Puget Sound Orthopaedics

What Puget Sound Orthopaedics does

Puget Sound Orthopaedics (PSO) is a physician-owned orthopedic medical practice founded in 1990 and headquartered in Lakewood, Washington. The practice operates across six facilities in the Puget Sound region, including clinics in Gig Harbor, Lakewood, and Tacoma, an outpatient surgery center (Proliance Puget Sound Surgery Center), an urgent orthopedic care site (Proliance Puget Sound Urgent Care), and an in-house diagnostic imaging location (Puget Sound Imaging) offering MRI and digital X-ray. PSO is affiliated with Proliance Surgeons, a network of independent physician-led care centers that provides administrative, compliance, and shared operational support.

Clinical operations are delivered by 15 fellowship-trained or board-certified orthopedic surgeons with subspecialty expertise spanning shoulder/elbow, hand, spine, sports medicine, and foot/ankle surgery—supported by 13 certified physician assistants and approximately 100 additional staff. The service offering covers the full orthopedic spectrum (ankle, back, elbow, foot, hand, hip, joint replacement, knee, neck, shoulder, sports medicine, and wrist) and includes arthroscopy, minimally invasive surgical techniques, robotic arm-assisted joint replacement, fracture care, and spine surgery. Diagnostic capability is supported in-house through digital X-ray and MRI at Puget Sound Imaging.

Revenue is generated primarily via fee-for-service professional charges across four streams: outpatient consultations and follow-up visits, surgical procedures performed at the in-house surgery center, diagnostic imaging, and telemedicine visits. The practice serves a regional, primarily individual-patient base segmented across general musculoskeletal care, joint replacement candidates, athletes (from youth sports to professional), and urgent orthopedic cases. Patient acquisition uses a sales-led, direct-care model with optional online self-scheduling via Phreesia, MyChart portal access, telemedicine via Doxy.me, and a forthcoming AI call-answering/scheduling agent slated for March 2026.

Name

Puget Sound Orthopaedics

Legal name

Puget Sound Orthopaedics

Website

https://pugetsoundorthopaedics.com

Company type

Private

Founded year

1990

Operating status

Operating

Headcount range

101–250 employees

Short description

Puget Sound Orthopaedics is a physician-owned orthopedic practice headquartered in Lakewood, Washington, delivering comprehensive musculoskeletal care across six Puget Sound facilities. It serves regional patients with surgical, imaging, urgent care, and telemedicine services through 15 fellowship-trained specialists affiliated with the Proliance Surgeons network.

Ownership category

akta.pro rank

Product category

Orthopedic Healthcare Services

NAICS

Offices of Physicians (6211), Offices of Podiatrists (621391)

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 care
• Musculoskeletal treatment
• Joint replacement surgery
• Sports medicine
• Spine surgery

Headquarters

HQ city

Lakewood

HQ country

United States

HQ region

North America

Offices6 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. Medical Consultations and Office Visits: Fee-for-service revenue from patient consultations, follow-up visits, and ongoing orthopedic care across multiple specialties including spine, joint replacement, sports medicine, and hand/foot care
2. Surgical Procedures: Revenue from outpatient surgical procedures including joint replacement, arthroscopy, fracture repair, spine surgery, and other orthopedic interventions performed at Proliance Puget Sound Surgery Center
3. Diagnostic Imaging Services: In-house MRI and digital X-ray services at Puget Sound Imaging location
4. Telemedicine Services: Virtual telehealth visits for follow-up appointments and consultations using platforms like Doxy.me

Pricing tiers

Go-to-market motion1 record

Distribution channels6 records

Marketing channels8 records

Core offering

Puget Sound Orthopaedics provides comprehensive orthopedic medical and surgical care for musculoskeletal disorders across 12 subspecialties including spine, joint replacement, sports medicine, hand, foot, ankle, shoulder, elbow, hip, knee, wrist, and back. Treatment spans minimally invasive arthroscopic procedures, robotic arm-assisted joint replacement, and outpatient surgical interventions delivered by 15 physicians and 13 physician assistants at multiple clinic locations in the Puget Sound region. The practice operates an integrated delivery network that includes an outpatient surgery center, an urgent orthopedic care facility, and an in-house diagnostic imaging center, supported by digital patient services such as MyChart portal, online bill pay, telemedicine, and an upcoming AI call agent.

Product overview

Puget Sound Orthopaedics is a comprehensive orthopedic practice offering surgical and nonsurgical treatments across multiple specialties including spine, joint replacement, sports medicine, hand, foot, ankle, shoulder, elbow, hip, knee, wrist, and back conditions. The practice operates multiple facilities including the Proliance Puget Sound Surgery Center, Proliance Puget Sound Urgent Care, and Puget Sound Imaging. Patient-facing digital services include MyChart patient portal for appointment requests and medical communications, Online Bill Pay via Patient Notebook, Telemedicine for virtual consultations with dedicated virtual waiting rooms, and an upcoming AI Call Agent for automated scheduling. The practice serves the Puget Sound region with locations in Gig Harbor, Lakewood, and Tacoma, Washington.

