Why Choose Aligned

Why Is Aligned Radiology Considered a Top Teleradiology Employer?

How does our physician-owned model benefit you?

Aligned Radiology is 100% physician-owned and physician-led. Our founders built this company because they believe radiologists deserve a real stake in the value they create, not just a paycheck.

Industry-Leading Per-Click Compensation

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.

Your Schedule, Your Life

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.

Excellent Case Mix

Standard ED and STAT inpatient cases with a very low percentage of plain films. Focus on the cases that use your training.

Equity Participation, Not Just a Paycheck

Participate in our incentive program and share in the growth in value you help create. Align your financial future with the company you help build.

Malpractice Covered — Including Tail

Occurrence-based med mal coverage provided to all radiologists. Your tail is covered automatically. No out-of-pocket tail costs, ever.

Minimal Credentialing Hassle

Credentialing at only 1–2 hospitals required. We can help obtain state licenses if needed. Get reading fast.

100% Physician-Owned

Aligned is 100% physician-owned and physician-led. Decisions are made by the physicians who read the cases.

Incentive awards are governed by the applicable plan documents, which control over any summary on this page.

Cortex PACS

Your Most Important Tool, Designed by a Radiologist

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.

AI-Powered Worklist Management

Cases are automatically assigned based on subspecialty skills, eliminating cherry-picking and ensuring the right radiologist reads the right case.

Built to Reduce Burnout

The interface is designed to minimize clicks, reduce cognitive load, and let you focus on reading — not fighting software.

Real-Time TAT Alerts

Automated alerts when turnaround times approach limits, keeping you and your team on track without micromanagement.

Subspecialty Auto-Routing

Intelligent case routing matches study types to radiologist credentials and preferences automatically.

Seamless Teleradiology Integration

Cloud-native architecture with enterprise-grade security. Access your worklist from anywhere with zero compromise on speed.

Clinical Leadership & Stability

Meet the Physicians Leading Aligned

Because the people making decisions 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.

Led by 30-year Harvard/MGH veteran Dr. Thomas Ptak
Dr. Thomas Ptak, MD, PhD

Dr. Thomas Ptak, MD, PhD

Chief Medical Officer

The clinical authority behind Aligned Radiology's medical standards.

30+
Years Experience
20
Years at MGH
3
National Fellowships

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.

PhD, Rensselaer Polytechnic Institute
MD, Albany Medical College
Neuroradiology Fellowship, Massachusetts General Hospital
Lecturer, Harvard Medical School — Anatomy & Neurosciences
Chief of Trauma Imaging, R Adams Cowley Shock Trauma Center
Fellow, ASER · ACR · ACHE
NeuroradiologyTrauma ImagingEmergency RadiologyNeuroradiology CAQ
PACS architecture by UPenn-trained Dr. Nicholas Fasano
Dr. Nicholas Fasano, MD

Dr. Nicholas Fasano, MD

Chief Technology Officer

The physician who rebuilt what teleradiology technology should look like.

15+
Years Experience
10+
Years Own Practice
10+
Institutions Served

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.

MD, University of Pennsylvania (UPenn)
Radiology Residency, University of Miami / Jackson Memorial Hospital
Founder & Medical Director, Private Radiology Practice
Assistant Professor of Radiology, University of Maryland
ABR Board-Certified Diagnostic Radiologist
Diagnostic RadiologyEmergency & Trauma ImagingPACS DevelopmentWorkflow Optimization

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. Medical decisions stay in the reading room.

Our Leadership

90+ Years of Combined Radiology Experience

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.

Howard Asch, Chief Executive Officer at Aligned Radiology
Executive

Howard Asch

Chief Executive Officer

40 Years in RadiologyFormer vRad Regional LeadNM Technologist → C-Suite

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.

