NOSS

What NOSS does

NOSS (Night Owl Support Systems, LLC) operates 24/7/365 Remote Supports services for individuals with intellectual, developmental, and physical disabilities across 22 U.S. states. Founded in 2007 in Madison, Wisconsin as a spin-out from the Sound Response Program at the University of Wisconsin-Madison's Waisman Center, the company staffs a central monitoring station with Remote Support Professionals (RSPs) who deliver location-independent support using in-home sensors and two-way communication devices. The service is funded primarily through state Medicaid Home and Community-Based Services (HCBS) waivers, with private pay as a secondary option, generating recurring monthly subscription revenue.

The platform is built around the proprietary NOSS Panel — a customized Qolsys base unit — together with a locked-down NOSS Connect tablet that aggregates signals from bed, motion, contact, flood, heat, and smoke/CO sensors, plus third-party integrations including AngelSense (GPS/mPERS), BoundaryCare (biometric watch), Dose Flip (medication dispenser), and Belle Plus (mobile PERS). Redundant infrastructure — RSP workstation battery backups, a backup generator, multiple phone and internet carriers, and an offsite backup facility — supports continuous operation. All sensor events terminate at the Madison monitoring station, allowing RSP intervention without on-site staff. HIPAA-compliant digital forms handling is in place for consent and information-release workflows.

NOSS serves two intertwined customer bases: individual end-users with I/DD seeking greater independence (typically during overnight hours), and residential provider agencies seeking to reduce overnight staffing costs. Documented outcomes include $138,875 in annual savings for an eight-individual apartment cluster and $13,252 for an individual transitioning from 24-hour staffing. Distribution occurs exclusively through referrals from provider agencies, state Medicaid programs, case managers, and family members; no direct-to-consumer sales channel exists. The three co-founders — Chris Patterson, Dani Chilson, and Duane Chad Tempel — are founding members of the CAIRSS coalition, which advocates for Remote Supports integration in HCBS waivers.

Name

NOSS

Legal name

Night Owl Support Systems, LLC

Website

https://nossllc.com

Company type

Private

Founded year

2007

Operating status

Operating

Headcount range

11–50 employees

Short description

NOSS (Night Owl Support Systems) delivers 24/7/365 Remote Supports services for individuals with intellectual and developmental disabilities across 22 U.S. states. The Medicaid-funded subscription offering combines in-home sensors, two-way communication devices, and a centralized Madison, Wisconsin monitoring station staffed by RSPs.

Ownership category

akta.pro rank

Product category

Remote Supports Services for Individuals with Disabilities

NAICS

Home Health Care Services (62161), Services for the Elderly and Persons with Disabilities (624120), Services for the Elderly and Persons with Disabilities (62412)

SIC

Services-Home Health Care Services (8082), Services-Health Services (8000)

akta.pro industry

PRIMARYHSAHAHAE

Caregiver Monitoring, Check-In & Family Notification Platforms

Home & Personal Services/Home Security, Alarm & Smart Home Services/Personal Emergency Response Systems (PERS) & Medical Alert

SECONDARYHLAFAEAN

Home Health Remote Patient Monitoring & Virtual Nursing Providers

Healthcare & Life Sciences/Healthcare Providers & Systems/Home Health & Hospice Providers

SECONDARYHSAHAHAF

Two-Way Voice Emergency Communication Devices & Services

Home & Personal Services/Home Security, Alarm & Smart Home Services/Personal Emergency Response Systems (PERS) & Medical Alert

SECONDARYHSABAHAJ

Private Duty 24/7 Nursing (RN/LPN) In-Home Care

Home & Personal Services/Elder Care & In-Home Care Services/Live-In & 24/7 In-Home Care

Keywords

• Remote support services
• Disability care monitoring
• Home monitoring technology
• Personal emergency response
• Medication management services

Headquarters

HQ city

Madison

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Technology or R&D, Operations, Infrastructure, Marketing or Sales

