Tennessee Orthopaedic Alliance

What Tennessee Orthopaedic Alliance does

Tennessee Orthopaedic Alliance (TOA) is the largest orthopaedic surgery group in Tennessee, founded in 1926 by Dr. George Carpenter Sr. in Nashville and now headquartered at 8 City Blvd., Nashville. The practice delivers the full spectrum of musculoskeletal care, including orthopedic surgery, sports medicine, joint replacement, spine care, hand/wrist/elbow, foot and ankle, shoulder, pediatric orthopaedics, trauma care, interventional pain management, and interventional spine, supported by in-house physical therapy, hand therapy, MRI/CT imaging, sports performance training, and nutrition services.

Operationally, TOA runs more than 22 clinic locations across Middle and East Tennessee, multiple orthopedic urgent care sites with extended hours and weekend availability, and telemedicine visits. Revenue is generated primarily through fee-for-service clinical care billed to insurance or self-pay patients, anchored by surgical and procedural services and supplemented by ancillary imaging, therapy, and urgent care volume. The go-to-market is sales-led and community-driven: TOA is the Official Team Physician for the Tennessee Titans (NFL), four universities, one community college, and numerous Rutherford County high schools, and it markets through social media, community education, physician referrals, and a dedicated workers' compensation channel (WORKLINK).

The practice is physician-owned and private, with no parent company or external investor disclosed in the data. TOA also operates the TOA Research Foundation, a 501(c)(3) advancing orthopedic science, and the Nashville Spine Fellowship, a one-year training program that exposes fellows to advanced navigation, robotics, and next-generation spinal implants. A partnership with D1 Training extends TOA's reach into youth athlete training across East Tennessee, with a fifth co-located facility near Covenant Health Park opened in April 2026. A new Lawrenceburg clinic also opened in April 2026, and the practice is publicly marking its 100-year anniversary.

Name

Tennessee Orthopaedic Alliance

Legal name

Tennessee Orthopaedic Alliance

Website

https://toa.com

Company type

Private

Founded year

1926

Operating status

Operating

Headcount range

251–500 employees

Short description

Tennessee Orthopaedic Alliance, founded in 1926 and headquartered in Nashville, is the largest orthopedic surgery group in Tennessee, operating more than 22 clinics across Middle and East Tennessee to deliver comprehensive musculoskeletal, sports medicine, surgical, and rehabilitation care to athletes, workers' compensation patients, and general consumers.

Ownership category

akta.pro rank

Product category

Orthopedic Healthcare Services

NAICS

Ambulatory Health Care Services (621), Offices of Physical, Occupational and Speech Therapists, and Audiologists (62134)

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), Pain Management (Spine & Musculoskeletal) (HLAKALAM), Orthopedics & Sports Medicine Telemedicine Platforms (HLALAGAO), Orthopedic & Sports Rehabilitation Centers (HLAFAFAI)

Keywords

• Orthopedic surgery
• Sports medicine
• Joint replacement
• Physical therapy
• Orthopedic urgent care

Headquarters

HQ city

Nashville

HQ country

United States

HQ region

North America

Offices23 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Clinical Patient Services: Revenue generated from patient consultations, surgical procedures, diagnostic imaging (MRI, CT, X-ray), physical therapy, hand therapy, interventional pain management injections, and other treatment services across all specialty areas including sports medicine, joint replacement, spine, and trauma care

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels4 records

Core offering

Tennessee Orthopaedic Alliance is the largest orthopedic surgery group in Tennessee, providing comprehensive musculoskeletal care including orthopedic surgery, sports medicine, joint replacement, spine care, hand/wrist/elbow, foot/ankle, shoulder, knee, pediatric orthopaedics, trauma care, interventional pain management, and interventional spine. Services are delivered through 22+ owned clinic locations, walk-in orthopedic urgent care sites, MRI/CT imaging, physical and hand therapy, a Sports Performance Center, telemedicine, and a 24/7 patient portal.

Product overview

Tennessee Orthopaedic Alliance (TOA) operates as a comprehensive orthopedic healthcare organization offering a full spectrum of musculoskeletal care services. Founded in 1926, TOA is the largest orthopedic surgery group in Tennessee, providing orthopedic surgery, sports medicine, joint replacement, spine care, trauma, and pediatric orthopaedics as core services. The organization augments clinical care with ancillary services including physical therapy, hand therapy, diagnostic imaging (MRI & CT), and nutrition services. TOA also operates orthopedic urgent care clinics with extended hours, a Sports Performance Center for athletic training, and maintains a Patient Portal for digital access to medical records and appointments. Educational programs include the Nashville Spine Fellowship, and research activities are conducted through the TOA Research Foundation.

