An independent physician led teleradiology group with industry leading compensation, a proprietary PACS, and flexible scheduling with zero private equity.
100% remote, physician-owned, flexible schedule. Read ED and STAT inpatient studies from anywhere on Cortex PACS, a platform built by a radiologist. Premium per-click compensation, a minimum 7-on/21-off schedule, and occurrence-based malpractice with tail included.
Apply Now24/7 or after-hours coverage without building your own night team. Flexible partial coverage, not a forced full-department takeover. Real-Time Operations & Client Connect — direct, encrypted communication with our team built into the platform.
Talk to UsHow does our physician-owned model benefit you?
While the big teleradiology companies got bought by private equity, we went the other direction. Aligned Radiology is 100% privately owned — no PE, no VC, no corporate overlords. Our founders built this company because they believe radiologists deserve a real stake in the value they create, not just a paycheck.
Top-of-market per-click rates, plus concierge navigation to national group health and disability insurance available for radiologists reading consistent volume. Additional 10% bonus for cases read after 2:00 AM.
Minimum 7 on / 21 off schedule with flexibility to pick up extra shifts. Evening (5p–1a), overnight (11p–7a), and swing (8p–4a) shifts available. Work from anywhere.
Standard ED and STAT inpatient cases with a very low percentage of plain films. Focus on the cases that use your training.
Get real skin in the game via our equity incentive program. It's a real stake in the enterprise value you help create. Align your financial future with the company you help build.
Occurrence-based med mal coverage provided to all radiologists. Your tail is covered automatically. No out-of-pocket tail costs, ever.
Credentialing at only 1–2 hospitals required. We can help obtain state licenses if needed. Get reading fast.
We are 100% privately owned. No PE investors, no VC money, no corporate parent. Decisions are made by physicians and operators who read cases, not board members chasing EBITDA.
Incentive awards are governed by the applicable plan documents, which control over any summary on this page.
One of Aligned's founders is the physician behind Cortex PACS — a next-generation PACS system built from the ground up by a practicing radiologist who was tired of fighting clunky, legacy systems. Cortex isn't an off-the-shelf product bolted onto a worklist. It's purpose-built for teleradiology workflows and radiologist satisfaction.
Cases are automatically assigned based on subspecialty skills, eliminating cherry-picking and ensuring the right radiologist reads the right case.
The interface is designed to minimize clicks, reduce cognitive load, and let you focus on reading — not fighting software.
Automated alerts when turnaround times approach limits, keeping you and your team on track without micromanagement.
Intelligent case routing matches study types to radiologist credentials and preferences automatically.
Cloud-native architecture with enterprise-grade security. Access your worklist from anywhere with zero compromise on speed.
Because the people making decisions are not private equity partners — they are practicing physicians with Harvard, MGH, and UPenn credentials who have spent decades building careers in the exact field they are now leading. Clinical authority flows from the top of this organization into every policy, every technology choice, and every compensation decision.
Chief Medical Officer
The clinical authority behind Aligned Radiology's medical standards.
Dr. Ptak is a board-certified diagnostic radiologist with a certificate of added qualification in neuroradiology and over 30 years of experience. After 20 years as an attending in the Emergency and Trauma division at Massachusetts General Hospital and Harvard Medical School, he brings unmatched academic and clinical authority to Aligned's medical oversight and quality standards.
Chief Technology Officer
The physician who rebuilt what teleradiology technology should look like.
Dr. Fasano is an ABR-certified diagnostic radiologist with over 15 years of clinical experience. He earned his MD at the University of Pennsylvania and completed his residency at the University of Miami. After founding and running his own practice for over a decade, he channeled his frustration with legacy radiology software into building Cortex PACS — a system designed by a radiologist, for radiologists.
How does our physician-owned model benefit you? When your CMO is a 30-year neuroradiologist and your CTO personally built the PACS you read on, every policy is designed around the clinical experience — not around investor returns. Medical decisions stay in the reading room, not the boardroom.
Aligned is led by physicians and operators who have built, run, and scaled radiology businesses. We're not suits — we're the people who've been in the trenches.
Chief Executive Officer
40 years of radiology leadership across every facet of the industry up to the C-suite. Built the largest region for vRad to $38M annually. Hundreds of millions in career sales across equipment, software, teleradiology, and services.
