What James River Cardiology does

James River Cardiology is a multi-subspecialty cardiovascular medical practice headquartered in Colonial Heights, Virginia, with six clinic locations spanning the Richmond metropolitan area, Southside Virginia, and Emporia. Founded around 2010, the practice employs 12 or more board-certified cardiologists across general cardiology, interventional cardiology, electrophysiology, structural/valvular heart disease, and vascular/interventional radiology, supported by roughly 18 advanced practitioners (NPs and PAs). Its core service offering spans the full cardiovascular continuum — outpatient consultation, advanced imaging diagnostics (echocardiography, nuclear medicine, vascular ultrasound), minimally invasive interventional procedures (TAVR, MitraClip, complex PCI, ablation, pacemakers/ICDs, Watchman), and preventive cardiology — delivered across its owned clinics and through hospital privileges at six regional medical centers including CJW Medical Center, Southside Regional, Tricities, Southern Virginia, Southampton, and Select Specialty Hospital.

The practice operates a fee-for-service revenue model, billing through a diversified payer mix that includes Aetna, Anthem, United Healthcare, Cigna, Humana, Medicare, Medicaid, and Tricare. Patient acquisition is driven by physician referrals, the practice's regional reputation built over more than a decade, and a direct-to-consumer digital presence (website, Facebook, Instagram). In June 2023, the practice entered into a growth equity partnership with RC Capital, which established Aligned Cardiovascular Partners as a parent platform entity with Rob Jardeleza appointed CEO; the platform is positioned for expansion beyond Richmond and the addition of new cardiovascular practices. The underlying technology stack is conventional clinical equipment and the athenahealth EHR/patient portal, with no disclosed AI or proprietary software products.

Name

James River Cardiology

Legal name

Aligned Cardio Partners

Website

https://jamesrivercardiology.com

Company type

Private

Founded year

2013

Operating status

Operating

Headcount range

11–50 employees

Short description

James River Cardiology is a multi-subspecialty cardiovascular practice operating six clinics and six hospital affiliations across Central and Southside Virginia, providing general, interventional, electrophysiology, and structural heart care to adult patients under a fee-for-service model.

Ownership category

akta.pro rank

Product category

Cardiology Services

NAICS

Offices of Physicians (62111)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011)

akta.pro primary industry

General Cardiology (Consultative) (HLAKABAA)

akta.pro secondary industries

Interventional Cardiology (PCI/Structural Heart) (HLAKABAB), Vascular Medicine (Peripheral Arterial/Venous Disease) (HLAKABAG), Heart Failure & Transplant Cardiology (HLAKABAD), Cardiac Diagnostic Centers (Echo/Stress Testing/Holter) (HLAFAKAE)

Keywords

• Cardiology services
• Interventional cardiology
• Electrophysiology procedures
• Cardiac diagnostic imaging
• Vascular disease treatment

Headquarters

HQ city

Colonial Heights

HQ country

United States

HQ region

North America

Offices6 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Patient Care Services: Fee-for-service healthcare revenue generated from comprehensive cardiovascular evaluations, diagnostic procedures, interventional treatments, electrophysiology services, and ongoing cardiac care management across multiple specialty areas including general cardiology, interventional cardiology, and structural heart disease treatment.

Pricing tiers

Go-to-market motion1 record

Distribution channels2 records

Marketing channels4 records

Core offering

James River Cardiology provides comprehensive cardiovascular care services spanning general cardiology, interventional cardiology, electrophysiology, and preventive cardiology. The practice delivers diagnostic and treatment services across six office locations in Central Virginia, with hospital affiliations enabling advanced procedures including TAVR, MitraClip, complex coronary interventions, and structural heart disease treatments. Care is supported by advanced diagnostic capabilities including echocardiography, nuclear medicine, vascular ultrasound, and stress testing, and includes cardiac rhythm management through ablation, pacemaker and ICD implantation, and Watchman procedures.

Product overview

James River Cardiology operates as a cardiovascular care practice offering a unified set of services rather than a modular product platform. The practice provides general cardiology, interventional cardiology, electrophysiology, and preventive cardiology services, supported by comprehensive diagnostic capabilities including echocardiography, stress testing, nuclear medicine, and vascular ultrasound. The practice specializes in treating conditions such as coronary artery disease, peripheral vascular disease, heart failure, structural/valvular heart disease, venous disease, and arrhythmias. The practice is affiliated with multiple hospitals in the Richmond, Virginia area including CJW Medical Center, Southside Regional Medical Center, and Southampton Medical Center.

