Island Orthopaedics

What Island Orthopaedics does

Island Orthopaedics LLC is a private, Hawai'i-based orthopaedic surgery practice founded in 2011 by Dr. Alexander Garber and Dr. Jason Kaneshige. The firm operates four outpatient clinics across two islands — Honolulu (Waiʻalae), Windward Oahu (Kaneʻohe), West Oahu (ʻEwa Beach at Queen's Medical Center West Oahu), and North Hawaii (Kamuela on the Big Island) — and provides round-the-clock emergency orthopaedic trauma coverage at five major hospitals: The Queen's Medical Center, Queen's Medical Center West Oahu, Castle Medical Center, Queen's North Hawaii Community Hospital, and Kuakini Medical Center. Its clinical staff consists of 10 fellowship-trained, board-certified orthopaedic surgeons and one nurse practitioner (Ashley Fujie-Fukuki), with subspecialty depth spanning sports medicine, orthopaedic trauma, hip and pelvis surgery, hand and upper extremity surgery, foot and ankle surgery, joint replacement, shoulder and elbow surgery, arthritis management, regenerative PRP therapy, and walk-in urgent care.

The practice delivers musculoskeletal care using minimally invasive techniques including arthroscopy, direct anterior hip approach, partial knee (unicompartmental) replacement, and robotic-assisted joint reconstruction, complemented by orthobiologic PRP injections. Clinical operations run on HIPAA-compliant form workflows (Jotform), payment processing (Square), and integrated patient portals (Queen's MyChart, My Kuakini Health Portal). The group holds a defensible clinical position as the only orthopaedic practice in Hawai'i with four fellowship-trained trauma surgeons, and is academically embedded through faculty appointments and directorship of the ACGME-approved University of Hawai'i Orthopaedic Surgery Residency Program.

Revenue is generated on a fee-for-service, insurance-billed basis across ten service lines. The practice is in-network with HMSA, HMAA, Aetna, CIGNA, Humana, Medicare, TRICARE, UHA, United Healthcare, MDX, Deseret Mutual, and The Queen's Health Systems Health Care Plan, distributing payer risk. Patient acquisition relies on physician referrals, emergency department referrals via coverage hospitals, self-referrals, and direct appointment booking through phone and online forms; modest brand presence is maintained via Instagram, Facebook, and Yelp. No external investors, private equity backers, or M&A transactions are disclosed; ownership is distributed among the participating physicians.

Name

Island Orthopaedics

Legal name

Island Orthopaedics LLC

Website

https://islandorthopaedics.com

Company type

Private

Founded year

2011

Operating status

Operating

Headcount range

1–10 employees

Short description

Island Orthopaedics LLC is a Hawaii-based orthopaedic surgery practice with 10 fellowship-trained surgeons across 4 clinics on Oahu and Big Island and trauma coverage at 5 hospitals. It delivers ten subspecialty services including sports medicine, joint replacement, and hand surgery, billed through major Hawaii insurance networks.

Ownership category

akta.pro rank

Product category

Orthopaedic Care Services

NAICS

Offices of Physicians (6211)

SIC

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

akta.pro primary industry

General Orthopedics (HLAKALAA)

akta.pro secondary industries

Orthopedic Surgery (Operative Orthopedics) (HLAKALAC), Orthopedic Trauma (HLAKALAD)

Keywords

• Orthopaedic surgery
• Sports medicine
• Joint replacement
• Orthopaedic trauma care
• Musculoskeletal treatment

Headquarters

HQ city

Honolulu

HQ country

United States

HQ region

North America

Offices4 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Patient Services - Insurance-Billed Care: Fee-for-service medical practice where services are billed to insurance providers. Accepts majority of Hawai'i insurance plans including HMSA, HMAA, Aetna, CIGNA, Medicare, TRICARE, United Healthcare, and others. Patient pays co-payments, deductibles, and non-covered services.

Go-to-market motion1 record

Distribution channels2 records

Marketing channels4 records

Core offering

Island Orthopaedics is a multi-specialty orthopaedic surgery practice providing comprehensive surgical and non-surgical musculoskeletal care across ten service lines, including Sports Medicine, Joint Replacements, Orthopaedic Trauma, Hip and Pelvis Surgery, Hand and Wrist Surgery, Foot and Ankle Surgery, Shoulder and Elbow Surgery, Arthritis Management, PRP injections, and Walk-in Urgent Care. All services are delivered by fellowship-trained orthopaedic surgeons at four outpatient clinics on Oahu and Big Island and through 24/7 hospital coverage at five Hawai'i medical centers.

