The Orthopaedic Center

What The Orthopaedic Center does

The Orthopaedic Center (TOC) is a privately-held, for-profit multi-specialty orthopaedic medical practice headquartered in Huntsville, Alabama, operating 13 locations across North Alabama and Southern Tennessee (including a cross-border site in Fayetteville, TN). Founded in 1995, the practice employs 251–500 staff and physicians across service lines covering general orthopaedics, joint replacement (hip, knee, shoulder), spine, sports medicine, hand/wrist/elbow, foot and ankle, pediatrics, trauma, pain management, and physical medicine and rehabilitation. Patient care is supported by integrated diagnostic imaging (MRI, weight-bearing CT via pedCAT), an in-house physical and occupational therapy network, an Urgent Ortho walk-in clinic, orthotics and prosthetics services, and a dedicated workers compensation program.

The practice's technical differentiation rests on surgical robotics adoption — Mako Robotic-Arm Assisted Technology for partial and total knee and hip replacement, and the Mazor X Stealth Edition robotic guidance system for spine surgery (the first installation of its kind in North Alabama). TOC also operates the Orthopaedic and Spine Tower, the only dedicated orthopaedic specialty hospital in Alabama. The clinical platform incorporates regenerative medicine (PRP), bioinductive implants, mi-eye 2 minimally invasive joint visualization, and CARTIHEAL AGILI-C cartilage repair implants, particularly within sports medicine and knee service lines.

Revenue is generated almost entirely through fee-for-service patient care billed to commercial insurance, Medicare/Medicaid, workers compensation programs, and self-pay patients, with no disclosed payer anchor or contract revenue. Patient acquisition combines physician referrals (via a dedicated referral center and online referral form), direct patient appointment requests, workers compensation case flow, and community outreach through team physician coverage at 24 North Alabama schools supported by 40+ athletic trainers. Marketing is delivered through an owned content platform (OrthoBlog, TOC Talks, YouTube surgical videos) and social channels (Facebook, Instagram, Twitter), with a patient portal hosted by Systemedx and billing supported by InstaMed and EZE Billing.

Name

The Orthopaedic Center

Legal name

The Orthopaedic Center

Website

https://visittoc.com

Company type

Private

Founded year

1995

Operating status

Operating

Headcount range

251–500 employees

Short description

The Orthopaedic Center is a privately-held, multi-specialty orthopaedic medical practice operating 13 locations across North Alabama and Southern Tennessee, delivering joint replacement, spine surgery, sports medicine, and rehabilitation supported by Mako and Mazor X robotic surgery platforms.

Ownership category

akta.pro rank

Product category

Orthopaedic Healthcare Services

NAICS

Ambulatory Health Care Services (621), Offices of Physical, Occupational and Speech Therapists, and Audiologists (621340), Specialty (except Psychiatric and Substance Abuse) Hospitals (622310), Diagnostic Imaging Centers (621512)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Specialty Outpatient Facilities, Nec (8093), Services-Hospitals (8060), Orthopedic, Prosthetic & Surgical Appliances & Supplies (3842)

akta.pro primary industry

General Orthopedics (HLAKALAA)

akta.pro secondary industries

Orthopedic Surgery (Operative Orthopedics) (HLAKALAC), Spine (Orthopedic Spine) (HLAKALAE), Orthopedic & Spine Specialty Hospitals (HLAFAHAB), Orthopedic & Sports Rehabilitation Centers (HLAFAFAI)

Keywords

• Orthopaedic care
• Joint replacement
• Sports medicine
• Spine surgery
• Physical therapy

Headquarters

HQ city

Huntsville

HQ country

United States

HQ region

North America

Offices14 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Patient Care Services: Fee-for-service healthcare delivery including office visits, diagnostic imaging (MRI, X-ray), surgical procedures, and physical therapy services. Revenue generated through insurance billing, self-pay, and workers compensation claims.
2. Surgical Procedures: Inpatient and outpatient surgical procedures including joint replacements, spine surgery, sports medicine procedures, and trauma care. Billed through insurance with facility fees separate from professional fees.
3. Physical Therapy Services: Rehabilitation services including physical therapy, occupational therapy, and specialized therapy programs. Revenue generated through insurance authorization and self-pay.
4. Diagnostic Imaging: On-site MRI and other diagnostic imaging services. Billed as professional and technical components through insurance.

