In the high-stakes world of radiation therapy, where a single machine can cost millions, a tiny team of 17 is quietly moving $4.3M worth of equipment annually—without a digital footprint. This is the story of Radiology Oncology Systems (ROS), a masterclass in B2B relationship capital.

"When your customers are hospitals, not consumers, you don't need SEO—you need trust."

• Zero digital footprint suggests a referral-based monopoly in their niche
• 17 employees generating $253k revenue per head (exceptional for equipment sales)
• Dual web presence indicates segmented operations (transactional vs. brand)
• Heavy reliance on legacy relationships over modern growth tactics

The tech stack reveals a pragmatic approach: jQuery, Bootstrap, and Tailwind CSS for a functional site, but no modern frameworks or aggressive optimization. This isn't a tech company pretending to be in medical equipment—it's a medical equipment company that happens to have a website. The social profiles (Twitter, Facebook, LinkedIn) exist but show minimal activity, reinforcing the offline-first model. For founders and investors, ROS represents a fascinating case study in market saturation: when you've captured a tight-knit niche so completely, you don't need to shout online.