Private Practice at Scale

Scaling a practice without selling to private equity

Independent radiology practices are facing intense pressure: declining reimbursements, a nationwide radiologist shortage, escalating salary offers, and constant questions about whether to stay independent or sell to private equity. In this episode of Voices of Experience, host Dianne Keen is joined by Brian Van Eck, Chief Strategy Officer at Radiology Associates of North Texas (RANT), to explore what it really looks like to build private practice at scale, without giving up control.

Over the past decade, Brian has had a front‑row seat as RANT grew from 110 radiologists to nearly 300, becoming the largest wholly physician‑owned radiology group in the country. Rather than selling to a consolidator, RANT chose a different path: combining with like‑minded practices across Texas, building the infrastructure to support them, and saying “no” quickly when the culture or strategy wasn’t the right fit.