{"id":95103,"date":"2026-08-20T15:30:33","date_gmt":"2026-08-20T19:30:33","guid":{"rendered":"https:\/\/livingstonepartners.com\/?post_type=insights&p=95103"},"modified":"2026-08-20T15:30:33","modified_gmt":"2026-08-20T19:30:33","slug":"the-physical-therapy-bull-market-has-begun-signaling-growth-in-healthcare-ma","status":"publish","type":"insights","link":"https:\/\/livingstonepartners.com\/fr\/insights\/the-physical-therapy-bull-market-has-begun-signaling-growth-in-healthcare-ma\/","title":{"rendered":"Le march\u00e9 haussier de la physioth\u00e9rapie est lanc\u00e9, signalant une croissance du M&A dans le secteur de la sant\u00e9"},"content":{"rendered":"\n

Plus t\u00f4t ce mois-ci, U.S. Physical Therapy (USPH) a donn\u00e9 le coup d’envoi pour l’ensemble du secteur de la physioth\u00e9rapie. USPH a pulv\u00e9ris\u00e9 ses pr\u00e9visions pour le deuxi\u00e8me trimestre 2025<\/a>, publiant un b\u00e9n\u00e9fice de 0,81 $ par action, bien sup\u00e9rieur au consensus de Wall Street \u00e9tabli \u00e0 0,71 $ et en hausse par rapport aux 0,73 $ enregistr\u00e9s un an plus t\u00f4t. La cons\u00e9quence ? Les vents contraires qui pesaient sur les performances du secteur depuis cinq ans s’att\u00e9nuent enfin. La physioth\u00e9rapie a atteint son point bas.<\/p>\n\n\n\n

Pour ceux qui suivent attentivement le secteur, ce moment se pr\u00e9parait depuis un certain temps. Notre cabinet, Livingstone, conseil en Fusions-Acquisitions dans le secteur de la sant\u00e9 ayant r\u00e9alis\u00e9 plus de deux douzaines de transactions M&A dans la physioth\u00e9rapie, pr\u00e9voyait que le d\u00e9but de l’ann\u00e9e 2025 marquerait le point le plus bas de l’activit\u00e9 du secteur. Pour comprendre la trajectoire \u00e0 venir, il convient de rappeler les d\u00e9fis des ces derni\u00e8res ann\u00e9es.<\/p>\n\n\n\n

L’interminable contrecoup de la pand\u00e9mie<\/strong>
Depuis la pand\u00e9mie, le secteur de la physioth\u00e9rapie a essuy\u00e9 de lourdes \u00e9preuves. Quatre ann\u00e9es cons\u00e9cutives de baisses de remboursement de Medicare, couronn\u00e9es par une cinqui\u00e8me baisse de 2,9 % en 2025, n’\u00e9taient que le d\u00e9but. M\u00eame les op\u00e9rateurs les plus r\u00e9silients ont subi la pression des p\u00e9nuries de personnel, de l’inflation salariale et d’une demande d\u00e9passant syst\u00e9matiquement les capacit\u00e9s. Pourtant, sous cette pression, un ph\u00e9nom\u00e8ne remarquable s’est produit : les plateformes les plus avis\u00e9es se sont adapt\u00e9es. Les payeurs proposant les remboursements les plus faibles ont \u00e9t\u00e9 abandonn\u00e9s. Le mix de payeurs s’est orient\u00e9 vers des segments \u00e0 plus forte valeur ajout\u00e9e, tels que les indemnit\u00e9s d’accidents du travail et les pr\u00e9judices corporels. Les tarifs ont \u00e9t\u00e9 n\u00e9goci\u00e9s, ren\u00e9goci\u00e9s, puis n\u00e9goci\u00e9s \u00e0 nouveau. Ces initiatives strat\u00e9giques ont pr\u00e9par\u00e9 le terrain pour une acc\u00e9l\u00e9ration des performances \u00e0 l’\u00e9chelle du secteur.<\/p>\n\n\n\n

