Now Accepting Referrals

The Missing Link Between Chiropractic Care & Spine Surgery

Rapid telehealth consultations, upfront medical funding, imaging coordination, and surgical referrals — all in one platform connecting chiropractors to the nation's leading spine surgeons.

See How It Works
$0MEBITDA across founding surgical network
35–40%Spine surgical patients interacting with chiropractic care
1 in 5Chronic whiplash chiropractic patients who become surgical consult candidates
24–72hrsTelehealth specialist consult turnaround
1,000sExpert witness cases led by founder
Market Opportunity

Why This Alliance Exists

200–255

Chiropractors within 20 miles of Fort Worth, TX alone

Scale that nationally and chiropractors are one of the largest first-contact providers for soft tissue injury.

35–40%

Of all spine surgical patients

Directly or indirectly interact with a chiropractor in their care continuum.

40%

MVA victims report neck injury

30% of those become chronic. 60% engage chiropractic care. 20% require surgical consultation.

1–2%

Of ALL MVA victims

Flow through a chiropractic office and become spine surgical consult candidates — a structured, documented pipeline.

The Infrastructure Gap

The spine PI market is fragmented. Chiropractors, surgeons, imaging centers, and attorneys operate in silos. CSSA is the infrastructure layer that connects them.

"There's significant strategic value in alignment rather than fragmentation."

Process

How It Works

From case submission to settlement — a fully managed pipeline.

Step 01

Chiropractor Submits Case

Secure portal: patient demographics, accident details, exam findings, imaging requests, legal rep info, lien status.

Step 02

Medical Funding Activated

Chiropractor paid upfront. No waiting on settlements. No financial risk.

Step 03

Telehealth Consult Scheduled

Orthopedic surgeon or neurosurgeon within 24–72 hours. Notes auto-populate case file.

Step 04

Imaging Ordered

MRI, CT, EMG/NCS through imaging network. Results upload directly to case portal.

Step 05

Surgical Candidacy Evaluation

Orthopedic Surgery PC or Neurology PC evaluates. Surgical pathway confirmed or ruled out.

Step 06

Legal Documentation Built

Expert opinion notes, imaging reports, and consult records packaged for PI case.

Step 07

Settlement & Repayment

Medical funding company repaid via medical lien from settlement proceeds. Everyone gets paid.

The medical funding company pays providers at time of service. Repayment is secured through the medical lien and collected at settlement — fully compliant.

Revenue Model

A $100M Infrastructure Play

At 5,000 cases per year across all revenue streams.

Medical Funding Spread$40M
Surgical Case Participation$7.5M
Imaging Network Margin$3.75M
Telehealth Consults$2M
Expert Witness Division$3.6M
Chiropractor Membership$7.2M
Attorney Case Management$5M
Total at 5,000 cases/year$69M

Scale note: At 10,000 cases/year, funding spread alone reaches $80M — total platform revenue exceeds $100M.

Exit potential: A national network controlling the spine PI referral infrastructure is a $500M–$1B exit target for PI funding companies, national spine groups, and PE-backed MSOs.

Built For

Who We Serve

Chiropractors

  • Get paid upfront through medical funding — stop waiting on settlements
  • Telehealth consults with orthopedic surgeons and neurosurgeons in 24–72 hours
  • Order MRI and imaging through the network without losing the patient
  • Strengthen PI documentation and increase case value
  • National referral infrastructure with built-in legal documentation
Platform

Integrated Services

Eight specialized entities under one MSO umbrella.

Orthopedic Surgery PC

Turnkey professional corporation handling spine, joint, and trauma surgical referrals at scale via MSO.

Neurology PC

Neurological evaluation and neurosurgical consultation through a dedicated PC connected to the same MSO.

Imaging PC

MRI, CT, EMG/NCS, diagnostic ultrasound. Results auto-upload to case portal.

Medical Funding

Providers paid at time of service. Repayment secured via medical lien at settlement.

Telehealth Network

Specialist video consults within 24–72 hours. Notes auto-populate patient case file.

Referral Case Portal

HIPAA-compliant. Case submission, document upload, imaging requests, lifecycle tracking.

Expert Witness Services

Case review, depositions, trial testimony. Thousands of PI cases led by Dr. Reese.

MSO Administration

Separates clinical, funding, and admin. Compliant with anti-kickback and fee-splitting statutes.

Leadership

Meet the Founder

BR
Orthopedic SurgeryNeurosurgerySpine SpecialistActive Military PilotExpert WitnessPI Case Veteran

Dr. Brian Reese

MD · Orthopedic Surgeon · Neurosurgeon · Active Military Pilot · Founder

Dr. Brian Reese is a dual-trained orthopedic surgeon and neurosurgeon with decades of experience treating complex spine and neurological injuries. As an active military pilot, he brings a precision-first mindset to every surgical case and every business decision. With involvement in thousands of expert witness cases, Dr. Reese is one of the most sought-after medical expert resources in personal injury litigation — providing authoritative opinions on surgical necessity, standard of care, and injury causation that hold up in court.

1,000sExpert Witness Cases
$72MNetwork EBITDA
2Surgical Specialties
Architecture

Structured for Trust. Built for Scale.

MSO
Orthopedic Surgery PC
Neurology PC
Imaging PC
Medical Funding Co.
Telehealth Network
Expert Witness Division
Anti-Kickback Compliant
HIPAA Certified
MSO Structured
Medical Lien Repayment
Encrypted Patient Data
Provider Authentication
Fee-Splitting Compliant
State Medical Regulation Compliant
Anti-Kickback Compliant
HIPAA Certified
MSO Structured
Medical Lien Repayment
Encrypted Patient Data
Provider Authentication
Fee-Splitting Compliant
State Medical Regulation Compliant
Anti-Kickback Compliant
HIPAA Certified
MSO Structured
Medical Lien Repayment
Encrypted Patient Data
Provider Authentication
Fee-Splitting Compliant
State Medical Regulation Compliant
Anti-Kickback Compliant
HIPAA Certified
MSO Structured
Medical Lien Repayment
Encrypted Patient Data
Provider Authentication
Fee-Splitting Compliant
State Medical Regulation Compliant

All payments in the system are for treatment and services rendered — never for referrals. Validated across thousands of personal injury cases.

Pipeline Data

The PI Pipeline

40%
of motor vehicle accident victims report neck injury
30%
of those become chronic whiplash (WAD Grade I–III beyond 3 months)
60%
of chronic whiplash patients engage chiropractic care
20%
of chiropractic-managed chronic patients become surgical consult candidates
1–2%
of ALL MVA victims become a structured spine surgical pipeline through chiropractic offices

"The opportunity isn't theoretical these patients already exist and they're falling through the cracks."

Submit Your First Case Today

Chiropractors, surgeons, and attorneys — the CSSA infrastructure is ready.

Or call us: (XXX) XXX-XXXX