Pro Medicus Locks in A$16M Renewal as Ohio State Expands Its Imaging Platform

By Josua Ferreira -

Pro Medicus locks in A$16M renewal with Ohio State University Wexner Medical Center

Pro Medicus Limited (ASX: PME), via its wholly-owned U.S. subsidiary Visage Imaging, Inc., has signed a 5-year, A$16M contract renewal with The Ohio State University Wexner Medical Center (OSUWMC). The renewal expands the existing relationship to include Visage 7 Workflow and Visage 7 Cardiology Imaging alongside current services.

The deal is a renewal, not a new client win, making it a signal of platform stickiness rather than top-of-funnel growth. It also demonstrates that existing clients are consolidating further onto the Visage 7 Enterprise Imaging Platform rather than seeking alternatives.

OSUWMC is a large multidisciplinary academic medical centre in Columbus, Ohio, employing approximately 22,000 staff and 2,000 physicians, supporting over 1,400 inpatient beds across six hospitals. It also serves as the teaching hospital for The Ohio State University College of Medicine.

What the renewal signals about Pro Medicus’ platform strategy

From radiology to enterprise imaging — expanding the Visage 7 footprint

The addition of Visage 7 Workflow and Visage 7 Cardiology Imaging to an existing client relationship is evidence of organic expansion within the installed base. Rather than acquiring new logos, Pro Medicus is deepening its footprint at institutions already running Visage 7, as those clients retire legacy solutions and broaden their deployments.

Dr Sam Hupert, Chief Executive Officer of Pro Medicus, framed the development in these terms:

Dr Sam Hupert, CEO, Pro Medicus

“Renewing this contract, to now include the additions of Visage 7 Workflow and Visage 7 Cardiology Imaging, confirms our belief that we have extensive native capabilities that Visage customers appreciate as they seek to retire legacy solutions and continue to scale their Visage 7 Enterprise Imaging Platform.”

Understanding Pro Medicus’ transaction-based model

Pro Medicus operates on a transaction-based revenue model, meaning the company earns revenue for each imaging study processed through its platform, rather than charging a flat annual licence fee. For investors, this structure is notable because it combines revenue certainty with volume upside.

This renewal was negotiated with both increased minimums and an increased fee per transaction, directly improving the revenue quality of the contract.

  • Revenue earned per imaging transaction processed
  • Contracted minimums provide baseline revenue certainty
  • Volume above minimums generates incremental upside
  • Increased fee per transaction in this renewal improves unit economics

A$141M in renewals — the retention story underpinning PME’s investment case

Renewals as a financial year milestone

The OSUWMC contract brings Pro Medicus’ total renewals for the financial year to A$141M. That figure spans the company’s broader client base and reflects a consistent pattern of clients re-committing to the platform at contract expiry.

Dr Sam Hupert, CEO, Pro Medicus

“This contract brings our total renewals for the financial year to A$141M, maintaining our track record of client retention. This underpins our belief that our solution provides unparalleled return on investment from both a financial and a clinical perspective.”

Why retention metrics matter for PME investors

A high-retention, transaction-based model at this scale carries specific implications for how investors assess revenue quality and durability.

  1. Renewals de-risk revenue — contracted minimums provide multi-year revenue visibility, reducing reliance on new sales to sustain earnings.
  2. Expansion within renewals signals platform depth — the addition of new modules at contract renewal indicates growing wallet share per client, not just maintenance of existing revenue.
  3. A$141M in FY renewals confirms mission-critical status — at this scale, the data suggests enterprise imaging clients treat the Visage 7 Enterprise Imaging Platform as a deeply embedded, operationally critical system.
Contract Detail Specifics
Client The Ohio State University Wexner Medical Center (OSUWMC)
Contract Value A$16M
Term 5 years
New Additions Visage 7 Workflow, Visage 7 Cardiology Imaging
Revenue Model Transaction-based, increased minimums and increased fee per transaction

What’s next for Pro Medicus

Pro Medicus remains focused on scaling the Visage 7 Enterprise Imaging Platform across its global client base, with offices in Melbourne, Berlin, and San Diego. The company’s offering spans RIS, PACS, artificial intelligence, and e-health solutions, deployable across both public and private cloud environments.

With A$141M in renewals secured for the financial year, the near-term focus centres on sustaining that retention track record while continuing to expand module adoption within existing enterprise relationships.

Don’t Miss the Next Healthcare Sector Mover

Big News Blast delivers FREE breaking ASX healthcare news directly to your inbox within minutes of release, complete with in-depth analysis already done for you. Join 20,000+ investors who stay ahead of the market the moment announcements drop. Click the “Free Alerts” button at StockWire X to start receiving alerts today.


Frequently Asked Questions

What is the Pro Medicus OSU contract renewal?

The Pro Medicus OSU contract renewal is a 5-year, A$16M agreement between Pro Medicus Limited and The Ohio State University Wexner Medical Center, expanding the existing Visage 7 deployment to include Visage 7 Workflow and Visage 7 Cardiology Imaging modules.

How does Pro Medicus' transaction-based revenue model work?

Pro Medicus earns revenue for each imaging study processed through its Visage 7 platform rather than charging a flat annual licence fee, with contracted minimums providing baseline revenue certainty and volume above those minimums generating additional upside.

How much has Pro Medicus renewed in contracts this financial year?

Pro Medicus has secured A$141M in total contract renewals for the financial year, with the OSUWMC deal representing the latest addition to that tally.

What new modules were added in the OSUWMC contract renewal?

The renewal expanded the existing relationship to include Visage 7 Workflow and Visage 7 Cardiology Imaging, on top of services already in place at the Ohio State University Wexner Medical Center.

What does the OSUWMC renewal indicate about Pro Medicus' client retention?

The renewal demonstrates platform stickiness, with OSUWMC consolidating further onto the Visage 7 Enterprise Imaging Platform rather than switching to an alternative, consistent with Pro Medicus' broader track record of retaining and expanding within its existing client base.

Josua Ferreira
By Josua Ferreira
Partnership Director
Josua Ferreira holds a Bachelor of Commerce in Marketing and Advertising and brings a background in publication, business development, and ASX market storytelling. He has worked with listed companies across the resource sector and broader market, combining sharp commercial instincts with a genuine commitment to keeping investors informed.
Learn More
Companies Mentioned in Article

Breaking ASX Alerts Direct to Your Inbox

Join +20,000 subscribers receiving alerts.

Join thousands of investors who rely on StockWire X for timely, accurate market intelligence.

About the Publisher