Uptime credits never claimed
Tiered credits owed when equipment availability falls below the contracted level.
Healthcare Contract and Invoice Audit
Audit hospital vendor invoices against the contracts behind them.
AllCaps audits hospital and health system vendor invoices against service contracts, amendments, and rate schedules to find credits, rebates, and charges that do not match the agreement. Each finding shows the invoice or service record, the contract term, and the calculation.
Typical leakage
Where the money goes
Hospital service contracts carry performance terms that facilities and finance teams rarely have time to enforce.
Preventive maintenance shortfalls
Penalties that apply when preventive maintenance completion falls below the agreed threshold.
Response time failures
Credits owed per incident when emergency response exceeds the contract commitment.
Rebates not paid
Spend-based rebates that are due after year-end and depend on someone asking for them.
Rates outside the contract
Labor, parts, and overage charges that do not follow the agreed rate schedule.
Escalators above the cap
Annual increases applied above the percentage or index the contract allows.
Evidence
What the audit checks
The audit runs on commercial records. Patient data is not required.
Service agreements
Master agreements, schedules, and amendments for equipment, facilities, and other vendors.
Invoices
Service fees, overage labor, parts, and emergency call charges, as PDFs or standard exports.
Performance reports
Monthly uptime, preventive maintenance, and response-time reports from the vendor.
Spend records
Annual vendor spend, used to test rebate thresholds and volume terms.
Example
What a finding looks like
These figures come from a real audit of a biomedical equipment service contract across four hospitals.
| Issue | Calculation | Amount |
|---|---|---|
| Equipment uptime SLA credits | Two months below 99.5% uptime, at 98.8% and 97.5% | $28,000 |
| Preventive maintenance completion penalty | Q3 completion of 93% against a 95% threshold | $8,000 |
| Emergency response credits | Three emergency calls beyond the 2-hour commitment × $2,500 | $7,500 |
| Annual spend rebate | Annual spend above the $900,000 rebate threshold | $4,450 |
| Total recovered | $47,950 | |
Real engagement with a regional health system, with the client anonymized. Read the full health system case study
Common questions
Frequently asked questions
What is a healthcare contract audit?
A healthcare contract audit checks whether vendors are billing and performing as their contracts require. AllCaps compares invoices and service records with contract terms to find unclaimed credits, unpaid rebates, and charges the agreement does not allow.
Which hospital contracts can AllCaps audit?
AllCaps can audit vendor agreements with enforceable commercial terms, such as biomedical equipment service, facilities, staffing, and other purchased services.
Does the audit need patient data?
No. The audit uses contracts, invoices, spend records, and vendor performance reports, and it does not require patient information.
How is this different from a CLM or AP system?
CLMs store and route contracts, and AP systems process invoices. AllCaps checks whether invoices and vendor performance comply with the contract, and it works alongside those systems.
Will AllCaps contact our vendors?
Not without your approval. Findings come with contract and clause support for your team to review first, and any external action remains subject to your approval.
How is a healthcare contract audit priced?
The Proof Audit is a one-time fee scoped and priced to your contracts and invoices. Ongoing audit is a subscription based on contract and invoice volume.
Start with your own contracts and invoices.
Send up to three contracts and 100 historical invoices. Review evidence-backed findings, then decide what comes next.