NZ Radiology Provider Landscape

NZ Listed

NZ Private PE

UK Private Equity

AU Listed

Teleradiology

RHCNZ Medical Imaging Group

~70 clinics · 170+ radiologists · 1,400+ staff · National

IFT

Infratil Limited

NZX Listed · Infrastructure investor · Also owns Qscan (AU)

50.3%

Doctors, Staff & Management

Radiologist shareholders + management equity

49.7%

Trading Brands

Pacific RadiologyAuckland Radiology GroupBay RadiologyRHCNZ Anytime

Known Systems

COMRAD (RIS — PRG)IntelePACSKailoHubInteleConnectEnlitic Ensight

AucklandWaikatoBOPWellingtonManawatūCanterburyOtagoSouthland

Allevia Health

Formerly Healthcare Holdings / MercyAscot · 16+ radiology clinics · Auckland HQ

Allevia Health (NZ Private)

Waterman Private Equity backed · NZ-owned · Integrated hospitals + radiology

—

Trading Brands

Allevia RadiologyAllevia HospitalsMobile Imaging

Joint Ventures

Reform Radiology (Chch) — with Forté Health + local radiologistsAffinity Medical Imaging (Wgtn) — with local radiologists

Known Systems

Not publicly confirmed

AucklandWellington (JV)Christchurch (JV)

I-MED Radiology Network — NZ

19 clinics · 31 radiologists · Te Manawa Taki region

Permira

London-based global PE · Acquired I-MED 2018 for A$1.3B

100%

I-MED Radiology Network

Australasia's largest imaging network · 250+ AU clinics

Parent

Trading Brands (NZ)

Hamilton RadiologyMidland MRITaranaki RadiologyMokoia RadiologyFocus RadiologyI-TeleRAD

Known Systems

Visage RIS (likely — AU standard)I-TeleRAD platform

WaikatoBOPLakesTaranaki

Canopy Healthcare Group

Formerly TRG Imaging · 22+ imaging clinics + oncology · North Island

ICG

ICG (Intermediate Capital Group)

London-based global PE · Acquired from Waterman PE ~2022

Majority

Clinician Shareholders

Significant clinician ownership retained

Minority

Trading Brands

Canopy Imaging (fmr TRG)Auckland Breast CentreCanopy Cancer CareAbsolute Radiology

Known Systems

Karisma (historical — to verify)

AucklandNorthlandRotoruaGisborneHawke's Bay

Integral Diagnostics (IDX) — NZ

14+ clinics · Auckland metro · Community radiology

IDX

Integral Diagnostics Limited

ASX Listed · Merged with Capitol Health · AU/NZ operations

100%

Trading Brands (NZ)

Horizon RadiologyAstra RadiologySRG RadiologyTrinity MRICone RadiologyConnect Radiology

Known Systems

Not publicly confirmed

Auckland (primary)

Everlight Radiology — Teleradiology

800+ radiologists globally · Pure remote reporting

Livingbridge

UK PE · Acquired 2021 · Previously ICG/Teleradiology International

100%

Service Model

After-hours urgentRoutine overflowSubspecialist electiveBacklog clearance

Integration

Integrates into client RIS/PACS250+ FRANZCR (ANZ)

National (remote)

Agfa

Vue RIS/PACS

COMRAD / Intelerad

Karisma / Sectra

Mixed

Public — HNZ

K/V

Karisma (RIS) + Philips Vue PACS

Split configuration — Karisma handling orders/workflow, Philips Vue handling image storage/viewing

External Radiology Service Providers

Everlight Radiology

Livingbridge (UK PE) · DRS-R reporting — established relationship over many years

Canopy Imaging

Canopy Healthcare → ICG (UK) · Whangārei, Kerikeri

PRG

Pacific Radiology / ARG

RHCNZ → Infratil (NZX) · COMRAD · IntelePACS

Public — HNZ

Agfa RIS / PACS

IMPAX / Enterprise Imaging across Auckland public hospitals

External Radiology Service Providers

ARG

Auckland Radiology Group

RHCNZ → Infratil (NZX) · 15 clinics · IntelePACS

Allevia Radiology

Allevia Health → Waterman PE (NZ) · 16 clinics

Canopy Imaging

Canopy Healthcare → ICG (UK) · Multiple Auckland sites

IDX

Horizon / Astra / SRG / Trinity MRI

Integral Diagnostics → IDX (ASX) · 14+ clinics · Community focus

Everlight Radiology

Livingbridge (UK PE) · DRS-R reporting since end of 2025

Public — HNZ Te Manawa Taki

Vue

Philips Vue RIS/PACS

Standardised across region including former Taranaki DHB (migrated from Karisma early 2025). DRS-F (full delegation) in development with RHCNZ, I-MED and Beyond Radiology.

