Co-Management is a professional services contract between the hospital and the radiology group. It includes a formal shared governance of the imaging service line and establishes joint strategic planning between the organizations.  Co-Management brings the radiologist out of the reading room and into the board room to participate in joint approval of capital equipment purchases and staffing FTE decision in the imaging department.  The arrangement defines metrics to measure physician and department performance while creating fair market value payment for medical directorships.  Co-Management establishes a pay-for-performance component and is applicable to any hospital service line.