Knoxville Orthopaedic Surgery Center

What Knoxville Orthopaedic Surgery Center does

Knoxville Orthopaedic Surgery Center (KOSC) is a physician-owned ambulatory surgery center (ASC) operating from a single facility at 256 Fort Sanders West Blvd, Building 8, Knoxville, TN 37922, under the OrthoTennessee umbrella and in close clinical integration with the Knoxville Orthopaedic Clinic (KOC). Approximately 29 fellowship-trained orthopaedic surgeons across every major subspecialty — elbow, foot & ankle, hand & wrist, hip, knee, joint replacement, pediatric, shoulder, spine, sports medicine, oncology and trauma — perform same-day outpatient procedures including minimally invasive and anterior-approach joint replacement, arthroscopy, wide-awake hand surgery, endoscopic and minimally invasive spine surgery, radiofrequency neurotomy/ablation, and spinal cord stimulators. The facility holds AAAHC accreditation, participates in the Leapfrog ASC Survey, and is recognized by CMS for Medicare and Medicaid participation, reporting a 94% patient satisfaction score across 104,335 completed surveys and a 4.7-star average rating.

KOSC generates revenue through three streams: insurance-billed facility fees (Medicare, Medicaid, and commercial payers, with patients paying deductibles and co-pays at time of service), self-pay facility fees at published flat rates per procedure (for example $8,750 for total knee, total hip, total shoulder or unicompartmental knee replacement; $936 for carpal tunnel release; $3,240 for ACL repair; $432–$936 per level for spinal injection procedures), and Specialty Care Programs that bundle outpatient surgical benefits with insurance companies and employers. Patient access is supported by phone scheduling, the RadixHealth online portal, a HIPAA-compliant medical-records workflow via Sharecare HDS, online bill-pay through PatientNotebook, and dedicated pre-admission nurse and financial-counseling lines.

The center's go-to-market combines enterprise-style physician referrals through KOC/OrthoTennessee with direct-to-consumer self-pay pricing and B2B2C employer/insurer partnerships, while team-physician relationships with the University of Tennessee Athletics, Knox County high schools, the Tennessee Smokies, and other regional institutions provide brand visibility and downstream referral flow. No outside venture capital or private equity ownership is disclosed; 19 KOC surgeons hold disclosed financial interests in the LLC.

Name

Knoxville Orthopaedic Surgery Center

Legal name

Knoxville Orthopaedic Surgery Center, LLC

Website

https://kosc.com

Company type

Private

Founded year

2009

Operating status

Operating

Headcount range

51–100 employees

Short description

Knoxville Orthopaedic Surgery Center is a physician-owned ambulatory surgery center in Knoxville, TN, operating under OrthoTennessee and staffed by ~29 fellowship-trained orthopaedic surgeons delivering same-day outpatient procedures across every orthopaedic subspecialty for adult, pediatric, and athletic patients.

Ownership category

akta.pro rank

Product category

Outpatient Orthopedic Ambulatory Surgery Center

NAICS

Freestanding Ambulatory Surgical and Emergency Centers (621493)

SIC

Surgical & Medical Instruments & Apparatus (3841), Services-Specialty Outpatient Facilities, Nec (8093)

akta.pro primary industry

Multi-Specialty Ambulatory Surgery Centers (ASCs) (HLAFAIAA)

akta.pro secondary industries

Pain Management & Interventional Procedure Centers (HLAFAIAH), Podiatry & Foot/Ankle Surgery Centers (HLAFAIAL)

Keywords

• Outpatient orthopedic surgery
• Ambulatory surgery center
• Joint replacement surgery
• Orthopedic specialty care
• Same-day surgical procedures

Headquarters

HQ city

Knoxville

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Insurance-billed facility fees for outpatient orthopaedic surgery: KOSC processes insurance claims (including Medicare and Medicaid) for outpatient surgical procedures; patients pay deductibles and co-pays at time of service; insurance is billed and uncollected balances are billed to guarantor.
2. Self-pay facility fees at published flat rates: Self-pay patients pay in full at the date of service at published flat-rate facility fees per procedure (e.g., total knee $8,750, carpal tunnel release $936, ACL repair $3,240); not applicable when insurance is filed. Excludes surgeon, anesthesiologist, pathology, DME and implant fees which are billed separately.
3. Specialty Care Programs (employer/insurer-sponsored benefits): KOSC partners with insurance companies and employers to offer Specialty Care Programs that bundle outpatient surgical benefits (cost savings, travel assistance) for plan members, generating contracted procedure volume.

