Our House of Brands

Aligned Spine

A Partnership Built Around You

Partnering with Aligned isn’t about giving up what you’ve built—it’s about strengthening it. Our process is straightforward, transparent, and designed to protect your independence.

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Confidential Consultation

It starts with a doctor-to-doctor conversation. No sales pitch, no pressure—just peers discussing your goals and challenges.

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Tailored Growth Plan

We identify your opportunities, whether it’s new patient growth, ancillaries, ASC access, or new clinics, and build a roadmap designed around your practice’s vision.

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Seamless Integration

We take on the heavy lift: billing, compliance, HR, and marketing. You keep full clinical authority while gaining enterprise-level support.

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Sustained Partnership

Growth begins with a single step. From our NASS-accredited fellowship to leadership opportunities and capital reinvestment, you’ll have the resources to thrive for the long run.

Every partnership is built to protect your autonomy while opening new doors for expansion.

What You Gain With Aligned

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Physician-Led Governance →

Decisions stay with doctors, not executives.

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Leveraged Autonomy™ →

Your brand, your culture, your voice, amplified by our resources.

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ASC Access Without Burden →

Expand clinical scope and revenue without ownership risk.

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Built-In Recruitment Pipeline →

Our NASS-accredited fellowship delivers long-term clinical talent.

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Operational Relief →

Billing, HR, compliance, and marketing—off your plate, on ours.

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House-of-Brands Model →

Patients continue to know and trust the name you’ve built.

Aligned vs. Others: A Clear Distinction

Not all platforms are created equal. Here’s how Aligned compares to typical MSK roll-ups and private equity groups:

Aligned Typical MSK Roll-Up
Governance Physician-led at every level Investor- or executive-driven
Autonomy Leveraged Autonomy™: full control, your brand intact Loss of decision-making; brand often absorbed
Growth Philosophy Long-term stability, legacy-focused Short-term exit strategy, profit-first
Fellowship & Pipeline Only NASS-accredited fellowship in a national MSK platform; built-in recruitment No academic affiliation; limited recruiting support
House of Brands Your local name stays front and center Local identity often replaced with corporate branding
Capital & Expansion ASC and de novo growth funded without partner debt Debt-financed growth that puts risk on physicians
Culture & Retention Collegial, physician-first environment; 98% retention High turnover; culture clashes common
Ethics & Transparency No out-of-network billing, no shortcuts, full transparency Aggressive billing models; opaque terms
Our partners achieve real, measurable growth—without compromise.

Results You Can Count On

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98% Physician Retention

A culture of autonomy and collaboration that keeps physicians thriving long-term.

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20% Average Annual Revenue Lift

Smarter operations, ancillaries, and expansion drive sustainable financial growth.

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+35% Patient Access Capacity

More patients cared for through better scheduling and expanded settings.

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48% Increase in Schedule Fill Rates

Partners unlock hidden capacity in just four months.

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$3.2M ASC Investment (0 Partner Debt)

Growth is funded by us without financial risk to you.

What Our Partners Say

Hear directly from physicians who chose Aligned to protect their independence while growing their impact.

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Frequently Asked Questions

Will I lose control of my practice?

No. With our Leveraged Autonomy™ model, you retain your brand, culture, and clinical authority while we provide the resources to help you grow.

Do I have to sell equity to join?

No. We offer multiple pathways to partnership, from equity participation to strategic affiliations, always designed to protect your long-term value.

What happens to my staff?

Your staff remain part of your practice. We support with HR, training, and recruiting to strengthen your team, not replace it.

Will my practice name disappear?

No. Our house-of-brands model keeps your local name front and center while we amplify it with national resources.

How does the fellowship benefit practice owners?

Our NASS-accredited fellowship builds a pipeline of top MSK talent, ensuring access to future physician leaders and reducing recruiting pressure.

How do you ensure ethical practices?

Aligned prioritizes compliance and integrity. No out-of-network billing, no opioid-centric models, no shortcuts. Just patient-first, evidence-based care.

What if I’m not ready to decide?

That’s fine. We offer confidential doctor-to-doctor conversations, with no obligation and no data sharing. Many partners explore Aligned months before moving forward.

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See What Leveraged Autonomy™ Can Do for You

Growth without compromise. Autonomy without burden. A legacy that lasts.