.decimal
.decimal is a US precision manufacturer of patient-specific custom beam shaping devices (boluses, apertures, compensators) and proprietary planning software for proton, electron, and photon radiation therapy, serving roughly 949 cancer clinics via on-demand ordering and software installed in 800+ centers.
- Company typePrivate
- Founded1986
- HeadquartersSanford, United States
- Headcount101–250
- GTM typeB2B
- OfferingHardware or Manufacturing
What .decimal does
.decimal is a Sanford, Florida-based precision manufacturer of patient-specific custom beam shaping devices used in proton, electron, and photon radiation therapy, serving radiation oncology clinics across the United States. Founded in 1986 by Richard Sweat as Southeastern Radiation Products and renamed .decimal in 1998, the company manufactures boluses (FlexiBol silicone, BolusECT, Blue Wax), electron cutouts and copper apertures, photon compensators/IMRT devices, and proton apertures and range compensators. Its p.d (planning.decimal) software is installed in more than 800 cancer centers in the US and Japan, where clinicians design and electronically order custom devices transmitted to the .decimal Direct web portal; the FDA 510(k)-cleared decimal3D iPad-based 3D scanner (December 2019) and the ASTROID proton treatment planning system extend the digital workflow upstream into patient scanning and dose planning.
The company operates an on-demand, pay-as-you-go commercial model with no minimum orders: clinics order devices per patient via the .decimal Direct portal and receive next-day FedEx fulfillment. Revenue streams include per-device transaction fees, one-time software license and installation fees bundled with training and ongoing technical support, and a smaller AS9100-certified contract manufacturing business (decimal Machining) addressing aerospace customers. .decimal holds ISO 13485:2016 medical device certification, multiple FDA 510(k) clearances (decimal3D, FlexiBol), and is now part of the CQ Medical family. Cumulative milestones include more than 500,000 custom devices manufactured (reached January 6, 2025) and roughly 949 clinics served across the United States, indicating a mature, long-tail customer base anchored by software-installed workflow integration rather than large individual contracts.
.decimal firmographics
Firmographics- Name
- .decimal
- Legal name
- .decimal, LLC
- Website
- https://dotdecimal.com
- Company type
- Private
- Founded year
- 1986
- Operating status
- Operating
- Headcount range
- 101–250 employees
- Short description
- .decimal is a US precision manufacturer of patient-specific custom beam shaping devices (boluses, apertures, compensators) and proprietary planning software for proton, electron, and photon radiation therapy, serving roughly 949 cancer clinics via on-demand ordering and software installed in 800+ centers.
- Ownership category
- akta.pro rank
.decimal industry classification
Industry- Product category
- Radiation Therapy Medical Devices
- NAICS
- Irradiation Apparatus Manufacturing (334517), Surgical and Medical Instrument Manufacturing (339112)
- SIC
- X-Ray Apparatus & Tubes & Related Irradiation Apparatus (3844), Surgical & Medical Instruments & Apparatus (3841)
- akta.pro primary industry
- Radiation Therapy Planning & Simulation Imaging (CT Sim/MR Sim) (HLAHABAH)
Keywords
Where .decimal is headquartered
LocationHeadquarters
- HQ city
- Sanford
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
.decimal business model
Business model- GTM type
- B2B
- Offering type
- Hardware or Manufacturing
- Cost components
- Personnel, Supply Chain, Technology or R&D, Operations, Marketing or Sales
Revenue model
- Custom Medical Device Sales: On-demand sale of patient-specific radiation therapy devices including boluses, electron cutouts, apertures, compensators. Pay-as-you-go model with no minimum orders.
- Software Licensing: One-time startup fee includes software license, installation support, staff training, and ongoing technical support for p.d software platform.
- Professional Services: Installation support including IT/IS reviews, staff training, and ongoing technical support Monday through Friday, 8:00 AM to 5:00 PM Eastern Time.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Unit Pricing | Pay-as-you-go | On-demand device pricing |
| One time/ perpetual license | Multi-year contract | Startup fee for new customers |
Go-to-market motion1 record
Distribution channels2 records
Marketing channels6 records
.decimal product offering
Product offeringCore offering
.decimal designs and manufactures patient-specific custom beam shaping devices for proton, electron, and photon radiation therapy, including silicone boluses, electron cutouts, copper apertures, photon compensators, and proton apertures and range compensators. The company complements its medical device manufacturing with proprietary software (p.d, decimal3D, ASTROID, decimal Direct) used by radiation oncology clinics to design, order, and track patient-specific devices, delivered on a pay-as-you-go basis with next-day FedEx shipping across the United States.
