Indiana Hand to Shoulder Center

What Indiana Hand to Shoulder Center does

Indiana Hand to Shoulder Center is a private orthopedic subspecialty practice founded in 1971 in Indianapolis, providing comprehensive evaluation, diagnosis, and treatment exclusively for conditions of the hand, wrist, elbow, and shoulder. It employs 11 board-certified orthopedic surgeons and 1 board-eligible plastic surgeon across 10 locations spanning central Indiana (Indianapolis, Brownsburg, Center Grove, Fishers, Greenfield, Kokomo, Lafayette, Rushville, Terre Haute, and Westfield), treats more than 50,000 patients annually, and operates an ACGME-accredited Hand and Upper Extremity Fellowship Program that has trained over 280 postgraduate surgeons since inception. The practice is recognized as the world's largest free-standing facility specializing in complete upper extremity care and has consolidated with peer practice OrthoIndy under a letter of intent signed October 31, 2024, creating a combined operation of 100+ physicians and 1,200 employees across 22 locations.

The practice's core technology is clinical-surgical rather than software: microsurgical techniques, arthroscopic surgery, joint replacement and reconstruction, in-house EMG/NCS diagnostic testing, and advanced nerve surgery procedures including Targeted Muscle Reinnervation (TMR), Regenerative Peripheral Nerve Interface (RPNI), and Vascularized Denervated Muscle Targets (VDMTs). The practice's physicians have co-developed prosthetic devices widely utilized globally in upper extremity joint replacement and have ongoing development efforts toward an elbow replacement system, internal fixation devices for fracture care, and radius fracture treatment devices. Patient-facing technology is limited to a third-party athenahealth patient portal for scheduling and records access; no proprietary AI/ML capability or developer-facing API exists.

Revenue is generated primarily through professional-services patient care (consultations, diagnostics, non-surgical treatment, and surgery) reimbursed via major commercial insurance, Medicare, Medicaid, and workers' compensation. Additional revenue streams include a dedicated workers' compensation program with same-day appointments and IME evaluations, the fellowship program (with a $3,000 educational allowance per fellow), the multi-volume Diagnosis and Treatment Manual publication for physicians and therapists, and the annual Hand Care continuing education conference. Go-to-market is referral-led: physician referrals from primary care and other orthopedists, supplemented by consumer-facing digital marketing, multi-location direct scheduling, and participation in the Anthem Blue Cross HealthSync Designated Orthopedic Network following the OrthoIndy combination.

Name

Indiana Hand to Shoulder Center

Legal name

Indiana Hand to Shoulder Center

Website

https://indianahandtoshoulder.com

Company type

Private

Founded year

1971

Operating status

Operating

Headcount range

51–100 employees

Short description

Indiana Hand to Shoulder Center is a private Indianapolis orthopedic subspecialty practice founded in 1971, providing surgical and non-surgical care exclusively for hand, wrist, elbow, and shoulder conditions across 10 central Indiana locations, treating over 50,000 patients annually, and now operating as an OrthoIndy practice following a 2024 merger.

Ownership category

akta.pro rank

Headquarters

HQ city

Indianapolis

HQ country

United States

HQ region

North America

Offices13 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Patient Care Services: Direct patient healthcare services including consultations, diagnostic testing (EMG/NCS), non-surgical treatments, and surgical procedures for hand, wrist, elbow, and shoulder conditions
2. Workers' Compensation Care: Specialized treatment programs for work-related injuries with dedicated case management and Independent Medical Evaluations
3. Fellowship Program: Postgraduate fellowship education program for hand surgeons with $3,000 educational allowance per fellow
4. Medical Publications: Sale of the Diagnosis and Treatment Manual for Physicians & Therapists - four volumes and over 1,200 pages
5. Conference Revenue: Hand Care annual conference providing continuing education with 19 contact hours for healthcare professionals

Pricing tiers

Go-to-market motion2 records

Distribution channels5 records

Marketing channels9 records

Core offering

Indiana Hand to Shoulder Center is a private orthopedic medical practice that diagnoses and treats conditions and injuries of the hand, wrist, elbow, and shoulder. It delivers conservative care first (splints, therapy, injections) and surgical care when needed, including microsurgery, arthroscopy, joint replacement and reconstruction, nerve injury treatment, sports medicine, and workers' compensation care, complemented by occupational therapy, EMG/NCS diagnostics, and a pediatric upper extremity program.

