Indiana Orthopedic Institute

What Indiana Orthopedic Institute does

Indiana Orthopedic Institute (IOI) is a physician-led, private orthopedic surgery practice founded in 1995 and headquartered in Noblesville, Indiana. The practice specializes in hip and knee replacement and provides comprehensive hand, shoulder, foot/ankle, elbow, sports medicine, and fracture/trauma care across five Indiana locations anchored by a 38,000-square-foot flagship facility that includes a 4-operating-room ambulatory surgery center, 20 exam rooms, on-site X-ray, therapy services, an education and research conference center, and a kinematic gait laboratory. The company has grown from one surgeon to 17 fellowship-trained, board-certified orthopedic surgeons in approximately three years, supporting a horizontal service-line model that addresses primary and revision joint replacement, sports-related injuries, fractures, and extremity conditions.

IOI's underlying technology stack combines computer-assisted navigation used for all knee replacements, augmented reality capability in development, robotic-assisted joint replacement, and the proprietary Outpatient Arthroplasty Risk Assessment Tool developed by CEO Dr. R. Michael Meneghini to determine same-day discharge eligibility. The practice was among the first in Indiana to receive FDA approval for Onkos 3D-printed custom implants for complex knee revision cases, and operates one of the few kinematic gait laboratories in Indiana focused on knee replacement research. Research output is substantial: 113 peer-reviewed publications since 2011, 350+ podium presentations, 100 poster presentations, the AAHKS Clinical Research Award in two consecutive years (2020, 2021), and the 2025 Mark Coventry Knee Society Award. Research collaborations extend to Purdue University, Rose-Hulman Institute of Technology, Los Alamos National Laboratory, University of Virginia, Rothman Institute, OrthoCarolina, University of Florida, and Tennessee Tech.

The business model is professional services revenue from clinical consultations, diagnostic imaging, surgical procedures (in-office, ASC, and partner hospitals), outpatient joint replacement, and rehabilitation therapy, billed through insurance with co-pays collected at time of service. A separate non-clinical revenue stream supports a one-year Lower Extremity and Adult Reconstruction Fellowship operated in partnership with Indiana University School of Medicine and funded in part by an OMEGA educational grant. Go-to-market combines physician-to-physician referrals (via an online referral form), direct patient self-referral including walk-ins through the IOI Direct Program at Noblesville, telemedicine pre-surgery consultations for out-of-town patients, and brand-driven acquisition through community engagement, social media, and earned media (Newsweek, IBJ). HOPCo provides the digital and analytics platform underpinning patient engagement and outcomes tracking.

Name

Indiana Orthopedic Institute

Legal name

Indiana Orthopedic Institute

Website

https://indianaortho.com

Company type

Private

Founded year

1995

Operating status

Operating

Headcount range

51–100 employees

Short description

Indiana Orthopedic Institute is a physician-led orthopedic surgery practice operating five Indiana locations anchored by a flagship Noblesville ambulatory surgery center, with 17 fellowship-trained surgeons providing hip/knee replacement, sports medicine, and comprehensive musculoskeletal care supported by an in-house research program and IU School of Medicine fellowship.

Ownership category

akta.pro rank

Product category

Orthopedic Surgery Services

NAICS

Ambulatory Health Care Services (621), Freestanding Ambulatory Surgical and Emergency Centers (621493)

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)

Keywords

• Orthopedic surgery services
• Joint replacement procedures
• Sports medicine care
• Outpatient joint replacement
• Fracture trauma treatment

Headquarters

HQ city

Noblesville

HQ country

United States

HQ region

North America

Offices5 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Clinical Services Revenue: IOI generates revenue through billable clinical services including consultations, diagnostic imaging (X-ray), surgical procedures (hip, knee, shoulder, extremity replacement, revision surgeries), sports medicine, fracture care, outpatient joint replacement, and rehabilitation/therapy services. Payment is collected at time of service (co-pays), with insurance claims filed on behalf of patients for the balance. The practice accepts most major insurance plans.
2. Fellowship Program: IOI operates a one-year Lower Extremity and Adult Reconstruction Fellowship in partnership with Indiana University School of Medicine. The fellowship receives external funding from an educational grant from OMEGA. This generates non-operating revenue supporting medical education.

