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Alliance Healthcare Services

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Namestring
Alliance Healthcare Services
Company typeenum
Private
Founded yearint
1983
Descriptiontext

Alliance Healthcare Services is a publicly traded healthcare company (NASDAQ: AIQ) founded in 1983 and headquartered in Newport Beach, California, that provides outpatient radiology and oncology services. According to firmographic data, the company employs between 5,001 and 10,000 people and operates across the United States, with documented activity in the Southeast region. The company's service portfolio has been shaped by inorganic growth, including the 2014 acquisition of Vertical Health Solutions and the 2018 acquisition of e+CancerCare, which extended its capabilities into vertical health solutions and oncology respectively.

The business model centers on operating diagnostic imaging and cancer treatment infrastructure for referring physicians, hospitals, and patients, monetized through procedure-level reimbursement from commercial payors, Medicare, and Medicaid. Alliances with rural healthcare providers emerged as a primary customer segment, including a combined hospital and emergency medical services (EMS) approach targeting financially distressed rural facilities. Pricing, distribution channels, and specific go-to-market mechanics are not publicly disclosed.

Operationally, the company has navigated significant regulatory pressure in 2023. A facility it operated converted to Rural Emergency Hospital (REH) designation in March 2023 to stabilize financially, but CMS subsequently determined the facility did not meet rural classification and forced its exit from the program, eliminating approximately $3 million in annual federal subsidy. Management under CEO Laurie Powell has since publicly appealed to the Marshall County Board of Supervisors for $18-$20 million in public co-investment to build a new hospital facility, signaling a strategic pivot toward public-sector capital partnerships and a combined hospital-EMS delivery model in underserved geographies.

Short descriptiontext

Alliance Healthcare Services is a publicly traded US healthcare company (NASDAQ: AIQ), founded 1983 in Newport Beach, CA, that provides outpatient radiology and oncology services to rural and community healthcare providers through owned facilities and acquired service lines.

Operating statusenum
Operating
Ownership categoryenum
Headcount rangeband
5,001–10,000
akta.pro rankint
HeadquartersNewport Beach, United States
HQ citystring
Newport Beach
HQ countrystring
United States
HQ regionstring
North America
Markets served

Serves global market

Keyword5 values
outpatient radiology services, radiation oncology services, diagnostic imaging services, mobile medical imaging, teleradiology services
Industry3 codes
1Ambulatory Oncology Centers (Outpatient Chemo/Radiation)
CodeHLAFABAIPrimaryYes
2Advanced Imaging & Specialty Radiology Centers (PET/CT, Nuclear Medicine, Interventional Radiology)
CodeHLAFAKABPrimaryNo
3Radiology Imaging Centers (X-ray/CT/MRI/Ultrasound)
CodeHLAFAKAAPrimaryNo
NAICS code3 codes
  • Diagnostic Imaging Centers621512
  • Other Outpatient Care Centers62149
  • Ambulatory Health Care Services621
SIC code2 codes
  • Services-Specialty Outpatient Facilities, Nec8093
  • Services-Health Services8000
Product category
Outpatient Diagnostic Imaging and Radiation Oncology Services
Cost components5 values
Personnel, Operations, Infrastructure, Technology or R&D, Marketing or Sales
GTM typeB2B
B2B
Offering typeServices
Services
Core offering1 text field

Alliance Healthcare Services is a healthcare company that delivers outpatient diagnostic radiology and radiation oncology services to hospitals, health systems, and referring physicians. Offerings include MRI, CT, PET/CT and other imaging modalities as well as radiation therapy, provided through freestanding centers, mobile imaging units, and onsite hospital partnerships supported by teleradiology clinical operations.

Differentiator
Functional benefit
Problem solved
Product and service4 records
1Outpatient Radiology Services
CategoryDiagnostic Imaging
2Outpatient Oncology Services
CategoryRadiation Oncology
3Mobile Diagnostic Imaging
CategoryDiagnostic Imaging
4Hospital Radiology Staffing and Management Services
CategoryHealthcare Management Services
Scale indicator3 records

Each record includes

Type, Value, Description, Source

Recent move5 records

Each record includes

Date, Type, Title, Description, Source

Expansion highlight4 records

Each record includes

Type, Description

Peers10 records
TypeDirect peer
Description

Akumin operates a national network of outpatient imaging centers and radiation oncology services, closely mirroring Alliance's combined radiology and oncology outpatient model across multiple US states.

TypeDirect peer
Description

The US Oncology Network, supported by McKesson, is one of the largest networks of community-based oncology practices, directly comparable to Alliance's oncology services arm acquired via e+CancerCare.

