
Why Join SOA: A Strategic Alliance for Forward-Thinking Physicians
Southern Orthopaedic Alliance partners with ambitious orthopaedic physicians who value independence and want to focus on patient care while growing their practice. We offer revenue and expense leverage through pooled contracts and centralized support, clinical autonomy without corporate interference, and advanced growth tools through our partnership with PELTO.
Our physician-focused model includes collaboration across specialties, physician-led governance, comprehensive operational support, and opportunities to expand services and patient reach — all without the usual administrative burdens.

Why Independent Practices Choose SOA to Grow Their Future
From The SOA Physician White Paper
Why Structure Matters Now
Independent orthopaedic practices face rising payer pressure, regulation, and consolidation.
SOA was built to solve that — without forcing physicians to sell.

The Reality Independent Practices Face Today
What SOA Delivers
Real Contracting Leverage
Negotiate as one coordinated orthopaedic entity — not as isolated practices — with the scale and data payers respond to, including readiness for bundled payments, centers-of-excellence, and value-based arrangements.
Smarter Facility Strategy in a CON State
Coordinate ASC, imaging, and ancillary development across Alabama’s Certificate of Need environment — avoiding self-competition and strengthening CON applications with aggregated volume and physician alignment.
Lower Non-Clinical Cost per RVU
Shared services such as revenue cycle, IT, analytics, supply chain, and compliance reduce overhead while improving net collections — without disrupting how you practice medicine.
Physician-Led Governance
Local divisions retain leadership, culture, and operational control, while participating in transparent, physician-governed enterprise decision-making — not hospital or PE oversight.
Remaining independent without scale makes long-term sustainability harder — even for high-performing practices.
What SOA Is — and What It Isn’t
✘ Not a hospital acquisition
✘ Not private equity ownership
✘ Not a loose referral network
SOA is a physician-owned, single-TIN platform built specifically for Alabama orthopaedics.
→ Rising payer consolidation
→ Increasing regulatory and compliance burden
→ Escalating costs tied to staffing, IT, billing, and facilities
→ Limited leverage when negotiating alone
In Partnership with



Independent by design.
United by purpose.
100+
Orthopaedic Providers
16%
Avg. Annual Revenue Growth
Reduced Cost
Malpractice & Insurance
Full Autonomy
Local Control Preserved
How Joining Southern Orthopaedic Alliance Works
A structured, physician-led onboarding process designed to protect independence while aligning practices for scale, stability, and growth.

Strategic Partnership
PELTO Health Partners
The modern alternative to the traditional MSO


Opportunities for Cost Savings Across Your Practice
Clinical & Operational Supplies
→ Group Purchasing Organization (GPO) contracts
→ Capital equipment & contract sourcing
Technology & Innovation
→ EHR / EPM technology
→ AI coding platform
→ Ambient scribe platform
→ AI referral management technology
→ Cybersecurity technology
→ Capital equipment management technology
Financial & Revenue Optimization
→ Revenue cycle services
→ Payor data analytics platform
→ Patient engagement platform
People, Benefits & Risk
→ Employee benefits brokerage
→ Commercial insurance brokerage
PELTO Health Partners delivers significant, measurable value through contract optimization and group purchasing designed specifically for independent medical practices. Practices that have joined PELTO have collectively realized more than $6.9 million in savings by leveraging shared contract value — without being forced into a one-size-fits-all model.
What makes PELTO different is choice. You select the contracts, tools, and savings opportunities that align with your practice’s needs, priorities, and growth goals.
Let’s identify the opportunities that make sense for your practice.
We're Also Proud to Partner with

Trusted by Independent Orthopaedic Leaders
Real results from physicians who chose independence—with support.

Southlake Orthopaedics. A Division of Southern Orthopaedic Alliance
Michael D. Smith, M.D.
~16%
Average annual revenue growth
↓ Costs
Insurance & overhead reduced
100%
Local autonomy retained
Since joining Southern Orthopaedic Alliance in 2024, Southlake Orthopaedics has increased revenue by an average of ~16% annually, secured best-in-class pricing on EHR and vendor contracts, reduced insurance and overhead costs, and gained access to national purchasing networks—all while maintaining full local autonomy over hiring, compensation, and clinical decisions. Read the full case study →
SOA Member Practice | Southlake Orthopaedics

A conversation worth having.
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