Carling Adrenal Center

What Carling Adrenal Center does

Carling Adrenal Center is a privately held, for-profit destination medical practice in Tampa, Florida dedicated exclusively to the diagnosis and surgical treatment of adrenal gland tumors and adrenal hormone disorders. Founded and led by Dr. Tobias Carling, MD, PhD, FACS — a Yale-trained endocrine surgeon widely regarded as the highest-volume adrenal surgeon globally — the center serves patients with conditions including Cushing's syndrome, primary hyperaldosteronism (Conn's syndrome), pheochromocytoma, adrenal cancer, and adrenal metastasis. Dr. Carling personally performs approximately 12-14% of all adrenalectomies in the United States, and the practice has cumulatively performed over 2,500 adrenal operations, more than twenty times the experience of any other US hospital or university. Patients travel from all 50 US states and over 100 countries to undergo surgery at the center, with more than half of patients coming from outside Florida and over 10% from outside the United States.

The center's clinical differentiator is the Mini Back Scope Adrenalectomy (MBSA) technique, a minimally invasive posterior retroperitoneoscopic approach the practice states should be used for 95% of adrenal tumors, with operations typically lasting 15-30 minutes and a claimed cure rate of approximately 99%. Additional specialized offerings include partial cortical-sparing adrenalectomy for bilateral tumors and a one-visit program combining adrenal vein sampling and surgery. Procedures are performed exclusively at the Hospital for Endocrine Surgery, a dedicated facility opened in January 2022 that is co-located with the affiliated Clayman Thyroid Center and Norman Parathyroid Center. The center's patient acquisition engine is Adrenal.com, an educational portal with over 200 pages of content and a regularly updated blog, supplemented by peer-reviewed research (including JAMA Surgery) and awareness-month campaigns targeting underdiagnosed populations such as those with resistant hypertension caused by primary aldosteronism.

The business model is professional-services-based surgical revenue with no publicly disclosed pricing, payer mix, or revenue figures. The practice is supported by a small team of approximately 1-10 people, including a lead intake coordinator, scheduling manager, APRN, lead surgical technician, and Dr. Carling. The center operates as an enterprise field-sales-style motion in which patients initiate contact through intake.adrenal.com and travel to Tampa for treatment, supported by four partner hotels providing airport and hospital shuttle service. No external funding rounds, parent company, or M&A activity have been disclosed.

Name

Carling Adrenal Center

Legal name

Carling Adrenal Center

Website

https://adrenal.com

Company type

Private

Operating status

Operating

Headcount range

1–10 employees

Short description

Carling Adrenal Center is a Tampa, Florida-based destination surgical practice performing adrenalectomies for patients with adrenal tumors and hormone disorders. Founded by Dr. Tobias Carling, it operates at the Hospital for Endocrine Surgery using the proprietary MBSA technique and serves patients from all 50 US states and over 100 countries.

Ownership category

akta.pro rank

Product category

Endocrine Surgery Services

NAICS

Specialty (except Psychiatric and Substance Abuse) Hospitals (622310)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011)

akta.pro primary industry

Adrenal Disorders (HLAKADAH)

akta.pro secondary industry

Advanced Imaging & Specialty Radiology Centers (PET/CT, Nuclear Medicine, Interventional Radiology) (HLAFAKAB)

Keywords

• Adrenal surgery
• Endocrine surgery
• Adrenal tumor treatment
• Minimally invasive surgery
• Adrenal gland disorders

Headquarters

HQ city

Tampa

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Surgical Procedures: The center generates revenue through performing adrenal surgical procedures on patients with adrenal tumors and disorders. This includes primary hyperaldosteronism (Conn's syndrome), Cushing's syndrome, pheochromocytoma, and other adrenal conditions. Procedures are performed at the Hospital for Endocrine Surgery in Tampa.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels4 records

Core offering

The Carling Adrenal Center is a specialized surgical practice that diagnoses and surgically treats adrenal gland tumors and hormone disorders, including primary hyperaldosteronism (Conn's syndrome), Cushing's syndrome, pheochromocytoma, adrenal cancer, and adrenal metastasis. The center performs procedures exclusively at the Hospital for Endocrine Surgery in Tampa, Florida, using its proprietary Mini Back Scope Adrenalectomy (MBSA) technique.