Pourquoi la tendance s’inverse<\/strong>
Le march\u00e9 haussier \u00e0 venir dans le secteur de la physioth\u00e9rapie repose sur cinq fondamentaux cl\u00e9s :<\/p>\n\n\n\n

    \n
  1. La hausse des volumes de visites. <\/strong>La demande est solide et continue de se renforcer, port\u00e9e par des facteurs d\u00e9mographiques porteurs, une population de plus en plus active et des parcours de soins efficients et align\u00e9s sur les tendances actuelles.<\/li>\n\n\n\n
  2. Des vents porteurs sur le plan des remboursements<\/strong>. Oui, les remboursements de Medicare pour la physioth\u00e9rapie ont baiss\u00e9 en 2025. Mais en 2026, une augmentation de 3,3 % du facteur de conversion est attendue. La nuance ? Les modifications des RVU (Relative Value Units) pourraient compenser une partie de ces gains. N\u00e9anmoins, avec un remboursement Medicare restant relativement stable, une am\u00e9lioration du mix de payeurs priv\u00e9s et le maintien de contrats ren\u00e9goci\u00e9s favorables, les taux de remboursement globaux devraient s’orienter \u00e0 la hausse.<\/li>\n\n\n\n
  3. La stabilisation de la main-d’\u0153uvre<\/strong>. Le march\u00e9 du travail s’am\u00e9liore. Les cliniques restent en sous-effectif mais affichent une productivit\u00e9 \u00e9lev\u00e9e. Les th\u00e9rapeutes prennent en charge davantage de patients, le nombre de visites quotidiennes par clinique \u00e9tant en hausse, une tendance qui devrait se poursuivre.<\/li>\n\n\n\n
  4. Des gains d’efficacit\u00e9 op\u00e9rationnelle<\/strong>. L’introduction d’avanc\u00e9es technologiques telles que l’intelligence artificielle (IA), le coaching clinique renforc\u00e9 et des outils de planification plus intelligents ont g\u00e9n\u00e9r\u00e9 de v\u00e9ritables gains de productivit\u00e9 au sein des cliniques. Les th\u00e9rapeutes traitent d\u00e9sormais plus de patients par jour, ce qui \u00e9largit l’acc\u00e8s aux soins, r\u00e9duit le co\u00fbt par visite et g\u00e9n\u00e8re un levier op\u00e9rationnel.<\/li>\n\n\n\n
  5. Le levier op\u00e9rationnel<\/strong>. Avec l’augmentation du volume de visites, la hausse des remboursements nets et des structures de co\u00fbts plus optimis\u00e9es, les \u00e9quations financi\u00e8res deviennent tr\u00e8s favorables aux op\u00e9rateurs. Les marges s’am\u00e9liorent et les effets d’\u00e9chelle sont de plus en plus \u00e9vidents \u00e0 travers le secteur.<\/li>\n<\/ol>\n\n\n\n

    Le M&A \u00e0 l’horizon<\/strong>
    Lorsque les marges b\u00e9n\u00e9ficiaires d’un secteur augmentent, les investisseurs redoublent d’attention. S’il s’agit r\u00e9ellement du d\u00e9but du prochain march\u00e9 haussier de la physioth\u00e9rapie, 2026 ne sera pas seulement l’ann\u00e9e de la reprise. 2026 sera l’ann\u00e9e des acquisitions et de la consolidation. Les fonds de private equity ayant invested dans des plateformes de physioth\u00e9rapie au cours des mois incertains ayant pr\u00e9c\u00e9d\u00e9 ou suivi la pand\u00e9mie envisagent d\u00e9sormais leur sortie. L’EBITDA progresse. Les valorisations s’am\u00e9liorent. Tous les \u00e9l\u00e9ments sont r\u00e9unis pour assister \u00e0 une vague de transactions M&A strat\u00e9giques port\u00e9es par de solides fondamentaux.<\/p>\n\n\n\n