Go-to-market motion1 record

Distribution channels5 records

Marketing channels11 records

Core offering

The Orthopaedic Center is a multi-specialty orthopaedic medical practice that diagnoses, treats, and rehabilitates musculoskeletal conditions through surgical and non-surgical care. Its core service portfolio spans joint replacement, spine, sports medicine, foot and ankle, hand/wrist/elbow, hip, knee, shoulder, pain management, pediatric orthopaedics, trauma, physical medicine and rehabilitation, urgent walk-in orthopaedic care, MRI imaging, orthotics and prosthetics, and physical/occupational therapy, delivered across 13+ locations in Alabama and Tennessee.

Product overview

The Orthopaedic Center (TOC) is a medical practice providing comprehensive orthopaedic care across Alabama and Tennessee with 13+ locations. The practice offers a broad portfolio of medical services organized by body part and specialty including General Orthopaedics, Joint Replacement, Spine Care, Sports Medicine, Trauma, and Pediatric Orthopaedics. TOC distinguishes itself through advanced medical technologies including Mako Robotic-Arm Assisted Surgery for joint replacements, Mazor X Robotic Spine Surgery, pedCAT 3D imaging for foot and ankle, and regenerative medicine treatments like PRP. Additional services include Physical Therapy Center with physical and occupational therapy, MRI imaging, Orthotics & Prosthetics, Urgent Ortho walk-in clinic, Pediatric Injury Clinic, Pain Management, and Workers Compensation services. The practice also offers specialized procedures such as CARTIHEAL AGILI-C implants, mi-eye 2 diagnostics, and bioinductive implants.

Differentiator

Problem solved

Functional benefit

Products and services

• Joint Replacement Surgical and non-surgical treatment for hip, knee, and shoulder joint conditions including replacement procedures, offered to adult patients with degenerative joint disease.
• Robotic Surgery (Mako) Mako Robotic-Arm Assisted Technology providing enhanced precision and personalized surgical planning for partial knee, total knee, and total hip replacement surgeries.
• Robotic Spine Surgery (Mazor X) Mazor X Stealth Edition robotic guidance system for spinal surgery, the first robotic spine surgery service available in North Alabama.
• Spine Care Surgical and non-surgical treatment for cervical, thoracic, and lumbar spinal disorders including scoliosis, stenosis, disc herniation, and spinal fusion.
• Sports Medicine Specialized care for sports-related injuries including ACL/MCL tears, meniscus injuries, concussion treatment, athletic training, and team physician coverage for schools.
• Foot and Ankle Care Medical and surgical treatment for acute and chronic foot and ankle conditions including ankle replacement, bunions, hammertoes, and sports injuries.
• Hand, Wrist and Elbow Care Surgical and non-surgical treatments for hand, wrist, and elbow conditions including carpal tunnel syndrome, tendonitis, and fractures.
• Hip Care Diagnosis and treatment for hip conditions including hip replacement and anterior/superior approach minimally invasive hip replacement.
• Knee Care Treatment for knee conditions including meniscus injuries, ligament tears, arthritis, and knee replacement surgery.
• Shoulder Care Treatment for shoulder conditions including rotator cuff injuries, shoulder replacement, arthroscopy, and reconstruction.
• Pain Management Non-surgical treatments for chronic and acute pain including spinal injections, nerve blocks, and interventional pain procedures.
• Pediatric Orthopaedics Orthopaedic care for children from newborn to 14 years, treating hip dysplasia, scoliosis, pediatric fractures, and developmental conditions.
• Physical Medicine and Rehabilitation Non-surgical treatment for soft tissue, neuromuscular, and musculoskeletal disorders including neck and back pain, sciatica, and sports injuries.
• Trauma Orthopaedics Emergency and acute care for orthopaedic injuries including fractures, dislocations, and accident-related trauma.
• Urgent Ortho Walk-In Clinic Walk-in clinic providing same-day orthopaedic care for acute injuries without requiring an appointment.
• Pediatric Injury Clinic Specialized clinic for orthopaedic injuries in children.
• Physical Therapy Center Rehabilitation services including physical therapy and occupational therapy delivered across multiple locations to restore mobility and function.
• MRI Services On-site magnetic resonance imaging for accurate diagnosis of orthopaedic conditions, billed as professional and technical components through insurance.
• Orthotics and Prosthetics Custom orthotic devices and prosthetic limbs to support patient rehabilitation and mobility.
• Workers Compensation Program Specialized treatment for work-related injuries including Independent Medical Evaluations and Permanent Partial Impairment Evaluations coordinated with employers and insurers.
• General Orthopaedics Comprehensive orthopaedic care for bones, joints, muscles, ligaments, tendons, and nerves addressing general musculoskeletal conditions.
• Regenerative Medicine Advanced regenerative treatments including Platelet-Rich Plasma (PRP) therapy for promoting healing in sports injuries and meniscus procedures.
• CARTIHEAL AGILI-C Implant Cartilage repair implant offered through TOC's knee center for knee cartilage restoration.
• mi-eye 2 Diagnostic Technology Minimally invasive diagnostic technology for in-office joint visualization used in sports medicine.
• Bioinductive Implant Bioinductive implant used in sports medicine procedures to promote tissue healing.
• TOC Athens Spine Center Multi-disciplinary spine and pain care center at TOC's Athens location providing individualized treatment plans for spine disorders and pain management.

