This document summarizes a study that explores the relationship between IT outsourcing (ITO) and business and IT alignment. The study aims to provide recommendations for how outsourcing relationships can support business and IT alignment. Through a literature review and analysis of four case studies, the study found that higher levels of motivation for outsourcing, relationship between outsourcer and provider, and alignment maturity of the outsourcer can lead to positive effects of ITO on business and IT alignment. Organizational turbulence on either side can negatively impact the relationship. Service providers also tended to assess relationships more positively than outsourcers.