New Hampshire Orthopaedic Center

What New Hampshire Orthopaedic Center does

New Hampshire Orthopaedic Center (NHOC) is a physician-owned, full-service orthopedic medical practice headquartered in Nashua, New Hampshire, operating six office locations across southern and central New Hampshire (Nashua, Bedford, Londonderry, Belmont, Keene, and Concord). Founded in 2001 and serving approximately 80,000+ patients annually, the practice is staffed by 19-20 board-certified, fellowship-trained orthopedic surgeons with subspecialty coverage in joint replacement, spine, sports medicine, shoulder, hand and upper extremity, and foot and ankle care, supported by physician assistants and in-house physical and occupational therapists.

NHOC's clinical platform spans the full musculoskeletal continuum: diagnostic services including ACR-accredited MRI (read by New England Baptist Hospital radiologists), interventional pain management, physical and occupational therapy, bone health clinic, workers' compensation evaluations, and surgical care ranging from sports medicine arthroscopy to joint replacement and spine surgery. The practice has invested in advanced surgical technologies including Stryker Mako robotic-assisted knee and shoulder replacement, Globus ExcelsiusGPS robotic spine surgery, computer-assisted navigation, endoscopic discectomy, 3D-printed custom implants (via Restor3D), and FDA-approved iovera cryotherapy for non-opioid knee pain. Surgical procedures are performed across five regional hospital partners (Elliot, St. Joseph, Parkland, Catholic Medical Center, Southern New Hampshire Medical Center) and two ambulatory surgical centers (Bedford ASC and Nashua ASC), with same-day discharge capability for joint replacement and endoscopic spine procedures. The practice is recognized as the most Top-Doctor-honored orthopedic group in New Hampshire by New Hampshire Magazine (34+ honors since 2001) and has been named Best Orthopaedic Office by Union Leader readers for six consecutive years (2013-2018+).

NHOC's business model is fee-for-service patient care, with revenue generated from office consultations, diagnostic imaging, therapy services, pain management procedures, and surgical cases billed to commercial insurance, Medicare, Medicaid, and workers' compensation payers. The go-to-market motion is sales-led through referrals from primary care physicians, hospital emergency departments, existing patients, and direct patient self-referrals, supplemented by a community-reputation-based marketing strategy including patient testimonials, a monthly newsletter, WFEA Radio appearances, and organic patient-billing/portal infrastructure. Telehealth/virtual visits supplement in-person consultations. No external investors, private equity ownership, or parent company affiliations are evidenced; the practice appears to be wholly owned and controlled by its physician partners.

Name

New Hampshire Orthopaedic Center

Legal name

New Hampshire Orthopaedic Center

Website

https://nhoc.com

Company type

Private

Founded year

2001

Operating status

Operating

Headcount range

101–250 employees

Short description

New Hampshire Orthopaedic Center is an independent, physician-owned orthopedic medical practice operating six locations across southern and central New Hampshire, providing comprehensive musculoskeletal care — joint replacement, robotic spine and shoulder surgery, sports medicine, MRI, PT/OT, and pain management — to adult and pediatric patients.

Ownership category

akta.pro rank

Product category

Orthopedic Medical Practice

NAICS

Offices of Physicians (62111), Offices of Physical, Occupational and Speech Therapists, and Audiologists (621340)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Specialty Outpatient Facilities, Nec (8093)

akta.pro primary industry

General Orthopedics (HLAKALAA)

akta.pro secondary industries

Orthopedic Surgery (Operative Orthopedics) (HLAKALAC), Spine (Orthopedic Spine) (HLAKALAE)

Keywords

• Orthopedic surgical services
• Joint replacement surgery
• Spine surgery care
• Physical therapy rehabilitation
• Orthopedic diagnostic imaging