Quantifiable outcome

• Patients avoiding unnecessary surgery through conservative treatment options
• +2 more outcomes

Named customers8 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

Feature5 records

Scale indicators5 records

Recent moves7 records

Expansion highlights4 records

Direct peers

• OrthoVirginia: Independent multi-specialty orthopaedic practice across Virginia with comprehensive orthopaedic and sports medicine services, integrated PT, and urgent ortho walk-in clinics — directly comparable in operating model and clinical scope.
• Andrews Sports Medicine & Orthopaedic Center: Independent, multi-specialty orthopaedic and sports medicine practice in Birmingham, Alabama offering joint replacement, spine, sports medicine, and physical therapy — a directly comparable regional peer operating in the same Alabama market.
• Resurgens Orthopaedics: Multi-location orthopaedic specialty practice in Georgia offering joint replacement, spine, sports medicine, PT, and MRI under an integrated physician group model — closely comparable to TOC in structure and service mix.
• OrthoCarolina: Large independent physician-owned orthopaedic specialty practice in the Carolinas with multiple locations, integrated PT, MRI, urgent ortho care, and sports medicine coverage of school athletics — directly comparable to TOC in scope, multi-site footprint, and integrated care model.
• Rothman Orthopaedic Institute: Major multi-specialty orthopaedic practice with comprehensive subspecialty care (spine, joint, sports, hand), research, and ambulatory surgical centers across the Mid-Atlantic — comparable in service breadth, though significantly larger and now affiliated with a national specialty hospital network.
• Twin Cities Orthopedics: Large independent orthopaedic and sports medicine group in Minnesota offering comprehensive subspecialty care, PT, and ambulatory surgery — comparable mid-to-large independent orthopaedic practice model.
• Mississippi Sports Medicine & Orthopaedic Center: Multi-location orthopaedic and sports medicine practice serving Mississippi with joint replacement, sports medicine, PT, and school athletic partnerships — directly comparable as a regional, multi-specialty orthopaedic practice in an adjacent Southeast geography.

Broad incumbents

• US Orthopaedic Partners (USOP): PE-backed orthopaedic management services organization that partners with and acquires leading regional orthopaedic practices across the Southeast and beyond — a key competitor and potential strategic acquirer of practices like TOC.
• Hospital for Special Surgery: National leader in orthopaedic specialty hospital care and academic orthopaedics — broader incumbent that benchmarks the specialty-hospital model TOC operates in Alabama, relevant for strategic and clinical positioning comparisons.
• HOPCo / The CORE Institute: Large orthopaedic and musculoskeletal care platform with specialty hospitals, ASCs, and MSO partnerships across multiple states — broader incumbent with overlapping capabilities in spine, joint replacement, and specialty hospital operations relevant to TOC's specialty hospital footprint.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/toccenter
• YouTubeyoutube.com/@toctheorthopaediccenter3735/videos
• Facebookfacebook.com/VisitTOC
• Instagraminstagram.com/theorthopaediccenter

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 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 The Orthopaedic Center