Product overview

Indiana Hand to Shoulder Center is a large orthopedic practice specializing exclusively in upper extremity care. Founded in 1971 and now an OrthoIndy practice, it operates 10 locations across central Indiana with 11 board-certified orthopedic surgeons and 1 board-eligible plastic surgeon. The practice offers a comprehensive range of services including diagnostic testing (EMG/NCS), surgical and non-surgical treatments, occupational therapy, specialty programs for nerve injuries and pediatric conditions, arthritis care and joint replacement, sports medicine, and workers' compensation services. The practice also operates a renowned 1-year fellowship training program and publishes the Diagnosis and Treatment Manual for upper extremity conditions.

Differentiator

Problem solved

Functional benefit

Products and services

• Hand, Wrist, Elbow, and Shoulder Orthopedic Care Comprehensive orthopedic evaluation, diagnosis, and treatment for conditions affecting the hand, wrist, elbow, and shoulder, including surgical and non-surgical interventions for arthritis, fractures, tendon injuries, nerve compression, sports injuries, and chronic pain in adults.
• EMG & NCS Testing Electromyography and nerve conduction studies used to diagnose carpal tunnel syndrome, cubital tunnel syndrome, ALS, neuropathies, and other neuromuscular conditions affecting the upper extremity.
• Occupational Therapy Center Largest therapy facility in the country focused on rehabilitation of the hand, wrist, elbow, and shoulder, offering care for sprains and strains, fracture care, custom splints, strength-building programs, wound care, and scar management.
• Nerve Injury and Limb Pain Program Comprehensive nerve surgery program including Targeted Muscle Reinnervation (TMR), Regenerative Peripheral Nerve Interface (RPNI), nerve capping, nerve repairs and grafting, and brachial plexus treatment for complex nerve injuries and limb pain.
• Pediatric Hand & Upper Extremity Care Specialized orthopedic care for pediatric patients from infants to age 18, including congenital conditions, pediatric fractures, Little League shoulders, dislocated elbows, and developmental issues, led by Dr. Kathryn M. Peck.
• Hand and Upper Extremity Fellowship Program ACGME-accredited one-year postgraduate fellowship training program for orthopedic and plastic surgeons, accepting six fellows annually, with over 280 alumni trained since 1971 and 1,000+ cases per fellow per year.
• Workers' Compensation Services Specialty care for work-related injuries of the hand, wrist, elbow, and shoulder with same-day appointments, Independent Medical Evaluations, return-to-work programs, and continuing education for case managers and claims adjusters.
• Arthritis Care and Joint Replacement Collaborative arthritis care including joint replacement surgery for the shoulder, elbow, wrist, and hand, with expertise in thumb, PIP, MCP, wrist, elbow, and shoulder replacements.
• Sports Medicine Surgical and non-surgical treatment for sports-related injuries including rotator cuff tears, tennis elbow, golfer's elbow, Tommy John injuries, dislocations, fractures, and sprains of the upper extremity.
• Workstation Design and Ergonomics Consulting Computer workstation evaluation, ergonomic assessments, and educational programs for employers to prevent upper extremity conditions such as tendonitis and carpal tunnel syndrome.
• Diagnosis and Treatment Manual Four-volume, 1,200+ page published manual for physicians and therapists covering treatment guidelines for over 250 upper extremity conditions, with patient handouts in English and Spanish.
• Hand Care Conference Annual three-day intermediate-level continuing education conference for hand therapists, physicians, and rehabilitation specialists, offering 19 contact hours of CEUs.
• Patient Portal Secure online portal powered by athenahealth for appointment scheduling, prescription refill requests, and 24/7 medical records access for IHTSC patients.

Quantifiable outcome

• Over 50,000 patients treated annually
• +4 more outcomes

Named customers4 records

Segments5 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature9 records

Partnerships

Ten partnerships are on record, tiered core and minor.

