Fitness Quest Physical Therapy Has Joined Confluent Health’s Expanding Network of Private Practices

Partnership Strengthens Confluent Health’s Footprint in Southwest Florida
  • Aug 2024
  • Healthcare
  • M&A: Sell-Side
  • US
  • ACQUISITION

Livingstone’s Healthcare team has advised Fitness Quest Physical Therapy (“Fitness Quest” or the “Company”), a market-leading physical therapy practice with 16 clinics across Southwest Florida, on its new partnership with Confluent Health. Livingstone acted as exclusive financial advisor to Fitness Quest.

Established in 1998, Fitness Quest offers a comprehensive range of services, including orthopedic and sports physical therapy, total joint replacement rehabilitation, work-related injury therapy, pre/post-surgical rehabilitation, women’s and men’s pelvic health, neuro rehabilitation, gait and balance therapy, lymphedema therapy, and auto accident injury recovery.

“Fitness Quest was founded with a vision to deliver personalized, one-on-one physical therapy to communities in Southwestern Florida,” said Scott Porter, CEO of Fitness Quest. “As our brand has grown, we’ve been committed to finding a partner who shares our dedication to quality patient care and an exceptional patient experience. Partnering with Confluent Health, a leader in our field, is an exciting step that aligns with our values. Together, we will support our mission to make patient care a top priority and foster a culture of integrity, professionalism, communication, and teamwork among our staff.”

This partnership expands Confluent Health’s national footprint to over 1,500 sites of care in 36 states and will allow Fitness Quest to maintain its established and trusted brand while benefiting from Confluent Health’s robust management services, talent development, and practice enablement resources. Examples of Confluent Health’s support services include business development, talent acquisition support, business intelligence tools, educational offerings, and clinic optimization resources. Fitness Quest will also gain access to valuable resources, including premier partnerships in physical therapy through the PTPN network, continuous staff education and development via Evidence in Motion, and employee safety solutions from Fit For Work, the leading provider in the industry.

“Developed over 25 years, Fitness Quest is the leading physical therapy practice in its market, which comprises two of the nation’s fastest-growing counties,” said Ryan Buckley, Partner at Livingstone. “This transaction underscores the attractiveness of market-leading companies that exemplify the key attributes buyers seek in today’s highly competitive M&A landscape. The Company’s market position, deep clinical density, and significant growth potential made it a sought-after asset, drawing robust interest from both regional and national operators seeking a platform to either enter a new market or densify an existing footprint.”

“This transaction is yet another successful outcome for Livingstone in the physical therapy industry, reinforcing our position as the most active middle-market advisor to the sector by serving market-leading practices of all sizes,” noted Mark Carl, Managing Director at Livingstone. “Our extensive transaction experience and understanding of the evolving sector have consistently enabled us to deliver superior results for our clients. We remain committed to leveraging our deep domain expertise and focused approach to guide sellers through transaction processes, provide optionality, and maximize value.”

In the last 12 months, Livingstone’s Healthcare team  has completed 14 M&A sell-side transactions, including Destiny Dental, Women’s Health Associates, OrthoCentrumNet32, and Senior Helpers, of which these referenced deals all closed during 2024.

Miller, Johnson, Snell & Cummiskey, P.L.C. served as legal counsel to Fitness Quest.


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  • WE ARE Unrelenting Advocates

    We know our trade - and don't just sell figures. We develop a convincing story for your sale, which brings together all the essential aspects into a coherent overall picture.
  • WE ARE Unrelenting Advocates

    We know our trade - and don't just sell figures. We develop a convincing story for your sale, which brings together all the essential aspects into a coherent overall picture.
  • WE ARE Unrelenting Advocates

    We know our trade - and don't just sell figures. We develop a convincing story for your sale, which brings together all the essential aspects into a coherent overall picture.
  • "Fitness Quest was founded with a vision to deliver personalized, one-on-one physical therapy to communities in Southwestern Florida. As our brand has grown, we’ve been committed to finding a partner who shares our dedication to quality patient care and an exceptional patient experience. Partnering with Confluent Health, a leader in our field, is an exciting step that aligns with our values. Together, we will support our mission to make patient care a top priority and foster a culture of integrity, professionalism, communication, and teamwork among our staff."
    Scott Porter, CEO, Fitness Quest
  • Ryan Buckley
    Ryan Buckley

    Partner Chicago

    "Developed over 25 years, Fitness Quest is the leading physical therapy practice in its market, which comprise two of the nation’s fastest-growing counties. This transaction underscores the attractiveness of market leading companies that exemplify the key attributes buyers seek in today’s highly competitive M&A landscape. The Company’s market position, deep clinical density, and significant growth potential made it a sought-after asset, drawing robust interest from both regional and national operators seeking a platform to either enter a new market or densify an existing footprint."
  • Mark Carl
    Mark Carl

    Managing Director Chicago

    "This transaction is yet another successful outcome for Livingstone in the physical therapy industry, reinforcing our position as the most active middle-market advisor to the sector by serving market leading practices of all sizes. Our extensive transaction experience and understanding of the evolving sector have consistently enabled us to deliver superior results for our clients. We remain committed to leveraging our deep domain expertise and focused approach to guide sellers through transaction processes, provide optionality, and maximize value."

Key Transaction Team

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