TypeBroad incumbent
Description

Select Medical operates specialty outpatient and inpatient rehabilitation clinics; comparable as a large-scale outpatient services operator facing similar payor dynamics, though focused on rehab rather than imaging.

TypeBroad incumbent
Description

DaVita operates a large network of outpatient service centers and has expanded into integrated kidney care and adjacent specialties; comparable as a scaled outpatient healthcare services platform, though focused on dialysis.

TypeBroad incumbent
Description

HCA is the largest US for-profit hospital operator with substantial outpatient imaging and oncology service lines that compete with Alliance at the facility and referral level.

TypeDirect peer
Description

RadNet is a leading national operator of outpatient diagnostic imaging centers offering MRI, CT, PET, and related services; it is the most direct publicly traded peer to Alliance Healthcare Services' outpatient radiology business.

TypeBroad incumbent
Description

Tenet, through USPI, operates a large network of ambulatory surgery and diagnostic centers; a broad incumbent outpatient services competitor with overlapping payor relationships and referral economics.

TypeBroad incumbent
Description

Surgery Partners operates a national network of short-stay surgical facilities and ancillary services; a broader outpatient services incumbent with adjacent care delivery economics to Alliance's imaging/oncology centers.

TypeEmerging player
Description

Shields Health Solutions builds specialty outpatient pharmacy and care programs within health systems, increasingly in oncology; an emerging player whose outpatient specialty focus intersects with Alliance's oncology strategy.

TypeBroad incumbent
Description

Envision is a large national physician services group with radiology and specialty services exposure; broader in scope than Alliance but overlapping in outsourced outpatient physician services.

Market position
Strengths4 records

Each record includes

Headline, Details, Source

Weaknesses4 records

Each record includes

Headline, Details, Source

Competitive moat3 records

Each record includes

Type, Details

Key risks6 records

Each record includes

Headline, Details, Source

Key highlights6 records

Each record includes

Headline, Details, Source

Customer concentration

Classification, Details

Segment1 record

Each record includes

Title, Type, Primary, Description, Pain point addressed, Use case, Source

Ideal customer profile1 record

Each record includes

Profile, Firmographic size, Sales motion, Sales cycle length, Buying structure, Purchase trigger, Buyer persona, Geography, Industry vertical, Primary use case, Description, Pain points, Evidence proof points, Target buyer

Technology focused
No
API detail
Has APIbool
No

Docs URL, Description

AI maturity
App detail

Has app

Core technology
Revenue estimate
Valuation estimate
Number of profiles
Profiles2 records

Each record includes

Name, Designation, Designation category, Overview, Profile commentary, Source

No data
No data
Funding overview

Funding stage, Last funding date, Total funding USD

Funding rounds1 record

Each record includes

Round, Amount USD, Date, Pre money valuation, Total investors, Investors, News

Investors2 records

Each record includes

Name, Type, Date of entry, Rounds participated, Website

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

M&A2 records

Each record includes

Name, Acquisition type, Announced date, Completed date, Status, Website, News

Investment

Each record includes

Name, Round, Announced date, Lead investor, Website, News

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

Alliance Healthcare Services

Outpatient Diagnostic Imaging and Radiation Oncology Servicesalliancehealthcareservices-us.com

Alliance Healthcare Services is a publicly traded US healthcare company (NASDAQ: AIQ), founded 1983 in Newport Beach, CA, that provides outpatient radiology and oncology services to rural and community healthcare providers through owned facilities and acquired service lines.

What Alliance Healthcare Services does

Alliance Healthcare Services is a publicly traded healthcare company (NASDAQ: AIQ) founded in 1983 and headquartered in Newport Beach, California, that provides outpatient radiology and oncology services. According to firmographic data, the company employs between 5,001 and 10,000 people and operates across the United States, with documented activity in the Southeast region. The company's service portfolio has been shaped by inorganic growth, including the 2014 acquisition of Vertical Health Solutions and the 2018 acquisition of e+CancerCare, which extended its capabilities into vertical health solutions and oncology respectively.

The business model centers on operating diagnostic imaging and cancer treatment infrastructure for referring physicians, hospitals, and patients, monetized through procedure-level reimbursement from commercial payors, Medicare, and Medicaid. Alliances with rural healthcare providers emerged as a primary customer segment, including a combined hospital and emergency medical services (EMS) approach targeting financially distressed rural facilities. Pricing, distribution channels, and specific go-to-market mechanics are not publicly disclosed.