Product overview
.decimal is a precision manufacturer of patient-specific custom beam shaping devices for radiation therapy (proton, electron, and photon therapies) and a software development company specializing in radiation oncology planning. The company operates as part of the CQ Medical family. The product portfolio centers on custom medical devices including FlexiBol (custom silicone bolus), BolusECT (variable thickness electron bolus), blue wax uniform thickness bolus, electron cutouts/copper apertures, photon compensators/IMRT devices, and proton apertures/range compensators. Software offerings include p.d (device design and ordering software installed in 800+ cancer centers), decimal3D (FDA-cleared 3D scanner), ASTROID (proton planning), decimal Direct (web ordering platform), and decimal Launcher (application management). The company also provides GRID therapy products and contract manufacturing services. All medical device products are manufactured under ISO 13485:2016 quality management system.
Differentiator
Problem solved
Functional benefit
Brands
- FlexiBol: High-performance, patient-specific silicone bolus devices for radiation therapy. 510(k) cleared in 2021.
- BolusECT
- decimal3D
- FlexiBol Sheets
- Blue Wax Bolus
- p.d (planning.decimal)
- decimal Direct
Products and services
- FlexiBol Custom Silicone Bolus High-performance, patient-specific silicone bolus device that conforms exactly to treatment planning system designs and adapts to anatomical changes during treatment fractions; FDA 510(k) cleared in 2021 and compatible with Surface Guided Imaging systems. Sold to radiation oncology clinics for cancer patient treatment.
- BolusECT (Bolus Electron Conformal Therapy) Variable thickness electron bolus that shapes the distal ~90% isodose line to conform to the PTV, using energy modulation analogous to IMRT to tailor radiation dose to tumor geometry while sparing underlying healthy tissue. Sold to radiation oncology clinics.
- Blue Wax Uniform Thickness Bolus Patient-specific radiation therapy bolus precision milled from tissue-equivalent wax with coordinates derived from the patient external contour via the treatment planning system for snug fit and accurate daily reproducibility. Sold to radiation oncology clinics.
- FlexiBol Sheets (Standard Kits) Standard flat silicone sheets in 30cm x 30cm or 30cm x 45cm sizes in thicknesses of 3, 5, 7, and 10mm, available in 4 color-coded options plus pigmented peach for SGRT systems. Cost-effective alternative for simple anatomical surfaces. Sold to radiation oncology clinics.
- Electron Cutouts / Copper Apertures Custom copper electron cutouts for shaping electron beams, using non-hazardous copper (not OSHA-regulated like cerrobend). Orders received by 3:00 PM ET ship same day for next-day delivery, also available as generic reusable kits. Sold to radiation oncology clinics.
- Photon Compensators / IMRT Devices Custom beam shaping devices for photon therapy and Intensity Modulated Radiation Therapy (IMRT) delivery. Sold to radiation oncology clinics.
- Proton Apertures and Range Compensators Custom beam shaping devices for proton therapy including apertures and range compensators that shape the distal isodose lines in 3D to conform to target while sparing underlying tissues. Sold to proton therapy centers and radiation oncology clinics.
- decimal3D (3D Scanner) iPad-based 3D scanning application with camera for full-color, dimensionally accurate rendering of the patient treatment area, FDA 510(k) cleared December 2019. Allows radiation oncologists to scan patients and order custom devices within minutes.
- p.d (planning.decimal) Software Flagship device design and ordering software installed in over 800 cancer centers in the US and Japan. Enables visualization and electronic transmission of custom device orders directly to .decimal via the decimal Direct portal. Version 5.4 with decimal Launcher.
- ASTROID Proton Planning Proton-based treatment planning system introduced to the worldwide proton therapy market at PTCOG 57. Sold to proton therapy centers.
- decimal Direct (Web Platform) Web-based application for customers to upload, order, and track progress of patient-specific medical device orders. Includes .decimal Launcher for software management and updates. Version 11.12.0 as of September 2025.
- decimal Machining (Contract Manufacturing) AS9100D-certified precision custom contract manufacturing services under dotdmachining.com, leveraging the same manufacturing capabilities used for medical devices to serve aerospace customers requiring tightly toleranced custom parts.
Quantifiable outcome
- 500,000+ patient-specific devices delivered to date
- +3 more outcomes
Companies that use .decimal
Customer profileNamed customers8 records
Segments2 records
Ideal customer profiles3 records
.decimal technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature5 records
.decimal partnerships and signals
Strategic signalPartnerships
Six partnerships are on record, tiered parent company and research partner.
- CQ Medicalparent company.decimal is now part of the CQ Medical family, continuing to innovate and expand its impact in radiation oncology. Together with CQ Medical, the company is committed to advancing radiotherapy and improving patient outcomes worldwide.
- Massachusetts General Hospitalresearch partnerResearch collaboration with one of the leading academic medical centers for radiation oncology innovations.