• Anthem Blue Cross and Blue ShieldcoreGTM or Marketing Partner · 4 March 2026Anthem established HealthSync Designated Orthopedic Network in Indiana with OrthoIndy and Franciscan Health as first participating providers. Network offers orthopedic care at up to 50% lower cost with dedicated concierge scheduling and care coordination services.
• Franciscan Health/Forté Sports Medicine and OrthopedicscoreGTM or Marketing Partner · 4 March 2026First two participating providers in Anthem Blue Cross HealthSync Designated Orthopedic Network alongside OrthoIndy, providing orthopedic care through the network.
• OrthoIndycoreStrategic or Co-development Partner · 31 October 2024Two Indianapolis-based orthopedic practices signed a letter of intent to merge in October 2024, creating a combined operation of over 100 physicians and 1,200 employees across 22 locations. The merger aims to allow practices to remain independent while expanding growth and services. Expected completion in first half of 2025.
• Mayo ClinicminorStrategic or Co-development PartnerFellows receive 1-week microvascular training course at Mayo Clinic as part of the fellowship program educational offerings.
• Industry Partners for ResearchminorStrategic or Co-development PartnerIHTSC partners with industry leaders to develop surgical implants and research emerging devices for upper extremity care.
• Peyton Manning Children's HospitalminorStrategic or Co-development PartnerPediatric surgical services provided in collaboration with Peyton Manning Children's Hospital for complex pediatric cases.
• Riley Pediatric OrthopedicsminorStrategic or Co-development PartnerCollaboration with Riley Pediatric Orthopedics for comprehensive pediatric orthopedic care.
• St. VincentminorStrategic or Co-development PartnerCollaboration with St. Vincent hospital network for pediatric hand and upper extremity surgeries.
• Louisville and Cincinnati Hand Surgery Fellowship ProgramsminorStrategic or Co-development PartnerRegional conference collaboration with Louisville and Cincinnati hand surgery fellowship programs for fellow research presentations.
• Embassy Suites by Hilton Noblesville Indianapolis Conference CenterminorOthersVenue partner for Hand Care 2026 annual conference scheduled for April 30 – May 2, 2026

Scale indicators10 records

Recent moves7 records

Expansion highlights6 records

Direct peers

• Philadelphia Hand to Shoulder Center: Philadelphia Hand to Shoulder Center (Thomas Jefferson University) is one of the oldest and largest freestanding upper-extremity specialty practices in the U.S., with a similar surgeon-staffed, hand-to-shoulder scope and a prestigious hand fellowship.
• OrthoIndy: OrthoIndy is the merged counterpart in the Indianapolis orthopedic market, with a broader orthopedic specialty footprint and now the parent/strategic partner of IHTSC post-LOI; together they form a 100+ physician Indiana-wide network.
• Hand Center of San Antonio: Hand Center of San Antonio is a regional specialty clinic focused exclusively on hand, wrist, elbow, and shoulder disorders, mirroring IHTSC's single-specialty, high-volume freestanding model.
• Curtis National Hand Center / MedStar Union Memorial: Curtis National Hand Center is a leading freestanding upper-extremity specialty program historically comparable to IHTSC in scale, surgical volume, and education/training focus, with deep roots in hand surgery research.
• Kleinert Kutz Hand Care Center: Kleinert Kutz in Louisville, KY is a long-established, freestanding hand and upper-extremity surgery center with a similarly renowned fellowship program and global reputation in reconstructive hand surgery.

Broad incumbents

• Hospital for Special Surgery (HSS): HSS is a leading national orthopedic specialty hospital with deep upper-extremity and sports medicine capabilities, competing for out-of-state complex referrals that IHTSC currently attracts.
• Rothman Orthopaedic Institute: Rothman is a large multi-site orthopedic specialty group with significant hand/upper-extremity coverage, comparable in scale to the post-merger OrthoIndy/IHTSC combined entity and a potential regional acquirer/partner.
• Mayo Clinic Orthopedic Surgery: Mayo Clinic is a broad academic orthopedic incumbent that also runs a major hand/upper-extremity service and microvascular training, which IHTSC fellowships rely on for advanced training; it competes for complex referral cases nationally.

Regional players

• Indiana University Health Orthopedics: IU Health is the dominant academic health system in Indiana and a key competitor for upper-extremity referrals, partnered with IHTSC at the Lafayette/Arnett site but competing for tertiary orthopedic cases.
• OrthoCarolina: OrthoCarolina is a large regional orthopedic practice in the Carolinas with hand/upper-extremity subspecialists, offering a useful comparator on physician-led orthopedic group economics and scale.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights7 records

Customer concentration

• Xx.com/INhand2shoulder
• YouTubeyoutube.com/channel/UCUblfDNfynGkqnnjY1ogJtQ
• Facebookfacebook.com/IndianaHandtoShoulderCenter
• LinkedInlinkedin.com/company/indiana-hand-to-shoulder-center
• Instagraminstagram.com/indianahand2shouldercenter

Revenue estimate

Valuation estimate

Number of profiles

Profiles3 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 Indiana Hand to Shoulder Center