Troy Simonson, CEO of Twin Cities Orthopedics, is stepping aside at the orthopedic specialty company to try to take the group’s management services company nationwide.

Aaron Johnson, who has been chief operating officer of Twin Cities Orthopedics (TCO) since 2013, will succeed Simonson as CEO.

Revo Health, the management services subsidiary, was formed in 2017 to manage TCO’s own nonclinical operations and those of other practices.

“We like to focus on independent physician practices thriving, so that’s our focus,” Simonson said about his ambitions for Revo.

TCO has grown from about 20 physicians in the 1990s to more than 110. Simonson has been CEO since 2013, and continued its expansion. It has 36 locations across the Twin Cities and western Wisconsin.

In 2019, TCO paired with other physician-led specialty practices to form Infinite Health Collaborative (i-Health).

The collaborative launched Jan. 1, and now includes specialties such as cardiology and family medicine to vascular and interventional radiology and women’s health.

In all, i-Health has 2,500 employees, 1,500 of them affiliated with TCO. A physician-led board of directors leads the collective. Revo handles the nonclinical responsibilities.

Many new health care and insurance groups are being funded by private equity dollars. Simonson said TCO, iHealth and Revo have not accepted private equity funding and want to remain independently owned.

Simonson aims to bring some of the best practices developed with TCO and i-Health to other independent physician groups across the country.

“It’s very exciting to see the opportunities across the country,” he said. “I’m a huge believer that if the health care model is going to change in the country, independent physicians need to lead it.”

Value-based care should be weighed in all areas of health care, he said in the news release.

“TCO is a great example of what can happen when independent physicians lead change,” Simonson said.

The company says demand for Revo’s expertise both locally and nationally has increased. To support that growth, Revo also is moving over two more executives dedicated to Revo Health. Justina Lehman will be vice president of value-based care, and Rachel Uzlik will be vice president of quality.

“The opportunities are out there in front of us. We look forward to continuing to grow and thrive,” Simonson said.