Enterprise-Grade Security & Compliance
of U.S. physicians were in private practice in 2024, down from 60.1% in 2012¹
Chart, schedule, intake, payments and messages in one system
Set up with your team by physicians who built it
Tested first in our own orthopaedic clinic
¹ American Medical Association, Physician Practice Benchmark Survey, 2024.
"The revenue analytics dashboard completely changed how we negotiate. We can pull real-time KPIs (collection rates by payor, denial patterns, cost-per-visit, outcomes data) and walk into payor negotiations and employer contracting meetings with actual leverage. We used to guess. Now we show up with the numbers and get the rates we deserve."
"I have a direct scheduling link for every specialist I refer to. My patient tears their ACL on Monday, I click one link, and they're on the surgeon's schedule by Tuesday. No phone tag, no fax machine, no prior auth delay. The patient gets seen fast, and I know exactly when their appointment is. That's how referrals should work."
"Scheduling used to be a full-time job for my staff. Now patients self-schedule, automated reminders go out, and no-shows dropped dramatically. My front desk can actually focus on the patients in front of them instead of being buried on the phone all day."
"The referring provider funnel changed how I build my practice. Trusted colleagues send me well-vetted patients through a direct link, and the AI intake is already done before they arrive. I get a complete summary with red flags highlighted. It's like every referral comes pre-packaged and ready to treat."
"Critical diagnoses and time-sensitive details are highlighted so APPs and general practitioners never miss a red flag. It brings your attention to rule out a diagnosis or quickly refer to a specialist, reducing the burden of medicine and keeping patients safer."
"My front office used to drown in intake paperwork and phone calls. Now the AI handles intake, triage, and even pre-populates my dashboard before I walk into the room. I'm operating at the top of my license again instead of doing data entry."
In the media
The AMA, The White Coat Investor, KevinMD and more on the surgeons building TurnKey.
Latest · BylineFall 2026 issue
Artificial Intelligence, from page 12
Why the AI hype deserves a surgeon's attention, and the terms every modern surgeon should understand: tokens, context windows, retrieval-augmented generation, MCP and AI agents.
With Justin T. Smith, MD
From patient intake to billing, our AI handles the administrative burden so you can focus on what matters: patient care.
Imagine a fellow who already reviewed the chart, spoke with the patient, and is ready with a one-liner. Our AI delivers clinician-specified information (customized to your preferences) so your time is spent confirming diagnoses, building rapport, and educating patients. Not data hunting.
"58F w/ 4-mo progressive R shoulder pain & weakness after fall. First-time presentation. MRI: full-thickness supraspinatus tear, 2.1cm retraction. BMI 26, well-controlled DM2, non-smoker. Failed 8 wks PT. Candidate for primary arthroscopic RCR."
R shoulder pain & weakness, 4 months post-fall
BP 132/78 · HR 68 · SpO₂ 99%
DM2 · Age >55 · Full-thickness tear (AP 2.6cm, 2.1cm retracted)
· Rehab timeline expectations
Patch augmentation: consider biologic/structural patch augmentation given tear size & high m-ROHI
Double-row fixation: improved footprint coverage for large tears
Conservative rehab pacing: extended immobilization given DM2 healing profile
Patient counseling: discuss 40 to 60% retear risk & realistic outcome expectations
Re-tear rate: 40 to 60% at 1 to 2 years (BMI, DM2, tear size factors)
Primary arthroscopic repair recommended. Single-row fixation w/ PRP augmentation shows improved healing in moderate-risk patients.
1. Galatz LM et al. "The outcome of rotator cuff repair." JBJS, 2004;86(2):219-224.
2. Randelli P et al. "Effect of PRP in rotator cuff repair." Am J Sports Med, 2011;39(2):258-265.
3. Sugaya H et al. "Functional & structural outcome after arthroscopic RCR." JBJS, 2005;87(6):1229-1240.
AI-optimized patient flow with scheduling triage based on physician preferences and specialty. Maximizes clinician utilization across your practice.
A dedicated portal for referring providers with real-time metrics, automated closed-loop communication, and seamless care coordination, from referral to outcome.
24 providers
98% loop rate
142 this month
CPT & ICD-10 suggestions
AI-powered messaging
Real-time analytics
Superbills, cost estimates & card payments
Patient relationships & referral tracking
Track performance metrics that matter
Automate PROMs, generate insights & publications
Prescriptions sent from the chart, including controlled substances (EPCS)
Claims submission, eligibility checks and denial follow-up
An AI voice assistant that answers calls and books visits
Records exchange with the hospital and referral systems you work with
TurnKey is priced against the administrative cost it removes, not off a rate card. Every practice is different, so every quote is.
What you pay depends on provider count, which workflows you turn on, and what you are replacing.
The benchmark is the staff cost the platform absorbs, not a software line item.
You talk to a physician who built it, not an SDR, and that physician configures it with your team.
Three things you will not get by adding one more tool to your practice.
Chart, schedule, intake, payments and patient messages share one record, so your staff stops re-keying between systems.
A physician who built TurnKey maps your workflows with your team and sets the platform up around them.
TurnKey's AI runs on AWS under our Business Associate Agreement, and model providers cannot use your data to train models.
Set your practice size and choose the workflows to model. Every figure is modeled from these inputs and industry benchmarks, not measured at your practice.
Drag to match your practice size
Toggle features on/off to see how each impacts your bottom line.
Send these numbers to your inbox so you can share with your partners.
Founder & CEO
Orthopaedic Surgeon
"I trained for ten years to take care of patients and athletes. Then it felt like I spent half my day fighting an EHR that re-asked patients things already in the chart and buried clinical decisions under billing codes. When I went independent, I realized no one was building the infrastructure for physicians like me, so I started building it myself."
Dr. Justin T. Smith, MD is a fellowship-trained, double board certified orthopaedic sports surgeon: a Steadman-Hawkins fellow, ASES grant recipient, and former team physician for Winthrop University, Clemson University, the University of Georgia, and the Colorado Rockies. After a decade of post-graduate training and several years practicing inside a major hospital system, he left to launch Journey Orthopaedic Institute, an independent practice built on cost transparency, comprehensive sports medicine, and technology-enabled care across the Carolinas. He also serves as Technology Editor for the Journal of Shoulder and Elbow Surgery (JSES) and on the advisory board of Surgery Business magazine.
Give independent physicians the same AI infrastructure that health systems spend millions building, without the enterprise price tag, the bureaucracy of Epic or Cerner, or the loss of autonomy.
Every feature in TurnKey AI was designed by a physician who still operates, still sees patients, and still feels the broken system every day. JOI is the proving ground. TurnKey is the product. Our founders use it daily, and our earliest investors are physicians who use it too. This isn't Silicon Valley's idea of healthcare. It's a surgeon's answer to it.
TurnKey AI Practice is an AI-powered clinical workflow platform for independent medical practices. It combines AI clinical notes, AI patient intake, smart scheduling, automated CPT and ICD-10 coding, patient communication, referring provider funnels, and revenue analytics in one HIPAA-compliant platform, so a small practice can operate like a fully staffed one.
Still have questions? Email us or join the waitlist.