Pricing tiers

Go-to-market motion3 records

Distribution channels4 records

Marketing channels7 records

Core offering

Knoxville Orthopaedic Surgery Center operates a physician-owned ambulatory surgery center delivering same-day outpatient orthopedic surgical procedures across ten subspecialties (elbow, foot & ankle, hand & wrist, hip, knee, joint replacement, pediatric, shoulder, spine and sports medicine). Procedures range from minimally invasive joint replacement, arthroscopy, hand/wrist surgery and endoscopic spine surgery to interventional pain management, and are billed either through insurance or at publicly disclosed flat-rate self-pay facility fees. The center is integrated with the OrthoTennessee / Knoxville Orthopaedic Clinic (KOC) physician referral network.

Differentiator

Problem solved

Functional benefit

Products and services

• Outpatient Joint Replacement Surgery Same-day outpatient total and partial joint replacement of the knee, hip and shoulder performed by fellowship-trained surgeons using minimally invasive, muscle-sparing and robotic-assisted techniques; available to self-pay patients at published flat-rate facility fees and to insured patients through standard billing.
• Sports Medicine & Arthroscopic Surgery Arthroscopic and minimally invasive treatment of sports injuries (ACL, meniscus, rotator cuff, labral tears) delivered by fellowship-trained sports medicine surgeons for athletes and active patients; transparent self-pay flat-rate facility fees and insurance billing both supported.
• Hand & Wrist Surgery Outpatient hand and wrist surgery including wide-awake procedures under local anesthesia (avoiding general anesthesia risks), carpal tunnel release, trigger finger release and other hand/wrist procedures performed by subspecialty-trained hand surgeons.
• Foot & Ankle Surgery Outpatient foot and ankle surgery using OSSIOfiber biointegrative absorbable implants and other advanced techniques for conditions such as hammertoes, bunions and other forefoot/rearfoot deformities; delivered by fellowship-trained foot & ankle surgeons at transparent flat rates.
• Spine Surgery (Neck & Back) Minimally invasive, muscle-sparing and endoscopic spine surgery including anterior cervical discectomy and fusion (ACDF), lateral/anterior lumbar interbody fusion with percutaneous fixation and minimally invasive transforaminal lumbar interbody fusions, performed by fellowship-trained spine surgeons.
• Pediatric Orthopaedic Surgery Outpatient surgical care for children and adolescents covering fractures, deformities of extremities and spine, congenital abnormalities, scoliosis, growth abnormalities and pediatric sports injuries, delivered by pediatric-trained orthopaedic specialists.
• Interventional Spine & Pain Management Procedures Office-based interventional pain procedures including medial branch and basivertebral nerve radiofrequency ablation, spinal cord stimulator trials/implants, platelet-rich plasma (PRP) injections and epidural steroid injections delivered under fluoroscopic and ultrasound guidance.
• Specialty Care Programs (Employer & Insurer Bundled Surgical Benefits) Contracted outpatient surgical benefit programs delivered in partnership with insurance companies and employers, offering plan members access to KOSC outpatient orthopedic surgery with cost savings and travel assistance; channelled to patients via HR teams and insurer networks.

Quantifiable outcome

• 94.0% patient satisfaction across 104,335 completed surveys
• +5 more outcomes

Named customers9 records

Segments5 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration6 records

Feature9 records

Partnerships

Eleven partnerships are on record, tiered flagship / core parent organization, core operational vendor, core gtm channel, core regulatory partner, quality transparency partner, critical payer relationship, core scheduling/operations vendor, industry network membership, major institutional partnership, minor team-physician affiliations and community relationship.