Dr. Thomas Ptak, Chief Medical Officer at Aligned Radiology
Physician

Dr. Thomas Ptak

Chief Medical Officer

ABR + Neuroradiology CAQPhD, RPIFellow ASER, ACR, ACHE20 Years at MGH
Board-Certified Radiologist

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.

Dr. Nicholas Fasano, Chief Technology Officer at Aligned Radiology
Physician

Dr. Nicholas Fasano

Chief Technology Officer

ABR CertifiedUPenn MDUniv. of Miami ResidencyAsst. Prof., UMD
Board-Certified Radiologist

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.

Matt McNeill, Chief Financial Officer at Aligned Radiology
Executive

Matt McNeill

Chief Financial Officer

30+ Yrs Financial ServicesCorporate Development LeadHealthcare Finance Expert

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 Bigger Picture

Why Physician Leadership Matters

Aligned Radiology is 100% physician-owned and physician-led. Clinical and operational decisions are made by practicing radiologists. That keeps the focus where it belongs: on quality reads and on the radiologists doing them.

Industry Comparison

Why Radiologists Choose Aligned vs. Typical Large Groups

This is not a marketing table — it is a structural comparison. Every line below reflects a real, documented difference between how a physician-owned group operates and what is typical at large teleradiology companies.

Yes / Included Partial / Varies No / Excluded
Feature
Typical Large Groups
Typical
Aligned Radiology
100% Physician-Owned
Compensation Stability
Premium per-click compensation
Top-of-market rates
Transparent, consistent rate structure
Top-of-market rates, discussed openly with candidates
10% after-hours bonus (cases after 2 AM)
Automatic bonus — no negotiation required
Occurrence-based malpractice + tail covered
Zero out-of-pocket tail expense, ever
Shift Flexibility — 7-on / 21-off
7-on / 21-off minimum schedule
Built into the structure — not a negotiated exception
Schedule you control, not assigned
Evening, overnight, and swing shifts available
100% remote / work from anywhere
No on-site requirements, no geographic restrictions
Option to pick up additional shifts
Flex up on your own timeline, on your own terms
No burnout-inducing RVU treadmills
Excellent case mix — only ~16% plain films
Technology Stack
PACS designed by a practicing radiologist
Cortex PACS built by Dr. Nicholas Fasano, MD — not a software vendor
AI-powered subspecialty auto-routing
Right radiologist reads the right case, automatically
Interface optimized to reduce cognitive load
Minimized clicks, streamlined workflow — built to fight burnout
Real-time TAT alerts without micromanagement
Automated alerts keep you on pace without supervision
Cloud-native, access from anywhere
Enterprise-grade security with zero speed compromise
Typical
Radiologist-first

Ready to work somewhere that actually puts you first?

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Compensation & Schedule

The Details That Matter

No vague promises. Here's exactly what working at Aligned looks like.

Compensation
Premium Per-Click Compensation

Top-of-market per-click rates.

Night Bonus
+10% for cases read after 2:00 AMExclusive Bonus
Schedule
Minimum 7 on / 21 off. Flexibility to add shifts.
Shifts Available
Evening (5p–1a) · Overnight (11p–7a) · Swing (8p–4a)
Malpractice
Occurrence-based, tail covered automaticallyTail Included
Licensing
Can assist with state license acquisition
Credentialing
Only 1–2 health systems required
Case Mix
ED and STAT inpatient · ~16% plain films
Benefits
Concierge Benefits Access & Equity Participation

Seamless transition roadmap provided, including concierge access to national group insurance portals and participation in our incentive program.

Location
100% Remote / Physician-Owned Workspace

Professional freedom to work from your preferred environment with full home-office tax deductibility through your entity.

Join the Team

Let's Talk

Whether you're ready to apply or just want to learn more, we'd love to hear from you.

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FAQ

Common Questions

Yes. Aligned Radiology Services is 100% physician-owned and physician-led. Decisions are made by the physicians who read the cases. 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.

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. Incentive awards are governed by the applicable plan documents, which control over any summary on this page.