Operationally, the company has navigated significant regulatory pressure in 2023. A facility it operated converted to Rural Emergency Hospital (REH) designation in March 2023 to stabilize financially, but CMS subsequently determined the facility did not meet rural classification and forced its exit from the program, eliminating approximately $3 million in annual federal subsidy. Management under CEO Laurie Powell has since publicly appealed to the Marshall County Board of Supervisors for $18-$20 million in public co-investment to build a new hospital facility, signaling a strategic pivot toward public-sector capital partnerships and a combined hospital-EMS delivery model in underserved geographies.

Alliance Healthcare Services firmographics

Firmographics
Name
Alliance Healthcare Services
Website
https://alliancehealthcareservices-us.com
Company type
Private
Founded year
1983
Operating status
Operating
Headcount range
5,001–10,000 employees
Short description
Alliance Healthcare Services is a publicly traded US healthcare company (NASDAQ: AIQ), founded 1983 in Newport Beach, CA, that provides outpatient radiology and oncology services to rural and community healthcare providers through owned facilities and acquired service lines.
Ownership category
akta.pro rank

Alliance Healthcare Services industry classification

Industry
Product category
Outpatient Diagnostic Imaging and Radiation Oncology Services
NAICS
Diagnostic Imaging Centers (621512), Other Outpatient Care Centers (62149), Ambulatory Health Care Services (621)
SIC
Services-Specialty Outpatient Facilities, Nec (8093), Services-Health Services (8000)
akta.pro primary industry
Ambulatory Oncology Centers (Outpatient Chemo/Radiation) (HLAFABAI)
akta.pro secondary industries
Advanced Imaging & Specialty Radiology Centers (PET/CT, Nuclear Medicine, Interventional Radiology) (HLAFAKAB), Radiology Imaging Centers (X-ray/CT/MRI/Ultrasound) (HLAFAKAA)

Keywords

  • Outpatient radiology services
  • Radiation oncology services
  • Diagnostic imaging services
  • Mobile medical imaging
  • Teleradiology services

Where Alliance Healthcare Services is headquartered

Location

Headquarters

HQ city
Newport Beach
HQ country
United States
HQ region
North America

Markets served

Alliance Healthcare Services business model

Business model
GTM type
B2B
Offering type
Services
Cost components
Personnel, Operations, Infrastructure, Technology or R&D, Marketing or Sales

Alliance Healthcare Services product offering

Product offering

Core offering

Alliance Healthcare Services is a healthcare company that delivers outpatient diagnostic radiology and radiation oncology services to hospitals, health systems, and referring physicians. Offerings include MRI, CT, PET/CT and other imaging modalities as well as radiation therapy, provided through freestanding centers, mobile imaging units, and onsite hospital partnerships supported by teleradiology clinical operations.

Differentiator

Problem solved

Functional benefit

Products and services

  • Outpatient Radiology Services
  • Outpatient Oncology Services
  • Mobile Diagnostic Imaging
  • Hospital Radiology Staffing and Management Services

Companies that use Alliance Healthcare Services

Customer profile

Segments1 record

Ideal customer profiles1 record

Alliance Healthcare Services technology and API

Technology

Technology focussed No

API detail

Has API
No
API docs
API detail

Core technology

AI maturity

App detail

Alliance Healthcare Services partnerships and signals

Strategic signal

Scale indicators3 records

Recent moves5 records

Expansion highlights4 records

Alliance Healthcare Services competitors and assessment

Company assessment

Direct peers

  • Akumin: Akumin operates a national network of outpatient imaging centers and radiation oncology services, closely mirroring Alliance's combined radiology and oncology outpatient model across multiple US states.
  • US Oncology Network (McKesson): The US Oncology Network, supported by McKesson, is one of the largest networks of community-based oncology practices, directly comparable to Alliance's oncology services arm acquired via e+CancerCare.
  • RadNet: RadNet is a leading national operator of outpatient diagnostic imaging centers offering MRI, CT, PET, and related services; it is the most direct publicly traded peer to Alliance Healthcare Services' outpatient radiology business.