- LSU/Mary Bird Perkins Cancer Centerresearch partnerOngoing research collaboration supporting innovations in radiation oncology treatment techniques.
- H. Lee Moffitt Cancer Centerresearch partnerCollaborative research institution for radiation oncology innovation and treatment development.
- University of Floridaresearch partnerAcademic research partnership for advancing radiation oncology technologies.
- University of Central Floridaresearch partnerAcademic research collaboration supporting radiation oncology innovation and education.
Scale indicators6 records
Recent moves6 records
Expansion highlights6 records
.decimal competitors and assessment
Company assessmentBroad incumbents
- Varian Medical Systems (Siemens Healthineers): Varian is the dominant US radiation oncology systems and treatment planning vendor. Overlaps with .decimal's p.d/ASTROID planning and device ordering workflow as part of broader clinic software ecosystems.
- Elekta: Elekta is a global incumbent in linear accelerators and radiation therapy systems with extensive accessory and software offerings. Competes with .decimal's planning and beam-shaping workflow at the system-buyer level.
- CQ Medical: CQ Medical is .decimal's parent company and a broader radiation oncology accessories and patient positioning platform. Most directly comparable as the parent organization and adjacent portfolio of products in the same vertical.
Direct peers
- Qfix: Qfix makes patient positioning and immobilization devices plus thermoplastic and vacuum-based systems for radiation therapy. Comparable niche player in the radiation oncology accessory category with similar GTM into clinics.
- CIVCO Radiotherapy: CIVCO Radiotherapy manufactures patient positioning, immobilization, and beam-shaping accessories used in radiation oncology clinics. Directly comparable to .decimal in serving the same proton/electron/photon accessory workflow at US cancer centers.
- Bionix Radiation Therapy: Bionix offers bolus, positioning, and radiation therapy accessories aimed at community oncology practices. Overlaps with .decimal's bolus and electron cutout portfolio serving the same small-clinic buyer.
Regional players
- IBA (Ion Beam Applications): IBA is a global leader in proton therapy systems and is headquartered in Belgium with strong European footprint. Comparable via its proton therapy installed base, which represents an addressable market for .decimal's ASTROID and proton devices.
Emerging players
- Mevion Medical Systems: Mevion is a US-based compact proton therapy system vendor. Comparable through overlap in proton therapy planning and treatment workflow, where .decimal's ASTROID and proton range compensators are used.
- RTsafe: RTsafe provides patient-specific QA phantoms and dosimetry for radiation oncology. Adjacent peer serving similar radiation therapy QA workflows at the same clinic customers.
- Sun Nuclear (Mirion): Sun Nuclear provides radiation oncology QA, dosimetry, and patient-specific QA solutions. Comparable adjacent workflow at the same clinics, increasingly intersecting with patient-specific device verification.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks5 records
Key highlights7 records
Customer concentration
.decimal social profiles
Digital presence.decimal compliance and trust
Trust signalCompliance2 records
.decimal financial estimates
Financial estimateRevenue estimate
Valuation estimate
.decimal leadership team
Management profileNumber of profiles
Profiles3 records
.decimal funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
.decimal M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about .decimal
What does .decimal do?
.decimal designs and manufactures patient-specific custom beam shaping devices for proton, electron, and photon radiation therapy, including silicone boluses, electron cutouts, copper apertures, photon compensators, and proton apertures and range compensators. The company complements its medical device manufacturing with proprietary software (p.d, decimal3D, ASTROID, decimal Direct) used by radiation oncology clinics to design, order, and track patient-specific devices, delivered on a pay-as-you-go basis with next-day FedEx shipping across the United States.
Is .decimal a public or private company?
.decimal is a private company. It is classified as corporate owned and is currently operating.
When was .decimal founded?
.decimal was founded in 1986. It employs 101 to 250 people.
Where is .decimal based?
.decimal is headquartered in Sanford, United States, in the North America region.
How does .decimal make money?
Three revenue lines are on record. Custom Medical Device Sales are the primary driver. The others are software Licensing and professional Services.
Who are .decimal's main competitors?
Broad incumbents on record are Varian Medical Systems (Siemens Healthineers), Elekta and CQ Medical. Direct peers are Qfix, CIVCO Radiotherapy and Bionix Radiation Therapy. IBA (Ion Beam Applications) is listed as a regional player. Emerging players are Mevion Medical Systems, RTsafe and Sun Nuclear (Mirion).
Does .decimal have an API?
No public API is recorded for .decimal.
What industry is .decimal in?
.decimal's product category is Radiation Therapy Medical Devices. Its primary akta.pro industry code is HLAHABAH, Radiation Therapy Planning & Simulation Imaging (CT Sim/MR Sim). Its NAICS code is 334517 and its SIC code is 3844.