What Alignedcardio does

AlignedCardio is a Richmond, Virginia-based private equity-backed Management Services Organization (MSO) platform that partners with independent cardiovascular practices, providing operational infrastructure, capital, and equity participation while physicians retain full clinical autonomy. The platform currently comprises five wholly-owned partner practices (James River Cardiology, Colonial Heart, Southwest Virginia Cardiology, Heart Rhythm Associates, and NOVA Cardiovascular Care) operating 8 Centers of Excellence, 60+ providers, and a 60,000+ patient panel across Virginia and North Carolina.

The core technology stack consists of the proprietary CASCade Framework (a standardized operating model for clinical strategy, sites of care, commercial payor management, and capital allocation), the Solid State Practice (SSP) internal offshore back-office team for revenue cycle management and administrative operations, a real-time cross-practice analytics dashboard connecting EMR, scheduling, and referral data, and a 24/7 patient call center. The company also offers public-facing interactive decision tools (ASC Calculator, PE Partnership Calculator, Hospital-Employed Comparison Calculator, Practice Evaluation Intake) that pre-qualify physician leads.

AlignedCardio generates revenue through three streams: (1) a management fee / platform scrape modeled at approximately 12% of relevant collections or profitability, charged for centralized RCM, IT, HR, contracting, and capital project services; (2) ASC development and operations, with the platform absorbing 100% of cost overruns and opening delays while generating returns from facility operations and physician equity participation; and (3) practice partnership acquisitions combining upfront cash consideration with ongoing revenue-sharing, leadership stipends, rollover equity, and new equity grants. The go-to-market motion is enterprise field sales, using a structured four-step partnership process (Understand, Design, Implement, Grow) targeting independent cardiovascular practices nationwide.

Name

Alignedcardio

Legal name

AlignedCardio

Website

https://alignedcardio.com

Company type

Private

Operating status

Operating

Headcount range

51–100 employees

Short description

AlignedCardio is a Richmond, VA-based PE-backed MSO platform that partners with independent cardiovascular practices, providing operational infrastructure, capital, and equity participation while physicians retain full clinical autonomy across 60+ providers and 60,000+ patients.

Ownership category

akta.pro rank

Product category

Cardiology Practice Management Services

NAICS

Offices of Physicians (62111), All Other Outpatient Care Centers (621498), Diagnostic Imaging Centers (621512)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Misc Health & Allied Services, Nec (8090)

akta.pro primary industry

General Cardiology (Consultative) (HLAKABAA)

akta.pro secondary industries

Ambulatory Cardiology Diagnostic & Procedure Centers (Non-hospital-based) (HLAFABAK), Provider Network, Credentialing & Contracting Support (BPAAAFAI)

Keywords

• Cardiovascular practice management
• Ambulatory surgery center development
• Cardiology consulting services
• Revenue cycle management services
• Healthcare MSO partnerships

Headquarters

HQ city

Richmond

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Management Fee / Platform Scrape: Percentage of collections or profitability retained by the platform for centralized services including RCM, IT, HR, contracting, and capital projects. The scrape is structured to be transparent and competitive, offset by revenue and margin improvements plus long-term equity value.
2. ASC Development and Operations: End-to-end ambulatory surgery center development including planning, construction, credentialing, and operational launch. AlignedCardio absorbs 100% of cost overruns and opening delays while generating returns from facility operations and physician equity participation.
3. Practice Partnership Acquisitions: Upfront consideration (cash at close) for asset or equity purchase of cardiovascular practices, combined with ongoing compensation structures (clinical production, leadership stipends), equity participation (rollover and new grants), and long-term alignment through partnership economics.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels4 records

Core offering

AlignedCardio is a physician-led, private equity-backed Management Services Organization that partners with independent cardiovascular practices to provide operational infrastructure, capital, and business services while preserving clinical autonomy. The offering combines an MSO platform (CASCade framework + Solid State Practice back-office + analytics + 24/7 call center) with practice-level services including ASC development, imaging implementation, physician/APP recruiting, payor negotiations, revenue cycle management, referral nurturing, hospital relations, and compliance support, sold through long-term equity-based practice partnerships.

Product overview

AlignedCardio is a physician-led private equity platform that provides comprehensive infrastructure and support services to independent cardiovascular practices. The platform consists of the proprietary CASCade Framework (operating methodology), Solid State Practice (internal back-office operations), decision tools (ASC Calculator, Partnership Calculators), and clinical service lines (Heart Evaluation, Interventional Procedures, Implantable Devices). The offering combines business infrastructure (ASC development, RCM, recruiting, payor negotiations, compliance) with tools for practice evaluation and economic modeling, enabling cardiologists to maintain clinical autonomy while gaining access to capital, operational playbooks, and enterprise-scale resources.