Differentiator

Problem solved

Functional benefit

Products and services

• General Cardiology Services Comprehensive cardiovascular care including diagnosis and treatment of heart conditions by board-certified cardiologists, for adult patients with cardiovascular concerns.
• Interventional Cardiology Minimally invasive catheter-based procedures for treating cardiovascular conditions including coronary artery disease and structural heart disease, performed by specialized interventional cardiologists.
• Electrophysiology Diagnosis and treatment of heart rhythm disorders including atrial fibrillation, with services covering ablation procedures, pacemakers, ICD implantation, leadless pacemakers, and Watchman procedures.
• Preventive Cardiology Risk assessment and management programs designed to prevent cardiovascular disease through lifestyle modifications, risk factor management, and early intervention for at-risk adult patients.
• Comprehensive Heart Evaluation Services Advanced diagnostic testing services including echocardiography, stress testing, nuclear medicine, and vascular ultrasound for comprehensive cardiovascular evaluation.
• Coronary Artery Disease Treatment Diagnosis and management of coronary artery disease including complex coronary interventions for patients with coronary artery disease.
• Peripheral Vascular Disease Treatment Minimally invasive treatments for peripheral arterial and venous diseases, including arterial disease management.
• Heart Failure Management Comprehensive care for heart failure patients including CardioMEMS remote monitoring and mechanical circulatory support.
• Structural/Valvular Heart Disease Treatment Advanced structural heart interventions including TAVR, MitraClip, TMVR, and PFO/ASD closure procedures for patients with valvular and structural heart disease.
• Venous Disease Treatment Treatment for venous insufficiency and related venous conditions, delivered through minimally invasive approaches.
• Arrhythmia/Rhythm Management Comprehensive cardiac rhythm management including ablation procedures, pacemakers, ICD devices, and cardiac arrhythmia monitoring.

Named customers1 record

Segments2 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration1 record

Feature3 records

Partnerships

Seven partnerships are on record, tiered core and minor.

• Aligned Cardiovascular PartnerscoreOthers · 14 June 2023Parent organization created through the RC Capital investment, bringing together cardiovascular physician practices to improve patient access and care quality through collaborative approach.
• CJW Medical CentercoreOthersHospital affiliation for cardiac procedures and inpatient care services.
• Southside Regional Medical CentercoreOthersBon Secours hospital affiliation for cardiac procedures and inpatient care.
• Tricities Hospital (John Randolph Medical Center)coreOthersHCA Virginia hospital affiliation for cardiac procedures.
• Southern Virginia Medical CentercoreOthersBon Secours hospital affiliation for cardiac procedures and inpatient care.
• Southampton Medical CentercoreOthersBon Secours hospital affiliation for cardiac procedures and inpatient care.
• Select Specialty HospitalminorOthersLong-term acute care hospital affiliation for specialized patient care.

Scale indicators3 records

Recent moves6 records

Expansion highlights5 records

Regional players

• MedStar Heart & Vascular Institute: Mid-Atlantic integrated cardiology program operating across the DC/Maryland/Virginia region. Comparable in full-spectrum service line (interventional, EP, structural heart) and physician-led delivery model, though primarily serving the I-95 corridor north of Richmond.

Broad incumbents

• Novant Health Heart & Vascular Institute: Regional health system with integrated cardiology service line across the Mid-Atlantic. Comparable as a multi-site cardiology delivery model operating under a parent health system umbrella.
• VCU Health Pauley Heart Center: Academic cardiovascular center at Virginia Commonwealth University in Richmond. Competes for complex cases, trains many of JRC's physicians (per bios), and represents the academic alternative for advanced cardiac care in the region.
• Bon Secours Mercy Health (Richmond Cardiology): Large Catholic health system operating multiple Richmond-area hospitals affiliated with JRC (Southside Regional, Southern Virginia, Southampton). Provides integrated cardiology services and competes for the same patient base with employed-physician model.
• HCA Virginia Health System: Operates CJW Medical Center and Tricities Hospital, two of JRC's key hospital affiliations. Health-system-owned cardiology programs compete directly for procedural volume and primary care referrals in the same catchment.
• Cardiovascular Associates of America: National cardiology practice management organization consolidating independent cardiology groups. Functionally analogous to Aligned Cardiovascular Partners at greater scale, representing both a competitive and exit-comparable model.

Direct peers

• US Heart & Vascular: PE-backed cardiology platform aggregating independent cardiovascular practices across multiple states. Closest business-model peer to Aligned Cardiovascular Partners, demonstrating the same physician practice management consolidation thesis.
• Cardiology Consultants of Virginia: Mid-Atlantic independent cardiology practice offering multi-subspecialty cardiovascular care. Comparable in business model (physician-owned, fee-for-service) and service breadth (interventional, EP, general cardiology).
• Cardiovascular Associates of Virginia: Independent multi-specialty cardiology practice based in central Virginia; former employer of JRC's Executive Director. Directly comparable as a regional independent cardiology group offering general, interventional, and electrophysiology services to similar patient populations.
• Virginia Cardiovascular Specialists: Richmond-based independent cardiology group providing general, interventional, and electrophysiology care. Closest geographic and service-line peer, competing for the same physician referrals and patients across Central Virginia.

Market position

Strengths1 record

Weaknesses5 records

Competitive moat4 records

Key risks5 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/jamesrivercardiology
• Instagraminstagram.com/jamesrivercardiology
• Xx.com/drkareemniazi1
• LinkedInlinkedin.com/company/james-river-cardiology

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Funding overview

Funding rounds1 record

Investors1 record

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 James River Cardiology