Who Owns Nuance PowerScribe, Fluency for Imaging and DeepHealth in 2026?

The short answer: Nuance PowerScribe is owned by Microsoft, which acquired Nuance and now sells PowerScribe One as the successor to PowerScribe 360. Fluency for Imaging is no longer a Solventum product: Smart Reporting agreed in October 2025 to acquire it, forming a new parent company called Jacobian. DeepHealth is a wholly owned subsidiary of RadNet, the publicly traded US imaging operator, which also acquired Gleamer in March 2026. Three of the four reporting and AI products a US radiology group is likely to shortlist in 2026 changed hands within the last four years.

None of that is a reason to avoid any of them. It is a reason to ask a different set of questions than you asked the last time you signed. A reporting platform is the piece of software your entire read passes through, and the contract you sign usually outlives at least one org chart.

Who owns what, as of August 2026

Who owns Nuance PowerScribe?

Microsoft. Nuance Communications built PowerScribe into the reporting platform of record for much of US radiology, and Microsoft acquired Nuance, which is why you now see Microsoft branding on documentation for a product most radiologists still call Nuance.

The practical consequence is not the logo. It is that Microsoft has been consolidating the speech portfolio, and the radiology-specific line is PowerScribe while the ambient clinical documentation line became Dragon Copilot. Those are different products for different jobs, and the most common expensive mistake we see in evaluations is a group shortlisting an ambient scribe to solve a radiology reporting problem. There is no spoken patient encounter in a diagnostic read. If you are untangling which product you actually need, our PowerScribe alternative comparison separates the four things sold under overlapping names.

Who owns Fluency for Imaging now?

Jacobian. This is the one most buyers have not caught up with, because the change is recent and the old branding is still everywhere.

The lineage runs M*Modal, then 3M, then Solventum when 3M completed that spin-off on April 1, 2024, and then out of Solventum entirely. Smart Reporting, a German structured-reporting specialist, announced a definitive agreement on October 16, 2025 to acquire Fluency for Imaging, with the combined company named Jacobian and headquartered in Munich, Germany and Pittsburgh, USA. The deal was expected to close by the end of 2025.

If you evaluated this product as 3M M*Modal Fluency for Imaging, you were looking at a corporate parent two owners ago. You will still find Solventum-branded fact sheets in circulation, and Solventum's own product page now redirects to Jacobian. Worth separating from a different piece of news: Solventum announced on August 5, 2026 that it intends to separate its remaining Health Information Systems business. That is a distinct transaction and does not involve Fluency for Imaging.

What has stayed constant is the product's standing with its own users. The vendor states it has been ranked #1 Best in KLAS for Speech Recognition: Front-End Imaging five years running, and Solventum's February 5, 2025 announcement independently confirms the 2025 award. Our PowerScribe vs Fluency for Imaging comparison sets the two platforms out row by row, including the public contract data that shows how differently sized their US footprints are.

Who owns DeepHealth?

RadNet, Inc., which trades on the NASDAQ under RDNT and operates hundreds of US outpatient imaging centers. DeepHealth is a wholly owned subsidiary, and RadNet also acquired the detection vendor Gleamer in March 2026 and folded it in.

This one has an angle the others do not. If you are an independent practice or a hospital system competing with RadNet centers for outpatient volume, buying core reporting software from DeepHealth means your software vendor is also a competitor in your market. That is not disqualifying, and plenty of groups will decide the product is worth it. It is a reason to ask about data segregation and product-development use explicitly, in writing, rather than discover the answer at renewal. We cover that in more depth in the DeepHealth Reporting Pro comparison.

Does it actually matter who owns your vendor?

Sometimes not at all. Plenty of acquisitions change nothing a customer can feel. But four things do move often enough to be worth protecting against in the contract.

Support continuity. Named support contacts and escalation paths are the first thing to churn after a transition, and they are the thing you notice at 2 a.m. when reporting is down. Ask who your named contacts will be post-transition and what the escalation SLA is.

Roadmap commitment. Acquirers rationalize overlapping products. If you are buying partly for a module that duplicates something the acquirer already sells, get a written commitment on that specific module rather than on the platform generally.

Pricing structure. New owners re-examine pricing, and perpetual licenses tend to become subscriptions. That is exactly what is happening with the PowerScribe 360 to PowerScribe One transition: capital expenditure converts to operating expenditure that renews. The community pushback there has been about the commercial structure rather than the software quality.

Your data and templates. The template library is the asset nobody else keeps a copy of. Export it while your current contract is live and your administrator still has access, not after the transition announcement.

The pattern to watch for is not a bad acquisition. It is a quiet renewal uplift applied twelve months after one, to a group that never modeled it. When software spend creeps rather than jumps, the useful discipline is watching the spend line month to month instead of finding out at year-end close.

What should we ask a vendor that just changed hands?

Five questions do most of the work, and all five should be answered in the agreement rather than in an email from a rep who may not be there at renewal.

• Who holds the paper after the transition, and does the contracting entity change? If a reseller holds it, discount authority may sit somewhere other than where you are negotiating.
• What is the renewal uplift cap, stated as a hard number, for the full term including extensions?
• Which specific modules carry a roadmap commitment, and for how long?
• What happens to our templates, macros and configuration if we leave, in what format, on what timeline, at what cost?
• What changes about support: named contacts, hours, escalation, and the response SLA?

The nine contract terms that decide your real cost covers the rest of the structure, and the uplift cap in particular is worth more than any first-year discount a vendor will offer you.

Is Nuance still a company?

Nuance Communications continues to exist as a Microsoft business rather than as an independent public company. In practice, when a radiology group says Nuance in 2026 they almost always mean PowerScribe specifically, and documentation and support increasingly carry Microsoft branding. For contracting purposes, confirm the exact legal entity on your order form, because in federal contracting the paper very often sits with a reseller rather than with the vendor at all.

Which reporting platform should we pick given all this?

Ownership is a tiebreaker, not the decision. Start with the job you need done, then let the org chart inform the contract terms rather than the shortlist. If PowerScribe 360 is what you run today, the deadline is real and near: annual renewals and maintenance end on August 31, 2026 and full support ends August 31, 2027, so read the PowerScribe 360 end of life timeline and start the migration conversation against a plan rather than against a support cliff. PowerScribe 360 and PowerScribe One can run side by side during a migration, which means you have room to run a genuine evaluation instead of defaulting to the upgrade path.

If you want the full map of who competes with whom and which switching decision you are actually in, the alternatives hub groups every comparison by what you are replacing.

One last thing worth saying plainly, because it cuts across all of these vendors: none of these reporting platforms detects findings on the images natively. PowerScribe One surfaces third-party AI through the Precision Imaging Network, and Fluency for Imaging connects to AI systems through FHIR-based integration. Detection and worklist triage stay a separate purchase and a separate contract whichever platform you pick. Radiological.ai sits in that separate layer: it flags suspected findings for review, prioritizes the worklist so suspected urgent studies surface first, and drafts the structured report into your own template, while the radiologist reviews, edits and signs every report.