Premier Bone & Joint Centers

What Premier Bone & Joint Centers does

Premier Bone & Joint Centers is a private, physician-owned orthopedic medical practice founded in 1973 and headquartered in Laramie, Wyoming. It delivers comprehensive musculoskeletal care through a network of 10 locations across Wyoming (Laramie headquarters plus satellite clinics in Cheyenne, Casper, Douglas, Gillette, Rawlins, Riverton, Rock Springs, Saratoga, and Thermopolis), several of which are co-located within regional hospitals and physical therapy facilities. The group is staffed by eight fellowship-trained, board-certified orthopedic surgeons spanning sports medicine, adult reconstruction/joint replacement, spine, foot and ankle, and hand/upper-extremity subspecialties, supplemented by a physiatrist and a certified physician assistant. It serves the general Wyoming population, athletes, workers' compensation patients, and commercial drivers, and acts as official team physicians for University of Wyoming Athletics and Laramie High School.

The practice combines surgical services (joint replacement, arthroscopy, minimally invasive and image-guided procedures) with rehabilitation services (physical therapy, occupational therapy, massage therapy, physical training) and on-site diagnostic imaging (X-ray, MRI, electrodiagnostics). It differentiates on technology adoption sourced from medical-device partners: the ROSA Knee robotic surgical system and Persona IQ "smart knee" implant (both Zimmer Biomet), the BEAR ACL implant, OSSIOfiber bio-integrative implants, MicroAire SmartRelease endoscopic carpal tunnel release, and Stryker postless hip arthroscopy positioning. Dr. John V. Horberg implanted Wyoming's first two smart total knee replacements in March 2023, and the group positions itself as the first/only Wyoming provider of several of these technologies.

The business operates a fee-for-service healthcare model, billing patients and insurers for consultations, diagnostics, surgical procedures, rehabilitation, and follow-up care; pricing is quote-based and not publicly disclosed, with insurance accepted and an online payment portal for billing. Go-to-market is direct patient acquisition through its clinics, walk-in orthopedic urgent care in Gillette, online appointment requests, provider-to-provider referrals, and community visibility via team-physician relationships and content marketing through its Premier News blog and local SEO.

Name

Premier Bone & Joint Centers

Legal name

Premier Bone & Joint Centers

Website

https://premierboneandjoint.com

Company type

Private

Founded year

1973

Operating status

Operating

Short description

A private, physician-owned orthopedic practice founded in 1973, operating 10 clinics across Wyoming that provide surgery, rehabilitation, and diagnostic imaging to residents, athletes, and workers, and serving as team physicians for University of Wyoming Athletics.

Ownership category

akta.pro rank

Product category

Orthopedic Healthcare Services

NAICS

Freestanding Ambulatory Surgical and Emergency Centers (621493), Offices of Physical, Occupational and Speech Therapists, and Audiologists (621340), Diagnostic Imaging Centers (621512)

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

Hip & Knee Reconstruction (Arthroplasty) (HLAKALAH), Hand & Upper Extremity (HLAKALAF), Foot & Ankle (HLAKALAG), Orthopedic & Post-Surgical Rehabilitation Centers (HLADAJAI)

Keywords

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

Headquarters

HQ city

Laramie

HQ country

United States

HQ region

North America

Offices10 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Orthopedic Clinical Services: Fee-for-service healthcare model providing orthopedic consultations, diagnostics (X-ray, MRI), surgical procedures, and follow-up care across multiple specialties including sports medicine, joint replacement, spine, foot and ankle, and hand/wrist.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels5 records

Core offering

Premier Bone & Joint Centers is a Wyoming-based orthopedic medical practice operating 10 clinic locations statewide, providing comprehensive musculoskeletal care including orthopedic consultations, surgical procedures (joint replacement, arthroscopy, minimally invasive surgery), sports medicine, foot and ankle reconstruction, hand/wrist procedures, and spine surgery. The practice delivers full-cycle care with on-site diagnostic imaging (X-ray, MRI, electrodiagnostics), rehabilitation services (physical therapy, occupational therapy, massage therapy, physical training), and durable medical equipment. Advanced surgical capabilities include robotic knee surgery (ROSA Knee System), smart knee implants (Persona IQ), BEAR ACL implants, OSSIOfiber bone-healing implants, and image-guided surgical techniques.

