion. An enabling technology partner rather than a competitor — relevant because SI-BONE's product adoption directly supports Hamilton's spine differentiation.

Regional players

• St. Elizabeth Medical Center / Mohawk Valley Health System Orthopedics: Hospital-affiliated orthopedic program in the Utica/Central New York region offering joint replacement and sports medicine. A regional competitor for Hamilton's patient base with health-system scale advantages in OR access and payer contracting.
• UHS (United Health Services) Orthopedics: Hospital-affiliated orthopedic service line in Upstate New York, including at UHS Chenango Memorial where Hamilton Orthopaedics surgeons operate. Comparable in clinical scope and patient geography, but embedded within a larger health system rather than physician-owned.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/hamilton-orthopaedics

Revenue estimate

Valuation estimate

Number of profiles

Profiles7 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 Hamilton Orthopaedics