Hoag Orthopedic Institute

What Hoag Orthopedic Institute does

Hoag Orthopedic Institute (HOI) is a private, for-profit, physician-led specialty orthopedic and spine care provider headquartered in Irvine, California, operating since 2010 as a network of one hospital and five ambulatory surgery centers across Southern California (Newport Beach, Orange, Aliso Viejo, Beverly Hills, and Mission Viejo), supplemented by clinics in Tustin and Foothill Ranch. The organization is structured as a holding of California LLCs (Hoag Orthopedic Institute, LLC and four wholly-owned surgery center LLCs) under common branding and is affiliated with the broader Hoag health system. HOI delivers comprehensive musculoskeletal care spanning joint replacement (hip, knee, shoulder), spine, sports medicine, hand/wrist, foot/ankle, and elbow, supported by physical therapy (including the Back To You conservative spine program), pre-operative education, bundled payments, and a MyChart patient portal. Its care model emphasizes high surgical volume (30,000+ cumulative procedures, 1,500+ robotic cases), advanced capital equipment (Corin Apollo, ApolloHipX, Mako robotics), and ultra-minimally invasive techniques such as single-portal endoscopic spine surgery.

HOI monetizes care through a mix of fee-for-service hospital and ASC billing against commercial and CMS reimbursement, episode-of-care bundled pricing, and patient self-pay/financial assistance programs. Go-to-market is sales-led and referral-driven: physician referrals from an affiliated network of 40+ fellowship-trained specialists, direct patient self-referral, and brand-driven acquisition through flagship sports partnerships (LA Chargers, USA Volleyball, U.S. Olympic Team, USC/UCLA/UCI, Orange County Soccer Club) and a CIF Southern Section high school athletics affiliation. The business is supported by multi-channel marketing (website, blog, the Doctor in the Dugout podcast, patient stories, community events, and earned media), robust compliance posture (HIPAA, CCPA, AAAHC, CDPH Gold antimicrobial stewardship status), and a publicly published clinical outcomes portal that anchors payer and patient trust.

Name

Hoag Orthopedic Institute

Legal name

Hoag Orthopedic Institute, LLC

Website

https://hoagorthopedicinstitute.com

Company type

Private

Founded year

2010

Operating status

Operating

Headcount range

251–500 employees

Ownership category

akta.pro rank

Headquarters

HQ city

Irvine

HQ country

United States

HQ region

North America

Offices8 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Patient Care Services: Fee-for-service healthcare delivery including surgical procedures, diagnostic services, physical therapy, and inpatient/outpatient care. Revenue generated through insurance reimbursements and patient payments.
2. Bundled Payments Program: Comprehensive episode-of-care pricing for orthopedic procedures covering all services from pre-operative through recovery period.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels6 records

Core offering

Hoag Orthopedic Institute (HOI) operates a network of specialized orthopedic and spine care facilities in Southern California, anchored by a hospital in Irvine and multiple ambulatory surgery centers. It delivers surgical and non-surgical musculoskeletal care across joint replacement, spine, sports medicine, hip, knee, hand/wrist, foot/ankle, elbow, and shoulder specialties, leveraging advanced robotic-assisted and minimally invasive techniques. Supporting programs include physical therapy, conservative spine care, pre-operative education, a bundled payments program, and a travel program for out-of-town patients.

Product overview

Hoag Orthopedic Institute operates as a network of specialized orthopedic care facilities on the West Coast, consisting of one hospital (Hoag Orthopedic Institute in Irvine) and five ambulatory surgery centers across Southern California (Newport Beach, Orange, Aliso Viejo, Beverly Hills, and Mission Viejo). The organization provides comprehensive orthopedic services organized around clinical specialties including Joint Replacement (with hip, knee, and shoulder sub-specialties), Robotic Surgery, Spine, Sports Medicine, Hip Care, Knee Care, Hand & Wrist, Foot & Ankle, Elbow, and Shoulder Care. The institution also offers supporting programs including Physical Therapy, the Back To You Conservative Spine Program, Pre-Operative Education Classes, a Patient Portal (MyChart), Travel Program for out-of-town patients, and a Bundled Payments Program for transparent pricing. Services range from conservative non-operative treatments to advanced robotic-assisted surgical procedures.

