The Orthopaedic Institute

What The Orthopaedic Institute does

The Orthopaedic Institute (TOI) is a private, physician-owned multi-specialty orthopedic practice headquartered in Gainesville, Florida. Founded in the mid-1980s and operating under the DBA "TOI," the group provides the full spectrum of musculoskeletal care — from prevention and diagnosis through surgical intervention and rehabilitation — across 15 clinic locations and 6 Express Ortho walk-in urgent care sites distributed throughout Florida. The practice employs 251-500 staff including 49 specialty physicians covering joint replacement (including robotic-assisted total knee surgery), spine, hand and wrist, shoulder and elbow, foot and ankle, sports medicine, trauma, plastic and reconstructive surgery, interventional pain management, non-surgical/occupational medicine, and a dedicated running medicine clinic. Vertically integrated capabilities include on-site MRI, digital X-ray, EMG/nerve conduction studies, ultrasound-guided injections, the Orthopaedic Surgery Center of Gainesville (an outpatient ASC), and hand therapy/rehabilitation.

Revenue is generated through fee-for-service billing to patients via Medicare, major commercial insurance carriers, and workers' compensation programs, with ancillary revenue from the outpatient surgery center, diagnostic imaging, and rehabilitation services. The go-to-market is direct-to-consumer, leveraging a regional multi-channel presence: same/next-day appointments, walk-in Express Ortho clinics, online scheduling through Luma Health, a Workers' Compensation Program for employer referrals, a Patient Ambassador Program for word-of-mouth growth, and content marketing via physician-authored articles and community events. Patients include a general adult/pediatric population, seniors (Medicare-eligible), recreational and competitive athletes, and employees with work-related musculoskeletal injuries. The practice is privately held with no disclosed external investment, no funding rounds, and no M&A activity.

Name

The Orthopaedic Institute

Legal name

The Orthopaedic Institute

Website

https://toi-health.com

Company type

Private

Founded year

1984

Operating status

Operating

Headcount range

251–500 employees

Short description

The Orthopaedic Institute is a private, physician-owned multi-specialty orthopedic practice headquartered in Gainesville, Florida, delivering musculoskeletal care across 15 clinics and 6 Express Ortho walk-in urgent care sites statewide to adult, senior, athlete, and workers' compensation patients.

Ownership category

akta.pro rank

Product category

Orthopaedic Healthcare Services

NAICS

Offices of Physicians (62111)

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), Spine (Orthopedic Spine) (HLAKALAE), Orthopedic Trauma (HLAKALAD), Orthopedic & Spine Surgery Centers (HLAFAIAG)

Keywords

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

Headquarters

HQ city

Gainesville

HQ country

United States

HQ region

North America

Offices14 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Medical Services Billing: Healthcare services rendered to patients billed through insurance networks, Medicare, Medicaid, and workers' compensation programs. Services include consultations, procedures, surgeries, and rehabilitation.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels5 records

Core offering

The Orthopaedic Institute is a private practice group of specialty physicians providing comprehensive musculoskeletal care including prevention, diagnosis, treatment, and rehabilitation. Services span orthopaedic subspecialties such as joint replacement, sports medicine, spine surgery, hand and upper extremity surgery, foot and ankle surgery, trauma care, interventional pain management, and plastic and reconstructive surgery, delivered across multiple Florida clinic locations and Express Ortho walk-in urgent care clinics.

Product overview

The Orthopaedic Institute is a private practice group of specialty physicians providing the complete spectrum of musculoskeletal care for over 40 years. The organization operates as a unified medical practice with multiple specialty services including Non-Surgical Orthopaedics/Occupational Medicine, Shoulder & Elbow Surgery, Hand/Wrist Surgery, Spine Surgery, Joint Replacement, Sports Medicine, Trauma, Plastic & Reconstructive Surgery, Interventional Pain Management, and Foot & Ankle Surgery. The practice also operates Express Ortho urgent care walk-in clinics and a specialized Running Medicine Clinic. Services range from prevention and diagnosis to treatment and rehabilitation, delivered across 15 clinic locations and 6 Express Ortho locations in Florida.