Product overview

The Carling Adrenal Center is the world's highest-volume adrenal surgery practice operating exclusively at the Hospital for Endocrine Surgery in Tampa, Florida. The center offers a comprehensive portfolio of adrenal surgical procedures centered around the Mini Back Scope Adrenalectomy (MBSA) technique, including treatments for Conn's syndrome (primary hyperaldosteronism), Cushing's syndrome, pheochromocytoma, adrenal cancer, and adrenal metastasis. Advanced procedures include partial cortex-sparing adrenalectomy for bilateral cases and bilateral total adrenalectomy for failed Cushing's disease. The center provides diagnostic services including adrenal vein sampling and maintains an extensive patient education platform through adrenal.com with over 200 pages of content and a regularly updated blog featuring clinical case studies. Dr. Tobias Carling personally performs approximately 12-14% of all adrenalectomies in the United States, with a cure rate of approximately 99%.

Differentiator

Problem solved

Functional benefit

Products and services

• Mini Back Scope Adrenalectomy (MBSA) Minimally invasive adrenal surgery technique also called posterior retroperitoneal adrenalectomy, preferred for 95% of adrenal tumors, typically taking 13-30 minutes with faster recovery than traditional approaches.
• Adrenal Surgery for Conn's Syndrome Surgical treatment for primary hyperaldosteronism (Conn's syndrome), where aldosterone-producing adrenal tumors cause high blood pressure and low potassium, often curable with adrenalectomy.
• Adrenal Surgery for Cushing's Syndrome Surgical removal of cortisol-producing adrenal tumors to treat Cushing's syndrome caused by prolonged exposure to high cortisol levels.
• Pheochromocytoma Surgery Surgical removal of adrenaline-secreting tumors of the adrenal medulla, typically requiring alpha-blocker preparation before operation.
• Partial Adrenalectomy (Cortex-Sparing) Advanced surgical technique that removes only the adrenal tumor while preserving normal adrenal tissue to avoid adrenal insufficiency, recommended for bilateral tumors or patients with genetic syndromes.
• Adrenal Vein Sampling X-ray procedure to measure aldosterone production from each adrenal gland to determine which side the tumor is on, helping guide surgical decisions for Conn's syndrome.
• Bilateral Total Adrenalectomy (BLA) Complete removal of both adrenal glands for failed Cushing's disease where pituitary surgery did not work, performed via MBSA approach.
• Adrenal Cancer Surgery Surgical treatment for adrenocortical carcinoma (ACC), the only potentially curable treatment when cancer is localized to the adrenal gland.
• Adrenal Metastasis Surgery Surgical removal of cancer that has spread from other organs (such as lung or kidney cancer) to the adrenal glands, which can save and prolong life.

Quantifiable outcome

• 99%+ cure rate for adrenal disease
• +3 more outcomes

Named customers3 records

Segments4 records

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Seven partnerships are on record, tiered core and minor.

