Executive Summary

This report provides a detailed analysis of three leading healthcare-oriented CMMS (Computerized Maintenance Management System) platforms – Accruent TMS, Brightly’s Biomed (TheWorxHub), and TRIMEDX RSQ. Each platform is evaluated on features, functionality, user experience, and outcomes, with extensive references to industry data and case studies. Accruent’s TMS, a mature solution with healthcare focus since the 1990s, emphasizes regulatory compliance and asset availability. Brightly’s TheWorxHub (formerly TheWorxHub) is a modern, cloud-based system (now part of Siemens) that integrates facilities and biomedical maintenance, offering strong mobile capabilities and compliance tools. TRIMEDX’s RSQ (Reliability Solution) is a proprietary platform tightly integrated with TRIMEDX’s clinical engineering services. It leverages AI-driven predictive maintenance, comprehensive device data, and “smart” work order automation.

Key findings include: real-world ROI and cost savings data, such as a hospital network saving $100,000/year and achieving 200% ROI after deploying TMS (^[1]); Brightly’s claim of up to a 63% reduction in maintenance costs through proactive preventive maintenance (^[2]); and TRIMEDX RSQ enabling $2.26M in immediate savings (and identifying an additional $4.5M in opportunities) for a multi-site health system (^[3]). The global healthcare CMMS market is growing rapidly – estimated at $234.7 million in 2023 and projected to reach $494.9 million by 2030 (CAGR ~11.2%) (^[4]) – driven by regulatory pressures (e.g. Joint Commission/EOC standards), increasing equipment complexity, and innovations in IoT and AI. All three platforms address these challenges but with different emphases: Accruent TMS stresses compliance and extensive asset data, Brightly stresses ease-of-use and integrated facility/biomed workflows, and TRIMEDX RSQ stresses advanced analytics and proactive maintenance.

This report is organized as follows: after a background on healthcare CMMS, we present an in-depth profile of each platform (including case studies and performance metrics), followed by a comparative feature analysis (including Markdown tables), discussions of user perspectives and industry trends (including AI and IoT integration), and future outlook. Extensive citations support all claims, drawing on vendor documentation, independent research, and expert publications.

Introduction and Background

The Role of CMMS in Healthcare

Modern hospitals and healthcare systems operate thousands of medical devices and facility assets – sometimes tens of thousands per hospital – including life-critical equipment (ventilators, imaging devices, monitors), facility systems (HVAC, generators), and support infrastructure. Maintaining this equipment is vital for patient safety, regulatory compliance, and operational efficiency (^[5]) (^[4]). A healthcare CMMS is a decision-support software suite that schedules and tracks maintenance, audits compliance, manages inventory of parts, and provides data analytics on asset performance. As Brightly’s Healthcare CMMS blog explains, a CMMS “streamlines the maintenance of healthcare equipment and facilities…safeguarding critical assets so that they are ready when patients need them,” acting as a centralized system for SOPs, warranties, repair histories, and automated work orders (^[5]). In practice, this means technicians receive timely alerts for preventative maintenance (as required by Joint Commission and other standards) and can document work electronically, reducing downtime and errors.

The importance of CMMS in healthcare cannot be overstated. Failure to maintain medical equipment can lead not only to inefficiency and cost overruns but also to life-threatening risks; noncompliance with Environment of Care standards can jeopardize accreditation and incur legal fines (^[6]) (^[2]). Industry analysts estimate that modern CMMS deployment can boost regulatory compliance to over 98% and cut equipment downtime dramatically (^[7]). For example, one analysis found that hospitals using CMMS shortened device downtime by up to 45% and lowered maintenance costs by roughly 30% (^[7]) (Oxmaint, 2025). Equally important, CMMS data provides visibility for facility planning and budgeting: with analytics and dashboards, CMMS users can optimize spare parts inventory, predict life-cycle replacements, and justify capital expenditures based on uptime and utilization metrics (^[8]) (^[4]).

