Free for rural hospitals — no per-seat fees, no trial clock

Every project in your hospital, finally in one place.

Surveys, equipment purchases, quality initiatives, new service lines — rural hospitals run dozens of projects at once, scattered across spreadsheets, inboxes, and meeting minutes. Scale Street puts them all in one place, so you always know where everything stands.

Hospital staff reviewing project status together in an administrative office
Rural first

Built only for rural and critical access hospitals.

Scale Street isn't a big-system tool scaled down. Everything in it starts from rural reality — 25 beds, lean teams, one provider covering the ED at night — because rural hospitals are the only hospitals we serve.

Main street of a small rural town

Right now, your projects live in spreadsheets, inboxes, and someone's head.

Every department is running something — a state grant, a renovation, a survey response, a new service line. Status lives wherever the person running it keeps it, and the board meeting is where you find out something slipped. Nobody dropped the ball on purpose; there was just no place to see all the balls.

Scale Street gives your hospital one home for every project — boards, milestones, owners, due dates, and files — simple enough for a charge nurse covering the floor, and free for rural hospitals. When a project does stall, our consulting team is one ask away, inside the same tool.

Everything a rural PMO would give you

One home for every project
Projects, boards, milestones, files, and team messaging — built for hospital initiatives, free for rural hospitals. No seats to count, no trial that expires.
Status at a glance
See where every project stands, what's overdue, and who owns what — and walk into your board meeting with answers instead of surprises.
Experts one ask away
When a project stalls, ask from right inside the task — and one of Scale Street's own consultants joins your project, on your plan, in your messages.

How it works

1 · Put your projects in
Add the projects you're already running — or start one from a ready-made rural template. Owners, due dates, and milestones in minutes, not a training course.
2 · See everything in one view
Your home page shows every active project, its progress, and what's overdue. Each person sees their own tasks; leadership sees the whole picture.
3 · Ask for help when it stalls
At the steps where projects get stuck, ask — and a Scale Street consultant joins your project: PM, data, quality, marketing, communications.

Experts, the moment you need them.

No RFPs, no procurement cycle, no discovery calls. When your team hits a step it hasn't done before, you ask right from the task — and Scale Street puts one of its own people on your project, working inside the same plan, board, and messages as your staff.

  • One team, accountable to you — not a marketplace of strangers.
  • Help appears inside your project at the steps where teams stall — never as ads.
  • Message your Scale Street team right in the app — no email threads to lose.
Emergency entrance of a community hospital
Two ways we help

Remote project manager

A dedicated PM who runs your projects inside your workspace, end to end — plans, boards, meetings, follow-through.

Fractional leader

A senior rural-healthcare leader, part-time — strategy, innovation, and quality leadership for your executive team.

Both are Scale Street employees who work with critical access and rural community hospitals every week — on your plan, in your messages.

Private by default

Your workspace is your hospital's alone — your projects, tasks, and files are never visible to anyone outside it.

No passwords

Staff sign in with a one-time code sent to their work email — nothing new for IT to manage, no passwords to leak.

Built on Microsoft Azure

Hosted on the same cloud most rural hospitals already trust, encrypted in transit and at rest.

Built for rural hospitals. Free for rural hospitals.

Get your team a workspace and put every project in one place — no seats to count, no trial clock, and experts one ask away when you want them.