Revenue model

1. Remote Supports Services: 24/7/365 Remote Supports services provided to individuals with disabilities. Services are typically paid through Medicaid waivers, with private pay also available as a funding option.
2. Medication Dispenser Add-on: Smart med dispenser available for additional monthly service fee. Pre-filled by staff, connected to NOSS system for remote oversight.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels6 records

Core offering

NOSS delivers 24/7/365 Remote Supports Services from a central monitoring station in Madison, Wisconsin, where Remote Support Professionals (RSPs) use an in-home sensor network (bed/movement, contact, motion, flood, heat, smoke/CO), two-way audio/video tablets, and mobile GPS/mPERS devices to support individuals with intellectual, developmental, and physical disabilities living independently. Services are paid through state Medicaid HCBS waivers with private pay available, and an optional Dose Flip medication dispenser subscription add-on is offered.

Product overview

NOSS (Night Owl Support Systems) provides Remote Supports Services, a core offering using technology to connect individuals with disabilities to Remote Support Professionals (RSPs). The system uses sensors (bed, motion, contact, flood, heat, smoke/CO), communication devices (smartphones, tablets, pagers), and wearable devices (GPS pendants, biometric watches) to enable 24/7/365 support from a central monitoring station. The product portfolio includes the NOSS Panel as the central hub, NOSS Connect tablet for video communication, Mobile GPS and mPERS for community safety, NOSS x AngelSense for GPS tracking, NOSS x BoundaryCare for biometric monitoring, and specialized sensors for home monitoring. Services are available in 22 states across the United States.

Differentiator

Problem solved

Functional benefit

Products and services

• Remote Supports Services Core 24/7/365 monitoring service for individuals with intellectual, developmental, and physical disabilities. NOSS Remote Support Professionals (RSPs) at the Madison, WI central station monitor in-home sensors (bed/movement, contact, motion, flood, heat, smoke/CO) and communicate via two-way audio/video tablets and mobile GPS/mPERS devices, enabling individuals to live independently with reduced on-site staffing. Sold as a monthly subscription; typically funded via state Medicaid HCBS waivers with private pay available.
• Dose Flip Medication Dispenser Add-on Optional add-on subscription available for an additional monthly service fee. Provides a smart medication dispenser, pre-filled by staff, that allows individuals to exercise greater independence with medication self-administration; integrated with NOSS so RSPs can reach out when doses are not taken at the appropriate time.

Quantifiable outcome

• Annual cost savings of $138,875 for provider agencies (8 individuals, 4 apartments, reduced overnight staffing)
• +2 more outcomes

Named customers4 records

Segments4 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration5 records

Feature12 records

Partnerships

Nine partnerships are on record, tiered core and minor.

• Crest ServicescoreStrategic or Co-development Partner · 1 January 2025Night Owl has provided 24/7/365 Remote Supports services for people living in Crest homes throughout Iowa since 2025. Crest Services provides residential services to individuals with mental disabilities, developmental disabilities, and traumatic brain injuries. Crest is a not-for-profit, faith-based organization with a mission to create communities fostering independence, dignity, and self-worth.
• Trivium Life ServicescoreStrategic or Co-development Partner · 1 January 2018Since 2018, NOSS has partnered with Trivium to support people across Iowa. Trivium empowers individuals with developmental disabilities, intellectual disabilities, chronic mental illness, and brain injuries. For many people in Trivium residential settings, NOSS provides complete Remote Supports services. In some instances, NOSS provides sensor-based, closed-loop AT systems tailored to help onsite Trivium staff ensure individuals are safe.
• CAIRSS (Coalition for the Advancement and Integration of Remote Supports Services)coreStrategic or Co-development PartnerNOSS is a founding member of CAIRSS, a coalition dedicated to advocating for the development and integration of Remote Supports services in HCBS Waivers for individuals with disabilities, traumatic brain injury, and those aging. Through CAIRSS, NOSS has contributed to public comment for HCBS Waiver renewals, promoted best-practices through position papers, and educated regulators at state and federal levels.
• The Arc of WisconsinminorGTM or Marketing PartnerListed as 'Our Friends' - advocacy organization for people with intellectual and developmental disabilities.
• ANCOR (American Network of Community Options and Resources)minorGTM or Marketing PartnerListed as 'Our Friends' - national trade association representing providers of services to people with disabilities.
• IARF (Iowa Association of Residential Facilities)minorGTM or Marketing PartnerListed as 'Our Friends' - Iowa association for residential facilities serving people with disabilities.
• ARRM (Arc Minnesota)minorGTM or Marketing PartnerListed as 'Our Friends' - Minnesota association representing providers of services to people with developmental disabilities.
• PAR (Pennsylvania Advocates & Resources for Autism & Intellectual Disabilities)minorGTM or Marketing PartnerListed as 'Our Friends' - Pennsylvania advocacy organization.
• QolsyscoreTechnology or IntegrationQolsys panel serves as the base unit for NOSS Remote Supports technology in the home. Features improved customizability that allows NOSS to make minute adjustments to improve the way connected devices support an individual.

