Transaction Insight
Every buyer wants to know what they’re really buying.
Radiology Diligence bridges that gap by providing operational, technical, reimbursement,
vendor, and imaging-specific insight that is typically outside the scope of traditional
financial and equipment due diligence
Questions Traditional Due Diligence May Not Answer
QUESTIONS EVERY BUYER SHOULD ASK
Complete Due Diligence Requires Three Perspectives
Financial and equipment due diligence are essential. Radiology Diligence adds the
operational and technical insight that helps buyers understand what they’re really acquiring.
Traditional Due Diligence
1. Financial
Due Diligence
Evaluates financial performance, EBITDA, cash flow, and historical operating results to assess the financial health of the business.
Traditional Due Diligence
2. Equipment
Due Diligence
Assesses imaging equipment condition, maintenance history, remaining useful life, and anticipated capital replacement requirements.
Radiology Diligence
3. Operational &
Technical Review
Helps buyers identify technology, vendor, reimbursement, workflow, facility, commercial performance, and value creation opportunities beyond the scope of traditional due diligence. This includes evaluating the effectiveness of referral development strategies, marketing operations, and business development activities that influence future growth and post-acquisition performance.
EXECUTIVE OPERATIONAL ASSESSMENT
Some of the most valuable acquisition insights
aren’t found in spreadsheets or equipment
logs – they’re found by walking the practice.
Financial statements explain historical performance. Equipment inspections evaluate the condition
of imaging systems. Neither tells the complete operational story.
Where appropriate and with the seller’s approval, Radiology Diligence conducts independent onsite operational
assessments to observe the practice through the eyes of an experienced imaging center executive. Facility
condition, workflow, staff interactions, technology environment, deferred maintenance, and operational presentation
often reveal risks and opportunities that cannot be identified from reports or virtual data rooms alone.
Examples of Issues Commonly Identified
These are the kinds of issues we uncover
that can influence acquisition value
Vendor Contracts & Costs
Reviews vendor agreements, pricing, renewal terms, service levels, and assignment provisions to identify cost reduction opportunities, unfavorable contract terms, and post-closing obligations that may affect acquisition value.
Technology Infrastructure
Evaluates technology platforms, cybersecurity, system integrations, backup strategies, aging infrastructure, and operational resilience to identify risks that may require future investment after closing.
Modality Infrastructure
Evaluates the overall condition, maintenance history, end-of-life status, serviceability, parts availability, utilization, and replacement requirements of imaging equipment to identify unsupported systems, deferred maintenance, hidden liabilities, and likely post-acquisition capital costs.
Executive Operational Assessment
Walks the practice through the eyes of an experienced imaging center executive, evaluating facility condition, workflow, management, staffing, operational culture, and dependencies that cannot be identified through financial reports, equipment inspections, or virtual data rooms alone.
Commercial Performance
Evaluate referral development strategies, marketing organization, territory alignment, physician outreach activities, performance accountability, and growth initiatives to determine whether the practice’s commercial operations support sustainable future growth.
Engagement Options
Flexible Engagement Options
Radiology Diligence can be engaged at any stage of the acquisition process. Whether you need an independent operational
and technical review before making an offer, support during due diligence, or ongoing advisory assistance through integration
and optimization, engagements are tailored to the specific needs of the transaction.
Where appropriate and with the seller’s approval, engagements may also include onsite operational assessments,
management interviews, and facility observations
Buyer Due Diligence Review
An independent operational and technical review designed to identify hidden risks, operational dependencies, vendor opportunities, technology concerns, reimbursement considerations, and value creation opportunities before closing
Transaction Advisory Support
Independent advisory support throughout the acquisition process, providing operational insight, technical expertise, vendor evaluation, and strategic guidance before, during, and after closing.
Post-Acquisition Integration Support
Helping buyers implement operational improvements, resolve technical challenges, optimize vendors, and realize the value identified during due diligence.