Product overview

Premier Bone & Joint Centers is a Wyoming-based orthopedic practice offering comprehensive musculoskeletal care through a network of 10 locations. The organization provides a unified care platform combining surgical services (joint replacement, arthroscopy, minimally invasive procedures), rehabilitation services (physical therapy, occupational therapy, massage therapy, physical training), and diagnostic imaging (X-ray, MRI, electrodiagnostics). The practice differentiates through advanced medical technology including Persona IQ smart knee implants with remote monitoring via mymobility, ROSA robotic knee surgery system, BEAR ACL implants, OSSIOfiber bone-healing implants, and image-guided surgical techniques. Surgical specialties span sports medicine, foot and ankle reconstruction, hand/wrist procedures, spine surgery, and hip arthroscopy.

Differentiator

Problem solved

Functional benefit

Products and services

• Persona IQ Smart Knee Implant Smart knee implant with embedded sensors that capture range of motion, stride length, walking speed, step count, and cadence. Connects to the mymobility Care Management Platform for remote patient monitoring. Offered as a surgical service for patients requiring total knee replacement.
• Physical Therapy Physical therapy services including strengthening exercises, Pilates, massage therapy, pool programs, dry needling, and wound care. Provided at the Laramie main facility with services available at satellite locations.
• Occupational Therapy Custom splinting, hand care, and upper extremity care services. Includes treatment for hand injuries, arthritis, and post-surgical rehabilitation of the upper limb.
• Massage Therapy Massage therapy with over 20 years of experience. Types include Deep Tissue, Swedish, Pregnancy/Prenatal, Myofascial Release, Triggerpoint Therapy, and Cupping. Available in 30, 60, and 90 minute sessions; hours expanded September 12, 2025.
• Physical Training Personal training including Sportsmetrics ACL injury prevention, running analysis, Pilates, and baseball and softball-specific training.
• Orthopedic Urgent Care Specialized, convenient care for orthopedic injuries at the Gillette Clinic. Walk-ins welcome without appointment.
• Diagnostic Imaging (X-Ray and MRI) On-site X-ray and MRI diagnostic imaging. Available at Laramie, Casper, Cheyenne, Rock Springs (X-ray and MRI), and Gillette (X-ray only).
• Electrodiagnostic Medicine NCV (nerve conduction study) and EMG (electromyography) tests for diagnosing muscular or nervous conditions including carpal tunnel syndrome, sciatic nerve problems, and herniated disc disease.
• Image-Guided Surgery Live intra-operative X-ray imaging during joint replacement surgery for precise implant positioning, accurate cuts, and matched leg lengths.
• Adult Foot & Ankle Reconstruction Adult foot and ankle reconstruction including lateral ankle stabilization, tendon reconstruction using FLEXBAND, arthrodesis (fusion), total ankle replacement, ORIF, osteotomy, soft tissue reconstruction, and bone grafting using OSSIOfiber implants.
• Hip Arthroscopy Minimally invasive hip surgery for labral tears, cartilage damage, muscle and tendon injuries, and inflammation, performed using Stryker's postless Pivot Guardian Distraction System.
• Endoscopic Carpal Tunnel Release Minimally invasive carpal tunnel release using the MicroAire SmartRelease Endoscopic Carpal Tunnel Release System. Provides improved surgical precision, faster recovery, and reduced infection risk versus open techniques.
• Ream and Run Shoulder Replacement Joint replacement procedure for active individuals with shoulder arthritis. Replaces the arthritic humeral head with a chrome cobalt prosthesis without using a plastic socket, allowing the bone to form a biological surface and avoiding activity limitations.
• DOT Physicals DOT physical examinations for commercial motor vehicle drivers, performed by certified medical examiner Kari Noles, PA-C at the Gillette clinic. Serves drivers required to maintain DOT medical certification for compliance with federal motor carrier safety regulations.

Named customers3 records

Segments4 records

Ideal customer profiles5 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature9 records

Partnerships

Nine partnerships are on record, tiered core and minor.

