No. Brightree, owned by ResMed since 2016, is one option for large suppliers, not the only one. Brightree alternatives at $20M+ in revenue include NikoHealth and Bonafide (WellSky) , plus specialty platforms for mixes like O&P or home infusion. At that size, the harder question is not who else exists. It is whether a switch can protect cash flow.
Brightree Alternatives That Serve Large Suppliers
- became part of ResMed when ResMed completed an $800 million acquisition in April 2016 ().
- NikoHealth is an independent, privately held platform built for mid-to-large, multi-location HME/DME providers.
- , acquired by WellSky in October 2024, describes itself as “the ERP used by 200+ DME providers across the nation.”
Specialty platforms fit specific product mixes. Our covers the full field.
Why Scale Changes the Decision
At $20M in annual revenue, every 1% change in collections is about $200,000. So a migration that delays billing for even a few weeks carries real cost. That is why large suppliers test the switch, not just the software.
What to Test Before Switching
What to test | Why it matters at $20M+ |
Active capped rentals | Month counts must carry over, or rental billing goes wrong for months |
Open A/R and claims in flight | Cash has to keep moving during cutover |
Historical documentation | CMS requires proof of delivery and claims records for 7 years (A55426) |
References at your size | Ask for suppliers who migrated at a similar volume in the last year |
Ownership and roadmap | Ask how product priorities are set, and who owns the vendor today |
Hear what suppliers report about , including the real cost of a move.
Where NikoHealth Fits
NikoHealth offers structured data migration from Brightree, Bonafide, DMEWorks, and Fastrack, and RedSail Technologies selected it to transition SystemOne customers. Implementation typically takes 90 to 120 days, and pricing is custom. Precision Medical Products replaced Brightree and several other tools with NikoHealth and cut DSO from 120 to 75 days ().
