What Radiology Alliance does

Radiology Alliance, P.C. is Tennessee's largest private radiology practice group, providing professional diagnostic and interventional radiology services across a multi-hospital and outpatient footprint in Middle Tennessee and Southern Kentucky. Founded in 2001 through the merger of three Nashville-area practices (Associated Radiologists, Radiology Associates of Nashville, and Radiology Consultants), the group has operated continuously for over two decades and currently holds an exclusive radiology contract with TriStar Health System (HCA-affiliated) covering nine hospitals plus affiliated outpatient imaging centers, the Cool Springs Interventional outpatient facility in Franklin, and ancillary partners such as Tennessee Oncology and Heritage Medical Associates. The practice operates as a professional corporation within the Radiology Partners national consortium, having previously joined MEDNAX Radiology Solutions as a founding on-site group in 2017.

The practice's service portfolio spans six subspecialty service lines — interventional radiology, musculoskeletal imaging, neuroradiology, oncology imaging, pediatric radiology, and women's imaging — delivered across a full modality stack including MRI, CT, PET/CT, digital mammography with tomosynthesis, breast MRI, ultrasound, X-ray, fluoroscopy, DEXA, and nuclear medicine. All radiologists are board-certified by the American Board of Radiology with a minimum of 12 years of training, and the group maintains 24/7 coverage including an in-house overnight coverage model (2016) and a Central Read evening operation (5–11 p.m.). Teleradiology capabilities have existed since 1995, and the practice developed the Incidental Findings Program in 2020 — the first such program in the Southeast U.S.

Radiology Alliance generates revenue through professional radiology interpretation and procedural fees billed per imaging encounter, with patients often receiving a separate bill from the radiologist independent of the facility charge. The practice accepts Medicare, Medicaid, TennCare, Tricare, and a broad set of commercial payers. Distribution is exclusively direct — services are delivered by Radiology Alliance physicians within TriStar hospitals, TriStar outpatient imaging centers, and a small set of affiliated partner facilities — with no reseller or distribution intermediary. The practice is privately held, does not disclose revenue, has no public funding rounds, and operates within the Radiology Partners consortium structure.

Name

Radiology Alliance

Legal name

Radiology Alliance, P.C.

Website

https://radalliance.com

Company type

Private

Founded year

2001

Operating status

Operating

Short description

Radiology Alliance is Tennessee's largest private radiology practice, providing diagnostic and interventional imaging services exclusively across 9 TriStar Health System hospitals and affiliated outpatient centers in Middle Tennessee and Southern Kentucky, operating as a Radiology Partners practice.

Ownership category

akta.pro rank

Product category

Radiology Services

NAICS

Diagnostic Imaging Centers (621512), Ambulatory Health Care Services (621)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Specialty Outpatient Facilities, Nec (8093), Services-Health Services (8000)

akta.pro primary industry

Advanced Imaging & Specialty Radiology Centers (PET/CT, Nuclear Medicine, Interventional Radiology) (HLAFAKAB)

akta.pro secondary industries

Radiology Imaging Centers (X-ray/CT/MRI/Ultrasound) (HLAFAKAA), Women’s Imaging & Breast Health Centers (HLAFAJAJ)

Keywords

• Diagnostic radiology services
• Interventional radiology
• Medical imaging services
• Subspecialty radiology
• Hospital radiology coverage

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, Infrastructure, Marketing or Sales, Others

Revenue model

1. Professional Radiology Services: Each visit for medical imaging is billed separately. Patients may receive a bill directly from their radiologist, separate from the facility where the imaging procedure was performed. The practice accepts various insurance plans including Medicare, Medicaid, TennCare, Tricare, and major commercial insurers.