Differentiator

Problem solved

Functional benefit

Brands

• ProSport Physical Therapy and Performance: Physical therapy and sports performance brand operated by HOI
• Back To You Therapy

Products and services

• Hoag Orthopedic Institute Hospital Flagship inpatient and outpatient hospital-based orthopedic and spine care facility in Irvine, CA providing comprehensive surgical services, joint replacement, and complex orthopedic procedures.
• HOI Ambulatory Surgery Centers Outpatient ambulatory surgery centers in Newport Beach, Orange, Aliso Viejo, Beverly Hills, and Mission Viejo (California Specialty Surgery Center) delivering same-day orthopedic surgical procedures.
• Joint Replacement Program Comprehensive joint replacement services for hip, knee, and shoulder, including anterior-approach hip replacement, knee replacement, and shoulder replacement using robotic-assisted and advanced surgical techniques.
• Robotic Surgery Program Robotic-assisted surgical procedures for joint replacement and spine surgery using Mako, Corin Apollo, and Corin ApolloHipX platforms across HOI facilities.
• Spine Care Program Comprehensive spine care from minimally invasive procedures to complex spinal surgery, including disc replacement, spinal fusion, decompression, and ultra minimally invasive single portal endoscopic spine surgery.
• Sports Medicine Program Sports medicine services for athletes including ACL surgery, arthroscopic procedures, cartilage reconstruction, concussion care, and injury prevention programs.
• Hip, Knee, Hand & Wrist, Foot & Ankle, Elbow, and Shoulder Care Subspecialty clinical care lines covering the full musculoskeletal anatomy: hip care, knee care, hand and wrist, foot and ankle, elbow, and shoulder care including the new Shoulder Reconstruction program.
• Physical Therapy and Rehabilitation Pre-operative education and post-surgical rehabilitation physical therapy services operated under the ProSport Physical Therapy and Performance brand.
• Back To You Conservative Spine and Back Program Non-operative conservative treatment program for spine and back pain conditions, providing alternatives to surgery through specialized therapy.
• Diagnostics Diagnostic imaging and assessment services supporting orthopedic and spine care delivery across the HOI network.
• Bundled Payments Program Transparent bundled pricing for orthopedic procedures covering the full episode of care from surgery through recovery, including all related services.
• Travel Program Concierge support services for out-of-town patients including local accommodation guidance and travel arrangement assistance.
• Pre-Operative Education Classes Pre-operative education classes for hip and knee replacement patients at both the hospital and ambulatory surgery centers.
• Patient Portal (MyChart) Online patient portal allowing patients to access health records, view test results, message healthcare providers, and manage appointments.

Named customers2 records

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration3 records

Feature4 records

Partnerships

Eleven partnerships are on record, tiered core, flagship, major and regional.

• CIF Southern Section (CIF-SS)coreStrategic or Co-development PartnerExtended partnership between Hoag and HOI with CIF Southern Section for athlete care, safety standards, and health programs for Southern California high school athletics.
• ProSport Physical Therapy and PerformancecoreStrategic or Co-development PartnerAffiliated physical therapy and performance program providing sports medicine and rehabilitation services under the HOI umbrella.
• Los Angeles ChargersflagshipStrategic or Co-development PartnerOfficial healthcare partner providing orthopedic and sports medicine services to professional football players.
• USA VolleyballmajorStrategic or Co-development PartnerOfficial healthcare partner for USA Volleyball athletes and events.
• U.S. Olympic TeamflagshipStrategic or Co-development PartnerHealthcare services for Olympic athletes across multiple sports disciplines.
• UCI (University of California, Irvine)majorStrategic or Co-development PartnerAthletic healthcare partnership providing orthopedic care to UCI student-athletes.
• UCLAmajorStrategic or Co-development PartnerAthletic healthcare partnership providing orthopedic care to UCLA student-athletes.
• USC (University of Southern California)majorStrategic or Co-development PartnerAthletic healthcare partnership providing orthopedic care to USC student-athletes.
• Orange County Soccer ClubregionalStrategic or Co-development PartnerOfficial healthcare partner for Orange County Soccer Club professional soccer team.
• Mater Dei High SchoolregionalStrategic or Co-development PartnerAthletic healthcare partnership for high school athletics program.
• Hoag Memorial Hospital PresbyteriancoreStrategic or Co-development PartnerBusiness associate relationship for care coordination and healthcare operations, sharing patient information for treatment and operations purposes.