External Radiology Service Providers

Hamilton Radiology / Midland MRI / Taranaki Radiology / Mokoia / Focus

I-MED → Permira (UK) · 19 clinics · Dominant private provider in region · Visage RIS (likely) · DRS-F in DEV

PRG

Pacific Radiology / Bay Radiology

RHCNZ → Infratil (NZX) · COMRAD · IntelePACS · DRS-R & DRS-F in DEV

Everlight Radiology

Livingbridge (UK PE) · DRS-R reporting

Canopy Imaging

Canopy Healthcare → ICG (UK) · Rotorua, Gisborne

Public — HNZ Central

Vue

Philips Vue RIS/PACS

Standardised across Central Region. Report-only outsourcing operational since 2018/2019.

External Radiology Service Providers

PRG

Pacific Radiology

RHCNZ → Infratil (NZX) · COMRAD · IntelePACS · Capital and Coast / Hutt Valley / Manawatū

AMI

Affinity Medical Imaging

Allevia Health JV → Waterman PE (NZ) · 3 Wellington locations

Canopy Imaging

Canopy Healthcare → ICG (UK) · Hawke's Bay

Public — HNZ Te Waipounamu

C/I

COMRAD (RIS) / Intelerad (PACS)

Similar COMRAD/Intelerad stack to Pacific Radiology private, but with a different integration layer. Public uses Rhapsody integration engine and DICOM direct to PACS. Pacific Radiology uses KailoHub for its integration layer.

External Radiology Service Providers

PRG

Pacific Radiology

RHCNZ → Infratil (NZX) · COMRAD · IntelePACS + KailoHub integration layer

Reform Radiology

Allevia Health JV + Forté Health · 2 Christchurch clinics · PET-CT/SPECT-CT

Public — HNZ Southern

K/S

Karisma (RIS) / Sectra (PACS)

Different RIS/PACS stack to the rest of Te Waipounamu. The COMRAD/IntelePACS environment used in Waitaha and Nelson-Marlborough is not deployed here.

External Radiology Service Providers

PRG

Pacific Radiology — Otago/Southland

RHCNZ → Infratil (NZX) · COMRAD · IntelePACS + KailoHub — different stack to public

Teleradiology Providers

Everlight Radiology

Livingbridge (UK PE) · 800+ radiologists · 250+ FRANZCR (ANZ)

Any

RHCNZ Anytime

RHCNZ → Infratil (NZX) · Reporting arm of Pacific/ARG/Bay · DRS-R

I-TeleRAD

I-MED → Permira (UK) · 135+ remote radiologists

Connect Radiology

Integral Diagnostics → IDX (ASX) · 45+ subspecialists

Integration Model

→

Report-Only Pattern

Teleradiology providers integrate into the originating hospital's RIS/PACS. Images flow out, reports flow back. Integration complexity sits at the hospital end.

~353K

Everlight (DRS-R)*

~152K

RHCNZ Anytime (DRS-R)

~134K

RHCNZ (DRS-F/D2P)

~26K

Canopy

~23K

I-MED

~22K

ISDX

~15K

Allevia

~13K

River

~3K

Beyond

*Everlight = Northland ~82K (FY26/27 alloc.) + Auckland ~71K + TMT ~145K + Central ~55K (CY2025 actuals) — TWP unknown. RHCNZ Anytime = TMT ~35K + Central ~117K — other regions included in RHCNZ combined figure. Bases mixed; see individual region cards.

