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In 2025, ROMTech had a problem most startups would envy: far more demand than it could immediately fulfill.
The Connecticut-based company makes the PortableConnect, a connected rehabilitation device that lets patients recovering from orthopedic surgery complete therapy at home while clinicians monitor their progress remotely. As orders accelerated, CEO Peter Arn made a decision that runs counter to most growth-stage playbooks: he made revenue wait.
The company kept growing, but deliberately moderated its expansion while strengthening the operational infrastructure and clinical oversight required for larger scale. It meant leaving some short-term revenue on the table. It also meant giving the service model time to catch up with demand— and as those systems strengthened, patient volume hit record levels, with more than 57,000 patients served in 2025 and 34% year-over-year growth.
“Sustainable growth in healthcare has to prioritize quality, safety and patient outcomes,” Arn says. “In this industry, growing faster than your ability to deliver isn’t ambition. It’s risk.”
The Home-Care Shift
ROMTech’s bet sits inside a much larger trend. Hospital-at-home programs, remote patient monitoring and virtual physical therapy have all expanded as health systems look to cut costs and patients push for convenience. Rehabilitation is a natural candidate: it’s frequent, repetitive and traditionally requires patients — many of them fresh out of joint-replacement surgery — to travel to a clinic multiple times a week.
The catch is that home-based care only works if clinicians can still see what’s happening. That’s the gap ROMTech is trying to close. The PortableConnect combines an adaptive therapy device with software that captures objective performance data — range of motion, session compliance, progress over time — and feeds it back to the care team.
To date, the company says more than 190,000 patients have used the platform.
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