Go-to-market motion2 records

Distribution channels3 records

Marketing channels2 records

Core offering

Radiology Alliance is a private radiology practice group that delivers professional radiology interpretation and image-guided procedure services across a full range of diagnostic imaging modalities, organized into subspecialty service lines including interventional radiology, musculoskeletal imaging, neuroradiology, oncology imaging, pediatric radiology, and women's imaging. The practice is the exclusive radiology provider for 9 TriStar Health System hospitals in Middle Tennessee and Southern Kentucky and operates outpatient imaging sites including Cool Springs Interventional. Services are billed separately from facility fees to patients and insurers including Medicare, Medicaid, TennCare, Tricare, and major commercial plans.

Product overview

Radiology Alliance is a radiology practice group offering a comprehensive portfolio of medical imaging services and subspecialty radiology care. The core offering consists of diagnostic imaging across multiple modalities (X-ray, CT, MRI, ultrasound, nuclear medicine, PET/CT, fluoroscopy, DEXA) supporting six subspecialty service lines: Interventional Radiology, Musculoskeletal Imaging, Neuroradiology, Oncology Imaging, Pediatric Radiology, and Women's Imaging. The practice operates across 9 TriStar Health System hospitals in Middle Tennessee and Southern Kentucky, plus numerous outpatient imaging centers. Key facilities include Cool Springs Interventional for outpatient procedures, and Image Alliance Nashville PET. Notable capabilities include teleradiology services since 1995 and the 2020-developed Incidental Findings Program, the first in the Southeast USA. The practice was formed through mergers in 2001 and 2011 and has over 70 years of combined radiologist experience, with physicians handling over 500,000 cases per year.

Differentiator

Problem solved

Functional benefit

Products and services

• Diagnostic Imaging Comprehensive diagnostic imaging services using X-rays, magnetic fields, ultrasound, and computer-based modalities (CT, MRI, ultrasound, X-ray, nuclear medicine, PET/CT, fluoroscopy, DEXA, CTA/MRA) to produce images for diagnosis of medical conditions. Provided to patients, referring physicians, and hospitals across the TriStar Health network.
• Interventional Radiology Minimally invasive image-guided procedures for diagnosis and treatment of vascular and nonvascular diseases, performed using CT, MRI, MRA, ultrasound, and X-ray guidance. Delivered to hospital inpatients and outpatients, including at Cool Springs Interventional.
• Musculoskeletal Imaging
• Neuroradiology
• Oncology Imaging Cancer-focused imaging using CT, MRI, MRA, and PET/CT for detection, diagnosis, and staging of various cancers. Delivered to oncologists, hospitals, and cancer patients, with a historical anchor in the practice's 2001 partnership with Tennessee Oncology.
• Pediatric Radiology
• Women's Imaging
• Teleradiology Services Remote radiology interpretation services providing expanded overnight and rural coverage. Established 1995; first group to set up teleradiology systems for expanded overnight radiology coverage (2002–2005) with a Central Read location providing evening coverage.
• Cool Springs Interventional Outpatient medical facility specializing in diagnostic and therapeutic radiologic procedures including epidural injections, vertebroplasty, kyphoplasty, nerve blocks, radiofrequency ablation, joint injections, and fluoroscopic diagnostic and therapeutic lumbar punctures. Located in Franklin, TN.
• Incidental Findings Program Clinical program for identifying, tracking, and managing incidental findings discovered during imaging exams that may require follow-up. First of its kind in the Southeast USA and fourth in the nation.

Quantifiable outcome

• Radiology Alliance works with the 9 TriStar Health System hospitals
• +1 more outcomes

Named customers4 records

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

Five partnerships are on record, tiered major, core and flagship.

