Outpatient Imaging Affiliates
Outpatient Imaging Affiliates is a Nashville-based, Cranemere-backed operator that co-owns and manages nearly 60 outpatient imaging centers through minority joint ventures with 17+ hospital systems and academic medical centers across 15+ U.S. states.
- Company typePrivate
- Founded2000
- HeadquartersNashville, United States
- Headcount501–1,000
- GTM typeB2B
- OfferingServices
What Outpatient Imaging Affiliates does
Outpatient Imaging Affiliates (OIA) is a Franklin/Nashville, Tennessee-based outpatient imaging platform founded in 2000 by Frank Kyle. The company partners with hospitals, health systems, and academic medical centers to develop, manage, and co-own freestanding outpatient imaging centers. OIA's defining structural feature is its joint venture model: it takes a minority equity position (typically 20-33%) alongside majority hospital partners, co-invests its own capital, arranges non-recourse financing at the LLC level, and delivers a full suite of management services while partners retain operational and strategic control through board majority.
OIA's core services comprise IDTF development, day-to-day operations management under "The Five Pillars of Operational Excellence," information technology and EMR integration, imaging center marketing, acquisitions support, and revenue cycle management. The technology stack is a unified platform with paperless registration, text-based patient reminders, and hospital EMR integration to preserve data and image continuity across the enterprise. The company does not expose public or partner APIs and discloses no proprietary AI/ML assets. Distribution is exclusively B2B enterprise — direct field sales and business development targeting hospital C-suites — with services delivered through ~60 imaging center locations across 15+ states and 17+ health system partners (including UVA, Jefferson, MedStar, Wake Forest Baptist, MUSC, BJC, Keck Medicine of USC, and Hackensack Meridian). The revenue model combines management fees, marketing/RCM services, and minority equity distributions from the underlying JVs; pricing is not publicly disclosed but is positioned as a lower-cost alternative to hospital-based imaging.
OIA has been majority-owned by The Cranemere Group since October 2021, with management retaining a meaningful equity stake; prior to that it was a portfolio company of ICV Partners. Under Cranemere, the company has pursued a dual growth strategy of new health system JV formation (four in roughly two years through 2025) and tuck-in acquisitions (Florida 2021, Alabama 2021). The company has been recognized through multiple Press Ganey Guardian of Excellence Awards across consecutive years at several sites, and customer outcomes are documented in case studies citing 65% reductions in patient leakage at partner health systems.
Outpatient Imaging Affiliates firmographics
Firmographics- Name
- Outpatient Imaging Affiliates
- Legal name
- Outpatient Imaging Affiliates, LLC
- Website
- https://oiarad.com
- Company type
- Private
- Founded year
- 2000
- Operating status
- Operating
- Headcount range
- 501–1,000 employees
- Short description
- Outpatient Imaging Affiliates is a Nashville-based, Cranemere-backed operator that co-owns and manages nearly 60 outpatient imaging centers through minority joint ventures with 17+ hospital systems and academic medical centers across 15+ U.S. states.
- Ownership category
- akta.pro rank
Outpatient Imaging Affiliates industry classification
Industry- Product category
- Outpatient Diagnostic Imaging Services
- NAICS
- Diagnostic Imaging Centers (621512), Ambulatory Health Care Services (621), Outpatient Care Centers (6214), All Other Outpatient Care Centers (621498)
- SIC
- Services-Specialty Outpatient Facilities, Nec (8093), Services-Facilities Support Management Services (8744)
- akta.pro primary industry
- Radiology Imaging Centers (X-ray/CT/MRI/Ultrasound) (HLAFAKAA)
- akta.pro secondary industries
- Hospital Shared Services, GPOs & System Support Organizations (HLAFAAAO), Imaging & Diagnostic Interoperability (DICOM exchange, image sharing, VNA connectivity) (HLACABAM), Universal Viewers & Enterprise Imaging Access (Zero-footprint/Diagnostic) (HLACALAD), Academic Medical Centers & Teaching Hospitals (University-Affiliated) (EDAHAGAA)
Keywords
Where Outpatient Imaging Affiliates is headquartered
LocationHeadquarters
- HQ city
- Nashville
- HQ country
- United States
- HQ region
- North America
Offices2 records
Markets served
Outpatient Imaging Affiliates business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure
Revenue model
- Joint Venture Management Services: OIA invests equity in each joint venture project alongside hospital partners and provides development, management, marketing, billing and collection services to the joint venture. OIA takes a minority ownership position (typically 20-33%) while hospital partners maintain operational and strategic control. The LLC has its own Board of Directors with majority controlled by the partner.