• OrthoTennessee / Knoxville Orthopaedic Clinic (KOC)flagship / core parent organizationStrategic or Co-development PartnerKOSC operates under OrthoTennessee; KOC surgeons perform surgeries at KOSC. The website footer states '© 2023 OrthoTennessee' and physicians maintain dual identities on kosc.com and kocortho.com. The disclosure of physician ownership page lists 19 KOC surgeons with financial interest in KOSC. KOC's Notice of Privacy Practices and Section 1557 compliance are coordinated with KOSC.
• Sharecare Health Data Services (HDS)core operational vendorTechnology or IntegrationKOSC partnered with Sharecare HDS to fulfill medical records requests. Patients and requesters (providers, attorneys, legal guardians) submit records requests through Sharecare's online portals (myplatform.hds.sharecare.com). FMLA/Disability requests also routed to Sharecare. Customer service line 858-244-1811. Records ready in 5-7 business days from electronic request receipt.
• Insurance companies and employers (Specialty Care Programs)core gtm channelGTM or Marketing PartnerKOSC partners with insurance companies and employers to offer Specialty Care Programs providing outpatient surgical benefits (cost savings, travel assistance) to plan members. Patients access via HR team, insurance company, or KOSC representative.
• Accreditation Association for Ambulatory Health Care (AAAHC)core regulatory partnerOthersKOSC is accredited by AAAHC (5250 Old Orchard Rd, Skokie, IL 60077, 847-853-6060); accreditation logo displayed on About page; AAAHC listed as a resource for patient concerns.
• The Leapfrog Groupquality transparency partnerOthersKOSC participates in the Leapfrog ASC Survey; facility ID 44C35534 listed on Leapfrog ratings.
• Centers for Medicare & Medicaid Services (CMS)critical payer relationshipOthersKOSC is a provider for both Medicare and Medicaid; CMS logo displayed on About page; subject to CMS quality reporting.
• RadixHealth (scheduling platform)core scheduling/operations vendorTechnology or IntegrationPatient appointment scheduling for KOSC physicians is delivered through the RadixHealth online scheduling portal (kocortho.radixhealth.com). Patient scheduling links are embedded on each physician's profile page.
• OrthoForumindustry network membershipOthersKOSC displays the OrthoForum logo on its website footer, indicating membership in the OrthoForum network of orthopaedic ASCs.
• University of Tennessee Athletics Departmentmajor institutional partnershipGTM or Marketing PartnerKOSC/KOC physicians serve as team physicians and orthopaedic consultants for University of Tennessee athletics (Dr. Betcher, Dr. Mathien as Senior Team Orthopaedic Surgeon, Dr. Rappé as consultant). Sports medicine referrals and patient pipeline generated through this relationship.
• Carson-Newman University, Johnson University, Lincoln Memorial University, Knoxville Smokies (Tennessee Smokies)minor team-physician affiliationsGTM or Marketing PartnerDr. Rappé serves as orthopaedic consultant to Carson-Newman University, Johnson University, Lincoln Memorial University, and the Knoxville Smokies (minor league baseball). Dr. Mathien has served as consultant for the Knoxville Cherokees and Lincoln Memorial University athletics.
• Smoky Mountain Service Dogscommunity relationshipOthersDr. Mathien provides clinic opportunities to service dogs in training through Smoky Mountain Service Dogs.

Scale indicators11 records

Recent moves6 records

Expansion highlights5 records

Broad incumbents

• Surgery Partners: Public ASC operator with significant orthopaedic surgical case mix; comparable as a competitor and as a benchmark for ASC operating economics, payer mix, and Specialty Care/employer bundled pricing models.
• United Surgical Partners International (USPI): Largest U.S. operator of short-stay surgical facilities including orthopaedic ASCs; competes with KOSC at the regional and national level and represents the dominant scaled alternative model for ASC growth and expansion.
• Hospital for Special Surgery: National orthopaedic specialty hospital and ASC operator with deep subspecialty coverage and academic affiliations — comparable as a benchmark for KOSC's subspecialty orthopaedic surgical quality and reputation, though much larger in scale and national reach.
• Tenet Healthcare: Major U.S. health system that owns USPI (the largest ASC operator); competes with KOSC across Knoxville/East Tennessee via affiliated hospitals and surgery centers and represents a key counterparty for Specialty Care Program and commercial payer negotiations.

Emerging players

• DISC Sports & Spine Center: Specialty outpatient surgical provider focused on spine, sports medicine, and orthopaedic procedures — comparable to KOSC in its outpatient ASC positioning and emphasis on minimally invasive techniques, though narrower in subspecialty breadth.

Direct peers

• OrthoCarolina: Large physician-owned orthopaedic specialty group operating multiple ASCs and clinics across the Carolinas, covering the full orthopaedic subspecialty spectrum — directly comparable to KOSC in physician-owned ASC model, subspecialty depth, and outpatient surgical focus.
• Midwest Orthopaedics at Rush: Academically affiliated, subspecialty orthopaedic group with deep surgical volume (and where KOSC's Dr. Botero trained); operates outpatient surgical programs comparable to KOSC in subspecialty breadth and surgeon pedigree.
• Resurgens Orthopaedics: Physician-owned orthopaedic specialty group operating clinics and ambulatory surgery centers throughout Georgia — comparable to KOSC as a large multi-subspecialty orthopaedic group with owned ASCs and high procedure volume.
• Rothman Orthopaedic Institute: Physician-owned orthopaedic specialty group with multiple surgery centers across the Mid-Atlantic and Florida, offering comprehensive orthopaedic subspecialty surgical care — closely mirrors KOSC's integrated clinic-plus-ASC, subspecialty-breadth model.

Others

• OrthoForum: Industry network of physician-owned orthopaedic ASCs — KOSC is itself a member; OrthoForum provides peer benchmarking, group purchasing, and advocacy that materially shape KOSC's operating economics.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/knoxville-orthopaedic-surgery-center-llc
• Facebookfacebook.com/KnoxvilleOrthopaedicSurgeryCenter

Revenue estimate

Valuation estimate

Number of profiles

Profiles4 records

Subsidiaries2 records

Funding overview

Funding rounds

Investors

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M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Knoxville Orthopaedic Surgery Center