Market stakeholders are attempting to determine how to best position themselves as the healthcare industry becomes increasingly complex in light of reform and the economic crisis. As a result of these pressures, hospitals are increasingly seeking to employ physicians to create greater alignment. Physician alignment models provide varying degrees of benefit. In order to evaluate the models objectively, it is important to consider their broader implications on an organization’s overarching objectives. This presentation examines how organizations can be successful in implementing any employment strategy and explores potential alternatives to employment.