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Some evidence of the consolidation occurring in the broader health-care market can be observed in the results of the third annual survey to rank the 50 largest radiology private practices in the United States. Cosponsored by LarsonAllen and Radiology Business Journal, the survey revealed that several practices took great leaps up the ranking, several dropped down, and some accumulated more imaging centers (though many shed them). A total of 14 practices decreased in size.
Financial information submitted by the practices is confidential, so the criterion used to rank the practices was number of radiologists (FTEs, rather than individuals, were counted for all practices’ radiologists and employees). The Web-based survey, made available to readers of Radiology Business Journal and ImagingBiz.com, was conducted from July 15 through September 15, 2010.
This year, 72 practices participated (slightly more than last year), and the sponsors are grateful not only to those in the ranking, but also to the 22 practices that filled out the survey, but had too few radiologists to be included. The information provided by all 72 participating practices was instrumental in identifying trends affecting the practice of radiology in 2010.
Participation is voluntary, so the list should not be construed as definitive. This year, however, the survey was more representative of the nation’s largest practices, with 14 established practices appearing for the first time. This resulted in increases for both the median size of the 50 largest practices and the size of the smallest ranked practice (31 radiologists, compared with 25 last year).
Because the survey was more inclusive this year, practices could retain last year’s rank only if they had added radiologists. Where two or more practices had the same number of radiologists, we assigned a rank based on their number of employees.
Medians for the selected practice variables (Figures 1–4), likewise, are based solely on the input of our universe, and are not necessarily representative of the broader practice environment. Nonetheless, these 72 practices gave input that is likely to resonate with their peers and to provide useful insight into contemporary practice.
The Practices at the Summit
For the second year, Advanced Radiology Services PC was the largest practice in the nation (see table, page 30), with 106 radiologists. The practice continues