Most rad onc programs walk into a service contract renewal with no independent numbers on the table. The vendor brings their performance data. The program nods. The renewal runs the vendor's direction. The gap is not in the contract language. It is in the measurement asymmetry. Five metrics the vendor tracks and the program rarely does. Uptime delivered against contracted spec. Response time against contracted SLA. Preventive maintenance hours delivered against contracted hours. Parts coverage against parts billed extra. First-call resolution rate. Pull the data quarterly, reconcile against contract spec, build the quarterly service review around the gap.

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