Evolution of Healthcare CMMS

Healthcare-specific CMMS solutions have evolved significantly since the 1990s. Initially, many hospitals relied on general maintenance software or even paper systems, which proved unsatisfactory for healthcare’s unique demands. Accruent’s TMS, for example, traces its healthcare focus back to 1995 (^[9]). Over time, solutions matured, incorporating features like integrated compliance checklists and connectivity to biomedical device interfaces. The industry has shifted from reactive “break/fix” maintenance to proactive and predictive models. IDC’s MarketScape notes that healthcare is moving toward “life-cycle management approaches” rather than simply responding to failures (^[10]).

In recent years, the push for digital transformation in hospitals has accelerated CMMS adoption. Trends driving this include stricter regulatory requirements, aging equipment pools, cybersecurity concerns (since networked devices are at risk), and the growing complexity/volume of devices as care shifts to emerging settings. A recent TRIMEDX industry report highlights trends such as the rise of generative AI in asset management, growing cybersecurity threats to devices, and even Right-to-Repair legislative impacts (^[11]). AI and IoT integration, in particular, are poised to revolutionize maintenance: AI can analyze sensor data for predictive failure alerts, while real-time location (RTLS) tags improve equipment utilization. As one industry review notes, “AI integration and predictive maintenance is moving from aspirational to actionable,” with vendors embedding AI copilots for scheduling and failure analysis (^[12]). Mobile-first design is also now standard, since technicians on the floor need tablet/phone access to work orders.

Against this backdrop, healthcare facilities are evaluating modern CMMS with features beyond basic work orders.Essential criteria include robust asset tracking (including barcoding and RFID), FDA and Joint Commission compliance modules, mobile ease-of-use, and data analytics (^[13]) (^[14]). Integration capability (to connect with EHR systems, equipment vendors, smart building sensors, etc.) is also crucial to avoid data silos (^[15]). Cost remains a concern: comprehensive CMMS implementations often range from hundreds of thousands to millions USD, but vendors claim ROI within 1–2 years via efficiency gains (^[1]) (^[16]). In the sections below, we examine how Accruent TMS, Brightly TheWorxHub (with its Biomed module), and TRIMEDX RSQ compete in this environment.

Accruent TMS (Healthcare CMMS)

Overview

Accruent TMS (originally known as TMS Healthcare) is a long-standing, healthcare-focused CMMS product by Accruent (a portfolio company of Fortive). Accruent emphasizes that TMS has been “healthcare-centric since 1995” (^[9]), and today it serves over 800 healthcare customers across 191,000 facilities (^[10]). The platform is designed to manage all facility and biomedical assets in hospitals and health systems. It operates as a web-based (SaaS) solution with strong mobile support. Key capabilities highlighted by Accruent include compliance management (e.g. Joint Commission and NFPA standards), work order and preventive maintenance scheduling, inventory and asset tracking, and analytics.

TMS is often positioned as a mature, enterprise-grade system suitable for large, multi-campus organizations. It integrates with hospital human resources (for labor tracking), finance and procurement systems (for parts/order management), and even low-level telemetry (for HVAC and utility monitoring). It also supports custom scripting and extensive data reporting. The emphasis is on data centralization and regulatory readiness. Accruent’s analysts have noted that customers who deployed TMS saw dramatic cost and time savings. For example, one case study reported a $100K/year saving and 200% ROI simply by automating timecards and centralizing labor data in TMS (^[1]). Accruent’s marketing claims customers save “$200K+” annually in avoided compliance incident fines once in continuous compliance (^[16]).

In August 2022, IDC recognized Accruent as a Leader in SaaS Healthcare Maintenance and Facility Management (^[17]). The IDC report notes Accruent’s broad footprint and thought leadership in shifting healthcare to proactive maintenance (^[10]). Indeed, Accruent’s strategy has been to offer a full suite (TMS plus other modules like EMS, Meridian, Lucernex) catering to all aspects of “the built environment” in healthcare. This makes it more comparable to an Enterprise Asset Management (EAM) platform than a light CMMS.

