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.

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.

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
How it works
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.

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.