Due to recent actions in the health insurance market, as well as continued increasing regulatory initiatives and consolidation and integration in the healthcare delivery system, imaging center transactions continue to be in play. Trends in the healthcare economy are leading to alliances with, and acquisitions of, imaging centers by a variety of suitors. Things have changed. Valuation challenges abound, requiring the professional valuator to be able to demonstrate a strong understanding of the factors of influence on imaging center operations, economics, and regulations, as well as trends in the wider healthcare marketplace that influence value. Imaging center expert Douglas Smith provides a thorough discussion of the state of imaging centers today and a forecast of where the opportunities and challenges lie ahead.