Lora Reed, RN, figures her ASC’s vendor service contract manual is at least five inches thick. To best ensure the manual serves her ASC in the most effective manner, Reed, the administrative director of Live Oak Surgery Center in Plano, Texas, devotes significant time and energy to evaluating and negotiating her ASC’s service contracts. “These are exhaustive, ongoing processes, but they are important as the services affect so many facets of our ASC and represent a significant investment.”