Scale indicators5 records

Recent moves10 records

Expansion highlights6 records

Direct peers

• Hospital for Special Surgery (HSS): The leading U.S. specialty orthopedic hospital, ranked #1 by U.S. News & World Report for orthopedics for many consecutive years. Directly comparable to HOI as a specialty orthopedic hospital focused on joint replacement, spine, and sports medicine with strong brand recognition.
• NYU Langone Orthopedic Hospital: Specialty orthopedic hospital within NYU Langone consistently ranked among the top U.S. orthopedic programs. Directly comparable to HOI as a specialty hospital delivering joint replacement, spine, and sports medicine with academic-grade clinical reputation.
• Twin Cities Orthopedics: Large orthopedic specialty group with ASCs and physician network across the Upper Midwest. Comparable to HOI as a physician-driven orthopedic platform combining clinic, ASC, and surgical care with sports medicine partnerships, though serving a different geography.
• Resurgens Orthopaedics: Large orthopedic specialty group with multiple locations and on-site imaging/surgery across Georgia. Comparable to HOI as a physician-led orthopedic platform offering joint replacement, spine, sports medicine, and ancillary services across a regional network.
• Rothman Orthopaedic Institute: Large, physician-led orthopedic specialty group with ambulatory surgery centers across the Mid-Atlantic and Florida. Directly comparable to HOI as a multi-site orthopedic specialty platform with fellowship-trained surgeons and strong sports medicine partnerships.

Regional players

• Cedars-Sinai Kerlan-Jobe Institute: Specialty sports medicine and orthopedic practice based in Los Angeles. Regional peer to HOI in Southern California, with overlapping sports medicine focus and physician network, but operating as an ambulatory practice rather than a hospital-anchored system.
• Scripps Health Orthopedics: Orthopedic service line within San Diego-based Scripps Health system. Regional peer to HOI as a Southern California orthopedic provider with hospital-anchored orthopedic care, though operating as part of a broader multi-hospital system rather than a standalone orthopedic platform.

Broad incumbents

• Mayo Clinic Orthopedic Surgery: Orthopedic service line within Mayo Clinic, a globally ranked multi-specialty system. Broad incumbent peer to HOI as a destination orthopedic program, but operating as part of a much larger multi-specialty health system rather than a focused orthopedic hospital.
• Cleveland Clinic Orthopedic Institute: Orthopedic service line within Cleveland Clinic, a multi-hospital academic system. Broad incumbent peer to HOI given overlapping joint replacement and sports medicine offerings, but part of a much larger integrated health system.

Others

• Hoag Memorial Hospital Presbyterian: Affiliated acute-care system sharing brand and operational ties with HOI (business associate relationship). Comparable as the parent-affiliate system that shares governance and patient flow but operates as a broader multi-specialty hospital rather than an orthopedic specialty hospital.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks5 records

Key highlights7 records

Customer concentration

• Xx.com/hoagorthopedic
• Facebookfacebook.com/hoagorthopedicinstitute
• LinkedInlinkedin.com/company/hoag-orthopedic-institute

Compliance8 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles11 records

Subsidiaries4 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 Hoag Orthopedic Institute