A few years ago, Radiology Associates of San Luis Obispo, an independent radiology practice in California, found itself in dire straits. Their patient volume was growing and their radiologists were busier than ever, but their reimbursements were shrinking by $1 million a year. Radiology Associates was at a decision point that required them to either radically change their financial situation or sell the practice to a local hospital. Their solution? They took a two-pronged approach to adjust the way they operated and turned the business around, which led to not just financial gains, but happier radiologists who experienced more manageable workloads.