The system is live in 21 hospitals on 3,300 beds and earns $3.4 million a year in subscriptions. The median sale takes 14 months from first meeting to contract. Since 2023 we have run 26 unpaid pilots: 9 became customers, 6 declined and 11 never reached a decision, usually because success was not defined or security review started after the pilot ended. Our evidence is one before-and-after study on two units at a single hospital, showing 31% fewer falls. Four account executives sell to hospitals of any size, and only one health system has bought for more than one hospital.
Challenges- Pilots are free to start and have no end. They tie up sensors and clinical staff for six months on average, and 11 of 26 produced no decision at all.
- Value analysis committees ask for multi-site data, falls with injury and alert burden on nurses. A single-site study answers none of those, and 60% of first submissions are sent back.
- Selling one community hospital at a time means a new committee, security review and contract for every 160 beds or so, while systems that could roll out across many hospitals see us as unproven.
We will focus on- Regional health systems with 3 to 15 hospitals where the chief nursing officer owns a fall reduction target.
- Medical and surgical units, where our live hospitals have the most data and one-to-one sitter costs are highest.
- Evidence and evaluation design: a multi-site study and a paid 90-day evaluation with success measures agreed before it starts.
We will not- Unpaid or open-ended pilots, even when a well-known hospital asks. Every evaluation is paid, runs 90 days and ends in a written decision.
- Nursing homes and rehabilitation facilities. They ask often and falls are a daily problem there, but budgets, staffing and buying are different enough to need a second product and sales team.
- A group purchasing contract or reseller this year. Either would open doors, but the sale still depends on nurses trusting the alerts, and that has to be done by our own clinical team.