This document provides instructions for completing an Excel spreadsheet to calculate break-even points for an imaging center. It includes calculating the monthly volume needed to: 1) break even; 2) break even at a desired $5,000 monthly profit level; and 3) break even at a new reimbursement rate of $55 per screen with no profit. It also includes calculating the volume needed to break even with additional labor costs. Referring to provided financial data and formulas, the spreadsheet will allow the imaging center to examine costs and make informed financial decisions.