Differentiator

Problem solved

Functional benefit

Products and services

• Cardiovascular Practice Partnership Program Long-term equity-aligned operating partnership between AlignedCardio and independent cardiovascular practices, bundling MSO infrastructure (CASCade framework, Solid State Practice back-office, analytics, 24/7 call center) with capital, ASC development, RCM, payor negotiations, recruiting, compliance, and hospital relations in exchange for a percentage-of-collections management fee and equity participation.
• ASC Development & Strategy End-to-end Ambulatory Surgery Center development service covering strategic planning, regulatory compliance, and construction management; AlignedCardio absorbs 100% of cost overruns and opening delays while partners receive physician equity participation in the facility.
• Heart Evaluation Services Foundation-level diagnostic cardiology services including echocardiogram, stress testing (PET/CT, Nuclear, Stress Echo, Treadmill), venous and arterial duplex, Holter monitoring, mobile cardiac telemetry, and loop recorder implants delivered through partner practices.
• Interventional Procedures Minimally invasive cardiovascular procedures including coronary and peripheral angiography/interventions, TAVR, mitral clip, ASD/PFO closure, Watchman procedure, atrial fibrillation ablation, and SVT ablation delivered through partner practices.
• Implantable Devices Rhythm-device cardiology service covering ICD implants, permanent pacemaker implants, loop recorder programs, and device-clinic workflows for monitoring and lifecycle management.
• Practice Support Services Platform-level operational bundle delivering ASC development, imaging implementation (PET, CT, Echo), referral relationship nurturing, physician/APP recruiting, payor contracting, revenue cycle management, hospital relations, and compliance support as discrete services to partner cardiovascular practices.
• Revenue Cycle Management (RCM) Turnkey RCM service that eliminates operational friction, reduces denial rates, and accelerates cash collection with full financial transparency, delivered through the in-house Solid State Practice back-office function.

Quantifiable outcome

• 5-Year Physician Cash: $1.65M based on typical 1-room ASC center proforma
• +3 more outcomes

Named customers5 records

Segments1 record

Ideal customer profiles1 record

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

Five partnerships are on record, tiered core.

• James River CardiologycoreStrategic or Co-development PartnerPartner practice in Richmond, VA with 14 physicians across non-invasive, interventional, electrophysiology, and interventional radiology. Features 6 clinics, 2 office-based labs, and 1 ASC. Represents flagship multi-specialty cardiovascular platform within the AlignedCardio network.
• Colonial HeartcoreStrategic or Co-development PartnerPartner practice in Williamsburg, VA with non-invasive cardiology focus. Offers Monday-Friday schedule with no call, dedicated NP/PA support, and accelerated partnership track. Growing outpatient practice with clinical autonomy.
• Southwest Virginia CardiologycoreStrategic or Co-development PartnerPartner practice in Roanoke, VA serving high-need Southwest Virginia market. Offers diagnostic and interventional capabilities, NP/PA support, shared call model, and clear path to practice growth and partnership potential.
• Heart Rhythm AssociatescoreStrategic or Co-development PartnerFocused electrophysiology practice in Greenville, NC serving the community for 25 years with established referral base and advanced technology. Planning for continued growth and future ASC development.
• NOVA Cardiovascular CarecoreStrategic or Co-development PartnerPartner practice in Woodbridge, VA (Northern Virginia) with collaborative cardiology team and advanced rhythm-care technology. Features busy referral environment, strong demand, and future ASC growth plans.

Scale indicators9 records

Recent moves1 record

Expansion highlights6 records

Direct peers

• Cardiovascular Associates of America (CVAUSA): PE-backed cardiology platform (backed by Webster Equity Partners) aggregating independent cardiovascular practices nationwide. Most directly comparable to AlignedCardio given shared focus on MSO infrastructure, physician-led governance, and roll-up strategy in cardiology.
• U.S. Heart & Vascular (USHV): PE-backed cardiology platform built by OneOncology/CardioOne founders, acquiring and operating cardiovascular practices across multiple states. Directly comparable in MSO/PE model, ASC development focus, and physician partnership economics.
• CardioOne: Cardiology-focused MSO partnering with independent practices to provide operational infrastructure, RCM, and growth capital. Closely comparable to AlignedCardio's value proposition and target customer (independent cardiology practices).

Broad incumbents

• Surgery Partners: Public ambulatory surgical center operator and operator of specialty surgical facilities including cardiovascular ASCs. Comparable as a scaled ASC operator, though broader in scope and not cardiology-specific.
• U.S. Anesthesia Partners (USAP): PE-backed physician services platform providing practice management and MSO infrastructure to anesthesiology groups. Comparable in PE-backed MSO/roll-up model targeting specialty physician practices, though in anesthesiology.
• Privia Health: Public physician enablement company providing MSO, technology, and population health infrastructure to independent and aligned practices. Comparable as a multi-specialty practice platform with PE-style capital and infrastructure model.
• Aledade: PE-backed value-based care platform supporting independent primary care practices with technology, network, and risk-bearing infrastructure. Comparable in physician-led MSO model enabling independent practices to remain independent.
• Gastro Health: PE-backed platform (Olympus Partners) operating the largest network of gastroenterology practices and ASCs. Comparable in PE-backed specialty MSO with ASC development and roll-up strategy, though in GI rather than cardiology.
• U.S. Renal Care: PE-backed platform providing MSO infrastructure to nephrology practices and dialysis centers. Comparable in PE-backed specialty physician practice platform model, though in nephrology.

Emerging players

• OneOncology: PE-backed platform supporting independent oncology practices with operational infrastructure and capital. Comparable in PE-backed specialty MSO roll-up model, though focused on oncology rather than cardiology.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks7 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/alignedcardio

Revenue estimate

Valuation estimate

Number of profiles

Profiles9 records

Subsidiaries5 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 Alignedcardio