Rtnow

What Rtnow does

rtNOW is a telerespiratory telehealth company founded in 2016 and headquartered in Frankenmuth, Michigan. The company delivers virtual respiratory care and clinical services through certified registered respiratory therapists — positioning itself as a clinician-of-record alternative to nursing-led telehealth in the respiratory category. Its service portfolio includes Virtual PAP Setup and Virtual PAP Adherence (for obstructive sleep apnea patients), NIV (non-invasive ventilation) Follow-Up, Inpatient Services for hospital and skilled-nursing settings, Hospice Support, and Remote Patient Monitoring (RPM) integration. A reported 100,000+ virtual PAP setups and adherence encounters have been completed over seven-plus years of uninterrupted service, with claimed outcomes of a 98% setup success rate and 96% patient satisfaction.

The platform layers a real-time reporting dashboard for partner visibility and an expanding product set, including the September 2025 launch of rtNOW Engage, an ongoing patient-engagement workflow product. Complementary offerings include the rtNOW Certified training program and HME Sales Training, which build channel-side competency. Customer-facing artifacts emphasize DMEPOS-aligned telehealth accreditation and AARC recognition (2019) as a telerespiratory pioneer — credentials that gate entry into HME/DME, Critical Access Hospital, SNF, ED/Med-Surg, hospice, and RPM referral channels.

rtNOW operates a B2B services model selling quote-based contracts into healthcare channel buyers rather than direct-to-consumer. Revenue mechanics are enterprise subscription- or per-encounter-style across HME providers, inpatient facilities (hospitals and SNFs), hospice organizations, and RPM providers. The go-to-market is direct enterprise sales with industry-association positioning and certification-led demand pull. No outside funding rounds, revenue figures, or M&A activity have been disclosed.

Name

Rtnow

Legal name

rtNOW

Website

https://rtnow.net

Company type

Private

Founded year

2016

Operating status

Operating

Headcount range

11–50 employees

Short description

rtNOW is a telerespiratory telehealth company founded in 2016 that delivers virtual respiratory care through certified respiratory therapists, serving HME/DME providers, hospitals, skilled nursing facilities, hospice organizations, and RPM providers across the United States.

Ownership category

akta.pro rank

Product category

Telerespiratory Healthcare Services

NAICS

Home Health Care Services (62161), Nursing and Residential Care Facilities (623), Home Health Care Services (6216)

SIC

Services-Health Services (8000), Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Home Health Care Services (8082)

akta.pro primary industry

Pulmonology & Sleep Medicine Telemedicine Platforms (HLALAGAF)

akta.pro secondary industries

Virtual Specialty Care Platforms (tele-stroke, tele-ICU, tele-derm, tele-cardiology) (HLALABAD), Virtual Visit & Scheduling Platforms (EHR-integrated) (HLALABAA), Telehealth Scheduling & Virtual Visit Logistics (HLACADAI), Virtual Urgent Care & On-Demand Teletriage Services (HLAFADAJ)

Keywords

• Telerespiratory care services
• Virtual respiratory therapy
• HME staffing solutions
• PAP adherence programs
• Remote physiologic monitoring

Headquarters

HQ city

Frankenmuth

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, Marketing or Sales, Others

Revenue model

1. Telerespiratory Staffing Services: Virtual respiratory therapy staffing provided to HME companies, inpatient, outpatient, and RPM verticals. Services include PAP setup, adherence monitoring, NIV follow-ups, and inpatient care support.
2. rtNOW Engage Service Lines: Turnkey virtual respiratory care service lines for DMEs including CPAP/BiPAP setup, 90-day adherence programs, and quarterly NIV follow-ups to meet CMS compliance requirements
3. rtNOW Certified Program: Certification and training programs for respiratory therapy professionals
4. HME Respiratory Sales Training Course: Training course for HME companies on respiratory sales and compliance

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels7 records

Core offering

rtNOW delivers telerespiratory care services via a telehealth platform, providing virtual PAP setup, 90-day PAP adherence monitoring, NIV follow-up programs, 24/7 inpatient respiratory staffing, hospice respiratory support, and RPM services to HME/DME companies and inpatient facilities. Services are delivered by licensed respiratory therapists and packaged as turnkey service lines (most notably rtNOW Engage) on a subscription basis, with HIPAA-compliant infrastructure and real-time reporting.

Product overview

rtNOW is a telehealth platform offering a comprehensive suite of virtual respiratory care services, functioning as a unified product rather than a modular platform. The core offering includes telerespiratory staffing solutions across four verticals: HME/DME companies, inpatient hospital settings, outpatient settings, and Remote Physiologic Monitoring (RPM). Key products include rtNOW Engage (a turnkey service line for DMEs covering virtual PAP/BiPAP setup and adherence), Inpatient Services (24/7 staffing for hospitals and skilled nursing), Virtual PAP Setup/Adherence programs, NIV Follow-Up services, Hospice Support, and the rtNOW Certified Program. Services are delivered by licensed respiratory therapists via telehealth technology, providing 7+ years of uninterrupted service with over 100,000 virtual PAP setups/adherence completed.

