As CEO of a growing, multifaceted business enterprise, Matthew Lemak delegates many operating-budget decisions to the people who have the most to gain—or lose—from their choices. On capital budgeting, he is considerably more hands-on.

It was a gutsy move even by the standards of the borough that is home to the New York Yankees, the birthplace of hip-hop, and the largest zoo in the East: At just 23 years old, with no direct experience in healthcare, Joel Reisman decided to dive into the deep end of the outpatient medical imaging business in the Bronx.

Industry watchers seemed intrigued but not especially surprised when Konica Minolta Medical Imaging announced its acquisition of 100 plus-employee Viztek in early October. The response was understandable, as the fusing was equal parts bold and sensible.

According to CMS's latest attestation data, some 4,720 unique diagnostic radiologists have at least one year of participation in Stage 1 or Stage 2 Meaningful Use under their belts. This cohort has made around 9,000 unique attestations since 2011, showing quantifiable and clinically significant use of certified EHR technology.

When Keyur Sathe, MHA, decided to put his nearly two decades of healthcare leadership and entrepreneurialism to work in a bold new venture—one that would, in his words, help “bend the arc of healthcare” toward greater value—he didn’t have to look far for inspiration.