Priority Regions: Northland & Auckland — Integration Ranking

Refining volume estimates and region priorities in progress. Ranked by combined DRS-F opportunity across both regions:

1. ARG (RHCNZ)

2. Canopy (Northland) / Horizon (Auckland)

3. Canopy (Auckland) / Allevia (Northland)

4. SRG (Auckland)

5. Allevia (Auckland)

6. Astra (Auckland)

7. Beyond (Auckland)

Priority ranking as provided; #7 shown as “Astra” on the source slide against the Beyond row — flagged for Gary to confirm whether this is Astra or Beyond.

End-to-end electronic

Partial / in DEV / swivel chair

Manual (email/Excel/SharePoint)

Unknown

Provider	Group	Vol.	Stream	Integration
D2P via POADMS — 1,269 (CY2025)
TRG Imaging / Northern Radiology	Canopy	1,115	D2P	• Karisma integration target; provider-side not planned
EchoNorth Diagnostic Ultrasound	Indep.	129	D2P	• Unknown
ARG + Kaipara US	RHCNZ +	25	D2P	• Unknown
P2P Outsourced — ~4.8K (6-month allocation ×2)
ARG (Whangarei) #1 PRIORITY	RHCNZ	~2,794	DRS-F	• Manual — MRI 1,314 / CT 400 / PET 880 / US 200
Canopy (Whangarei + Kerikeri) #2 PRIORITY	Canopy	~1,914	DRS-F	• Manual — MRI 1,310 / CT 400 / US 204
Allevia #3 PRIORITY	Allevia	~56	DRS-F	• Manual — PET CT only
DRS-R (external reporting) — FY26/27 allocation
Everlight	Everlight	82,260	DRS-R	• E2E forms+img — alloc. CT 26,910 / MR 2,555 / XR 52,795

Everlight allocation dominates Northland — effectively the region’s reporting capacity model. HealthLink→Karisma pathway in progress. Eclair signoff for external providers being implemented outside CRR. Sources: POADMS CY2025 (Procare); 6-mo allocation; FY26/27 Everlight allocations (K. Dryden, 1 Jul 2026).

Provider	Group	Vol.	Stream	Integration
DRS-F Outsourced — 9,626 Jan–May 2026 (~23K annualised) · priority badges = Gary’s integration ranking
Horizon Radiology #2	ISDX	1,957 → ~4.7K	DRS-F	• Manual — email/Excel/SharePoint
Canopy Imaging #3	Canopy	1,724 → ~4.1K	DRS-F	• Manual
Allevia + Mercy #5	Allevia	1,704 → ~4.1K	DRS-F	• Manual
Beyond Radiology #7?	Beyond	1,639 → ~3.9K	DRS-F	• Manual
Astra Radiology #6	ISDX	1,212 → ~2.9K	DRS-F	• Manual
Auckland Radiology Group #1	RHCNZ	876 → ~2.1K	DRS-F	• Manual
SRG Specialist #4	ISDX	504 → ~1.2K	DRS-F	• Manual
DRS-F subtotal (Waitematā 77%)		9,626 → ~23K
D2P — POAC + ATD ~49K (CY2025)
All providers (ARG, Horizon, Allevia, Canopy, SRG, Astra, Beyond, indep.)	Various	~49K	POAC+ATD	• Mechanism after POAC/ATD referral unknown
DRS-R (external reporting)
Everlight (all HNZ in-house imaging + OS reporting)	Everlight	~71K	DRS-R	• E2E forms+img — FY26/27 alloc. (Wtm 10.4K / TTT 33.8K / Counties 26.9K)

DRS-F/DRS-R figures = RIS extract Jan–May 2026, annualised ×12/5. In-house imaging+reporting ~249K annualised. Reports→TestSafe (Eclair via EDI) but not to RIS — manual import/copy-paste to close loop. Everlight is the only E2E provider. In-house DRS-R has grown ~7× vs CY2025 (8.6K).

