This study was a survey of 138 hospitals and imaging centers in Minnesota. The purpose of the study was to validate the degree to which the six selected factors, social, legal, economic, political, and technological (SLEPT), including regulatory and institutional factors, influenced Minnesota radiology providers' readiness for wide-scale outsourcing of radiology services, both within the United States and to foreign destinations. Specifically, the study examined Minnesota radiology providers comprising hospitals, clinics, and imaging centers to ascertain their readiness to employ wide-scale radiology outsourcing as a means to redress cost increases, shortages of radiologists, and unavailability of expert radiologists. The six selected factors, coined core factors, were identified from the review of various literature and were prevalent in the literature reviewed as either enablers (influence) or inhibitors (barrier). A three-part questionnaire including screening questions, demographic questions, and core factors, was mailed to 138 hospitals and imaging centers in Minnesota. The questionnaire was piloted and validated before distribution to ensure content validity. Of the 138 participants surveyed, 61 (44%) did not respond and 15 (19%) declined to participate yielding a response rate of 56%. Usable responses totaled 62 (45%). The findings showed that respondents considered social, legal, economic, political, technological, regulatory, and institutional factors as enablers (influencers) and inhibitors (barriers) to Minnesota radiology providers' readiness for wide-scale outsourcing of radiology services within the United States and to foreign destinations. This was consistent with the empirical literature review, which found the same factors to be important considerations in outsourcing decisions.