Differentiator

Problem solved

Functional benefit

Brands

• Express Ortho: Walk-in clinic designed to quickly treat fractures, sprains, strains, sports injuries, and other bone, joint, and soft-tissue injuries
• TOI Express Ortho
• TOI HealthHub
• Patient Ambassador Program

Products and services

• Orthopaedic Care Services Comprehensive musculoskeletal care including prevention, diagnosis, treatment and rehabilitation across multiple orthopaedic subspecialties for adults and children.
• TOI Express Ortho Walk-in urgent care clinic for fractures, sprains, strains, sports injuries, and other bone, joint, and soft-tissue injuries, staffed by orthopaedic specialists with on-site diagnostic technology.
• Joint Replacement Total and partial joint replacement surgeries including robotic-assisted procedures for knees, hips, and shoulders.
• Shoulder & Elbow Surgery Advanced surgical procedures for tendon tears, instability, fractures, arthritis, and other shoulder and elbow conditions.
• Hand, Wrist & Upper Extremity Surgery Surgical treatment for hand, wrist, and upper extremity conditions including carpal tunnel syndrome and traumatic injuries.
• Spine Surgery Surgical interventions for spinal conditions including disc problems, stenosis, and spinal deformities.
• Sports Medicine Specialized care for sports-related injuries, athletic performance, and prevention for recreational and competitive athletes.
• Trauma Care Emergency surgical care for musculoskeletal injuries from accidents, falls, and traumatic events.
• Foot & Ankle Surgery Surgical and non-surgical treatment for foot and ankle conditions including sports injuries and degenerative conditions.
• Plastic & Reconstructive Surgery
• Interventional Pain Management

Quantifiable outcome

• 4.7/5 patient satisfaction rating
• +4 more outcomes

Named customers2 records

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Scale indicators5 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Florida Orthopaedic Institute: Large multi-subspecialty orthopedic practice based in Tampa, FL, offering joint replacement, sports medicine, spine, and on-site surgery centers across the Tampa Bay region. Most directly comparable to TOI as a Florida-based, full-service orthopedic specialty group with similar scope and patient mix.
• Rothman Orthopaedic Institute: One of the largest U.S. orthopedic specialty practices, operating across the Mid-Atlantic and Florida with subspecialty physicians, ASCs, and clinical research. Comparable in scale, subspecialty breadth, and ASC ownership to TOI's full-spectrum model.
• Twin Cities Orthopedics: Large physician-owned orthopedic specialty practice serving the Minneapolis/St. Paul metro with multiple clinic locations, on-site therapy, and surgical services. Comparable to TOI as a multi-site private orthopedic group with employed subspecialists and ancillary service lines.
• Resurgens Orthopaedics: Georgia-based orthopedic specialty practice with 20+ locations and a comprehensive subspecialty mix including spine, sports medicine, and joint replacement. Closely comparable to TOI in physician count, geographic spread across a single state, and service-line breadth.
• OrthoVirginia: Virginia's largest orthopedic specialty practice, with multiple clinic locations, on-site MRI and physical therapy, and orthopedic urgent care. Comparable to TOI in physician scale, multi-location delivery, and ancillary diagnostics/therapy integration.
• The Steadman Clinic: Specialty orthopedic and sports medicine practice in Vail, CO, focused on joint preservation, sports medicine, and orthopedic surgery. Comparable to TOI in subspecialty orthopedics and surgical mix, though geographically and demographically narrower.
• OrthoCincy: Cincinnati-area orthopedic specialty practice with multiple subspecialty physicians and clinic locations. Comparable in service mix and private-practice structure to TOI, though smaller in physician headcount.

Broad incumbents

• Hospital for Special Surgery (HSS): Premier U.S. specialty hospital focused exclusively on orthopedics and rheumatology, with affiliated physician practice and ambulatory sites. Comparable in orthopedic-only focus and brand equity to TOI, but operates at substantially larger scale and academic-affiliated complexity.
• AdventHealth (Orthopedic Service Line): Large nonprofit hospital system operating across Florida with significant orthopedic and sports medicine service lines, employed physicians, and outpatient surgery centers. A key competitor for Florida orthopedic volume and a potential acquirer/partner for physician groups like TOI.
• Tenet Healthcare / United Surgical Partners International (USPI): Tenet and its USPI ambulatory surgery center subsidiary operate numerous orthopedic-focused ASCs, often in joint-venture partnerships with independent orthopedic groups. Comparable to TOI in ambulatory surgical footprint and orthopedic procedure focus, though operating at much larger scale.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks5 records

Key highlights7 records

Customer concentration

• Xx.com/toihealth
• YouTubeyoutube.com/user/TOIHealth
• Facebookfacebook.com/toihealth
• LinkedInlinkedin.com/company/the-orthopaedic-instiute
• Instagraminstagram.com/theorthopaedicinstitute

Revenue estimate

Valuation estimate

Number of profiles

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 The Orthopaedic Institute