Provider	Group	Vol.	Stream	Integration
D2P via BPAC — 50,030 (CY2025)
Hamilton Radiology / Midlands / Mokoia / Focus	I-MED	23,083	D2P	• BPAC e-referral, swivel chair to provider RIS
River Radiology	Indep.	12,575	D2P	• BPAC swivel — not used by H&SS
Pacific + Bay Radiology	RHCNZ	7,581	D2P	• BPAC swivel
Avanti, Mahoe, Mercury Bay, Whangamata, US Clinic, Medex	Indep.	6,791	D2P	• BPAC swivel
P2P Outsourced (HSS) — 21,226 CY2025 district totals (BOP 13.4K / Waikato 4.8K / Taranaki 1.5K / Lakes 326); newer provider-level estimates below
RHCNZ (DRS-F) + Anytime (DRS-R)	RHCNZ	~13K→21K DRS-F / ~35K Anytime	DRS-F/R	• E2E: HL7 ORM → DICOM via KailoHub → ORU; Anytime E2E
I-MED (DRS-F)	I-MED	~15K/23K	DRS-F	• E2E via KailoHub
Beyond (DRS-F)	Beyond	<200	DRS-F	• E2E in DEV
Everlight (DRS-R)	Everlight	~145K	DRS-R	• E2E
Pattern 3: TRG, TRL, PRG Bowen, CAMRI, New Wave, Absolute, Mercy, Whanganui, Starship, MidCentral	Various	unkn.	Pattern 3	• Email order → manual image → HL7 report via EDI, manually linked

Everlight (~145K) and RHCNZ Anytime (~35K) figures are new additions from the latest integration-priority slide and are notably higher than earlier “unkn.” placeholders — basis/period to be confirmed with Gary. Pattern 3 provider-level split still awaited. BPAC hospital-radiology requests add 18,885 (total BPAC 68,915).

Provider	Group	Vol.	Stream	Integration
D2P (Jul 2024 – Jun 2025) — 74,312
Pacific Radiology	RHCNZ	48,457	65.2%	• HL7 D2P (BPAC↔PRG) — reports→RCP, not RRIS
Broadway Radiology (Canopy)	Canopy	14,666	19.7%	• No HL7, no ATD
Affinity Medical Imaging	Allevia JV	2,481	3.3%	• HL7 + Central PACS — reports→clinical portals
Tararua, Sharp US, Wellington US, Wellington Imaging, Palms, others	Various	8,708	11.8%	• Mixed / unknown
P2P DRS-R (external reporting) — ~171K (CY2025)
RHCNZ Anytime (MidC 34.6K / Whan 34.5K / Hutt 19.2K / HB 12.6K / Wair 10.8K / Capi 5.1K)	RHCNZ	116,765	DRS-R	• E2E — RRIS integrated (operational since 2018/19)
Everlight (HB 25.2K / MidC 16.2K / Hutt 8.4K / Wair 4.8K)	Everlight	54,568	DRS-R	• E2E — RRIS integrated (ROI pattern)
I-MED	I-MED	~0→??K	DRS-R	• Planned — being delivered in IC2
P2P DRS-F — ~10K
Pacific (5,151), Affinity (1,889), Broadway (1,517), Wellington US (961), Greyscale (405), other (33)	Various	9,956	DRS-F	• Manual — reports→RCP / district portals, PACS-manual

Previously shown as “174K HNZ internal” — corrected: it is Anytime + Everlight external reporting. Only ROI-pattern providers (Everlight, I-MED) are RRIS-integrated; all other patterns are PACS-manual with reports to clinical portals. I-MED DRS-R now “planned, being delivered in IC2” — upgraded from earlier “future interest” status. Region still wants full integration to RHCNZ and I-MED for DRS-F.

Provider	Group	Vol.	%	Integration
Outsourced from COMRAD (excl. Southern) — 30,804 (CY2025)
RHCNZ	RHCNZ	30,445	98.8%	• Full integration (Rhapsody + DICOM direct; KailoHub provider-side)
Reform Radiology	Allevia JV	323	1.0%	• Full integration for reporting
Beyond Radiology	Beyond	36	0.1%	• Full integration for reporting
Outsourced from Karisma (Southern) — 19,657 granular RIS extract (vs 11,798 earlier integration-landscape figure)
Urgent Doctors and Accident Centre	Indep.	9,473	48%	• Unknown — newly identified, mostly US; nature of arrangement TBC
PRG (Dunedin 4,153 / Southland 3,213 / Lakes 689 / Canterbury 246 / PET 1)	RHCNZ	8,302	42%	• DRS-F manual→E2E UAT (80% complete); DRS-R via PRG Anytime E2E
I-MED	I-MED	unkn.	DRS-R	• I-TeleRAD DRS-R
Southern Ultrasound	Indep.	774	4%	• Unknown
Fiordland Medical	Indep.	738	4%	• Unknown — newly identified
MSK Ultrasound	Indep.	328	2%	• Possible reporting interface (TBC)
Canterbury Breastcare + Beyond	Small	42	<1%	• Unknown

Southern also does DRS-R with PRG Anytime and I-MED (I-TeleRAD). The granular RIS extract (19,657) exceeds the earlier integration-landscape figure (11,798) mainly through Urgent Doctors (9,473) and Fiordland (738) — reconciliation with region pending. TWP (excl. Southern) fully integrated for external reporting.