• Cool Springs InterventionalmajorStrategic or Co-development Partner · 1 January 2018Established partnership with Cool Springs Interventional in 2018. Cool Springs Interventional is dedicated to providing expert and efficient outpatient medical care offering a variety of diagnostic and therapeutic radiologic medical procedures.
• MEDNAX Radiology SolutionscoreStrategic or Co-development Partner · 1 January 2017Became the first on-site radiology group to join MEDNAX as a founding group of what became MEDNAX Radiology Solutions in 2017. This partnership provided access to national resources and expertise while maintaining local practice operations.
• Tennessee OncologyflagshipStrategic or Co-development Partner · 1 January 2001Collaborated with Tennessee Oncology to open the first PET/CT scanner in Tennessee in 2001. The PET/CT unit was the second unit in the United States and fourth unit in the world, marking a significant advancement in oncology imaging services.
• TriStar Health SystemcoreStrategic or Co-development PartnerRadiology Alliance is TriStar's Exclusive Radiology Provider for 9 hospitals in Middle Tennessee and Southern Kentucky. The partnership involves providing comprehensive radiology services including diagnostic imaging, interventional radiology, and subspecialty consultations at all TriStar facilities.
• Radiology PartnerscoreStrategic or Co-development PartnerRadiology Alliance is a Radiology Partners practice. References to Radiology Partners include its consortium of radiology practices across the U.S. that are licensed to practice medicine and provide patient care.

Scale indicators4 records

Recent moves10 records

Expansion highlights5 records

Broad incumbents

• Radiology Partners: Radiology Partners is the national parent consortium of Radiology Alliance and the largest PE-backed radiology practice network in the U.S. It is comparable as the umbrella organization whose economics, strategy, capital structure, and operating playbook directly shape Radiology Alliance's growth and exit path.
• MEDNAX Radiology Solutions: MEDNAX's radiology solutions division was co-founded with Radiology Alliance in 2017. It is comparable as a national radiology practice platform serving hospitals and IDNs with subspecialty coverage, teleradiology, and 24/7 reading services.
• US Radiology Specialists: US Radiology Specialists is a PE-backed national radiology practice platform with a similar IDN-anchored, subspecialty model. Comparable in business model (consolidated IDN contracts, multi-modality coverage) and competitive positioning against regional groups seeking scale advantages.
• RadNet: RadNet is the largest U.S. outpatient imaging center operator (publicly traded, LE: xxxx) with a heavy presence in women's imaging, oncology imaging, and AI-enabled reading workflows. Comparable as a multi-modality, multi-state imaging services platform and as a competitor for outpatient imaging volumes in overlapping regional markets.
• HCA Healthcare Radiology Services: HCA Healthcare is the parent of TriStar Health System and operates a national hospital radiology services footprint (including integrated radiology partnerships). Comparable as the strategic counterparty on Radiology Alliance's exclusive contract and as a broader competitor in hospital-based radiology sourcing.

Direct peers

• Virtual Radiologic (vRad): vRad is a major teleradiology provider offering remote interpretation to hospitals and imaging centers across the U.S. Directly comparable as a radiology services peer with overlapping teleradiology, subspecialty reads, and overnight coverage capabilities that compete for the same hospital customers.
• RAYUS Radiology (formerly CDI): RAYUS Radiology is a national outpatient imaging center operator and subspecialty radiology services provider. Comparable in offering multi-modality diagnostic imaging, women's imaging, MSK, and interventional radiology across owned centers, with similar payor and IDN relationships.
• SimonMed Imaging: SimonMed Imaging is one of the largest outpatient radiology groups in the U.S., providing diagnostic imaging, women's imaging, and interventional services. Comparable as a multi-modality, multi-site radiology services operator targeting similar referring physicians, payors, and patient populations.

Emerging players

• AKASA: AKASA is an AI-powered revenue cycle automation platform purpose-built for healthcare, including radiology practices. Comparable as an emerging technology vendor targeting the operational and billing workflows of radiology groups like Radiology Alliance.

Others

• Aidoc: Aidoc is a clinical AI platform for imaging workflows (triage, detection, and workflow prioritization) used by hospital radiology departments. Comparable as an adjacent AI technology provider whose adoption by health systems could reshape the radiology value chain and affect Radiology Alliance's reading economics.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xtwitter.com/radalliance
• LinkedInlinkedin.com/company/radiology-alliance

Revenue estimate

Valuation estimate

Number of profiles

Subsidiaries1 record

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 Radiology Alliance