Established
2011
Franchise Units
6
Minimum Investment
$750,000
Franchise Fee
$75,000
Total Investment Range
$1,400,000
Home Based
No
Description
OrthoNOW is a specialized orthopedic urgent care franchise built to address one of the biggest inefficiencies in the U.S. healthcare system: delayed access to orthopedic care. By combining the speed and convenience of urgent care with the expertise of orthopedic specialists, OrthoNOW clinics deliver same-day treatment for musculoskeletal injuries without the long waits or high costs associated with emergency rooms.
The brand focuses exclusively on orthopedic conditions such as fractures, sprains, sports injuries, joint pain, and work-related musculoskeletal issues. Clinics are designed to provide comprehensive care under one roof, including on-site imaging, casting, splinting, bracing, and coordinated follow-up care. This focused approach allows OrthoNOW to deliver faster diagnoses, better patient outcomes, and a more efficient experience for both patients and providers.
From a market positioning standpoint, OrthoNOW sits in a high-demand, recession-resistant segment of healthcare. An aging population, increased physical activity, workplace injuries, and rising ER congestion have all fueled demand for orthopedic urgent care services. OrthoNOW stands apart by offering a physician-founded, orthopedic-only model that appeals to patients, insurers, employers, and healthcare systems alike.
For franchise investors, OrthoNOW offers entry into a professional healthcare business with strong brand credibility, predictable demand, and long-term growth potential. This is not a consumer trend or lifestyle brand; it is a clinically driven service model built around real healthcare needs and sustainable economics.
Background
OrthoNOW was founded in 2011 by experienced orthopedic surgeons who identified a clear gap in the healthcare system. Patients with orthopedic injuries were routinely funneled into emergency rooms or forced to wait weeks for specialist appointments, leading to higher costs and poorer experiences.
The founders developed OrthoNOW to provide immediate access to orthopedic expertise in a convenient outpatient setting. Early locations refined the clinical protocols, staffing models, and operational systems that now define the brand’s franchise framework.
Today, OrthoNOW operates 6+ active clinics across the United States, consisting of both corporate and franchised locations. The brand operates within the healthcare and medical services industry, specifically the orthopedic urgent care segment, which continues to grow as healthcare systems shift care away from emergency rooms.
OrthoNOW remains privately owned and continues to emphasize physician-led standards, clinical compliance, and operational excellence. Its presence across multiple U.S. markets reflects strong demand for specialized urgent care solutions and ongoing expansion opportunities.
Support Training
OrthoNOW offers comprehensive support throughout the franchise lifecycle, from initial planning to long-term operations. Before launch, franchisees receive guidance on site selection, lease negotiation, clinic layout, and medical build-out requirements. This includes support with regulatory considerations, zoning, and healthcare compliance.
Training programs cover operational workflows, patient intake systems, billing and coding fundamentals, insurance payer processes, and electronic medical records. Franchisees and their leadership teams are trained to manage both the clinical and administrative sides of the business efficiently.
Ongoing support includes marketing strategy development, local market launch campaigns, referral-building frameworks, employer outreach, and performance benchmarking. Franchisees also receive continuous updates on clinical protocols, operational best practices, and compliance standards.
This structured support system allows investors to operate with confidence while maintaining consistency across the brand network.
Ideal Candidate
The ideal OrthoNOW franchisee is a business-oriented investor with an interest in healthcare services and community impact. While medical credentials are not required, successful franchisees often have experience in healthcare administration, professional services, multi-unit operations, or corporate leadership roles.
Strong candidates are comfortable working alongside physicians and clinical staff while overseeing business operations, compliance, and growth. Attention to detail, leadership capability, and a commitment to quality standards are essential traits.
Financially, franchisees should be prepared to support a medical clinic investment and initial operating period. OrthoNOW is suitable for owner-operators, multi-unit developers, and investment groups seeking a scalable healthcare platform.
Preferred locations include high-density suburban and urban markets with active populations, strong employer bases, and limited access to immediate orthopedic care.
Financial Detail
| Financial Component | Estimated Details |
|---|---|
| Total Initial Investment | $750,000 – $1.4 million |
| Minimum Investment Required | Approximately $750,000 |
| Franchise Fee | ~$75,000 |
| Franchise Units Available | Single-unit and multi-unit development options |
| Clinic Size | Typically 3,000 – 4,500 sq. ft. |
| Build-Out & Infrastructure Cost | $300,000 – $600,000 (medical-grade construction, imaging rooms, compliance build-out) |
| Medical Equipment & Technology | $150,000 – $350,000 (X-ray systems, orthopedic tools, EMR, IT systems) |
| Initial Marketing & Launch Budget | $25,000 – $50,000 |
| Working Capital (3–6 months) | $150,000 – $300,000 |
| Royalty Fee | ~6% of gross revenue |
| Marketing / Brand Fund Fee | Typically 1% – 2% of gross revenue (varies by agreement) |
| Staffing Costs | Physicians, physician assistants, radiology techs, admin staff (market dependent) |
| Expected Break-Even Period | 18 – 30 months |
| Estimated ROI Timeline | Long-term, stable returns once patient volume matures |
| Primary Revenue Streams | Insurance reimbursements, workers’ compensation, employer contracts, sports injury care, self-pay patients |