Product overview

Island Orthopaedics is a multi-specialty orthopaedic surgery practice offering comprehensive surgical and non-surgical care across ten distinct service lines. The practice provides a unified orthopaedic care platform with specialized services including Sports Medicine, Joint Replacements, Orthopaedic Trauma, Hip and Pelvis Surgery, Hand and Wrist Surgery, Foot and Ankle Surgery, Shoulder and Elbow Surgery, Arthritis Management, Platelet-Rich Plasma (PRP) injections, and Walk-in Urgent Care. All services are delivered by fellowship-trained orthopaedic surgeons, with trauma coverage at multiple Hawaii hospitals and outpatient clinics across Oahu and the Big Island.

Differentiator

Problem solved

Functional benefit

Products and services

• Sports Medicine Prevention and treatment of orthopaedic injuries for competitive and recreational athletes, including both nonsurgical and operative treatments using minimally invasive arthroscopic techniques.
• Hip and Pelvis Surgery Complex hip and pelvis surgery addressing congenital or developmental problems and traumatic injuries, including hip preservation and joint replacement for hip arthritis, dysplasia, impingement, and labral tears.
• Hand and Wrist Surgery Surgical and non-surgical treatment of hand and upper extremity conditions including fractures, nerve compression, arthritis, and microvascular surgery.
• Arthritis Management Comprehensive arthritis treatment spanning osteoarthritis, inflammatory arthritis, infectious arthritis, and gout, with options ranging from conservative care to surgery.
• Foot and Ankle Surgery Treatment of foot and ankle injuries using latest technology and minimally invasive arthroscopic techniques for sports injuries and wear-and-tear conditions.
• Orthopaedic Trauma Emergency fracture care by four Orthopaedic Trauma fellowship-trained surgeons providing coverage for Queen's Medical Center, Castle Medical Center, and other Hawaii hospitals, including complex fracture management, nonunion, malunion, and revision surgery.
• Joint Replacements Hip, knee, shoulder, elbow, and wrist replacement surgeries using minimally invasive techniques including partial knee replacements, direct anterior hip approach, and reverse total shoulder replacement.
• Shoulder and Elbow Surgery Treatment of shoulder and elbow injuries including arthritis, rotator cuff tears, and fractures using latest techniques and technology, including reverse total shoulder replacement.
• Platelet-Rich Plasma (PRP) Regenerative treatment using concentrated platelets from the patient's own blood to promote tissue healing and reduce pain.
• Walk-in Urgent Care Orthopaedic urgent care for immediate evaluation of injuries, fractures, and joint concerns, staffed by fellowship-trained specialists and integrated directly into the outpatient practice.

Quantifiable outcome

• Many patients up and walking on the same day after joint replacement
• +1 more outcomes

Named customers4 records

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration4 records

Feature4 records

Partnerships

Five partnerships are on record, tiered core.

• Queen's Health SystemscoreStrategic or Co-development PartnerIsland Orthopaedics has a significant partnership with Queen's Health Systems, operating clinics at Queen's Medical Center West Oahu and Queen's North Hawaii Community Hospital. The practice provides orthopaedic trauma coverage for Queen's Medical Center, Queen's Medical Center West Oahu, and Queen's North Hawaii Community Hospital. All medical records and patient portals are integrated with Queen's systems.
• University of Hawai'i John A. Burns School of MedicinecoreStrategic or Co-development PartnerUniversity-affiliated orthopaedic surgeons who provide education for residents in the ACGME-approved University of Hawai'i Orthopaedic Surgery Residency program. Several physicians hold faculty positions as Assistant Clinical Professors and serve as teaching faculty. Educates local medical students and visiting medical students interested in orthopaedic surgery.
• Castle Medical CentercoreStrategic or Co-development PartnerProvides orthopaedic coverage at Castle Medical Center in Kaneohe. The practice's Windward Office is located in Castle Professional Center adjacent to the medical center.
• Kuakini Medical CentercoreStrategic or Co-development PartnerProvides emergency orthopaedic trauma coverage at Kuakini Medical Center. Patient portal integration available through My Kuakini Health Portal.
• Insurance Networks (HMSA, HMAA, Aetna, CIGNA, Medicare, TRICARE, United Healthcare, and others)coreChannel Partner/ Reseller/ DistributorAccepts the majority of insurance plans in Hawai'i including Aetna, CIGNA, HMSA, HMAA, Humana, Medicare, MDX, Deseret Mutual, HMA, TriWest/CHAMPUS, UHA, United Healthcare, and The Queen's Health Systems Health Care Plan.

