How we work

Our approach
to partnership

Aligned Cardio is a physician-led platform: we bring capital and enterprise operations; you retain clinical control. Below is the CASCade framework — our cardiovascular partnership operating model — and a clear split between what we run and what stays with you. New to the vocabulary? Start with private equity basics.

Framework

CASCade — our operating spine

Named for the clinical and economic “cascade” we manage across sites — from access to advanced procedures — CASCade is how we standardize what scales while leaving bedside judgment local. Public language on this page is updated as our operating framework documentation evolves.

Clinical strategy & quality

Shared protocols where appropriate, local autonomy where it matters. We invest in pathways that improve outcomes and appropriate utilization — without dictating individual patient decisions.

Access & sites of care

ASC development, imaging, and office strategy — capital and project management on a timetable that respects credentialing and community needs.

Commercial & payor

Contracting leverage, navigation support, and data to defend referral relationships — coordinated with your local market reality.

Capital & finance

Transparent reporting, disciplined capital allocation, and partnership economics designed for long-term alignment — not one-time extraction.

Governance

We manage the business.
You manage the medicine

Same split highlighted on the homepage — repeated here because it’s the line most physicians ask about first.

Aligned Cardio typically leads

  • RCM, IT, HR, benefits
  • Payor contracting & analytics
  • Capital projects (ASC, imaging)
  • Recruiting & referral marketing support

Physicians retain

  • Clinical decision-making
  • Scheduling and patient care priorities
  • Local reputation and community relationships

Process

Four steps — same as our partnership page

Understand, design, implement, and grow. Details live on the partnership model page; we repeat the sequence here for readers who open this guide from the tools hub or footer.

01

Understand

Operational metrics, financial baseline, and what “good” looks like for your group.

02

Design

Custom blueprint: ASC feasibility, ancillary expansion, contracting, and equity shape.

03

Implement

Capital deployment, platform systems, and first 90-day operating cadence.

04

Grow

M&A support, recruiting, payer defense, and value-based expansion.

Practice evaluation Open tools