Scale indicators6 records

Recent moves7 records

Expansion highlights6 records

Direct peers

• Rest Assured: Direct competitor providing remote support and monitoring technology for individuals with intellectual and developmental disabilities in their own homes. Rest Assured overlaps NOSS almost entirely on product (sensor-based remote supports), customer (I/DD agencies and families), and Medicaid waiver funding model.
• SimplyHome: Provider of remote supports, assistive technology, and sensors for people with disabilities and aging individuals. Directly comparable to NOSS in serving I/DD populations with Medicaid waiver-funded monitoring services and in competing for the same provider-agency channel.
• SafeinHome: Remote support technology provider for individuals with intellectual and developmental disabilities, offering sensor-based monitoring and caregiver alerts. Competes with NOSS for state Medicaid waiver contracts and I/DD provider agency partnerships.
• Constant Companion: Voice-activated, no-button emergency response and wellness check-in service aimed at older adults and individuals needing passive monitoring. Comparable to NOSS in offering 24/7 voice-based remote support and family/caregiver notification, with overlap in the aging-in-place segment NOSS serves.

Emerging players

• StationMD: Telehealth service specialized for individuals with intellectual and developmental disabilities, including those in group homes and supported living. Comparable to NOSS in targeting the I/DD population through provider agency channels and Medicaid funding, though StationMD focuses on physician consultations rather than continuous remote monitoring.

Broad incumbents

• LifeStation: Established PERS and remote monitoring provider offering medical alert systems, fall detection, and caregiver notification. Comparable to NOSS in the two-way voice, fall detection, and family notification capabilities, but LifeStation serves a broader senior population rather than specializing in I/DD.
• Medical Guardian: Large PERS and connected care provider offering in-home and mobile medical alert devices with 24/7 monitoring. Comparable to NOSS through mPERS, fall detection, and central-station monitoring infrastructure, though it targets the senior market at scale rather than I/DD specifically.
• Comfort Keepers: National in-home care franchise providing personal care, companionship, and respite services for seniors and individuals with disabilities. Comparable to NOSS as an alternative or complement to in-person caregiving, and increasingly intersects with remote supports as a strategy to extend caregiver reach.
• Bay Alarm Medical: Established PERS provider offering in-home and mobile medical alert devices, fall detection, and connected caregiver tools. Comparable to NOSS through mPERS hardware and central monitoring, though Bay Alarm Medical serves a primarily senior market and competes for family-pay relationships.

Others

• Qolsys: Panel and sensor manufacturer whose IQ Panel is the base hub integrated into NOSS's Remote Supports platform. Comparable as a technology/infrastructure partner rather than competitor, but Qolsys's broader security and smart-home channel represents an adjacent route to market for similar functionality.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/NightOwlSupportSystemsLLC
• Xx.com/NOSS_LLC
• LinkedInlinkedin.com/company/nightowlsupportsystems

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles15 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about NOSS