1145238--9/27/2006--INSIGHT_HEALTH_SERVICES_HOLDINGS

related topics

{regulation, government, change}

{debt, indebtedness, cash}

{operation, natural, condition}

{cost, regulation, environmental}

{customer, product, revenue}

{product, market, service}

{condition, economic, financial}

{cost, operation, labor}

{acquisition, growth, future}

{personnel, key, retain}

{financial, litigation, operation}

{cost, contract, operation}

Our substantial indebtedness could adversely affect our financial condition. Our operations may be restricted by the terms of our debt, which could adversely affect us and increase our credit risk. We may be unable to service our indebtedness. If there is a default under the agreements governing our material indebtedness, the value of our assets may not be sufficient to repay our creditors. Rises in interest rates could adversely affect our financial condition. Changes in the rates or methods of third-party reimbursements for our services could result in reduced demand for our services or create downward pricing pressure, which would result in a decline in our revenues and harm our financial position. Trends affecting our actual or anticipated results may lead to charges that would adversely affect our results of operations. If we are unable to renew our existing customer contracts on favorable terms or at all, our financial results would be adversely affected. We have experienced, and will continue to experience, competition from hospitals, physician groups and other diagnostic imaging companies and this competition could adversely affect our revenues and our business. Consolidation in the imaging industry could adversely affect our revenues and business. Managed care organizations may limit healthcare providers from using our services, causing us to lose procedure volume. Technological change in our industry could reduce the demand for our services and require us to incur significant costs to upgrade our equipment. Our ability to maximize the utilization of our diagnostic imaging equipment may be adversely impacted by harsh weather conditions. Because a high percentage of our operating expenses are fixed, a relatively small decrease in revenues could have a significant negative impact on our financial results. We may be subject to professional liability risks which could be costly and negatively impact our business and financial results. Our failure to effectively integrate acquisitions and establish joint venture arrangements through partnerships with hospitals and other healthcare providers could impair our business. Loss of, and failure to attract, qualified employees, particularly technologists, could limit our growth and negatively impact our operations. Our PET and PET/CT service and some of our other imaging services require the use of radioactive materials, which could subject us to regulation, related costs and delays and potential liabilities for injuries or violations of environmental, health and safety laws. We may be unable to generate revenue when our equipment is not operational. An earthquake could adversely affect our business and operations. Continued high fuel costs would harm our operations. If we fail to comply with various licensure, certification and accreditation standards we may be subject to loss of licensure, certification or accreditation which would adversely affect our operations. Complying with federal and state regulations pertaining to our business is an expensive and time-consuming process, and any failure to comply could result in substantial penalties. The regulatory framework is uncertain and evolving.

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1145238--9/27/2006--INSIGHT_HEALTH_SERVICES_HOLDINGS_CORP