In late 2009 and early 2010, the Association of Northern California Oncologists conducted an economic assessment on a volunteer sample (n = 14) of northern California state oncology society member practices to measure key economic factors, diagnose economic viability, and prescribe changes to practice management to enhance practice economic viability. Recommendations for individual member practices as well as for the state oncology society were made as a result of the findings of this study. Results from follow-up interviews conducted with study practices approximately 1 year after the original assessments reveal that most recommendations were implemented and seem to have generally strengthened the economic performance of the practices.