The reporting layer is where the volume is: Everlight (~353K across Northland, Auckland, TMT, Central) + RHCNZ Anytime (~152K across TMT, Central, TWP, Southern) together carry ~500K of HNZ reporting — and it is the layer with the best integration (E2E / RRIS-integrated). Physical delegation (DRS-F) remains largely manual outside TMT and TWP.

Priority focus — Northland & Auckland: Gary has flagged these as the priority regions for near-term integration work, with a ranked list of target providers (see box above). Volume estimates are still being refined; figures on this page reflect the current draft.

Data bases differ by region — not directly comparable: Northland = POADMS CY2025 + 6-mo allocation ×2 + FY26/27 Everlight allocation. Auckland = RIS extract Jan–May 2026 annualised + CY2025 D2P. TMT = BPAC + HDP CY2025. Central = RIS extract Jul 2024–Jun 2025 (D2P) + CY2025 DRS-R. TWP = integration landscape CY2025 + granular Southern RIS extract.

Sources: BPAC BI dashboards, Procare POADMS, HDP Dashboard, Auckland RIS extract Jan–May 2026, Central Anytime/Everlight pivot, Southern RIS extract, FY26/27 Everlight allocations (K. Dryden, 1 Jul 2026), Priority Integration Landscape slide (Gary Ireland, 7 Jul 2026) · Draft for discussion, volume estimates and region priorities being refined · Jul 2026

Priority regions: Northland & Auckland (highlighted below). Ranked integration targets: 1 ARG · 2 Canopy (Northland) / Horizon (Auckland) · 3 Canopy (Auckland) / Allevia (Northland) · 4 SRG (Auckland) · 5 Allevia (Auckland) · 6 Astra (Auckland) · 7 Beyond (Auckland)^?

Source slide shows “7: Astra” against the Beyond row — flagged for Gary to confirm whether #7 is Astra or Beyond.

Provider Group	Northland Karisma RIS	Auckland Agfa RIS	Te Manawa Taki Vue RIS	Central Vue RIS	TWP ex South COMRAD	Southern Karisma	National Est.
RHCNZ (Pacific / ARG / Bay)	1~3KDRS-F manual ARG @ Whangarei	1~2K→16KDRS-F manual Reports→Eclair	~13K→21KDRS-F E2E (KailoHub)	~5K→54KDRS-F manual Reports→RCP	~30KDRS-F E2E (Rhapsody+DICOM)	~10KDRS-F manual→E2E UAT (80%)	~134K
RHCNZ Anytime (DRS-R)	—	—	~35KDRS-R E2E	~117KDRS-R E2E RRIS integrated	incl.via RHCNZ full integ.	incl.PRG Anytime E2E	~152K
Canopy Healthcare (TRG / Broadway / Absolute / Auckland Breast Centre)	2~2K→3KDRS-F manual Whangarei + Kerikeri	3~5K→9KDRS-F manual Reports→Eclair	<200DRS-F manual Email→EDI rpt	~2K→17KDRS-F manual Reports→RCP	—	—	~26K
I-MED Radiology Network (Hamilton / Midland MRI / Mokia / BOP / Focus / Taranaki / I-TeleRAD)	—	—	~15K/23KDRS-F E2E	~0→??KDRS-R E2E planned Being delivered in IC2	unkn.DRS-F E2E	unkn.I-TeleRAD DRS-R	~23K
ISDX (Horizon / SRG / Astra / Connect)	—	2/4/6~9K→21KDRS-F manual Reports→Eclair	—	~1KWgtn Img. Unknown	—	—	~22K
Everlight (Teleradiology, DRS-R)	~82KE2E forms+img FY26/27 alloc.	~71KE2E forms+img FY26/27 alloc.	~145KDRS-R E2E	~55KDRS-R E2E	unkn.DRS-R E2E	—	~353K
Allevia (Mercy / Reform / Affinity)	3<1K (60)DRS-F manual Reports→TestSafe	5~4K→11KDRS-F manual Reports→Eclair	—	~2K→5KDRS-F manual Reports→RCP	<1KDRS-F E2E (Reform)	—	~15K
Beyond Radiology (independent)	—	7?~4KDRS-F manual Reports→Eclair	PlannedDRS-F E2E in DEV	—	<1KDRS-F E2E	—	~3K
River Radiology (independent)	—	—	~0→13KD2P only not used by H&SS	—	—	—	~13K
Regional Total	~88Kincl. 82K Everlight alloc.	~143K	~71K CY2025excl. new ~145K/~35K figs below	~258KAnytime 117K + Everlight 55K	~31K	~20Kgranular extract	~611K