Broad incumbents

  • Select Medical Holdings: Select Medical operates specialty outpatient and inpatient rehabilitation clinics; comparable as a large-scale outpatient services operator facing similar payor dynamics, though focused on rehab rather than imaging.
  • DaVita: DaVita operates a large network of outpatient service centers and has expanded into integrated kidney care and adjacent specialties; comparable as a scaled outpatient healthcare services platform, though focused on dialysis.
  • HCA Healthcare: HCA is the largest US for-profit hospital operator with substantial outpatient imaging and oncology service lines that compete with Alliance at the facility and referral level.
  • Tenet Healthcare (USPI): Tenet, through USPI, operates a large network of ambulatory surgery and diagnostic centers; a broad incumbent outpatient services competitor with overlapping payor relationships and referral economics.
  • Surgery Partners: Surgery Partners operates a national network of short-stay surgical facilities and ancillary services; a broader outpatient services incumbent with adjacent care delivery economics to Alliance's imaging/oncology centers.
  • Envision Healthcare: Envision is a large national physician services group with radiology and specialty services exposure; broader in scope than Alliance but overlapping in outsourced outpatient physician services.

Emerging players

  • Shields Health Solutions: Shields Health Solutions builds specialty outpatient pharmacy and care programs within health systems, increasingly in oncology; an emerging player whose outpatient specialty focus intersects with Alliance's oncology strategy.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat3 records

Key risks6 records

Key highlights6 records

Customer concentration

Alliance Healthcare Services social profiles

Digital presence

Alliance Healthcare Services financial estimates

Financial estimate

Revenue estimate

Valuation estimate

Alliance Healthcare Services leadership team

Management profile

Number of profiles

Profiles2 records

Alliance Healthcare Services funding detail

Funding detail

Funding overview

Funding rounds1 record

Investors2 records

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

Alliance Healthcare Services M&A and investment

M&A and investment

M&A2 records

Investments

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

Frequently asked questions about Alliance Healthcare Services

What does Alliance Healthcare Services do?

Alliance Healthcare Services is a healthcare company that delivers outpatient diagnostic radiology and radiation oncology services to hospitals, health systems, and referring physicians. Offerings include MRI, CT, PET/CT and other imaging modalities as well as radiation therapy, provided through freestanding centers, mobile imaging units, and onsite hospital partnerships supported by teleradiology clinical operations.

Is Alliance Healthcare Services a public or private company?

Alliance Healthcare Services is a private company. It is classified as public and is currently operating.

When was Alliance Healthcare Services founded?

Alliance Healthcare Services was founded in 1983. It employs 5,001 to 10,000 people.

Where is Alliance Healthcare Services based?

Alliance Healthcare Services is headquartered in Newport Beach, United States, in the North America region.

Who are Alliance Healthcare Services's main competitors?

Direct peers on record are Akumin, US Oncology Network (McKesson) and RadNet. Broad incumbents are Select Medical Holdings, DaVita, HCA Healthcare, Tenet Healthcare (USPI), Surgery Partners and Envision Healthcare. Shields Health Solutions is listed as an emerging player.

Does Alliance Healthcare Services have an API?

No public API is recorded for Alliance Healthcare Services.

What industry is Alliance Healthcare Services in?

Alliance Healthcare Services's product category is Outpatient Diagnostic Imaging and Radiation Oncology Services. Its primary akta.pro industry code is HLAFABAI, Ambulatory Oncology Centers (Outpatient Chemo/Radiation), with a secondary code of HLAFAKAB, Advanced Imaging & Specialty Radiology Centers (PET/CT, Nuclear Medicine, Interventional Radiology). Its NAICS code is 621512 and its SIC code is 8093.