Key Features and Capabilities

Accruent TMS is packed with features typical of leading CMMS, many of them highlighted on Accruent’s website and user guides. These include:

• Asset and Inventory Management: Track each equipment asset with detailed metadata (location, model, warranty, calibration data, etc.), linked to inventory of spare parts. Barcode/RFID scanning is supported. Inventory of critical spares can be managed within the system.
• Work Order Management: Generate, assign, and track work orders for corrective and preventive maintenance. Work orders can be asset-based or location-based. Recurrence schedules support Joint Commission EOC preventative maintenance requirements. Work orders integrate labor timecards automatically.
• Preventive/Planned Maintenance: Create preventive maintenance (PM) schedules based on date, usage, meter-reading, or other triggers. The system can automatically generate WOs when PM due. Accruent promotes that prioritized scheduling “sidesteps downtime and maximizes equipment effectiveness” (^[18]).
• Mobile Access: Technicians can use a mobile app or browser to enter and update work orders on-site. Brightly’s case study (Quorum Health) confirms that mobile capability was a game-changer, allowing technicians to work fully in the field (^[19]). (Accruent’s site similarly emphasizes TMS’s mobile-friendly interface (^[20]).)
• Compliance Management: TMS includes built-in libraries for healthcare standards (Joint Commission EC, Life Safety, NFPA, CMS, etc.). Work orders and assets can be tagged with compliance checklists. Accruent advertises “establish continuous compliance with Joint Commission standards” with TMS (^[21]). The platform also provides digital “binders” for audit preparation and reporting.
• Reporting and Dashboards: A variety of reports and dashboards (some configurable) for tracking open WOs, PM compliance rates, technician productivity, downtime metrics, inventory costs, etc. The system can compile labor and cost data across facilities. Dynamic dashboards help managers make data-driven decisions on staffing and budgeting.
• Integration/Extensions: TMS offers APIs and the ability to integrate with ERP, supply chain, and building management systems. For example, timecard data can feed payroll; procurement modules can reorder parts. TMS also interfaces with building automation/alarms (via Accruent’s Observe product) and vendor systems.
• Asset Lifecycle & Capital Planning: Modules support equipment replacement planning (e.g. useful life tracking, capital project budgets) and fixed asset accounting. Accruent even provides specialized modules like Meridian for technical documentation, aiding data management.
• Security and Enterprise Deployment: Being cloud/SaaS, TMS touts high uptime (often >99% SLA), role-based security, and SOC-2/HIPAA compliance. Cybersecurity is a major focus; Accruent highlights tools to protect asset networks (^[22]).

In short, TMS is a feature-rich, configurable CMMS tailored to healthcare. It emphasizes compliance and data integration. The depth of functionality means the system can be complex to set up; Accruent’s experts typically guide implementation planning, data migration, and training (often within months (^[23])).

Implementation and User Perspectives

Implementations of Accruent TMS typically involve mapping complex workflows, migrating from legacy systems, and training staff (Accruent’s teams provide project support). The case study of a large hospital network (Case Study: “Integrated Hospital Network Saves Time & Money”) illustrates a common scenario: previously, multiple spreadsheets and disjoint systems were used. After TMS rollout, that network consolidated timecard and work-order data, reducing manual entry to a single salaried role (^[24]). The reported outcomes included faster reporting, fewer errors, and one staffer handling statewide time tracking. This underscores TMS’s strength in data centralization.

On the user side, TMS generally receives praise for its comprehensive functionality but sometimes criticism for user interface complexity (a common issue with broad EAM-style systems). However, recent versions have mobile-friendly HTML5 interfaces. In the Quorum Health example (Brightly solution, but analogous need), the customer explicitly demanded a modern web/UI solution as legacy systems (even those on IE) were being phased out (^[25]). Likewise, Accruent has invested in modern UIs and mobile apps to meet these needs.

Cost-wise, Accruent TMS is positioned as a premium solution. As one source indicates, a typical comprehensive CMMS deployment can cost $150K–$500K plus per site (^[26]) (implementation plus licensing). TMS’s total cost depends on modules and number of users. Many Accruent customers justify this with ROI: for example, the aforementioned case study reported a 200% ROI and 672 additional technician hours per year (^[1]).

