Outpatient Imaging Affiliates

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.

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

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

• Outpatient imaging services
• Radiology joint ventures
• Medical imaging management
• Hospital imaging partnerships
• Diagnostic imaging operations

Headquarters

HQ city

Nashville

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. 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.
2. 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

Go-to-market motion1 record

Distribution channels3 records

Marketing channels6 records

Core 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

Named customers13 records

Segments3 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

16 partnerships are on record, tiered core and secondary.

• Keck Medicine of USCcoreStrategic or Co-development Partner · 7 October 2025OIA 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 HealthCarecoreStrategic or Co-development Partner · 20 August 2025OIA 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)coreStrategic or Co-development Partner · 3 March 2025OIA 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 BaptistcoreStrategic or Co-development Partner · 1 August 2024OIA 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)coreStrategic or Co-development Partner · 25 April 2024UConn 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 CentercoreStrategic or Co-development Partner · 1 March 2023OIA 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)coreStrategic or Co-development Partner · 1 August 2022OIA 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 HealthcoreStrategic or Co-development Partner · 1 September 2020OIA 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)coreStrategic or Co-development Partner · 1 September 2020AU 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 SystemsecondaryStrategic or Co-development Partner · 1 August 2020OIA 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)coreStrategic or Co-development PartnerOIA 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 HealthcoreStrategic or Co-development PartnerOIA 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 HealthcarecoreStrategic or Co-development PartnerOIA 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 HealthcoreStrategic or Co-development PartnerOIA is in an imaging center joint venture with Hackensack Meridian Health for diagnostic center development in New Jersey market.
• Novant HealthsecondaryStrategic or Co-development PartnerNovant 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 CaresecondaryStrategic or Co-development PartnerOIA 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

Others

• 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

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 records

Subsidiaries4 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Outpatient Imaging Affiliates