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Live signals
EIN PresswireAlliance Healthcare Services Opens West Tennessee's First 24/7 Youth Crisis CenterAlliance Healthcare Services opened West Tennessee's first 24/7 youth crisis center on May 18, 2026, at 602 Malcomb Street. The 10,000-square-foot facility serves children ages 4–17 with 15 crisis stabilization beds and a MATCH curriculum, backed by an $11 million fully funded investment. CARF accreditation is expected in September 2026.SouthreporterThe Future of Healthcare in Marshall CountyThe CEO of Alliance Healthcare System in Marshall County, Mississippi has publicly appealed to the county Board of Supervisors to invest in a new $18-$20 million hospital facility, arguing it would cost roughly the same as the current ambulance contract while creating permanent healthcare infrastructure. The hospital converted to Rural Emergency Hospital designation in March 2023 to stabilize financially, but CMS later determined the facility did not meet their rural classification and forced it out of the program, eliminating approximately $3 million in annual federal subsidy. The executive is requesting the county redirect its nearly $2 million annual ambulance spending toward a combined hospital and EMS solution that would restore emergency services while building a lasting county asset.Radiology BusinessAkumin’s founder and CEO steps down days after radiology provider completes bankruptcy processAkumin Inc.'s founder and CEO Riadh Zine is stepping down following the company's exit from Chapter 11 bankruptcy, which transferred ownership to lender Stonepeak after deleveraging $470 million in debt. Krishna Kumar, previously president and COO, has been appointed as the new CEO to lead the radiology provider into its next phase of growth. The leadership change follows a period of financial strain caused by heavy debt acquired during major expansions, including the $820 million acquisition of Alliance Healthcare Services.GlobeNewswireDiagnostic Imaging Services Global Market Report 2023: Players Include RadNet, Alliance Healthcare Services, Sonic Healthcare and Dignity HealthThe global diagnostic imaging services market is projected to grow from $494.30 billion in 2022 to $517.63 billion in 2023, reaching $646.73 billion by 2027. North America led the market in 2022, while Asia-Pacific is expected to be the fastest-growing region. AI adoption is a key trend, with Philips and Medo partnering to improve services.PR NewswireAkumin Announces Third Quarter 2022 ResultsAkumin Inc. reported third quarter 2022 financial results with revenue of $186.6 million, a 72.5% increase year-over-year largely attributable to the September 2021 acquisition of Alliance HealthCare Services, though the company posted a net loss of $49.7 million compared to a $1.2 million gain in Q3 2021, including a $20 million goodwill impairment charge related to its Oncology division. The company attributed the weaker-than-expected performance to Hurricane Ian disruptions in Florida operations and ongoing labor constraints among clinical personnel. Akumin revised its full-year 2022 guidance to revenue of $740-750 million and Adjusted EBITDA of $140-150 million.PR NewswireAkumin Announces Second Quarter 2022 ResultsAkumin Inc. reported second-quarter 2022 revenue of $192.1 million, a 176.5% increase driven by its acquisition of Alliance HealthCare Services, while posting a net loss of $26.1 million and Adjusted EBITDA of $38.2 million. The company achieved strong organic growth in radiology volumes but saw a decline in oncology patient starts, attributing the wider losses to restructuring costs and integration efforts related to the acquisition.PR NewswireAkumin Announces Fourth Quarter 2021 ResultsAkumin Inc. reported fourth quarter 2021 financial results, delivering revenue of $179.4 million, a 168.3% increase year-over-year, and Adjusted EBITDA of $27.5 million, up 103.6% from Q4 2020. This was the first full quarter of combined results following Akumin's acquisition of Alliance HealthCare Services on September 1, 2021, which significantly expanded the company's scale. Same-store volumes grew across all service lines, including MRI (up 6.2%), PET/CT (up 4.2%), Total Radiology Procedures (up 3.0%), and Oncology Patient Starts (up 4.5%), though the company posted a net loss of $0.36 per diluted share.BenzingaAkumin To Acquire Alliance HealthCare Services With An Enterprise Value Of $820MAkumin Inc has agreed to acquire Alliance HealthCare Services Inc, a provider of radiology and oncology solutions, for an enterprise value of $820 million, with the transaction expected to close in Q3 2021. Stonepeak, an alternative investment firm, has committed to providing debt and equity financing to Akumin, including subscribing for unsecured notes of $200 million to $689.6 million plus 3.5 million common shares valued at approximately $10.4 million. Upon closing, the combined company will operate in 46 states with over 1,000 hospital customers, 154 radiology centers, and 34 radiation therapy centers, serving more than two million patient visits annually with pro forma revenue over $730 million.PR NewswireShareholder Alert: Monteverde & Associates Pc Announces An Investigation Of Alliance Healthcare Services, Inc. - AIQMonteverde & Associates PC, a New York-based securities law firm, announced an investigation into Alliance Healthcare Services, Inc. relating to the company's sale to affiliates of Tahoe Investment Group Co., Ltd., with shareholders set to receive $13.25 per share in cash. The investigation will examine whether Alliance Healthcare Services and its Board of Directors violated securities laws or breached fiduciary duties regarding the fairness of the transaction process, potential undervaluation, and disclosure of material financial information ahead of the shareholder meeting. The law firm is offering free information to shareholders who wish to protect their investments.PR NewswireLifshitz & Miller LLP Announces Investigation of Alliance Healthcare Services, Inc., Alon USA Energy, Inc., Exar Corporation, FelCor Lodging Trust Incorporated, Intrawest Resorts Holdings, Inc., UCP,Lifshitz & Miller LLP announced investigations into possible breaches of fiduciary duties by the boards of several companies regarding proposed sales. The firms under scrutiny include Alliance Healthcare Services, Alon USA Energy, Exar Corporation, FelCor Lodging Trust, Intrawest Resorts Holdings, UCP, and Ultratech.