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About Hoag Orthopedic Institute

Founded in 2010, Hoag Orthopedic Institute was created through a partnership between Hoag Hospital and a group of premier orthopedic physicians with a shared vision: to deliver orthopedic and spine care with singular focus and exceptional outcomes. Designed as a specialty hospital, Hoag Orthopedic Institute quickly became a destination for musculoskeletal care on the West Coast.

Today, we are the largest provider of joint replacement surgery in the Western United States and the largest provider of spine care in Orange County. We are recognized nationally for both clinical quality and patient experience.

Key Milestones

  • 2010: Opened our doors as a physician-owned, physician-led specialty hospital
  • Nationally Ranked: Nationally ranked for orthopedic excellence, including US News & World Report, since 2012
  • A West Coast Destination: Leads the West Coast in joint replacement and is Orange County’s leader in spine care
  • Innovation: Early adopter and leader in robotic-assisted orthopedic surgery
  • Hospital and Surgery Center Growth: HOI enterprise includes a main specialty hospital in Irvine and multiple ambulatory surgery centers across Southern California
  • Education: The next generation of orthopedic surgeons train through Hoag Orthopedics’ fellowship program, with several alumni on HOI’s medical staff

Recognized Excellence

U.S. News: Top 50 – Best Orthopedic Hospitals and High performing in hip replacement, knee replacement, hip fracture and spinal fusion.

Best Hospitals US News Specialty Orthopedics 2024-2025
US News award
US News award
US News award
US News award

Press Ganey Patient Experience – top 5% nationally for likelihood to recommend and overall hospital rating for eight consecutive years.

    CMS Patient Experience – 5 Stars

    • Recognized for overall hospital quality, cleanliness, staff communication, responsiveness, medication education, discharge information and willingness to recommend.

    Own the Bone® Program: Star performer for 10 consecutive years

    Healthgrades:

    • America’s 50 Best Hospitals for Outpatient Joint Replacement
    • America’s 50 Best Hospitals for Outpatient Orthopedics
    • Outpatient Joint Replacement Excellence Award

    Our Leadership Team

    • Kim Mikes, CEO Kim Mikes Chief Executive Officer
    • Steven Barnett, MD Steven Barnett, MD Chief Medical Officer
    • Nader Nassif, MD Nader Nassif, MD Division Chief of Joint Replacement
    • David Gazzaniga, MD David Gazzaniga, MD Division Chief of Sports Medicine
    • Jeremy Smith, MD Jeremy Smith, MD Division Chief of Spine Surgery
    • Hafiz Kassam, MD Hafiz Kassam, MD Director, Shoulder Reconstruction
    • Christine Wages, Esq. Christine Wages, Esq. Chief Legal Officer
    • Alina Miller Alina Miller Chief Nursing Officer

    Mission & Core Values

    Our Mission: To optimize the musculoskeletal health of individuals and their communities

    Our Core Values:

    • Relentless Clinical Excellence
    • Teamwork
    • Patient First
    • Integrity