Reconciliation flag: TMT’s Everlight (~145K) and RHCNZ Anytime (~35K) figures are new from the latest priority-landscape slide and sit well above the CY2025 “unkn.” placeholders they replace. The TMT regional total (~71K) is the official BPAC+HDP CY2025 figure and does not yet include these — whether they are additional volume or a different measurement basis needs confirming before the national total (~611K) can be treated as reliable.

Priority Integration Ranking — Northland & Auckland

As ranked on the latest priority-landscape slide. Volumes are indicative only, to assist prioritisation.

#1 ARG (RHCNZ) — Northland & Auckland
DRS-F manual in both regions. Northland ~2.8K, Auckland ~876→2.1K.

#2 Canopy (Northland) / Horizon-ISDX (Auckland)
Northland Canopy ~1.9K→3K; Auckland Horizon ~2K→4.7K, largest single Auckland DRS-F provider.

#3 Canopy (Auckland) / Allevia (Northland)
Auckland Canopy ~1.7K→4.1K; Northland Allevia <1K (PET CT only, 60/yr).

#4 SRG (Auckland, ISDX)
~504→1.2K. Smallest of the three ISDX brands in Auckland.

#5 Allevia (Auckland)
~1.7K→4.1K, third-largest Auckland DRS-F provider.

#6 Astra (Auckland, ISDX)
~1.2K→2.9K.

#7 Beyond (Auckland) — label unconfirmed
~1.6K→3.9K. Source slide shows “Astra” against this row, which already has #6 elsewhere — check with Gary whether #7 is Beyond or a second Astra reference.

#7?

Other Integration Opportunities

Central I-MED DRS-R
Upgraded from “future interest” to “planned, being delivered in IC2”. Volume TBC.

~0→??K IN PROGRESS

Southern RHCNZ full outsourcing
DRS-F manual→E2E UAT now 80% complete.

~10K 80% UAT

River Radiology → TMT Vue RIS
D2P only via BPAC swivel chair, not used by H&SS for outsourcing.

~0→13K MEDIUM

TMT Pattern 3 providers → E2E
TRG, TRL, PRG Bowen, CAMRI, New Wave, Absolute, Mercy, Starship — volume still unknown at provider level.

unkn. LOW vol (est.)

Reading the matrix: Green = end-to-end electronic integration. Orange = partial (in DEV, swivel chair, or UAT). Red = manual (email/Excel/SharePoint). Grey = unknown. Dash = provider not active in that region. Red numbered badges = Gary’s integration priority ranking for Northland/Auckland.

Volume notation: “X→Y” = current HNZ volume → potential if D2P moves to RIS. “X/Y” = HNZ volume / D2P volume. “unkn.” = volume not yet available.

Note: Volume estimates are indicative only, intended to assist prioritisation, and are drawn from different source periods and bases (CY2025 actuals, Jan–May 2026 annualised, FY26/27 allocations) — see Volumes tab for full attribution. Southern region typically shows XR/CT/US volumes only.

Sources: BPAC BI CY2025, HDP Dashboard CY2025, Northland CY2026 est., Northern Everlight FY26/27 allocation, Central Region outsource analysis CY2025, TMT Pattern 3 analysis, TWP integration landscape, Priority Integration Landscape slide (Gary Ireland) · Draft for discussion · Jul 2026