Medulla

What Medulla does

TVG-Medulla, LLC (doing business as Medulla) is a US healthcare management services organization headquartered in Oak Brook, Illinois, and owned by the private equity firm The Vistria Group. Medulla operates and supports two distinct clinical brands: Chiro One Wellness Centers, a network of 100+ outpatient chiropractic clinics offering evidence-based, drug-free pain management across 9 states in the Midwest and West Coast; and MyoCore Personalized Pain Care, 13+ in-hospital conservative pain care clinics embedded inside major hospital systems. The corporate platform supplies centralized services across marketing, revenue cycle and billing, clinical operations, IT, legal, human resources, facilities, and finance to both brands, positioning Medulla as the largest privately-owned chiropractic organization in the United States, serving 656,000+ patients annually with a 580+ employee workforce.

Business operations span outpatient clinic services, in-hospital pain care delivery, and a buy-and-integrate acquisition strategy. Under Chiro One, independent chiropractic practices are acquired, rebranded under the Chiro One name, and rolled onto standardized clinical protocols, a 12-week DC fellowship, a 4-day doctor work week, and shared corporate services. The portfolio has grown through acquisitions including Bridge Chiropractic (4 clinics, WA), HealthZone (IN), Circle City Chiropractic (IN), Schultz Chiropractic (WI), Wilder Chiropractic (WI), Hillside Chiropractic (WI), Compass Chiropractic (WI), and a 2021 five-clinic pack in Seattle. MyoCore was founded in 2007 as KC Core in Kansas City and rebranded in 2020 to reflect national expansion, with in-hospital placements inside HCA Healthcare, SSM Health, Medical City Healthcare, Texas Health Resources, Trinity Health, Baylor-Scott White, Truman Healthcare, and Carondelet Health.

Revenue is generated on a per-visit basis through insurance billing and self-pay at Chiro One clinics and through hospital-affiliated pain care at MyoCore locations. The go-to-market is direct-to-consumer with patient acquisition via digital marketing, community health and wellness events, and physician referrals inside hospital systems; an additional channel offers on-site and telehealth services to employer groups. The company does not publicly disclose revenue, funding, or valuation data.

Name

Medulla

Legal name

TVG-Medulla, LLC

Website

https://medullallc.com

Company type

Private

Founded year

1992

Operating status

Operating

Headcount range

501–1,000 employees

Ownership category

akta.pro rank

Product category

Chiropractic Care Services

NAICS

Offices of Chiropractors (62131), Ambulatory Health Care Services (621)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Health Services (8000)

akta.pro primary industry

General Chiropractic Care (HSADALAA)

akta.pro secondary industries

Pain Management Chiropractic (Neck/Back/Sciatica) (HSADALAI), Chiropractic Rehabilitation & Therapeutic Exercise (HSADALAG)

Keywords

• Chiropractic care services
• Pain management clinics
• Healthcare management services
• Outpatient wellness centers
• In-hospital conservative care

Headquarters

HQ city

Oak Brook

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Revenue model

1. Chiropractic Clinic Services: Revenue generated from patient visits and treatments at Chiro One Wellness Centers (outpatient chiropractic care) and MyoCore locations (in-hospital pain care). Services include chiropractic adjustments, active therapies, and rehabilitation treatments.
2. Practice Acquisition and Management: TVG-Medulla acquires independent chiropractic practices and provides comprehensive management services including billing, insurance processing, marketing, clinical operations, HR, IT, legal, and facilities maintenance. Generates revenue through operational efficiency and scale advantages.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels6 records

Core offering

Medulla (TVG-Medulla, LLC) operates a national chiropractic care network through two brands: Chiro One Wellness Centers (outpatient clinics) and MyoCore Personalized Pain Care (in-hospital conservative pain care). It provides centralized management services including marketing, billing, HR, IT, legal, and clinical operations support to its 100+ clinic and hospital-based locations across 9 states, serving 656,000+ patients annually.

Product overview

Medulla (TVG-Medulla, LLC) is a healthcare management services organization that operates two distinct chiropractic care brands: Chiro One Wellness Centers (a 100+ clinic network offering comprehensive, evidence-based chiropractic care for pain patients) and MyoCore Personalized Pain Care (a 15+ clinic in-hospital conservative pain management system). The corporate platform provides centralized support services including billing, insurance, marketing, clinical operations, human resources, IT, and facilities management to both clinic brands, enabling them to focus on patient care while Medulla handles operational infrastructure.