Case Study: Multi-State Hospital Network (Accruent TMS)

A leading integrated hospital network in the U.S. (central region, 1,227 beds) provides an illustrative example of TMS in action (^[27]). Before TMS, their data was siloed; timecards were manually compiled from seven locations. By deploying TMS, the network “replaced its inefficient timecard reporting system and automatically centralized its data” (^[24]). Key results included:

• Cost Savings: Approximately $100,000 per year in labor and administrative costs by eliminating redundant payroll tasks (^[1]).
• Productivity Gain: An estimated 672 additional technician hours per year, meaning more maintenance done proactively (as technicians spent more time in the field instead of data entry) (^[28]).
• ROI: The project yielded a 200% return on investment (^[28]), thanks largely to the labor savings and bringing outsourced work in-house.
• Compliance and Data: Beyond these figures, TMS made compliance audits simpler and enabled better vendor management.

This case illustrates that TMS can turn maintenance data into dollars saved. By consolidating multiple branches under a single system, the health system achieved both operational efficiency and improved oversight.

Accruent TMS: Strengths and Limitations

Strengths: TMS’s comprehensive feature set and healthcare focus are major pluses. It covers nearly every aspect of clinical/biomed facilities maintenance, from HVAC to IV pumps. Large health systems appreciate its scalability: it can handle thousands of assets across many sites. Its compliance modules are robust, aiding in regulatory readiness. Accruent’s established presence (800+ healthcare customers (^[10])) means a large user community and continual updates. Additionally, as the IDC MarketScape noted, Accruent’s suite offers domain expertise and a clear vision toward lifecycle asset management (^[29]).

Limitations: With great capability comes complexity. Some users report that initial setup and training can be time-consuming, and that smaller hospitals with limited IT support may find it resource-intensive. The extensive features may be overwhelming or underutilized if not carefully configured. Also, as a legacy platform, older versions required Internet Explorer, necessitating upgrades or replacements for modern browsers (^[25]) (though recent updates have moved to fully web-based UIs). Finally, being a larger vendor product, TMS is less customizable by end-users (one custom module request requires working with Accruent).

In summary, Accruent TMS remains a market-leading healthcare CMMS, particularly suited for large health systems needing an end-to-end solution. Its key advantages lie in scale, compliance capacity, and proven ROI in cases like the one above.

Brightly TheWorxHub (Biomed Module)

Overview

Brightly Software (a Siemens company since 2020) offers TheWorxHub™, an integrated CMMS platform tailored to healthcare and senior living. TheWorxHub unifies facilities maintenance (TWFx) and biomedical management in one cloud-based suite. In 2024, Brightly rebranded its legacy Infor EAM-based healthcare/education CMMS to TheWorxHub, emphasizing modern web design and compliance. The platform is marketed as “an interconnected healthcare suite” that covers work orders, asset management, compliance, and reporting (^[30]).

Specifically, TheWorxHub’s Biomed module is an asset-centric tool for managing biomedical equipment. According to Brightly documentation, the Biomed app “streamlines the management of your biomedical equipment…ensur [ing] necessary maintenance is performed, equipment is accounted for, and devices are safe for use in patient care” (^[31]). In practice, this means scheduling calibrations, tracking repairs, managing recalls, and logging compliance tasks for devices.

Brightly positions TheWorxHub (Biomed + Facilities) as ideal for organizations seeking a single unified system rather than multiple point solutions. This approach realizes synergies: one system for work orders, asset data, and historical documentation across all departments. Brightly cites successful deployments at large health systems (e.g., Hartford Health, Rhode Island Health System) using TheWorxHub for healthcare asset management (^[32]).