Scale indicators4 records

Recent moves6 records

Expansion highlights5 records

Regional players

• Straub Medical Center Orthopedics (Hawaii Pacific Health): Straub is the orthopedic service line of Hawaii Pacific Health, the largest hospital system in Hawaii. It is the most direct regional competitor to Island Orthopaedics on Oahu, offering general orthopedic, sports medicine, and joint replacement services with hospital-employed physician staffing across multiple Oahu locations.

Direct peers

• The Centers for Advanced Orthopaedics (CAO): CAO is one of the largest orthopedic group practices in the US, with over 150 physicians across the Mid-Atlantic. It is a direct peer as a multi-subspecialty orthopedic group with trauma, sports medicine, joint replacement, and walk-in access — analogous to Island Orthopaedics' full-service model but at much larger scale.
• Rothman Orthopaedic Institute: Rothman is a national leader in orthopedic specialty care with 50+ locations and academic affiliations. Comparable to Island Orthopaedics in offering full subspecialty coverage (trauma, sports, joint replacement, hand), but at far greater scale, and increasingly acquisitive in regional markets — a relevant competitor or potential acquirer profile.
• US Orthopaedic Partners (USOP): USOP is a PE-backed orthopedic management services organization actively rolling up regional practices across the Southeast and beyond. Directly comparable as a multi-subspecialty orthopedic group platform with trauma, sports medicine, and joint replacement — and a credible strategic acquirer if Island Orthopaedics ever pursued a partnership or sale.
• OrthoVirginia: OrthoVirginia is one of the largest orthopedic groups in the mid-Atlantic with 100+ physicians across multiple subspecialties and urgent care access. Comparable business model to Island Orthopaedics (multi-subspecialty, urgent care, hospital coverage, sub-specialty fellowship training), providing a useful template for scale and operations.
• Twin Cities Orthopedics: Twin Cities Orthopedics is a large multi-subspecialty orthopedic group in Minnesota with integrated therapy, imaging, and urgent care. Highly comparable to Island Orthopaedics in service line breadth and subspecialty model, and one of the precedents for orthopedic group scale and eventual PE transaction.
• OrthoLoneStar: OrthoLoneStar is a PE-backed Texas-based orthopedic group formed from the merger of several large practices, with comprehensive subspecialty coverage. Directly comparable as a multi-subspecialty, multi-location orthopedic platform and a relevant precedent for what a scaled Island Orthopaedics could become with capital partnership.
• Revere Health (Orthopedics): Revere Health is a large multi-specialty physician group in the Intermountain West with comprehensive orthopedic services including trauma, sports medicine, joint replacement, and integrated urgent care. Comparable as a multi-subspecialty, multi-location orthopedic practice with hospital affiliations and broad insurance participation.

Broad incumbents

• Hospital for Special Surgery (HSS): HSS is the largest academic orthopedic specialty hospital in the US, with a national referral practice and elite fellowship pipeline. Comparable in trauma, sports, and joint replacement clinical excellence but at vastly greater scale; relevant as a benchmark for academic-affiliated orthopedic quality and as a draw for high-acuity Hawaii patients who might travel.
• Cleveland Clinic Orthopaedic & Rheumatologic Institute: Cleveland Clinic operates one of the largest orthopedic specialty institutes in the US with comprehensive sports, trauma, joint replacement, and research capabilities. Comparable as a full-service orthopedic academic platform and a potential national competitor if it ever expanded into the Pacific.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks1 record

Key highlights7 records

Customer concentration

• Facebookfacebook.com/islandorthopaedicswest
• Instagraminstagram.com/islandorthopaedics
• LinkedInlinkedin.com/company/island-orthopaedics-llc

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles11 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 Island Orthopaedics