Differentiator

Problem solved

Functional benefit

Brands

• Proliance Puget Sound Surgery Center: Outpatient surgery center providing orthopedic surgical procedures.
• Proliance Puget Sound Urgent Care
• Puget Sound Imaging
• Proliance Puget Sound Orthopaedics

Products and services

• Puget Sound Orthopaedics Practice Comprehensive orthopedic care practice providing medical and surgical treatment for musculoskeletal disorders, including spine, joint replacement, sports medicine, hand, foot, ankle, shoulder, elbow, hip, knee, wrist, and back conditions for patients in Washington State.
• Proliance Puget Sound Surgery Center Outpatient surgery center in Lakewood providing orthopedic surgical procedures including joint replacement, arthroscopy, fracture repair, spine surgery, and other orthopedic interventions. Recognized by U.S. News & World Report among 2025 Best.
• Proliance Puget Sound Urgent Care Urgent orthopedic care facility in Tacoma providing walk-in and same-day/next-day care for acute injuries such as fractures, sprains, strains, and dislocations without requiring an emergency room visit.
• Puget Sound Imaging In-house diagnostic imaging service in Tacoma offering MRI and digital X-ray services for orthopedic diagnosis and treatment planning.
• Telemedicine (Virtual Visits) Virtual telehealth appointments enabling remote consultations with orthopedic physicians, with dedicated virtual waiting rooms for specific doctors.
• AI Call Agent AI-powered call answering and scheduling assistant designed to improve patient access by automating inbound call handling and appointment scheduling for the practice.

Quantifiable outcome

• U.S. News & World Report named Proliance Puget Sound Surgery Center among 2025 Best
• +2 more outcomes

Named customers6 records

Segments5 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration3 records

AI capability1 record

Feature5 records

Partnerships

One partnership is on record.

• Proliance SurgeonscoreOthersPuget Sound Orthopaedics is part of Proliance Surgeons network - a team of independent, physician led care centers dedicated to providing exceptional outcomes. Proliance provides administrative support, compliance services, and shared resources across multiple orthopedic and surgical specialties.

Scale indicators3 records

Recent moves6 records

Expansion highlights5 records

Broad incumbents

• MultiCare Health System: Large regional health system headquartered in Tacoma, WA, operating competing orthopedic service lines including employed physicians and hospital-based surgical facilities in the same Puget Sound market.
• Virginia Mason Franciscan Health: Major regional health system in the Puget Sound region offering orthopedic services including employed orthopedic surgeons, ambulatory surgery centers, and integrated specialty care lines that compete with independent practices.
• Proliance Surgeons: Parent network of independent physician-led care centers across the Pacific Northwest. Puget Sound Orthopaedics operates as an affiliate within Proliance Surgeons, sharing administrative and operational resources.

Direct peers

• Rothman Orthopaedic Institute: Large multi-specialty orthopedic practice based in Philadelphia with subspecialty coverage across spine, sports medicine, joint replacement, and hand. Operates a similar physician-owned model with multiple locations and ambulatory surgery centers.
• OrthoCarolina: Independent physician-owned orthopedic practice in Charlotte, NC, with 100+ physicians across multiple subspecialties. Operates urgent care, imaging, and ambulatory surgery centers comparable to Puget Sound's integrated model.
• Resurgens Orthopaedics: Georgia-based independent orthopedic practice with fellowship-trained specialists across spine, sports medicine, joint replacement, and hand surgery. Operates multiple locations with imaging and ambulatory surgery capabilities.
• Twin Cities Orthopedics: Minnesota-based multi-specialty orthopedic practice with 100+ physicians, ambulatory surgery centers, imaging, and urgent orthopedic care. Closely comparable in scale, subspecialty depth, and vertically integrated service model.
• OrthoVirginia: Independent physician-owned orthopedic group serving Virginia with multiple locations, on-site imaging, physical therapy, and ambulatory surgery centers. Comparable specialty mix and integrated care delivery model.
• Midwest Orthopaedics at Rush: Chicago-based academic orthopedic practice with fellowship-trained subspecialists across the full orthopedic spectrum, including sports medicine, spine, and joint replacement. Comparable in scale, subspecialty depth, and physician-owned structure.
• Panorama Orthopedics & Spine Center: Denver-area orthopedic group offering spine, sports medicine, joint replacement, and urgent orthopedic care with multiple clinic locations and ambulatory surgery centers. Comparable specialty coverage and integrated delivery.

Market position

Strengths1 record

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/channel/UC581kUcfsbHU5qBFFoDnk8w
• Facebookfacebook.com/PugetSoundOrthopaedics
• LinkedInlinkedin.com/company/puget-sound-orthopaedics
• Instagraminstagram.com/proliance_pso?igsh=em9yeGVnazR6MXZ3

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Subsidiaries3 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 Puget Sound Orthopaedics