- Minority Equity Investment Returns: OIA provides capital solutions by investing its own equity alongside partners in joint ventures. The financial model minimizes partners' initial cash outlay and finances growth on the balance sheet of the LLC. Partners receive cash distributions in proportion to ownership.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Unit Pricing | Pay-as-you-go | Cost-effective outpatient imaging services |
Go-to-market motion1 record
Distribution channels3 records
Marketing channels6 records
Outpatient Imaging Affiliates product offering
Product offeringCore offering
Outpatient Imaging Affiliates develops, owns (as a minority partner), and manages outpatient diagnostic imaging centers in joint venture partnerships with hospitals, health systems, and academic medical centers. OIA invests its own equity alongside hospital partners and delivers a full suite of services — center development, day-to-day operations management, marketing, IT integration with hospital EMRs, acquisitions support, and revenue cycle (billing and collections) — across nearly 60 imaging locations in 15+ states.
Product overview
Outpatient Imaging Affiliates (OIA) operates as a radiology partnership company offering a comprehensive platform of outpatient imaging center management services. The company's primary offering is its joint venture partnership model, in which OIA invests equity alongside hospital partners and provides five core services: IDTF Development (for developing new outpatient imaging centers), Operations Management (day-to-day center management), Information Technology Services (unified technology platform with EMR integration), Acquisitions (acquisition support for existing centers), and Imaging Center Marketing (sales and promotional services). OIA also provides Revenue Cycle Management (billing and collections). All services are delivered through a minority ownership structure where hospital partners maintain operational and strategic control. The company manages approximately 60 outpatient imaging center locations nationwide across its joint ventures, with recent expansions including new partnerships with Keck Medicine of USC (California), BJC HealthCare (Missouri/Illinois), and Medical University of South Carolina (South Carolina).
Differentiator
Problem solved
Functional benefit
Products and services
- IDTF Development (Independent Diagnostic Testing Facility Development) End-to-end development of new outpatient imaging centers as Independent Diagnostic Testing Facilities (IDTFs), including site selection, design, financing arrangement, and operational setup, delivered to hospital and health system joint venture partners.
- IDTF Operations Management Day-to-day operations management of outpatient imaging centers based on OIA's Five Pillars of Operational Excellence, including staffing, scheduling, compliance, and ongoing operational oversight, delivered to hospital joint venture partners.
- Information Technology and Services Unified technology platform with industry-leading integration to hospital EMR systems, including paperless patient registration, data and image sharing across the enterprise, and IT solutions that facilitate value-based healthcare operations for joint venture imaging centers.
- Imaging Center Acquisitions Identification, evaluation, and execution of acquisition opportunities for outpatient imaging centers seeking exit strategies, providing hospital partners a cost-effective alternative to de novo center development.
- Imaging Center Marketing Dedicated sales and marketing services for outpatient imaging centers, including staff recruiting and training, sales and promotional plan implementation, referral pattern monitoring, and representation at medical symposiums and community functions.
- Revenue Cycle Management (Billing and Collections) Billing, collections, and revenue cycle services provided to joint venture imaging centers on behalf of hospital partners and the JV LLC.
- Joint Venture Partnership (Minority Equity) OIA's signature business model — investing its own equity (typically 20-33% minority ownership) alongside hospital and health system partners in joint venture LLCs while providing development, operations management, IT, marketing, and revenue cycle services. Hospital partners maintain majority ownership and operational/strategic control.
Quantifiable outcome
- 65% decrease in patient leakage
- +4 more outcomes
Companies that use Outpatient Imaging Affiliates
Customer profileNamed customers13 records
Segments3 records
Ideal customer profiles2 records
Outpatient Imaging Affiliates technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature3 records
Outpatient Imaging Affiliates partnerships and signals
Strategic signalPartnerships
16 partnerships are on record, tiered core and secondary.
- Keck Medicine of USCcoreOIA collaborates with Keck Medicine of USC to provide imaging center management, marketing, and revenue cycle services at new state-of-the-art outpatient imaging center in Pasadena, California. OIA worked with Keck Medicine on design, development, and day-to-day operations of the 100,000-square-foot medical office building location.
- BJC HealthCarecoreOIA formed joint venture with BJC HealthCare to create BJC Outpatient Imaging LLC, expanding access to outpatient diagnostic imaging across greater St. Louis region and southern Illinois. BJC is one of the nation's largest nonprofit integrated academic health care systems. Certificate of need filed for first center in West County, St. Louis.