• Norman Parathyroid CentercoreStrategic or Co-development PartnerClosely affiliated endocrine surgery practice operating at the same Hospital for Endocrine Surgery. Both practices share office space, operating rooms, and administrative infrastructure. They work together on combined cases where patients have both adrenal and parathyroid conditions.
• Clayman Thyroid CentercoreStrategic or Co-development PartnerAffiliated thyroid surgery practice at the Hospital for Endocrine Surgery. Dr. Carling and Dr. Gary Clayman have operated together on complex cases involving both adrenal and thyroid tumors (such as patients with MEN2 syndrome). Shares administrative and hospital infrastructure.
• Hospital for Endocrine SurgerycoreOthersThe center operates exclusively at this dedicated endocrine surgery hospital in Tampa. The hospital is a full-service facility with emergency department and in-patient beds, dedicated to surgical treatment of adrenal, thyroid, parathyroid tumors and cancers. The facility opened in January 2022.
• Hyatt House Tampa Airport/WestshoreminorOthersOne of 4 partner hotels for surgical patients. Located at 5308 Avion Park Drive, Tampa FL 33607. Provides airport pickup/drop-off and shuttle service to Hospital for Endocrine Surgery. Dedicated Sprinter Van Limo for patient transportation.
• Hilton Garden Inn Tampa Airport WestshoreminorOthersOne of 4 partner hotels for surgical patients. Located at 5312 Avion Park Drive Tampa, Florida 33607. Provides airport and hospital shuttle service for patients traveling from out of town.
• Hampton Inn and Suites Avion Park Tampa AirportminorOthersOne of 4 partner hotels for surgical patients. Located at 4817 W Laurel St, Tampa, FL 33607. Hilton brand hotel with airport and hospital shuttle service.
• Homewood Suites Tampa AirportminorOthersOne of 4 partner hotels for surgical patients. Located at 5325 Avion Park Dr, Tampa, FL 33607. Hilton brand hotel with airport and hospital shuttle service.

Scale indicators5 records

Recent moves6 records

Expansion highlights5 records

Broad incumbents

• Memorial Sloan Kettering Cancer Center: Major cancer center with active adrenal tumor surgery program, particularly for adrenocortical carcinoma and adrenal metastasis. Overlaps with Carling's cancer case mix and competes for self-referred oncology patients seeking high-volume specialty expertise.
• Mayo Clinic — Endocrine Surgery: Major destination academic medical center with a dedicated endocrine surgery division performing adrenalectomy among broader endocrine procedures. Competes for international and complex adrenal cases but spreads surgeon volume across many subspecialties.
• Johns Hopkins Endocrine Surgery: High-volume academic endocrine surgery division treating complex adrenal disease including pheochromocytoma, Cushing's, and adrenal cancer. Competes for complex and international cases via institutional brand and research reputation rather than single-surgeon destination positioning.
• UCSF Endocrine Surgery: Academic endocrine surgery program performing adrenal, thyroid, and parathyroid surgery as part of a broader surgical school. Comparable clinical scope but embedded within a general academic medical center rather than a destination-practice model.
• MD Anderson Cancer Center: Premier US cancer center with adrenal cancer and adrenal metastasis surgical programs. Directly relevant for the adrenal cancer and metastasis case lines Carling treats, and competes for the same tertiary referral patients through its oncology reputation.
• Cleveland Clinic — Endocrinology & Endocrine Surgery: Large academic medical center with a high-volume endocrine surgery program treating adrenal, thyroid, and parathyroid disease. Competes for the same complex surgical patients via integrated care, but operates within a general-specialty hospital system rather than a focused destination practice.

Direct peers

• Norman Parathyroid Center: Co-located parathyroid surgery destination at the Hospital for Endocrine Surgery, using an identical direct-to-patient intake and content-marketing model (parathyroid.com). Highly comparable in operating model, patient acquisition, and high-volume subspecialty positioning.
• Clayman Thyroid Center: Sister practice at the Hospital for Endocrine Surgery offering destination thyroid surgery under the same shared-infrastructure model. Most directly comparable peer in patient flow, brand positioning, and operating setup; together with Carling Adrenal Center it forms a tri-specialty endocrine surgery destination.

Others

• Hospital for Endocrine Surgery: Specialty hospital facility that hosts the Carling Adrenal Center, Clayman Thyroid Center, and Norman Parathyroid Center. The hospital's infrastructure is the operational backbone enabling Carling's destination-practice model and is therefore a critical ecosystem counterpart rather than a competitor.
• Yale Endocrine Surgery: Academic endocrine surgery program where Dr. Carling previously served as Chief for 17.5 years. Comparable in surgical scope but operates as a traditional academic division with broader clinical and teaching responsibilities, not a focused destination practice.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks1 record

Key highlights6 records

Customer concentration

• Facebookfacebook.com/profile.php
• Xx.com/CarlingAdrenal

Revenue estimate

Valuation estimate

Number of profiles

Profiles7 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 Carling Adrenal Center