OrthoLoneStar

What OrthoLoneStar does

OrthoLoneStar (OLS) is a physician-owned, independent orthopedic practice network formed in 2021 through the merger of six established Texas groups (Carrell Clinic, Texas Orthopaedic Associates, Fondren Orthopedic Group, Advanced Orthopaedics & Sports Medicine, Texas Orthopedics Sports & Rehabilitation Associates, and Azalea Orthopedics), with Legacy Orthopedics added as a seventh division in January 2026. It operates 45 clinical locations across Houston, Dallas/Fort Worth, Austin, Tyler/East Texas, and Collin County, staffed by 195 fellowship-trained, board-certified orthopedic surgeons delivering comprehensive musculoskeletal services across subspecialties including sports medicine, joint replacement, spine care, trauma, pediatric orthopedics, physical medicine, and rheumatology, supported by in-house imaging (X-ray, MRI), physical and occupational therapy, ambulatory surgery centers, and affiliated specialty hospitals.

The technology stack centers on three proprietary platforms: QuickOrtho, a digital triage and telehealth platform offering Texas employers direct access to OLS orthopedic nurses; Opt Ortho, an affiliate e-commerce marketplace for physician-recommended orthopedic products; and a Hatch-powered referral coordination system deployed in June 2026 to standardize referral intake across divisions. AI tooling is limited to assisting with visit documentation, scheduling, and claims processing, with practitioner review required before inclusion in medical records. Distribution combines in-person care at 45 locations, telehealth triage, a dedicated statewide workers' compensation coordination department, direct-to-employer B2B outreach, and the optortho.com affiliate storefront.

OLS generates revenue predominantly through fee-for-service billing to insurance carriers, patients, and workers' compensation programs across professional services and ancillaries. Direct-to-employer contracts via QuickOrtho provide subscription/recurring revenue, and Opt Ortho contributes affiliate commissions on third-party product sales. The organization is 100% physician-owned, with no parent company or institutional capital identified, and is led by CEO Anthony Brooks, COO Linden Jackson, and CFO Alicia Daniel, with physician board representation from each division under Board Chair Dr. Robert Scheinberg.

Name

OrthoLoneStar

Legal name

OrthoLoneStar MSO LLC

Website

https://ortholonestar.com

Company type

Private

Founded year

2021

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

OrthoLoneStar is a physician-owned, independent orthopedic practice network operating 45 locations across Texas with 195 fellowship-trained surgeons across seven divisions, delivering comprehensive musculoskeletal care plus telehealth triage (QuickOrtho) and a workers' compensation program to individual patients, employers, and carriers.

Ownership category

akta.pro rank

Product category

Orthopedic Healthcare Services

NAICS

Offices of Physicians (62111), Specialty (except Psychiatric and Substance Abuse) Hospitals (622310), Freestanding Ambulatory Surgical and Emergency Centers (621493), Ambulatory Health Care Services (621)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Specialty Outpatient Facilities, Nec (8093)

akta.pro primary industry

General Orthopedics (HLAKALAA)

akta.pro secondary industries

Orthopedic Surgery (Operative Orthopedics) (HLAKALAC), Orthopedic & Spine Surgery Centers (HLAFAIAG), Orthopedic & Spine Specialty Hospitals (HLAFAHAB), Orthopedics & Sports Medicine Telemedicine Platforms (HLALAGAO)

Keywords

• Orthopedic surgery services
• Musculoskeletal care
• Sports medicine
• Joint replacement
• Physical therapy

Headquarters

HQ city

Houston

HQ country

United States

HQ region

North America

Offices7 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Technology or R&D, Marketing or Sales, Supply Chain

Revenue model

1. Fee-for-Service Healthcare: Traditional fee-for-service revenue from providing orthopedic evaluations, treatments, surgeries, imaging, physical therapy, and rehabilitation services to patients. Services are billed to patients, insurance carriers, and workers' compensation programs.
2. Direct-to-Employer Contracts: QuickOrtho provides Texas employers (ranging from large-scale to any size) with prioritized telehealth access to OLS orthopedic professionals for their workforce. Revenue derived from employer contracts or per-employee arrangements for musculoskeletal care.
3. Workers' Compensation Services: Dedicated workers' compensation department coordinating care for injured workers. Services covered include general orthopedics, physical medicine and rehabilitation, imaging, surgery, therapy, diagnostics, orthotics, prosthetics, neuro-stimulator devices, and chronic pain management, billed to workers' compensation carriers.
4. Opt Ortho Affiliate Revenue: Opt Ortho is an e-commerce platform featuring orthopedic-related products with affiliate links. OLS may receive a commission if patients make a purchase after clicking affiliate links, though order fulfillment and shipping are handled by third-party vendors.
5. Ancillary Services: Revenue from in-office imaging (X-ray, MRI), physical therapy, occupational therapy, pain management, electromyography/nerve conduction studies, and ambulatory surgery center procedures.

