Spire Orthopedic Partners

Spire operates as a management services organization (MSO) that partners with orthopedic surgery groups. It provides capital and administrative support in exchange for a management fee, while allowing physicians to keep clinical control. This is a common structure in the physician practice management industry.

The firm does not acquire practices outright in most cases; rather, it forms long-term partnerships where Spire handles non-clinical operations. The specific ownership structure varies by practice and is not publicly detailed for individual groups.

Spire targets established orthopedic surgery practices that are seeking growth capital and operational support. It does not invest in early-stage companies or startups; its model is focused on mature, revenue-generating practices that can benefit from scaled back-office infrastructure.