Field Notes

 

Short operator notes on capital, service contracts, AI, and margin in radiation oncology. Seventy of them, grouped by the decision they belong to.

 

Medsolve Dynamics advises cancer programs on capital strategy, financial strategy, revenue and margin growth, and AI validation, from twenty years spent on the vendor side of the same conversations.

 

 

What Your Linear Accelerator Service Contract Is Actually Buying

Equipment service agreements, uptime, downtime, and where contracted hours go unused. Twelve notes.

 

Negotiating Radiation Oncology Capital With the Vendor

How capital and service negotiations are structured before the program arrives at the table. Fourteen notes.

 

Radiation Oncology Capital Decisions and Equipment Replacement

Seven to ten year commitments, replacement timing, and what a capital decision commits you to. Eight notes.

 

Building a Defensible Cancer Center Proforma

Volume assumptions, payer mix, sensitivity, and the math most proformas skip. Ten notes.

 

Validating AI Investments in Radiation Oncology

Workflow fit, unbundled pricing, staffing reality, and what AI costs after the demo. Eleven notes.

 

Theranostics, Benign Disease, and Service Line Growth

Adding a service line as a referral, capital form, and margin decision. Nine notes.

 

Running an Oncology Program: Operations and the Job Behind the P&L

Staffing, volume ownership, and what the administrator’s job actually contains. Six notes.