Chief Medical Officer
Board-certified diagnostic radiologist with neuroradiology CAQ and 30+ years of experience. Harvard Medical School lecturer, 20 years at Massachusetts General Hospital. Former Chief of Trauma Imaging at R Adams Cowley Shock Trauma Center. Fellow of ASER, ACR, and ACHE.
Chief Technology Officer
Board-certified diagnostic radiologist with 15+ years of experience. UPenn MD, University of Miami residency, 12 years in private practice including running his own practice for a decade. Currently assistant professor of radiology at University of Maryland in Emergency & Trauma Imaging. The physician mind behind our PACS technology and clinical workflows.
Chief Financial Officer
Seasoned CFO and strategic healthcare executive with 30+ years of leadership in financial services and corporate development. Former corporate development lead for a $4B public company. Led a 65-location healthcare services roll-up.
The teleradiology landscape has undergone a fundamental shift toward rapid market consolidation. Across the industry, the rise of large, private equity-backed platforms has introduced significant operational challenges that prioritize financial engineering over clinical excellence. When scale is driven primarily by cost compression and volume pressure, the essential link between physician and patient is strained. We are seeing a market where decisions are increasingly made in boardrooms rather than reading rooms—often resulting in a measurable impact on the quality of care and professional satisfaction for the radiologists themselves.
Aligned exists as an alternative. We're privately held by physicians and operators who believe the people reading the cases should have a direct stake in the business. No quarterly earnings calls. No pressure to strip costs to hit IRR targets. Just a sustainable, radiologist-first practice built for the long term.
That's what we mean by "skin in the game" — not a vague promise years away, but a real stake in the value you create, starting your first month.
This is not a marketing table — it is a structural comparison. Every line below reflects a real, documented difference between how physician-owned groups operate versus what happens when private equity acquires a radiology platform.
Ready to work somewhere that actually puts you first?
Start the ConversationNo vague promises. Here's exactly what working at Aligned looks like.
Top-of-market per-click rates.
Seamless transition roadmap provided, including concierge access to national group insurance portals and participation in our incentive program.
Professional freedom to work from your preferred environment with full home-office tax deductibility through your entity.
Questions? Email us directly
Whether you're ready to apply or just want to learn more, we'd love to hear from you.
No. Aligned Radiology Services is 100% privately owned by physicians and operators. We have no private equity investors, no venture capital backing, and no corporate parent. Decisions are made by people who read cases, not board members chasing financial returns. This is intentional — and it shapes everything about how we operate.
We use Cortex PACS, a next-generation imaging and workflow system designed from the ground up by one of our founders — a practicing, board-certified radiologist. Cortex features AI-powered worklist management, subspecialty auto-routing, real-time TAT alerts, and a streamlined interface specifically built to reduce radiologist burnout. It is not an off-the-shelf product; it was built to solve the exact frustrations radiologists face every day.
We offer premium per-click compensation, with an additional 10% bonus for all cases read after 2:00 AM. Radiologists reading consistent volume also receive concierge navigation to institutional-scale group health and disability portals. We do not publish specific rates here, but we encourage you to reach out.
We offer evening (5pm–1am), overnight (11pm–7am), and swing (8pm–4am) shifts. The minimum commitment is 7 on / 21 off, giving you substantial time off built into the structure. Radiologists who want to pick up additional shifts are welcome to do so. All work is 100% remote.
We provide occurrence-based medical malpractice coverage to all radiologists working with Aligned. Tail coverage is automatic and fully covered — you will never have an out-of-pocket tail expense. This is a meaningful financial protection that many groups do not provide.
Typically just 1–2 hospitals. We keep credentialing requirements minimal to get you reading quickly. Our team handles the credentialing process and can also assist with obtaining state medical licenses if needed. We want to remove friction, not create it.
Standard ED and STAT inpatient studies — the core of real teleradiology. We maintain an excellent case mix with only approximately 16% plain films, meaning the vast majority of your work will involve advanced imaging (CT, MRI, etc.) that fully engages your diagnostic training. No padding the volume with low-value studies.
We know changing practice settings can feel like a big step. We provide a transition roadmap, concierge support with credentialing and state licensing, and help getting your administrative setup in place so you can start reading quickly. We will walk you through the specifics of the arrangement when we talk.
Unlike PE-backed groups that promise something years down the road, often as a retention tool with no real certainty, Aligned's incentive program starts in your first month. Awards are earned monthly based on your own production and let you share in the growth in value of the enterprise you help build. You are not a line item on a corporate P&L. Incentive awards are governed by the applicable plan documents, which control over any summary on this page.