Pricing tiers

Go-to-market motion2 records

Distribution channels5 records

Marketing channels5 records

Core offering

Indiana Orthopedic Institute is a multi-location orthopedic medical practice providing surgical and clinical care for musculoskeletal conditions, with its flagship offering being primary and revision hip, knee, and shoulder joint replacement. The practice also delivers sports medicine, foot and ankle, hand and wrist, elbow, and fracture/trauma services across five Indiana locations, supported by an on-site ambulatory surgery center, computer-assisted and robotic surgical technology, and outpatient same-day-discharge joint replacement protocols.

Product overview

Indiana Orthopedic Institute is a medical practice specializing in orthopedic care, not a software product company. The organization operates as a unified practice offering comprehensive musculoskeletal care across multiple specialties. The core offerings include hip, knee, and shoulder replacement surgeries (primary and revision), sports medicine, foot and ankle, hand and wrist, elbow, and fracture/trauma care. Supporting services include outpatient joint replacement for same-day discharge, computer-assisted surgery with navigation and augmented reality, a research gait laboratory, and an adult reconstruction fellowship program in partnership with Indiana University School of Medicine. The practice operates multiple clinic locations across Indiana and maintains affiliations with Healthcare Outcomes Performance Company (HOPCo) for analytics and digital platforms.

Differentiator

Problem solved

Functional benefit

Products and services

• Hip Care Services Comprehensive hip care including total hip replacement, revision hip replacement, outpatient joint replacement, and computer-assisted surgery for treating hip pain, arthritis, and related conditions, delivered to adult patients in Indiana.
• Knee Care Services
• Shoulder Care Services
• Sports Medicine Services
• Foot and Ankle Care Services
• Hand and Wrist Care Services
• Elbow Care Services
• Fracture and Trauma Care
• Outpatient Joint Replacement Same-day discharge joint replacement surgery for hip, knee, and shoulder replacement performed at ambulatory surgery centers, allowing patients to recover at home with comprehensive pre- and post-operative support.
• Kinematic Gait Laboratory Research Services
• Adult Reconstructive Surgery Fellowship

Quantifiable outcome

• Outpatient complication rates are low with patients retaining the option of being admitted overnight if necessary.
• +3 more outcomes

Named customers2 records

Segments3 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature5 records

Partnerships

Eleven partnerships are on record, tiered core and minor.