- Medical University of South Carolina (MUSC)coreOIA and MUSC formed joint venture to build network of outpatient imaging center locations across South Carolina, supporting MUSC's growing network of hospitals, physicians, and healthcare locations. The partnership aims to exceed patient expectations, expand access, and improve outcomes across the state.
- Atrium Health Wake Forest BaptistcoreOIA expanded its joint venture with Atrium Health Wake Forest Baptist to open third location in Greensboro, NC at Medical Office Building at Friendly Center. The relationship dates back to 2008 with over 650,000 imaging studies performed. Two existing sites operate in Winston-Salem and Kernersville.
- UConn Health (University of Connecticut)coreUConn Health partnered with OIA to develop its first off-campus outpatient imaging center in Farmington, Connecticut. The collaboration addresses patient access issues and appointment wait times while modernizing non-hospital imaging services. Center opened in April 2024 inside UConn Health's new Brain and Spine Institute.
- University of Tennessee Medical CentercoreOIA partnered with UT Medical Center forming University Diagnostics joint venture. OIA contributed Outpatient Diagnostic Center of Knoxville while UT Medical Center contributed two locations. Three centers collectively branded as University Diagnostics in Knoxville market.
- UVA Health (University of Virginia Health System)coreOIA partnered with UVA since 2002 to develop outpatient imaging locations. The partnership serves over 100,000 patients annually across five locations, with sixth location opening at Ivy Mountain orthopedic facility in Charlottesville. OIA's longest tenured partner relationship.
- Vanderbilt HealthcoreOIA acquired minority interest in Vanderbilt Imaging Services LLC and New Light Imaging LLC. OIA contributed its Nashville center to the partnership. The relationship formalizes OIA's close association with Vanderbilt since inception in 2000 for Middle Tennessee market growth.
- AU Health (Augusta University Health)coreAU Health partnered with OIA to develop and operate its first free-standing outpatient imaging center in Augusta, GA market. Partnership addresses payor steerage, long wait times on campus, and competitive pressure challenges faced by AU Health.
- Novant Health UVA Health SystemsecondaryOIA partnered with Culpeper Medical Center, a Novant Health UVA Health System facility, to develop and operate a full-service outpatient imaging center in Culpeper, Virginia. The center features first 3T MRI capability in the health district.
- Jefferson Health (Thomas Jefferson University)coreOIA has partnered with Jefferson/Thomas Jefferson University for nearly 20 years. OIA helped expand JURA's reach by negotiating acquisitions, arranging financing, marketing, and managing all JURA locations. The partnership includes four locations in the Philadelphia market.
- MedStar HealthcoreOIA selected by MedStar Health in 2016 as strategic outpatient imaging center management partner. MedStar Radiology Network joint venture operates nine outpatient diagnostic service locations in Maryland and Washington D.C. Centers include Bel Air, Brandywine, Lafayette Centre, Hyattsville, Timonium, Bethesda MRI locations in Rockville and Chevy Chase.
- OSF HealthcarecoreOIA is in an imaging center joint venture with OSF Healthcare for Ft. Jesse Imaging center development in Normal, Illinois. Ft. Jesse Imaging & Gale Keeran Center for Women has received multiple Press Ganey Guardian of Excellence Awards.
- Hackensack Meridian HealthcoreOIA is in an imaging center joint venture with Hackensack Meridian Health for diagnostic center development in New Jersey market.
- Novant HealthsecondaryNovant Health UVA Health System partnered with OIA through Culpeper Medical Center joint venture in Virginia, offering first 3T MRI capability in the health district.
- Baptist Memorial Health CaresecondaryOIA partnered with Baptist Memorial Medical Group to jointly own and operate The Imaging Center at Wolf River in Germantown area of Memphis. Joint venture formed with OIA contributing existing Memphis market assets.
Scale indicators10 records
Recent moves9 records
Expansion highlights5 records
Outpatient Imaging Affiliates competitors and assessment
Company assessmentOthers
- Smile Health Dental Group (HCA JV): Not applicable - removed.
- Shields Health Solutions: Shields Health Solutions partners with hospital systems on specialty pharmacy services using a JV/embedded partnership model. While not an imaging company, Shields shares OIA's hospital-JV partnership DNA, embedded operating model, and Cranemere/Welsh Carson-adjacent investor profile, making it a thematically comparable business model peer.
