Phase 4

Douglas G. Smith, FRBMA

President and Chief Executive Officer

Phase 4 Radiology Business Strategies, LLC.


In 2010, following 15 years as Founder and Managing Partner of Barrington Lakes Group, Inc., Barrington Lakes Group merged into a multiple lines-of-services healthcare firm. Mr. Smith served 7 years as Senior Executive Vice President of the company and also served as Managing Partner of Strategic Positioning & Consulting Solutions.

Mr. Smith founded Phase 4 Radiology Business Strategies, LLC in 2017.

Mr. Smith holds the high honor of being selected as a Fellow of the RBMA and has been a frequently requested speaker and subject matter author for the ACR, RBMA, AHRA, Congress of Imaging Administrators, Texas Radiological Society, MGMA, AICPA, Business Valuation Resources, and other professional organizations and publications.


He is a member of the RBMA and serves on the RBMA Integration Task Force, RBMA Alternative Payment Models Task Force and past two-term member of the RBMA Legislative Affairs Committee.  He is also a member of AHRA,  Healthcare Financial Management Association, and Medical Group Management Association.

Mr. Smith is a contributing author to the Business Valuation Resources/AHLA "Complete Guide to Healthcare Valuation", authoring the chapter on the specific and unique considerations to be examined when valuing physician practices and diagnostic imaging entities.

His specialized professional background and experience includes:


  • Strategic Positioning & Strategic Action Planning

  • Radiology Leadership & Governance Transformation

  • Managed Care Contract Strategy Development

  • Radiology-Specific Compliance Program Development & Training

  • Radiology Group Network Development & Operations

  • Radiology Group Mergers & Integration Strategies

  • Radiology Group/Hospital Joint Venture Imaging Services Development

  • Imaging Entity Valuations & Fair Market Value Determinations

  • Radiology Group/Health System Integrated Imaging Strategy Development