Differentiator

Problem solved

Functional benefit

Products and services

• Orthopedic Surgery Surgical treatment for musculoskeletal disorders including joint replacement, spine surgery, hand/wrist/elbow surgery, foot/ankle surgery, shoulder surgery, and trauma care for patients in Tennessee.
• Sports Medicine Specialized care for sports-related injuries and conditions, including treatment, rehabilitation, and prevention for athletes of all levels.
• Orthopedic Urgent Care Walk-in orthopedic urgent care clinics offering same-day availability with extended hours and weekends for emergent orthopedic needs such as sprains, fractures, and sports injuries.
• Joint Replacement Surgical procedures including total knee replacement, hip replacement, and other joint reconstruction surgeries for patients with severe arthritis or joint damage.
• Spine Care Comprehensive spine treatment including both surgical and non-surgical management of cervical, thoracic, and lumbar pathologies, covering degenerative diseases, deformities, trauma, tumors, and infections.
• Hand, Wrist & Elbow Care Specialized treatment for hand, wrist, and elbow conditions including carpal tunnel syndrome, tendon injuries, fractures, and reconstructive surgery.
• Foot & Ankle Care Treatment for foot and ankle disorders including fractures, sprains, tendonitis, plantar fasciitis, and deformities.
• Shoulder Care Shoulder treatment including rotator cuff repair, shoulder replacement, shoulder separation treatment, and arthroscopic procedures.
• Knee Care Treatment for knee conditions including ACL injuries, meniscus tears, arthritis, patellar tendonitis, and ligament reconstruction.
• Hip Preservation & Athletic Hip Conditions Specialized treatment for hip disorders including hip preservation procedures and athletic hip conditions such as labral tears.
• Pediatric Orthopaedics Orthopedic care specialized for children and adolescents, addressing growing bones, developmental conditions, and youth sports injuries.
• Trauma Care Emergency orthopedic trauma care for acute musculoskeletal injuries requiring immediate treatment.
• Interventional Pain Management Pain management procedures including epidural steroid injections, facet joint injections, radiofrequency neurotomy, and other interventional techniques.
• Interventional Spine Minimally invasive spine procedures and interventional treatments for spinal conditions including herniated discs, spinal stenosis, and compression fractures.
• Physical Therapy Rehabilitation services to restore function, improve mobility, and support recovery from orthopedic injuries and surgeries.
• Hand Therapy Specialized therapy for hand, wrist, and elbow conditions including post-surgical rehabilitation and conservative treatment.
• MRI & CT Imaging Advanced diagnostic imaging services including MRI and CT scans for accurate diagnosis of orthopedic conditions.
• Sports Performance Specialized sports performance training for teams and individuals, including strength and conditioning programs, athletic development, and injury prevention training.
• Nutrition Services Registered dietitian services providing sports nutrition counseling, nutrition for injury recovery, and general nutrition education to support athletic performance and healing.
• Workers' Compensation Services Specialized orthopedic care for work-related injuries including electronic work status notifications, workers' compensation specialists, and coordination with employers and insurance carriers.
• Telemedicine Virtual healthcare visits allowing patients to consult with orthopedic providers remotely for follow-up care, consultations, and non-emergency orthopedic needs.
• Patient Portal Secure online platform providing 24-hour access to medical records, appointment scheduling, provider messaging, prescription refill requests, and health history management. Available via MedFusion (Middle Tennessee) and NextGen (Columbia) platforms.
• Nashville Spine Fellowship A comprehensive one-year training program for orthopedic or neurosurgical residency graduates, offering multidisciplinary spine care training including surgical and non-surgical management, with exposure to advanced navigation and robotics.

Quantifiable outcome

• Assisting middle schoolers with injury recovery has become routine as youth sports have become more year-round and intensive
• +1 more outcomes

Named customers9 records

Segments4 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature1 record

Partnerships

Eight partnerships are on record, tiered core and flagship.