• Zimmer BiometcoreTechnology or IntegrationPartnership with Zimmer Biomet for Persona IQ Smart Knee implants and ROSA Knee robotic surgical system. Premier Bone & Joint Centers was first in Wyoming to implant Persona IQ smart knee and utilizes ROSA robotics for knee replacement surgery. Dr. Horberg implanted Wyoming's first two smart knee replacements in March 2023.
• Smith & Nephew (Endoscopy and Sports Medicine Division)coreTechnology or IntegrationDr. Aukerman is a hyper-specialized consultant for Smith & Nephew Endoscopy and Sports Medicine Division. Also contributing to multicenter research project on OSSIO knee bar with 11 other hand-selected surgeons from the US.
• OSSIOfibercoreTechnology or IntegrationUse of OSSIOfiber bio-integrative implants for naturally transformative bone healing in foot and ankle reconstruction and ORIF procedures. Implants provide strong fixation during healing and fully integrate into bone.
• Stryker (Postless Hip Arthroscopy)coreTechnology or IntegrationDr. Fournier utilizes Stryker's postless positioning system (Pivot Guardian Distraction System) for hip arthroscopy procedures, eliminating need for perineal post in groin.
• MicroAire (SmartRelease)coreTechnology or IntegrationDr. McKenna uses MicroAire SmartRelease Endoscopic Carpal Tunnel Release System for minimally invasive carpal tunnel release surgery.
• Fremont Physical TherapyminorChannel Partner/ Reseller/ DistributorPartnership for satellite clinic locations in Rawlins and Riverton at Fremont Physical Therapy facilities.
• Memorial Hospital of Converse CountyminorImplementation/ SI/ Consulting PartnerSatellite clinic location at Memorial Hospital of Converse County in Douglas for surgical services.
• Hot Springs HealthminorImplementation/ SI/ Consulting PartnerSatellite clinic location at Hot Springs Health in Thermopolis.
• North Platte Valley Medical CenterminorImplementation/ SI/ Consulting PartnerSatellite clinic location at North Platte Valley Medical Center in Saratoga.

Scale indicators1 record

Recent moves6 records

Expansion highlights5 records

Broad incumbents

• Hospital for Special Surgery (HSS): National orthopedic specialty hospital benchmark for premium orthopedic care - relevant as the broad incumbent standard for complex joint replacement, sports medicine, and orthopedic subspecialty excellence that Premier competes against for out-of-state patient leakage.
• Rothman Orthopaedic Institute: Large multi-subspecialty orthopedic practice with academic affiliations, research output, and broad geographic footprint across the Mid-Atlantic - comparable as a scaled regional/multi-state orthopedic incumbent that demonstrates the upper-bound scale opportunity for a group like Premier.

Direct peers

• OrthoArizona: Multi-subspecialty orthopedic group spanning sports medicine, joint replacement, foot/ankle, hand, and spine with integrated MRI and PT services - comparable specialty breadth, geographic regional model, and ancillary service stack.
• The Steadman Clinic: Premier orthopedic sports medicine clinic serving elite and recreational athletes in Vail, Colorado - directly comparable for sports medicine emphasis, premium technology adoption, and team physician-style brand building.
• Panorama Orthopedics & Spine Center: Colorado-based multi-subspecialty orthopedic group with sports medicine, joint replacement, spine, foot/ankle, and hand/upper extremity services plus in-house PT and imaging - closely mirrors Premier's subspecialty breadth and integrated service model in a regional setting.
• OrthoNebraska: Nebraska-based multi-subspecialty orthopedic specialty group offering sports medicine, joint replacement, foot/ankle, and spine services with on-site PT and imaging - comparable regional specialty group scale and service mix in an adjacent rural-state market.
• BoulderCentre for Orthopedics: Colorado regional multi-subspecialty orthopedic practice with in-house physical therapy, imaging, and outpatient surgical services - comparable regional specialty group with integrated care platform.
• Steamboat Orthopaedic Group: Multi-physician regional orthopedic group serving a rural mountain community with sports medicine emphasis - highly comparable rural/regional specialty group positioning and athletically-focused patient base.

Others

• US Orthopaedic Partners: PE-backed orthopedic management platform actively partnering with and acquiring regional orthopedic groups; relevant to Premier as a likely acquirer/partner rather than a direct competitor, given its MSO consolidation model.
• OrthoAlliance: Orthopedic management services organization partnering with regional practices to provide scale, technology, and back-office support - directly comparable potential acquirer/partner for an independent regional group like Premier.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks7 records

Key highlights7 records

Customer concentration

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles10 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 Premier Bone & Joint Centers