Differentiator

Problem solved

Functional benefit

Products and services

• Chiro One Wellness Centers Outpatient chiropractic care network offering standardized, evidence-based conservative treatment to patients at 100+ clinic locations across 9 U.S. states.
• MyoCore Personalized Pain Care In-hospital conservative pain care program delivered within partner hospital systems, providing non-surgical, non-opioid treatment for back, neck, and joint pain to patients referred by hospital physicians.
• TVG-Medulla Corporate Services Centralized management services platform providing marketing, billing, revenue cycle management, HR, IT, legal, finance, and clinical operations support to Medulla's clinic and hospital-based operating units.

Quantifiable outcome

• 656,000+ patients served each year
• +3 more outcomes

Named customers8 records

Segments3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Nine partnerships are on record, tiered minor and major.

• Foundation for Chiropractic Progress (F4CP)minorStrategic or Co-development Partner · 27 January 2022MyoCore Personalized Pain Care was named a Silver Sponsor of the Foundation for Chiropractic Progress, a not-for-profit organization dedicated to educating the public about the value of chiropractic care. The partnership supports education of patients and healthcare providers about the benefits of chiropractic care.
• Truman Healthcare SystemmajorStrategic or Co-development PartnerMyoCore operates in-hospital locations at Truman Medical Center (Kansas City, MO) and Truman Medical Center Lakewood (Kansas City, MO). Provides integrated conservative pain care within the hospital system.
• HCA HealthcaremajorStrategic or Co-development PartnerMyoCore operates in-hospital locations at Centerpoint Medical Center (Independence, MO), Overland Park Regional Medical Center (Overland Park, KS), Menorah Medical Center (Kansas City, MO), and Research Medical Center (Kansas City, MO).
• SSM HealthmajorStrategic or Co-development PartnerMyoCore locations at St. Joseph Medical Center (St. Charles, MO), DePaul Medical Center (Bridgeton, MO), and St. Mary's Medical Center (St. Louis, MO).
• Medical City HealthcaremajorStrategic or Co-development PartnerMyoCore operates at Plaza Medical Center (Fort Worth, TX), Medical City Dallas (Dallas, TX), and Medical City McKinney (McKinney, TX).
• Texas Health ResourcesminorStrategic or Co-development PartnerMyoCore operates at Texas Health Plano (Plano, TX) and Texas Health Arlington (Arlington, TX).
• Trinity HealthminorStrategic or Co-development PartnerMyoCore location at Mercy Medical Center (Des Moines, IA) through Trinity Health system.
• Baylor-Scott WhiteminorStrategic or Co-development PartnerMyoCore operates at Centennial Medical Center (Frisco, TX) under Baylor-Scott White system.
• Carondelet Health NetworkminorStrategic or Co-development PartnerMyoCore location at St. Joseph Medical Center (Kansas City, MO) within Carondelet Health Network.

Scale indicators6 records

Recent moves11 records

Expansion highlights6 records

Direct peers

• The Joint Chiropractic: National multi-site chiropractic clinic chain (NASDAQ: CHIRO) operating ~500+ corporate-owned locations; closest direct comparable in scale, multi-site clinic model, and consumer-focused chiropractic services.
• 100% Chiropractic: Premium-brand multi-site chiropractic franchise/network providing standardized chiropractic care across multiple U.S. locations; directly comparable D2C clinic model.
• Discover Chiropractic: Multi-site chiropractic clinic operator offering comprehensive conservative care; smaller-scale direct peer in outpatient chiropractic services.
• HealthSource Chiropractic: Franchised chiropractic clinic network with standardized care protocols and centralized business support; directly comparable multi-clinic operating model.

Broad incumbents

• Select Medical Holdings: Large specialty hospital/rehab and outpatient services operator; comparable as a multi-site specialty healthcare services platform with hospital system relationships.
• U.S. Physical Therapy: Outpatient musculoskeletal services company operating ~650+ clinic locations across the U.S.; directly comparable site-count and multi-site operating model even though specialty is PT.
• ATI Physical Therapy: Large multi-site outpatient musculoskeletal/rehab provider; comparable in operating multi-location clinical services under a corporate management platform, though PT-focused.

Others

• SSM Health: Major hospital system hosting multiple MyoCore clinic locations; relevant partner/peer for the in-hospital chiropractic integration segment.
• HCA Healthcare: Major hospital system that is both a customer/partner (hosting MyoCore clinics) and a comparator for the hospital-based conservative-pain integration model.
• Medical City Healthcare: Major Texas hospital system hosting multiple MyoCore locations; comparable healthcare system partner relevant to MyoCore's integration model.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/medullateam
• LinkedInlinkedin.com/company/medulla-llc-healthcare-management-services

Revenue estimate

Valuation estimate

Number of profiles

Subsidiaries10 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 Medulla