Headquarters

HQ city

Nashua

HQ country

United States

HQ region

North America

Offices6 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 Care Services: Revenue generated from office visits, consultations, diagnostic imaging (MRI, X-rays), interventional pain management procedures, and surgical procedures performed at their offices, ambulatory surgical centers, and partner hospitals throughout New Hampshire.
2. Surgical Procedures and Joint Replacement: Revenue from orthopedic surgical procedures including hip and knee replacements, spine surgery, sports medicine procedures, and foot/ankle surgery performed at ambulatory surgical centers and hospital operating rooms.
3. Physical and Occupational Therapy: Revenue from physical and occupational therapy services for Medicare, Medicaid, and other government insurances as part of comprehensive orthopedic care.
4. Iovera Non-Opioid Pain Treatment: Revenue from iovera cryotherapy treatment for knee pain, osteoarthritis, and chronic knee pain providing non-opioid pain management solutions.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels4 records

Core offering

New Hampshire Orthopaedic Center is an independent, physician-owned orthopedic medical practice that diagnoses and treats musculoskeletal diseases and injuries across southern New Hampshire. It delivers comprehensive surgical services (joint replacement of hip/knee/shoulder, spine surgery, sports medicine, hand/upper extremity, foot/ankle) along with diagnostic MRI, physical and occupational therapy, interventional pain management, bone health, workers' compensation care, and telehealth consultations, supported by fellowship-trained subspecialized surgeons utilizing Mako robotic assistance, ExcelsiusGPS, 3D-printed implants, and endoscopic minimally invasive techniques.

Product overview

New Hampshire Orthopaedic Center is a full-service orthopedic medical practice offering comprehensive surgical and non-surgical musculoskeletal care across southern New Hampshire. The practice operates as a unified platform combining multiple service lines: surgical services including joint replacement (hip, knee, shoulder), spine surgery (including robotic and endoscopic approaches), sports medicine, hand/upper extremity, and foot/ankle surgery; diagnostic services (ACR-accredited MRI); rehabilitation (physical and occupational therapy); pain management; and specialized treatments like iovera° cryotherapy. Advanced surgical technologies include Mako robotic-assisted knee/hip/shoulder replacement, ExcelsiusGPS robotic spine surgery, computer-assisted navigation, and 3D-printed implants. The practice features fellowship-trained subspecialized orthopedic surgeons supported by physician assistants and physical therapists across five locations in Nashua, Bedford, Londonderry, Belmont, Keene, and Concord.