Differentiator

Problem solved

Functional benefit

Brands

• rtNOW Engage: A comprehensive suite of virtual respiratory care services for DMEs (Durable Medical Equipment providers) including virtual CPAP and BiPAP setup, PAP adherence support, NIV and BiPAP follow-up checks, and adherence programs for chronic respiratory failure patients.

Products and services

• rtNOW Engage A comprehensive suite of turnkey virtual respiratory care service lines for Durable Medical Equipment (DME) companies. Includes virtual CPAP and BiPAP setup, initial 90-day PAP adherence support, NIV and BiPAP follow-up checks, an initial 6-month NIV/BiPAP adherence program, and ongoing NIV/BiPAP adherence programs designed to help DMEs meet new CMS coverage criteria.
• Inpatient Services 24/7 telerespiratory staffing solutions for hospitals, critical access hospitals, skilled nursing facilities, hospice, and emergency departments, providing remote patient respiratory assessments, NIV and invasive ventilation support, and bedside nurse assistance.
• Virtual PAP Setup Remote expert-led setup of PAP (CPAP/BiPAP) devices guiding patients through initial use with patient education, with after-hour and weekend appointments available. Supports all devices and masks.
• Virtual PAP Adherence A proactive relational 90-day PAP adherence program in which each patient has direct access to the same respiratory therapist throughout their adherence journey, with additional care for patients who need more attention.
• NIV Follow-Up Quarterly virtual assessments for non-invasive ventilation patients connecting with existing and new NIV patients via telerespiratory to support ongoing therapy adherence, health and equipment status monitoring, and field supply needs.
• Hospice Support Telerespiratory care services specifically designed for hospice facilities, providing respiratory expertise and patient assessment support for hospice patients.
• Remote Physiologic Monitoring (RPM) Remote physiologic monitoring services enabling ongoing tracking of respiratory metrics and health data for patients outside clinical settings, supporting RPM providers with respiratory care integration.
• rtNOW Certified Program Certification program for respiratory therapists to become rtNOW certified in providing telerespiratory care services.
• HME Respiratory Sales Training Course Training course for HME companies on respiratory sales and compliance.

Quantifiable outcome

• 98% success rate in virtual PAP setup programs
• +3 more outcomes

Named customers5 records

Segments3 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature5 records

Partnerships

Three partnerships are on record, tiered minor and core.

• NikoHealthminorGTM or Marketing Partner · 13 March 2026Chief Strategy Officer Justin Hawley appeared on NikoHealth's Claim to Fame podcast to discuss rtNOW Engage, telerespiratory care, and industry trends.
• The Compliance TeamcoreOthersrtNOW is officially accredited by The Compliance Team for DMEPOS Telehealth, demonstrating adherence to healthcare quality and compliance standards.
• American Association for Respiratory Care (AARC)coreStrategic or Co-development PartnerrtNOW is credited by the AARC with pioneering telerespiratory care. The AARC recognized rtNOW's efforts in the creation of telerespiratory in the AARC Times publication.

Scale indicators5 records

Recent moves6 records

Expansion highlights5 records

Emerging players

• Vivify Health: Vivify Health provides remote patient monitoring and virtual care platforms across chronic conditions, including respiratory, and intersects with rtNOW's RPM service line for ongoing patient monitoring.
• Propeller Health: Propeller Health is a digital health company focused on respiratory medication adherence and remote monitoring for asthma and COPD, addressing overlapping patient populations and adherence use cases served by rtNOW's PAP/NIV programs.
• Caregility: Caregility provides a virtual care platform for inpatient telehealth, including tele-ICU and virtual nursing, addressing similar hospital-based virtual care use cases as rtNOW's inpatient telerespiratory services.

Broad incumbents

• ResMed: ResMed is a global leader in sleep and respiratory devices with growing digital health and adherence solutions, serving the same PAP/NIV patient population and DME channel as rtNOW but from a hardware-led platform.
• Amwell: Amwell is a broad telehealth platform offering virtual specialty and provider consultations; while not focused on respiratory, its enterprise reach into health systems overlaps with rtNOW's hospital and DME customer base.

Direct peers

• Hicuity Health: Hicuity Health provides tele-ICU, tele-nephrology, and virtual acute care services; its tele-ICU respiratory support overlaps directly with rtNOW's inpatient telerespiratory offerings for hospitals and critical access facilities.
• Access TeleCare: Access TeleCare is a specialty telemedicine provider delivering virtual specialty care to hospitals and health systems, including pulmonary and ICU support, comparable to rtNOW's inpatient telerespiratory staffing.
• Avel eCare: Avel eCare delivers a broad suite of telemedicine services including respiratory and ICU support to rural and critical access hospitals, closely matching rtNOW's 24/7 telerespiratory model for underserved facilities.
• HGE Health: HGE Health provides tele-pulmonology and COPD remote monitoring services, directly overlapping with rtNOW's telerespiratory care model and shared focus on chronic respiratory disease management.

Regional players

• Apria Healthcare: Apria Healthcare is a large US DME provider of PAP and respiratory equipment with in-house RT staffing; it is a direct customer-type for rtNOW and a potential competitor if it chooses to internalize telerespiratory capabilities.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/rtnow
• LinkedInlinkedin.com/company/rtnow
• Instagraminstagram.com/rtnow_usa
• Xx.com/Rtnow

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles3 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 Rtnow