Clinical systems · Tele-ICU and virtual nursing services
Hicuity Health
Hicuity Health is a virtual care provider based in St. Louis, Missouri, whose remote intensivists, nurses, and monitor technicians watch over ICU, telemetry, and hospital-at-home patients for more than 260 care facilities in over 30 states.
Strong fit
- Community and rural hospitals that cannot staff an intensivist around the clock
- Health systems that want remote cardiac telemetry or virtual nursing without building their own center
- Hospitals that want a staffed service paid per bed or per patient
Weak fit
- Academic centers with full in-house intensivist coverage and their own tele-ICU
- Buyers who only want camera and software platforms to staff themselves
- Hospitals that want a vendor with no pending change of ownership
Bottom line
Hicuity Health gives hospitals remote critical care doctors and nurses, cardiac telemetry monitoring, virtual nursing, and virtual sitters, staffed from its own command centers. It suits community and rural hospitals that need ICU expertise every night and cannot hire it. DocGo is buying the company, and hospitals signing now will be DocGo customers once the deal closes.
Score breakdown
Weights: Outcomes 35% · Product 30% · Implementation 20% · Pricing clarity 15%.
Hicuity Health is used by hospitals that need more critical care expertise than they can staff on site. Its remote intensivists and critical care nurses watch ICU patients through cameras and monitors, flag patients who are getting worse, and work with the bedside team. It also offers remote cardiac telemetry monitoring, virtual nursing, virtual sitters, smart device monitoring, and a shared services model for larger systems, all run on its HUB workflow platform. Its tele-ICU page says it has run programs at more than 145 hospitals.
On price, Hicuity sells a staffed service. ICU coverage is paid per patient admitted or per bed, telemetry per bed or per patient per day, and hospital at home per nursing shift, DocGo said in an investor update in September 2026. Contracts usually run two to three years and renew automatically, with renewal rates in the mid-80% range over 10 years. Competitors HIR has reviewed include Eagle Telemedicine, Equum Medical, and Caregility, which sells the platform more than the staff.
The company was founded in 2006 as Advanced ICU Care, the first independent tele-ICU provider, and took the name Hicuity Health in January 2021, its rebrand announcement says. It started when two intensivists had to cover ICUs on opposite sides of St. Louis at the same time, Fierce Healthcare reported. Lou Silverman is chairman and CEO. In August 2026, DocGo agreed to acquire Hicuity by taking on about $52 million of its debt. DocGo put Hicuity's trailing 12-month revenue at about $65 million, roughly $29 million from ICU care, $20 million from hospital at home, and $14 million from telemetry and vitals monitoring, with adjusted EBITDA of $4.5 million.
Hicuity says it employs 450 clinicians, monitors 4,700 beds, and cares for 160,000 patients a year. It reports that a full day less ICU stay saved partner hospitals more than $60 million. Revenue has been roughly flat, and since October 1, 2026, DocGo has managed Hicuity's non-clinical operations under a consulting agreement while the deal waits for a state review. Silverman told Fierce Healthcare in 2019 that the supply of intensivists "is and will remain flat."
What hospital buyers say
What people like
"Our night shift has an intensivist on camera for every ICU bed now, which we could never staff on our own."
"We pay per bed for telemetry, so we did not have to hire monitor techs for a full central station."
What people don't like
"With DocGo buying the company, we want to know who our account team will be next year."
"Getting our bedside nurses to trust the camera team took months, and some still call the hospitalist first."
Where customer reviews couldn't be found, our analysts attempted to give a voice to buyer sentiment, drawing on real information from review sites, forums, and product documentation.
Based on: Hicuity tele-ICU page, DocGo investor update transcript, DocGo acquisition announcement, and Fierce Healthcare interview with Lou Silverman.
Competitor landscape
| Vendor | Overall | Ease of implementation |
|---|---|---|
| Hicuity Health | 7.1 | 7.0 |
| Eagle Telemedicine | 7.2 | 8.0 |
| Caregility | 6.8 | 6.6 |
| Equum Medical | 6.6 | 7.4 |
Pricing
| Item | Detail |
|---|---|
| Model | Staffed virtual care service on two to three year contracts that renew automatically. |
| How it is billed | ICU care per patient admitted or per bed, telemetry per bed or per patient per day, and hospital at home per nursing shift. |
| What to ask before you buy | Ask about intensivist and nurse ratios at night, camera and EHR setup costs, and what changes after the DocGo acquisition closes. |
| Note | Hicuity does not bill professional fees to insurers, so the hospital pays the contract. |
Leadership
Methodology
| Weight | Factor | What it measures |
|---|---|---|
| 35% | Customer outcomes | Whether buyers get measurable operational or clinical-workflow results after go-live |
| 30% | Product | Capability depth, reliability, and fit for the job the category buys |
| 20% | Implementation | How hard it is to stand up, integrate, train, and stabilize |
| 15% | Pricing clarity | Whether a buyer can model total cost without a mystery quote |
| Label | Meaning |
|---|---|
| Highly recommend | Strong outcomes and product with manageable caveats |
| Recommend | Solid fit for the right buyer; know the tradeoffs |
| Conditional | Only with a specific use case or heavy caveats |
| Not recommended | Avoid for most buyers in this category |
Read our full methodology for how we weight scores and assign recommend labels.