Back in the spring of 2008, ABF Journal checked the pulse of the healthcare market and learned that lenders were optimistic. The real estate market was sinking, financial institutions were reining in lending, and government reimbursements were less than predictable, yet the outlook for healthcare seemed bright. Baby Boomers were aging, and people were living longer and requiring more services. Was this sector recession-proof? How did the economic downturn affect the industry, and where does it stand in 2011? Here, we examine the sector’s pressure points.