Go-to-market motion3 records

Distribution channels5 records

Marketing channels10 records

Core offering

OrthoLoneStar is Texas's largest independent orthopedic practice network, delivering comprehensive musculoskeletal care through seven divisional practices at 45 locations. The company provides orthopedic surgical and non-surgical services, in-office imaging, physical and occupational therapy, ambulatory surgery center procedures, and affiliated specialty hospital care. It also operates QuickOrtho (a telehealth triage platform for employers) and Opt Ortho (an e-commerce platform for OLS-recommended orthopedic products).

Product overview

OrthoLoneStar is a multi-divisional independent orthopedic practice network comprising seven distinct divisions across Texas (Advanced Orthopaedics & Sports Medicine, Azalea Orthopedics, Carrell Clinic, Fondren Orthopedic Group, Legacy Orthopedics & Sports Medicine, Texas Orthopaedic Associates, and Texas Orthopedics Sports & Rehabilitation Associates). The organization offers a portfolio of technology-enabled services including Quick Ortho (digital triage telehealth platform for employer-based orthopedic access), Opt Ortho (online marketplace for physician-recommended orthopedic products), and a statewide referral coordination platform. Core healthcare services span orthopedic subspecialties including sports medicine, joint replacement, spine care, trauma, pediatric orthopedics, physical medicine, and rheumatology, supported by ancillary services such as in-office imaging, physical/occupational therapy, ambulatory surgery centers, and a dedicated workers' compensation coordination team. The organization is physician-led and operates across Austin, Dallas/Fort Worth, Houston, Tyler, and East Texas regions.

Differentiator

Problem solved

Functional benefit

Brands

• Quick Ortho: Digital triage platform offering Texas employers and employees quick access to orthopedic healthcare professionals for musculoskeletal concerns via telehealth
• Opt Ortho
• OLS MSO

Products and services

• QuickOrtho Digital triage platform providing Texas employers and employees rapid access to orthopedic healthcare professionals for musculoskeletal concerns via telehealth consultations with dedicated OLS orthopedic triage nurses. Employees are evaluated and directed to the appropriate care setting (ER, urgent care, PCP, or OLS specialist).
• Opt Ortho Online orthopedic product marketplace offering physician-recommended products, supplies, and devices. Products are categorized by body part, recovery needs, brands, sports/activities, and health/wellness, and are sold via affiliate links to manufacturer/vendor websites.
• Workers' Compensation Services Dedicated workers' compensation coordination team supporting workplace injury cases across Texas, including scheduling, surgery and imaging pre-authorizations. Spans Austin, Dallas-Fort Worth, Houston, and Tyler/East Texas regions and covers general orthopedics, physical medicine and rehabilitation, imaging, surgery, therapy, diagnostics, orthotics, prosthetics, neuro-stimulator devices, and chronic pain management for injured workers.
• Orthopedic Specialties Comprehensive orthopedic subspecialty services for shoulder, knee, hip, wrist, foot, ankle, elbow, and spine conditions, including sports medicine (surgical and non-surgical), joint replacement, spine care and surgery, orthopedic trauma, pediatric orthopedics, physical medicine and rehabilitation, interventional pain management, regenerative medicine, rheumatology, podiatry, occupational therapy, and electrodiagnostic medicine.
• Ancillary Services In-office imaging (X-rays, MRIs), physical therapy, occupational therapy, pain management, electromyography/nerve conduction studies, ambulatory surgery centers, and the Fondren Orthopedic Research Institute for musculoskeletal research.
• Referral Coordination Platform Statewide referral coordination initiative using Hatch technology to standardize referral intake across OLS divisions, enabling faster patient access to orthopedic specialists and improved communication with referring providers throughout the care journey.
• Advanced Orthopaedics & Sports Medicine Houston-based orthopedic division founded in 1983, serving Cypress, Lakewood, Tomball, Spring, Katy, and Kingwood. The second largest private orthopedic group in Houston with fellowship-trained surgeons specializing in knee, hip, shoulder, spine, foot, ankle, hand, wrist, and elbow care.
• Azalea Orthopedics East Texas orthopedic practice founded in 1993, with offices in Tyler, Athens, Longview, Lufkin, Nacogdoches, Mount Pleasant, and Palestine. Nationally recognized surgeons provide subspecialty care across multiple orthopedic disciplines.
• Carrell Clinic Dallas and Frisco-based orthopedic practice established in 1921, one of the oldest orthopedic practices west of the Mississippi River. Includes a Hip & Knee Replacement Center and Spine Center, with world-renowned doctors dedicated to specialized orthopedic and sports medicine healthcare.
• Fondren Orthopedic Group Nationally recognized Houston-area orthopedic practice with surgeons in ten orthopedic subspecialties. Official orthopedic provider for Texas Southern University athletic programs. Houses the Fondren Orthopedic Research Institute and is affiliated with Texas Orthopedic Hospital (ranked #1 in Texas for Joint Replacement by Healthgrades 2024).
• Legacy Orthopedics & Sports Medicine Allen, Texas-based orthopedic practice serving Collin County communities. Joined OLS as the seventh division in January 2026, with a focus on innovative clinical approaches and advanced surgical expertise.
• Texas Orthopaedic Associates Dallas-Fort Worth metro orthopedic practice with award-winning sports medicine and orthopedic specialists, including physicians who served as Head Physicians for Olympic games and US Olympic Ski Teams. Operates seven offices near the Presbyterian Hospital campus plus additional clinics in Plano, Weatherford, Keller, and Fort Worth.
• Texas Orthopedics Sports & Rehabilitation Associates Austin-based orthopedic practice serving Central Texas since 1986 with board-certified orthopedic doctors and fellowship training in sports medicine, spine care, joint replacement, trauma, shoulder, elbow, foot, and hand surgery. Operates in Austin, Round Rock, Leander, Lakeway, and Kyle, with in-house imaging, physical therapy, and a Joint Commission-accredited ambulatory surgery center.