Differentiator

Problem solved

Functional benefit

Products and services

• Joint Replacement Surgery Total and partial hip, knee, and shoulder replacement surgeries performed by fellowship-trained orthopedic surgeons using advanced techniques including anterior approach hip replacement and robotic-assisted procedures, for adult patients with degenerative joint disease or joint failure.
• Anterior Hip Replacement Muscle-sparing hip replacement technique performed through an anterior approach for patients with hip joint degeneration, enabling same-day discharge and faster recovery compared to traditional hip replacement surgery.
• Robotic Knee Replacement (Mako) State-of-the-art robotic-arm assisted knee replacement surgery using 3D CT imaging to plan procedures and provide real-time intraoperative data for precise implant placement, for patients requiring knee replacement due to osteoarthritis or injury.
• Robotic Spine Surgery (ExcelsiusGPS) Robotic-assisted spine surgery combining navigation and robotics technology for improved accuracy, shorter surgical times, and smaller incisions in minimally invasive spine procedures for patients with spine disorders requiring surgical intervention.
• Endoscopic Spine Surgery Ultra-minimally invasive spine surgery performed through incisions smaller than one centimeter with a tiny camera and specialized instruments for disc herniation treatment with same-day discharge, for patients with herniated discs.
• Computer Assisted Knee Replacement Knee replacement surgery using computer navigation technology to achieve precise alignment and placement of knee prostheses for improved outcomes for patients with knee osteoarthritis requiring joint replacement.
• Shoulder Replacement Surgery Shoulder replacement procedures including robotic-assisted total shoulder replacement using Stryker MAKO technology for enhanced surgical precision, for patients with shoulder joint degeneration or severe shoulder conditions.
• Total Talus Replacement with 3D Printed Implant Custom 3D-printed talus bone replacement using cobalt chrome implants fabricated by Restor3D for patients with avascular necrosis (AVN) of the talus, providing a personalized surgical solution for severe foot/ankle conditions.
• Spine Care Comprehensive spine surgery and non-surgical treatment for cervical and lumbar spine disorders, including minimally invasive procedures and robotic-assisted surgery, for patients with degenerative or traumatic spine conditions.
• Sports Medicine Sports medicine treatment including arthroscopic rotator cuff repairs, ACL reconstruction, and surgical treatment for sports-related injuries, for athletes and active individuals needing orthopedic sports injury care.
• Hand and Upper Extremity Surgery Surgical treatment for hand, wrist, and elbow conditions including carpal tunnel, trigger finger, tendon repairs, and trauma reconstruction, for patients with upper extremity orthopedic conditions.
• Foot and Ankle Surgery Foot and ankle surgical treatment including reconstructive surgery, ankle replacement, fracture treatment, and management of diabetic and neuromuscular disorders, for patients with lower extremity orthopedic conditions.
• Interventional Pain Management Pain management services designed to block pain from reaching areas of distress using therapies, medication, or mind-body techniques to minimize or eliminate discomfort, for patients with chronic orthopedic pain.
• MRI Services ACR accredited MRI imaging services at Nashua and Bedford offices with state-of-the-art machines, feet-first scanning to reduce claustrophobia, and 20-30 minute average scan times; images interpreted by New England Baptist Hospital radiologists, for patients needing diagnostic musculoskeletal imaging.
• Physical & Occupational Therapy Physical and occupational therapy services for Medicare, Medicaid, and other government insurances, monitored by orthopedic surgeons as part of comprehensive orthopedic care, for patients needing post-surgical or injury rehabilitation.
• iovera Cryotherapy FDA-approved nonoperative treatment providing immediate, long-lasting non-opioid pain relief for osteoarthritis, chronic knee pain, neurologic pain, and partial/total knee conditions, for patients seeking non-opioid pain management solutions.
• Bone Health Clinic Evaluation and treatment of osteoporosis and bone health issues, including management of patients who have sustained fragility fractures, for patients at risk of or suffering from bone density disorders.
• Workers' Compensation Specialized orthopedic care services for work-related injuries and workers' compensation cases, including evaluations and treatment, for injured workers and the employers/insurers managing their claims.
• Virtual Visits (Telehealth) Telemedicine services allowing patients to consult with orthopedic providers via video connection using FaceTime, GoToMeeting, or Doxy.me platforms from their home or healthcare facility, for patients needing remote consultation or follow-up care.

Quantifiable outcome

• First endoscopic discectomy procedures performed in New Hampshire at Bedford Ambulatory Surgical Center
• +3 more outcomes

Named customers2 records

Segments4 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature7 records

Partnerships

Eight partnerships are on record, tiered core and minor.

• Nashua Ambulatory Surgical CentercoreStrategic or Co-development Partner · 2 April 2026Nashua Ambulatory Surgical Center partnered with NHOC for the first outpatient direct anterior total hip replacement performed by Dr. Andrew Garber. This partnership enables muscle-sparing hip replacement with same-day discharge.
• Elliot HospitalcoreStrategic or Co-development Partner · 3 December 2025Elliot Hospital in Manchester, NH is where Dr. Thomas Fortney performed the first Stryker MAKO robotic-assisted total shoulder replacement in Northern New England (December 2025).
• Restor3DcoreTechnology or Integration · 23 June 2021Restor3D, a company in Durham, North Carolina, fabricates custom 3D-printed cobalt chrome talus bone implants for New Hampshire Orthopaedic Center's foot and ankle surgeon Dr. Bryan A. Bean. The implants are created by reversing CT images of the patient's healthy talus bone to create custom replacements for patients with avascular necrosis.
• Bedford Ambulatory Surgical Center (BASC)coreStrategic or Co-development Partner · 23 June 2021BASC in Bedford, NH is the facility where NHOC physicians perform Mako Robotic-Arm Assisted knee replacement surgeries. The ambulatory surgical center partnership enables outpatient joint replacement procedures with same-day discharge capabilities.
• Parkland Medical CentercoreStrategic or Co-development Partner · 23 June 2021Parkland Medical Center partnered with NHOC to bring ExcelsiusGPS robotic-assisted spine surgery to southern New Hampshire. Dr. Christian M. Klare and Dr. Matthew W. Wilkening use this technology at Parkland for minimally invasive spine procedures.
• New England Baptist HospitalcoreTechnology or IntegrationNew England Baptist Hospital radiologists read and interpret all MRI scans for NHOC patients. The hospital is ranked among the top hospitals in the country for orthopedics by U.S. News & World Report, ensuring industry-leading diagnostic accuracy.
• Stryker MAKOcoreTechnology or IntegrationStryker's MAKO robotic surgery platform is used by NHOC surgeons for knee and shoulder replacement procedures. NHOC was first in Northern New England to offer MAKO robotic shoulder surgery.
• Women's Orthopaedic Global Outreach (WOGO)minorOthersDr. Kathleen Hogan is part of WOGO, a unique group of female orthopedic surgeons who travel to third-world countries to perform joint replacement surgeries. Dr. Hogan has participated in medical missions to Tanzania, Cuba, and the Democratic Republic of Congo.