Direct peers
- Akumin: Akumin operates outpatient diagnostic imaging centers and radiology services across the US, similar modality mix to OIA. Recently underwent a balance sheet restructuring; operates freestanding centers with hospital system relationships, though with different ownership model than OIA's hospital-JV structure.
- SimonMed Imaging: SimonMed is one of the largest outpatient imaging networks in the US with ~170 centers, offering MRI, CT, ultrasound, mammography, and other modalities. Direct competitor to OIA in the freestanding outpatient imaging space, primarily operates owned rather than JV model.
- RAYUS Radiology: RAYUS Radiology (formerly Center for Diagnostic Imaging) operates a network of ~150 outpatient imaging centers across the US. Comparable to OIA in modality mix, freestanding center model, and serving hospital system referrals, though operates through both owned and JV structures.
- US Radiology Specialists: US Radiology Specialists is a PE-backed (Welsh Carson) multi-state outpatient imaging platform that partners with hospitals and radiology groups via JV and acquisition models. Most directly comparable to OIA's JV-led approach and hospital partnership focus, though larger and backed by different sponsor.
Broad incumbents
- RadNet: RadNet is the largest US outpatient imaging operator with ~370 centers. While OIA focuses on JV partnerships with hospital systems (minority stakes), RadNet owns/operates centers directly — making it a broader incumbent in the same outpatient imaging space rather than a direct peer in business model.
- Concentra Group Holdings: Concentra operates occupational health and imaging centers across the US as part of broader healthcare services portfolio. While not exclusively focused on diagnostic imaging like OIA, the company operates freestanding outpatient centers serving similar patient demographics and payor relationships.
Emerging players
- Envision Radiology: Envision Radiology operates outpatient imaging centers in multiple states with similar modality offerings to OIA (MRI, CT, X-ray, ultrasound). Smaller scale than OIA but directly comparable freestanding outpatient imaging business model serving community and physician referrals.
- Touchstone Medical Imaging: Touchstone Medical Imaging operates freestanding outpatient imaging centers across multiple US states with similar modality offerings to OIA. Comparable in business model and target customer base (patients and referring physicians), though at smaller scale.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks5 records
Key highlights7 records
Customer concentration
Outpatient Imaging Affiliates financial estimates
Financial estimateRevenue estimate
Valuation estimate
Outpatient Imaging Affiliates leadership team
Management profileNumber of profiles
Profiles6 records
Outpatient Imaging Affiliates subsidiaries and ownership
Company hierarchySubsidiaries4 records
Outpatient Imaging Affiliates funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Outpatient Imaging Affiliates M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Outpatient Imaging Affiliates
What does Outpatient Imaging Affiliates do?
Outpatient Imaging Affiliates develops, owns (as a minority partner), and manages outpatient diagnostic imaging centers in joint venture partnerships with hospitals, health systems, and academic medical centers. OIA invests its own equity alongside hospital partners and delivers a full suite of services — center development, day-to-day operations management, marketing, IT integration with hospital EMRs, acquisitions support, and revenue cycle (billing and collections) — across nearly 60 imaging locations in 15+ states.
Is Outpatient Imaging Affiliates a public or private company?
Outpatient Imaging Affiliates is a private company. It is classified as private equity controlled and is currently operating.
When was Outpatient Imaging Affiliates founded?
Outpatient Imaging Affiliates was founded in 2000. It employs 501 to 1,000 people.
Where is Outpatient Imaging Affiliates based?
Outpatient Imaging Affiliates is headquartered in Nashville, United States, in the North America region.
How does Outpatient Imaging Affiliates make money?
Two revenue lines are on record. Joint Venture Management Services are the primary driver. The others are minority Equity Investment Returns.
Who are Outpatient Imaging Affiliates's main competitors?
Others on record are Smile Health Dental Group (HCA JV) and Shields Health Solutions. Direct peers are Akumin, SimonMed Imaging, RAYUS Radiology and US Radiology Specialists. Broad incumbents are RadNet and Concentra Group Holdings. Emerging players are Envision Radiology and Touchstone Medical Imaging.
Does Outpatient Imaging Affiliates have an API?
No public API is recorded for Outpatient Imaging Affiliates.
What industry is Outpatient Imaging Affiliates in?
Outpatient Imaging Affiliates's product category is Outpatient Diagnostic Imaging Services. Its primary akta.pro industry code is HLAFAKAA, Radiology Imaging Centers (X-ray/CT/MRI/Ultrasound), with a secondary code of HLAFAAAO, Hospital Shared Services, GPOs & System Support Organizations. Its NAICS code is 621512 and its SIC code is 8093.