The Corner Series Episode 104: Orthopedic Expansion Through Hub-and-Spoke, With Chris Day
Jul 7, 2025
In this engaging discussion, Chris Day, CFO of Growth Orthopedics, shares his expertise on expanding healthcare access in underserved markets using a hub-and-spoke model. He highlights how this approach allows clinics to operate further from surgical centers, improving patient outreach. Day also delves into the impact of private equity on healthcare, the looming retirement of baby boomer physicians, and the vital collaboration needed between clinicians and business professionals to enhance orthopedic services effectively.
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Hub-and-Spoke Expansion Model
- Growth Orthopedics uses a hub-and-spoke model starting in metro areas and expanding outward in concentric circles.
- Key factors are regulatory environment, labor laws, practice readiness to sell, and proximity to surgical centers.
Geographic Spread Strategy Advice
- Analyze commuting patterns and medical density to decide how far clinics can be spaced from surgical centers.
- Avoid doctor travel limits and hire additional docs if distance is large to maintain coverage.
Avoid Cannibalization in Expansion
- Expanding too close risks cannibalizing patients without growing business.
- Growing outward helps expansion but requires careful market analysis to avoid redundant locations.