    En conclusion : le march\u00e9 haussier s’installe.<\/strong>
    Pour la premi\u00e8re fois depuis de nombreuses ann\u00e9es, les fondamentaux du secteur de la physioth\u00e9rapie sont r\u00e9solument orient\u00e9s \u00e0 la hausse. La physioth\u00e9rapie, frapp\u00e9e par les perturbations li\u00e9es \u00e0 la pand\u00e9mie, les pressions sur les remboursements et les p\u00e9nuries de main-d’\u0153uvre, retrouve de la hauteur. Si la th\u00e8se de Livingstone se confirme, les meilleurs trimestres sont encore \u00e0 venir.<\/p>\n\n\n\n

    Ryan Buckley est Associ\u00e9 et Co-Responsable de la pratique Sant\u00e9 chez Livingstone, une banque d’affaires internationale sp\u00e9cialis\u00e9e sur le mid-market, proposant des services de conseil en M&A et en financement de dette. Livingstone est le conseil M&A en sant\u00e9 mid-market le plus actif dans le secteur de la physioth\u00e9rapie, ayant c\u00e9d\u00e9 huit plateformes de physioth\u00e9rapie repr\u00e9sentant une valeur globale de pr\u00e8s de 1 milliard de dollars depuis 2021. Parmi les r\u00e9cents deals M&A r\u00e9alis\u00e9s par Livingstone dans la physioth\u00e9rapie figurent Spine & Sport (c\u00e9d\u00e9e \u00e0 PRN)<\/a>, Metro Physical & Aquatic Therapy (c\u00e9d\u00e9e \u00e0 U.S. Physical Therapy)<\/a>, MOTION PT Group<\/a> et Access Physical Therapy & Wellness<\/a> (toutes deux adoss\u00e9es \u00e0 Confluent), ainsi que Therapy Partners Solutions (c\u00e9d\u00e9e \u00e0 Lee Equity)<\/a>. D’autres succ\u00e8s notables dans le secteur incluent des transactions impliquant des leaders du march\u00e9 tels que Agility Health<\/a>, Alliance Physical Therapy Partners<\/a>, ATI Physical Therapy<\/a>, Fitness Quest<\/a>, Foothills Therapy Partners<\/a>, et PT Solutions<\/a>.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":3,"featured_media":100298,"template":"","meta":{"_acf_changed":false,"footnotes":"","_links_to":"","_links_to_target":""},"categories":[3398],"tags":[],"sector":[],"service":[],"class_list":["post-95103","insights","type-insights","status-publish","has-post-thumbnail","hentry","category-thought-leadership"],"acf":[],"yoast_head":"\nLe march\u00e9 haussier de la physioth\u00e9rapie est lanc\u00e9, signalant une croissance du M&A dans le secteur de la sant\u00e9 - Livingstone Partners<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/livingstonepartners.com\/fr\/insights\/the-physical-therapy-bull-market-has-begun-signaling-growth-in-healthcare-ma\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Le march\u00e9 haussier de la physioth\u00e9rapie est lanc\u00e9, signalant une croissance du M&A dans le secteur de la sant\u00e9\" \/>\n<meta property=\"og:url\" content=\"https:\/\/livingstonepartners.com\/fr\/insights\/the-physical-therapy-bull-market-has-begun-signaling-growth-in-healthcare-ma\/\" \/>\n<meta property=\"og:site_name\" content=\"Livingstone Partners\" \/>\n<meta property=\"og:image\" content=\"https:\/\/livingstonepartners.com\/wp-content\/uploads\/2026\/05\/PT-insight-1.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"800\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/livingstonepartners.com\\\/fr\\\/insights\\\/the-physical-therapy-bull-market-has-begun-signaling-growth-in-healthcare-ma\\\/\",\"url\":\"https:\\\/\\\/livingstonepartners.com\\\/fr\\\/insights\\\/the-physical-therapy-bull-market-has-begun-signaling-growth-in-healthcare-ma\\\/\",\"name\":\"Le march\u00e9 haussier de la physioth\u00e9rapie est lanc\u00e9, signalant une croissance du M&A dans le secteur de la sant\u00e9 - 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