Imaging Chains as Competitors and Suppliers

The key risk is that the biggest imaging chains can use Scan.com as overflow demand today, then pull the most valuable parts of the relationship in house later. Operators like RadNet and SimonMed do not just own scanners, they also control booking, radiologist workflow, and in some cases direct payer relationships, which means they can decide which appointment slots, prices, and patient data stay inside their own systems and which flow through a marketplace.

• RadNet is the clearest example of vertical control. As of December 31, 2025 it operated 418 centers, and its 2025 filing says DeepHealth and eRad span scheduling, image storage, reading workflow, and AI. That lets RadNet sell scans, software, and payer access at the same time.
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• SimonMed markets 170 plus U.S. locations, online scan booking, and AI enhanced imaging directly to patients. That matters because a chain with its own consumer booking flow does not need a marketplace to fill demand in the same way an independent center does.
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• Akumin and RAYUS add regional supply, but Scan.com still wins when a payer or employer needs one intake flow across many local operators. The marketplace is strongest when no single chain can cover the geography alone, and weakest when a chain can offer broad coverage from its own network.
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The market is heading toward a split between neutral aggregators and vertically integrated imaging networks. If large operators keep opening digital booking, AI workflow, and direct contracting on top of their physical footprint, they will capture more of the referral stream themselves, pushing Scan.com to win by stitching together fragmented national coverage faster than any one chain can build it.