Scale indicators7 records

Recent moves8 records

Expansion highlights6 records

Broad incumbents

• Hospital for Special Surgery: National specialty hospital for orthopedics and rheumatology, consistently ranked #1 in the US. Represents the upper-tier incumbent in orthopedic specialty care that NHOC's fellowship-trained surgeons and advanced technology portfolio are positioning against at the regional level.
• Dartmouth Health (Dartmouth-Hitchcock): Regional academic health system serving New Hampshire and Vermont with orthopedic surgery, sports medicine, and rehabilitation services. Direct regional incumbent competitor for orthopedic referrals and surgical cases in NHOC's core geography.
• New England Baptist Hospital: Boston-based specialty hospital focused on orthopedic and spine care, ranked among the top US hospitals for orthopedics by U.S. News & World Report. Already a partner of NHOC (its radiologists read NHOC MRI scans), representing a larger specialty incumbent with overlapping clinical scope.

Direct peers

• Resurgens Orthopaedics: Large independent orthopedic group practice in Georgia with subspecialty coverage in spine, sports medicine, joint replacement, hand, and foot/ankle, plus on-site imaging and therapy. Closely mirrors NHOC's full-service orthopedic practice model and regional multi-site footprint.
• Panorama Orthopedics & Spine Center: Independent multi-subspecialty orthopedic and spine practice in the Denver metro with on-site MRI, physical therapy, and urgent orthopedic care. Closely comparable to NHOC in physician-ownership, multi-site footprint, and integrated ancillary services.
• Midwest Orthopaedics at Rush: Large academic-affiliated orthopedic group practice in Chicago with fellowship-trained subspecialists across joint replacement, spine, sports medicine, hand, and foot/ankle. Comparable to NHOC in subspecialty depth and research/technology adoption, though larger and academic-affiliated.
• OrthoVirginia: Independent multi-subspecialty orthopedic group with multiple locations across Virginia, in-house MRI and therapy, and fellowship-trained surgeons. Comparable to NHOC as a regional, physician-led orthopedic platform competing with hospital systems.
• OrthoCarolina: Large independent multi-subspecialty orthopedic group practice in the Carolinas with fellowship-trained surgeons, on-site MRI, physical therapy, and a similar physician-owned governance model. Directly comparable to NHOC in service breadth, subspecialty depth, and community-anchored brand positioning.
• The CORE Institute: Multi-state orthopedic specialty group offering joint replacement, spine, sports medicine, hand, foot/ankle, and pain management with fellowship-trained surgeons. Comparable as a physician-led, subspecialty-driven orthopedic platform that has expanded beyond a single metro.

Others

• Stryker (Mako Surgical): Medical device manufacturer of the Mako robotic-arm assisted surgery platform used by NHOC for knee, hip, and shoulder replacement. Included as a key technology partner/supplier whose product roadmap and pricing directly affect NHOC's surgical offering.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/NHOrthoCenter

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

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 New Hampshire Orthopaedic Center