Why we exist
The tools that understand healthcare aren't sold to you. The ones you can buy have never heard of a licence.
MedAligna is medical staff scheduling software for clinics, hospitals, long-term care and home care agencies. It builds the roster and enforces the rules that make it safe (licences, minimum rest, ratios, duty hours) at $99 to $249 per month per location, bought without a sales call. It is not a payroll processor and not a staffing agency.
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- compliance rules checked on every assignment
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- credential types tracked, from RN licence to OIG screening
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- care settings: clinic, hospital, LTC, home care
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- of schedule changes audit-logged, permanently
Why does MedAligna exist?
There are two kinds of scheduling software in healthcare, and almost nobody who actually staffs a floor can buy either of them.
Because the market has a hole in the middle of it, and the people standing in the hole are the ones holding the rota. At one end sit QGenda, symplr and Lightning Bolt: genuinely deep on clinical rules, sold through a sales process, priced against a health system's capital budget, delivered over a six-month implementation. At the other sit Deputy, When I Work and Connecteam: excellent, cheap, instantly self-serve, and entirely unaware that a nursing licence exists.
Between them is nearly everyone: the twelve-provider clinic, the ICU that wants to fix its own rota without raising an RFP, the ninety-bed skilled-nursing facility, the home care agency running forty caregivers across a county. They have been choosing between a tool that ignores them and a tool that does not understand them. Most of them chose neither and went back to the spreadsheet, which is why the largest incumbent in this category is still Excel.
So MedAligna is the third option: enterprise rule depth, bought like a SaaS product. The rules are not a lighter version of the enterprise ones: an expired licence is refused here exactly as it would be refused there. What is smaller is the buying process, and that is a deliberate trade. A department that can start on a card today does not need us to win a procurement cycle first, and a procurement cycle is the only thing the incumbents are genuinely better at.
Is MedAligna a payroll provider?
No, and that is a boundary we drew on purpose, not a gap we are hoping you will not notice.
We capture the hours and export them: a timesheet CSV your payroll system imports, and the quarterly CMS Payroll-Based Journal file. Your payroll provider turns those hours into money. We never calculate net pay, never withhold or file taxes, and never move money to an employee. Crossing that line would turn a $99-a-month scheduler into a regulated payroll processor carrying tax-filing and money-transmission obligations, and we would rather do one job properly than two badly.
What that boundary buys us is a narrower promise we can actually keep: the hours are right. They have to be, because they feed someone's paycheque at somebody else's provider, and nobody downstream is going to catch our arithmetic. A 19:00–07:00 night shift is eleven real hours the week the clocks go forward and thirteen the week they go back. Export twelve both times and you have shorted a nurse an hour of her life in November. Every duration in MedAligna is computed on elapsed instants rather than on wall-clock subtraction, which is an unglamorous sentence that is doing most of the work on this page.
The same boundary is why the labour figure on the schedule grid carries a tilde and the word est. rather than presenting a tidy exact number. It exists so a charge nurse can see roughly what a decision costs while she is still making it. It is a budgeting estimate, not a wage figure, and it must never read as a pay statement, so it does not.
So what else is MedAligna not?
This category is crowded with things that sound similar and behave nothing alike. The fastest way to understand us is what we refuse to be.
Not a staffing agency.
We do not place clinicians and we do not take a cut of anyone's pay. We fill your open shift from your own staff, your float pool, and your other sites, and only then tell you to call an agency. The money that saves you is the point.
Not a marketplace.
There is no pool of strangers here. A marketplace has to pay its workers, which makes it an employer, and it has to keep them supplied, which makes it a recruiter. We are neither. We make the people you already employ go further.
Not an appointment book.
We schedule your staff (which nurse works Tuesday night), not your patients. Patient booking is a practice-management or EHR job. Both products are unfortunately called 'medical scheduling software', and that single collision is the most common mix-up in this category.
Not an enterprise platform.
No RFP, no discovery call, no six-month implementation, no quote form. A charge nurse with a card can fix her own unit's roster this afternoon. That is not a limitation; it is the entire distribution strategy.
How does MedAligna make money?
Subscriptions. That is the whole list, and the shortness of the list is the point.
A facility pays $99, $149 or $249 per month per location, month to month, published on the pricing page rather than quoted after a call. Three or more locations get twenty per cent off; annual billing is two months free. Staff never pay: not for the app, not for the credential wallet, not ever. There is nothing else: no setup fee, no implementation fee, no per-seat creep, no metered surprise at the end of a busy month.
And nothing on the other side either. We take no cut of anyone's pay, we take no referral fee from a staffing agency, and we do not sell or broker your data. That last one sounds like a platitude until you notice what it protects: MedAligna escalates an open shift through your own staff, then your float and per-diem pool, then your other locations, and only then suggests an agency, and shows you what filling it internally avoided.
That waterfall is only coherent if nobody is paying us for the referral. A scheduler funded by an agency has a quiet reason to run out of your own people early, and you would never be able to prove it was doing so. Ours is funded by you, which is the only arrangement under which the advice at the bottom of the waterfall is worth reading.
Who makes MedAligna?
The people who answer its email. There is no account executive between you and them.
MedAligna is built by a small team working on one product. Nobody here is paid to book you a discovery call, and there is no tier of support staff whose job is to decide whether your question deserves to reach somebody who knows the answer. Send a security questionnaire, a migration question, or a rule you think we have got wrong, and you get an engineer replying in writing, with the reasoning, not a PDF.
That arrangement scales badly on purpose. It is also the reason the rest of this site is written the way it is: when the person who wrote the duty-hour averaging window is also the person who has to answer for it in an email, the marketing copy stays close to what the software actually does.
Ask us something difficult.
hello@medicalstaffscheduling.comHow do you decide what to build?
Six rules. They are not aspirations: each one is visible in the product, and you can hold us to all of them.
Refuse, don't remind
A warning that lets you do the thing anyway is not a control. If an assignment would put an unlicensed person on a floor, the software says no, and explains itself.
The database is the truth
Rules that live only in application code get bypassed by the next feature. Ours live in Postgres: row locks, tenant isolation, an append-only audit trail nobody can edit, including us.
Get the hours right
A night shift is thirteen hours the week the clocks go back. Export twelve and you have shorted a nurse. Boring correctness is the whole job.
Say the checkable thing
No invented testimonials, no borrowed logos, no compliance claims we have not earned. If we cannot prove it, we do not print it.
The staff are users, not inventory
Their credentials belong to them. Their swaps are honoured. Their claimed shift is not taken back an hour later. A tool the floor resents is abandoned on the day it matters.
Leaving must be easy
Month to month, one-click export, and a cancelled account goes read-only rather than dark. You cannot honestly ask someone to trust you with the roster and then hold it hostage.
Judge it by the product
We have no logos to show you and no reviews to point at. What we have is a working scheduler you can drive right now, without giving us an email address.