Quantifiable outcome

• Texas Orthopedic Hospital ranked #1 in Texas for Joint Replacement by Healthgrades in 2024
• +2 more outcomes

Named customers7 records

Segments4 records

Ideal customer profiles5 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

AI capability2 records

Feature4 records

Partnerships

One partnership is on record.

• HatchcoreTechnology or Integration · 8 June 2026OrthoLoneStar implemented Hatch's referral management platform to standardize referral intake and coordination across all OLS divisions. The technology helps streamline how referrals are received, coordinated, and tracked, improving patient access and keeping referring providers informed throughout the care journey. This is a core operational partnership supporting OLS's statewide referral coordination initiative.

Scale indicators10 records

Recent moves8 records

Expansion highlights6 records

Broad incumbents

• HOPCo (Healthcare Outcomes Performance Company): PE-backed orthopedic and musculoskeletal management platform that has aggressively consolidated independent orthopedic practices across multiple states. Direct strategic competitor to OLS for tuck-in acquisitions and employer-channel contracts.
• Texas Orthopedic Hospital: Houston-based specialty hospital, ranked #1 in Texas for joint replacement by Healthgrades 2024, affiliated with OLS's Fondren Orthopedic Group division. Represents the specialty-hospital tier of musculoskeletal care OLS leverages.
• Hospital for Special Surgery (HSS): Nationally preeminent orthopedic specialty hospital providing comprehensive musculoskeletal care, research, and physician practice. Top-of-pyramid orthopedic specialty institution that anchors reputation and clinical benchmarks for the orthopedic space in which OLS operates.

Direct peers

• U.S. Orthopaedic Partners (USOP): PE-backed orthopedic roll-up that partners with leading regional orthopedic groups nationally. Closest competitor to OLS in the multi-divisional independent orthopedic model, targeting the same pool of acquired practices.
• Rothman Orthopaedic Institute: Large multi-specialty independent orthopedic practice with affiliated ASCs and specialty hospitals across the Mid-Atlantic and Florida. Comparable scale (100+ physicians) and physician-led model to OLS.
• OrthoCarolina: One of the largest independent orthopedic practices in the U.S., headquartered in Charlotte, NC with sub-specialty physicians, research, and ASCs. Closely analogous in size, mission and physician-led structure.
• The CORE Institute: Large multi-state orthopedic and neurological practice offering sub-specialty orthopedic care, research, and education across the Southwest. Comparable specialty mix and clinical scope.
• Midwest Orthopaedics at Rush: Renowned Midwestern academic-affiliated orthopedic specialty group with fellowship-trained surgeons and sub-specialty expertise analogous to OLS's clinical model.
• Twin Cities Orthopedics (TCO): Large Minnesota-based orthopedic group practice acquired by a PE platform, now operating multiple clinics and ASCs. Comparable scale and sub-specialty breadth, now representing the PE-funded competitor model.
• Resurgens Orthopaedics: Large Georgia-based multi-specialty orthopedic practice that joined HOPCo's platform. Closely comparable independent-to-platform orthopedic group now operating under national management infrastructure.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/channel/UCfkIMU5ZWf-vIeKvC2xDGnA
• Facebookfacebook.com/OrthoLoneStar
• LinkedInlinkedin.com/company/ortholonestar
• Instagraminstagram.com/ortholonestar
• Xx.com/ortholonestar

Revenue estimate

Valuation estimate

Number of profiles

Profiles12 records

Subsidiaries7 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about OrthoLoneStar