• Healthcare Outcomes Performance Company (HOPCo)coreStrategic or Co-development PartnerIOI operates in partnership with Healthcare Outcomes Performance Company (HOPCo), leveraging advanced analytics and digital platforms that improve outcomes, enhance patient satisfaction, and set new standards in orthopedic care. HOPCo provides the privacy policy and data infrastructure for IOI's online presence and patient data management.
• Indiana University School of Medicine Hip and Knee CentercoreStrategic or Co-development PartnerIOI works collaboratively with the Indiana University School of Medicine Hip and Knee Center under the direction of Mary Ziemba-Davis and Drs Lenny Buller and Kevin Sonn. This collaboration supports the fellowship program, joint research initiatives, and clinical care at IU Health hospitals including Methodist, Fishers, and the VA Hospital.
• Indiana University School of Medicine (Department of Orthopaedic Surgery)coreStrategic or Co-development PartnerIOI operates its Lower Extremity Adult Reconstruction Fellowship in partnership with the Indiana University School of Medicine Department of Orthopaedic Surgery. The fellowship is affiliated with IU-affiliated hospitals including IU Health Methodist, IU Health Fishers, Roudebush VA Hospital, and Union Health Hospital. Dr. Meneghini holds academic appointments at IU.
• University of Virginia Health SystemminorStrategic or Co-development PartnerIOI collaborates with University of Virginia Health System on orthopedic research.
• Rothman InstituteminorStrategic or Co-development PartnerIOI collaborates with Rothman Institute on orthopedic research.
• OrthoCarolinaminorStrategic or Co-development PartnerIOI collaborates with OrthoCarolina on orthopedic research.
• Union Health (Terre Haute)coreImplementation/ SI/ Consulting PartnerIOI's Terre Haute office is located within the Union Health Bone and Joint Center. Outpatient surgeries in Terre Haute are performed at Union Health Hospital and Wabash Valley Surgery Center. IOI surgeons also staff and teach at Union Health facilities.
• Surgery Center of Fort WaynecoreImplementation/ SI/ Consulting PartnerIOI's Fort Wayne outpatient joint replacement surgeries are performed at the Surgery Center of Fort Wayne.
• San Francisco Match (SF Match)coreChannel Partner/ Reseller/ DistributorThe Adult Reconstruction Fellowship recruits candidates exclusively through the SF Match, sponsored by AAHKS, Hip Society, and Knee Society. This match process is transparent and unbiased, matching applicants and programs for fellowship positions.
• IU Health Methodist HospitalcoreImplementation/ SI/ Consulting PartnerFellowship rotation site. Dr. Andrew Parr supervises fellows at IU Health Methodist Hospital.
• IU Health Fishers Hospital / VA HospitalcoreImplementation/ SI/ Consulting PartnerFellowship rotation site supervised by Dr. Buller and Dr. Sonn at IU Health Fishers Hospital and the VA Hospital.

Scale indicators14 records

Recent moves10 records

Expansion highlights5 records

Direct peers

• CORE Institute: Multi-state orthopedic specialty practice with strong adult reconstruction, research, and ASC operations — comparable scale and academic orientation to IOI.
• Illinois Bone & Joint Institute: Midwest-based independent orthopedic specialty practice with multi-site clinics, ASCs, and fellowship-trained surgeons — similar footprint, scale, and clinical scope to IOI across the Midwest.
• Twin Cities Orthopedics: Large independent orthopedic group in Minnesota with multiple locations, ASC ownership, and a physician-led governance model — closely comparable to IOI's independent, physician-led, multi-site orthopedic ASC strategy.
• OrthoCarolina: Independent orthopedic specialty practice with multiple subspecialties, research institute, and fellowship programs. Highly comparable to IOI's combined clinical/research/fellowship model and listed by IOI as a research collaborator.
• Rothman Orthopaedic Institute: Large multi-site orthopedic specialty group with academic affiliations, research output, and fellowship programs across the Mid-Atlantic and beyond — directly comparable to IOI's physician-led, research-driven, multi-location adult reconstruction model.

Regional players

• OrthoVirginia: Independent orthopedic specialty group in Virginia with multiple sites, ASCs, and research activity — same physician-led specialty model as IOI but concentrated in a different region.
• Steindler Orthopedic Clinic: Independent multi-surgeon orthopedic group in Iowa with subspecialty coverage — similar physician-led Midwest specialty model, though smaller in scale.

Broad incumbents

• Mayo Clinic Orthopedics: Elite academic orthopedic program with research, fellowship, and ASC operations — Dr. Meneghini himself trained at Mayo and IOI competes for the same top-tier hip/knee talent pool.
• Hospital for Special Surgery (HSS): National leader in orthopedic surgery with extensive research, fellowship, and ASC operations. Comparable to IOI at the high end of the orthopedic specialty spectrum — both compete for elite surgeon talent and pursue research leadership.

Others

• Healthcare Outcomes Performance Company (HOPCo): MSO and analytics partner to orthopedic and musculoskeletal practices; provides the digital/analytics infrastructure behind IOI's operations and is a strategic enabler for orthopedic practice scale.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/@IndianaOrthopedicInstitute
• Facebookfacebook.com/indianaorthopedicinstitute
• LinkedInlinkedin.com/company/indiana-orthopedic-institute
• Instagraminstagram.com/indianaorthopedicinstitute

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

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 Indiana Orthopedic Institute