As with any healthcare valuation assignment, diagnostic imaging centers rely on a complicated mix of payment schemes, organizational structures, and regulatory oversight for operation. Given their complexity and ubiquity within the healthcare field, understanding these arrangements can be imperative when appraising an imaging center or related entity. In the second installment of BVR's Online Symposium on Healthcare Valuation, Douglas Smith, the foremost expert on diagnostic imaging consulting and analysis, explains the intricate workings of imaging centers, how they should be approached from a valuation perspective, and what new regulations and industry trends will mean for the difficulty and abundance of valuation work in this field.