Hinge Health automates 95% of physical therapy

This is the core economic engine of Hinge Health, because it turns physical therapy from a labor heavy service into software guided care with clinicians supervising the edge cases. In practice, members open the app, perform exercises with motion tracking and wearable feedback, get form corrections in real time, and escalate to a human care team when needed. That lets Hinge sell per engagement while keeping gross margins at 77% in 2024 and about 81% on a GAAP basis in Q1 2025.

• The 95% figure is a company estimate from 2024, benchmarked against traditional in person physical therapy staffing assumptions. The important point is not just fewer therapist minutes, but that software now handles the repeatable part of care, which is the expensive part to scale across millions of covered lives.
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• This changes who can be served profitably. Traditional PT chains like ATI or Select add clinicians and clinics one location at a time. Hinge can add members through employers and health plans, then deliver most sessions asynchronously, which is why it reached 25 million contracted lives and over 1.5 million lifetime members by Q3 2025.
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• The closest digital comparable is Sword Health, which also uses motion tracking and virtual care teams. Hinge’s edge is broader distribution and packaging, including partnerships with Cigna and the five major national health plans, plus newer products like HingeSelect that route harder cases into a discounted in person network instead of losing them out of system.
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Going forward, the companies that win digital MSK will be the ones that automate routine care while owning referral paths for the cases software cannot handle. Hinge is moving in that direction, from a digital PT tool into a care routing layer that starts with AI, keeps clinician time scarce and valuable, and captures more of the MSK spend around each member.