The nation’s 100 largest private radiology practices bulk up, adding radiologists but shedding employees and imaging center assets as they grow

The nation’s largest radiology practices sought strength in numbers, sending the median practice size of the 100 largest private radiology practices soaring, from 41.7 in 2014 to 47 in 2015. Much of that growth occurred at the lofty heights of the Radiology 100 list, in practices of 65 or more full-time equivalent radiologists.

Signs of a maturing radiology marketplace can be seen in the consolidation of radiology providers, the growth in hospital contracts among the largest practices and the loss of hospital contracts among the smallest practices. The bloom appears to be off imaging center asset ownership, as all practice size cohorts shed imaging centers.

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Previous Radiology 100

2014 - Radiology 100: Big Is Beautiful
Growing a business in a mature industry is difficult, and radiology is now a mature industry. Growth can come through two main areas: organic growth and mergers/acquisitions. The survey highlights some of mergers that we have seen in the marketplace …
Ladders2013 - The Big Get Bigger, Primarily at the Summit
Many leaders of great companies feel that one of the key reasons that they were successful is that they were in the right place at the right time. Now appears to be that right time, for radiology groups. You can see, in the survey’s results …
2012 - The 100 Largest Private Radiology Practices
The pressures related to decreased reimbursement, mergers, and the growth of hospitals and health systems—and the probability of payment models other than fee for service—are driving changes related to group size. As we see the number of larger groups grow, I predict …

In collaboration with Clifton Larson Allen.