• D1 TrainingcoreStrategic or Co-development Partner · 7 April 2026D1 and Tennessee Orthopaedic Alliance have opened their fifth East Tennessee location downtown near Covenant Health Park, expanding their youth sports training partnership. The new facility combines athletic training with physical therapy and recovery services for athletes ages 7-22, with a focus on injury recovery for middle schoolers engaged in year-round intensive youth sports.
• Tennessee TitansflagshipStrategic or Co-development PartnerTOA serves as the Official Team Physicians for the Tennessee Titans NFL team, with physicians including Dr. Zachary K. Pharr, Dr. J.W. Thomas Byrd, and Dr. Damon H. Petty providing orthopedic care for professional football players.
• Austin Peay State UniversitycoreStrategic or Co-development PartnerTOA provides Official Team Physicians for Austin Peay State University athletics, including physicians Dr. Phillip R. Schneider, Dr. Lucas G. Teske, Dr. Kurtis L. Kowalski, and Dr. W. Cooper Beazley.
• Tennessee Tech UniversitycoreStrategic or Co-development PartnerTOA provides Official Team Physicians for Tennessee Tech University athletics, including Dr. Richard I. Williams and Dr. Christian N. Anderson.
• Tennessee State UniversitycoreStrategic or Co-development PartnerTOA serves as Official Team Physicians for Tennessee State University athletics.
• Middle Tennessee State UniversityflagshipStrategic or Co-development PartnerTOA provides Official Team Physicians for Middle Tennessee State University (MTSU) Athletics with a large team including Dr. Justin W. West, Dr. Russell C. McKissick, Dr. Kyle S. Joyner, Dr. Michael R. Jordan, Dr. Robert L. Thompson, and Dr. S. R. Brown.
• Columbia State Community CollegecoreStrategic or Co-development PartnerTOA serves as Official Team Physicians for Columbia State Community College athletics.
• Rutherford County High SchoolscoreStrategic or Co-development PartnerTOA proudly supports Rutherford County student athletes at Blackman High School, Central Magnet School, Oakland High School, Riverdale High School, Rockvale High School, Siegel High School, Smyrna High School, Stewarts Creek High School, LaVergne High School, and Eagleville School.

Scale indicators5 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• OrthoCarolina: One of the largest independent orthopedic practices in the Southeast US, with multiple clinic locations, comprehensive musculoskeletal services, sports medicine partnerships, and a similar physician-owned group structure to TOA. Highly comparable in scale and service mix.
• Resurgens Orthopaedics: Large Southeast-based orthopedic group (Georgia) with multiple locations, comprehensive orthopedic and sports medicine services, and a similar multi-specialty physician practice model. Comparable in scale, geographic concentration, and service breadth.
• Campbell Clinic Orthopaedics: Memphis-based orthopedic group also founded in the early 20th century (1909) and serving Tennessee. Comparable in legacy, physician-owned structure, comprehensive musculoskeletal services, sports medicine partnerships, and orthopedic surgery scale.
• Rothman Orthopaedic Institute: Large multi-specialty orthopedic group with extensive clinic footprint, sports medicine affiliations (including professional teams), research programs, and a fellowship network. Operates as a leading independent orthopedic platform comparable in scope to TOA's full-spectrum model.
• Andrews Sports Medicine & Orthopaedic Center: Birmingham, Alabama-based orthopedic and sports medicine group with elite sports affiliations and a comprehensive musculoskeletal service offering. Highly comparable on the sports medicine positioning that TOA emphasizes through its Tennessee Titans partnership.
• Beacon Orthopaedics & Sports Medicine: Cincinnati-based orthopedic group with multiple locations, urgent care, physical therapy, imaging, and sports medicine services — closely matching TOA's integrated care delivery model and clinical service breadth.
• Midwest Orthopaedics at Rush: Top-tier academic-affiliated orthopedic group based in Chicago with extensive sports medicine partnerships (including professional teams), research programs, and a fellowship network. Comparable to TOA in clinical excellence and orthopedic specialty depth.

Emerging players

• ATI Physical Therapy: Large national outpatient physical therapy provider offering rehabilitation services that overlap with TOA's in-house PT and hand therapy offerings, and a potential partner or competitor for sports medicine rehabilitation volume.

Broad incumbents

• Hospital for Special Surgery (HSS): The leading US specialty hospital focused on orthopedic and rheumatologic care. Sets the national clinical benchmark and competes for complex referrals and elite sports medicine partnerships that TOA also pursues at the regional level.

Regional players

• Vanderbilt Orthopaedic Institute: Nashville-based academic orthopedic practice within Vanderbilt University Medical Center. Direct local competitor for orthopedic specialty referrals, sports medicine contracts, and complex surgical cases in TOA's primary market.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• YouTubeyoutube.com/user/tnorthopaedic
• Facebookfacebook.com/pages/Tennessee+Orthopaedic+Alliance/208487671008
• LinkedInlinkedin.com/company/tennessee-orthopaedic-alliance
• Instagraminstagram.com/tennessee_ortho
• Xx.com/tennessee_ortho

Revenue estimate

Valuation estimate

Number of profiles

Subsidiaries1 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 Tennessee Orthopaedic Alliance