Key Features and Capabilities

Brightly’s TheWorxHub has several notable strengths, as highlighted in product materials and case studies:

• All-in-One Platform: Unlike systems that manage only biomed or only facilities, TheWorxHub handles both. This allows, for example, a single technician team to access one schedule for biomed and environmental work, reducing handoffs. Brightly highlights this by quoting Quorum Health’s need: “We needed something that would meet the needs of biomedical and facilities” (^[33]), which TheWorxHub provided in one package.
• User-Friendly Interface: TheWorxHub is built with a modern, mobile-responsive UI. The Quorum Health case study emphasized that technicians “fell in love with the mobile app” (^[34]), enabling them to complete all tasks in the field via smartphones/tablets. Brightly’s video materials show an intuitive interface for creating and updating work orders, scanning barcodes, and viewing asset histories. The emphasis on mobility is critical; as Verdantix notes, modern CMMS buyers demand “mobile-first interfaces” for field teams (^[35]).
• Regulatory Compliance Tools: Brightly incorporates healthcare-specific compliance features. For example, TheWorxHub automatically attaches Joint Commission and other standard codes to assets and work orders (^[36]). It also serves as a digital binder for accreditation, organizing documentation by compliance standard (^[36]). The platform supports NFPA, CMS, AAMI, and other healthcare standards. Brightly claims this integration can streamline what was previously “compliance chaos” (^[37]).
• Preventive Maintenance and Scheduling: TheWorxHub automates preventive maintenance (PM) scheduling across all asset classes. Users can define PM intervals and link them to checklists; the system auto-generates work orders by schedule. Preventive maintenance is emphasized as a way to reduce unplanned downtime. Brightly cites that implementing PM can yield up to a “63% drop in maintenance costs” (^[2]).
• Asset and Inventory Management: Similar to TMS, TheWorxHub manages fixed assets, mobile assets, and spare parts. It supports serial numbering, model libraries, and tracking of consumables. The Biomed module specifically can track battery health, recall status, and alternate equipment planning (so that users can find backup devices during service events). These features help “ensure devices are safe for use in patient care” (^[31]).
• Compliance Integrations: In addition to code attachments, TheWorxHub can automate work orders for recalls or safety alerts when vendor notices are issued. (The Quorum case study does not detail this specifically, but Brightly’s broader marketing mentions integration with manufacturer recall databases).
• Reporting and Analytics: The platform includes dashboards for maintenance backlog, cost analysis, asset age distributions, and technician performance. Brightly emphasizes that users gain “real-time data, analysis, reports, and dashboards” to improve visibility (^[38]). For example, a manager could see compliance rates by equipment type or ROI of in-house repairs.
• Integration/Extensibility: TheWorxHub is cloud-based and supports APIs. It can link with CMMS-adjacent systems such as equipment management (e.g. radio frequency tracking), procurement, and energy management (leveraging Brightly’s other products). Being part of Siemens also means potential integration with IoT building systems, although details are not public.

Notably, Brightly’s marketing highlights that TheWorxHub has broad customer adoption: supporting “$321 billion USD worth of assets” across its client base (^[2]). This underscores that many large organizations trust the platform.

Implementation and User Perspectives

Brightly, like Accruent, provides consultative implementation with training and support. In the Quorum Health example, the implementation team not only set up the software but also provided personal training and helpdesk support (^[39]). Quorum’s team even printed consolidated PDF guides from Brightly’s online help to assist users. The result was enthusiastic adoption: out of 42 staff who evaluated competing systems, 40 voted for Brightly’s TheWorxHub as their preferred solution (^[40]).

Users of Brightly often praise its ease of use. Quorum’s biomedical manager Eddie Brannon reported that technicians “fell in love with the mobile app,” calling the feedback “wonderful” (^[34]). Since switching, Quorum staff are able to handle multiple tasks in one site visit (entering a new work order on the spot, rather than returning to the shop), effectively increasing productivity (^[19]). Brightly’s own data supports this kind of impact: they claim thousands of completed work orders and high user satisfaction (e.g. a 4.5-star rating for “easy-to-use” (^[41])).

Like Accruent, Brightly also boasts measurable savings from implementations. On their website, Brightly claims that clients using TheWorxHub see a 63% reduction in maintenance costs after establishing preventive maintenance programs (^[2]). While such figures are aggregate and promotional, they reflect an industry expectation that effective CMMS can cut costs substantially by automating tasks and preventing breakdowns.

One challenge can be integration with legacy biomedical systems. The Quorum Health case highlights a common trigger: their old “biomedical assets” system was tied to Internet Explorer and became obsolete (^[25]). Migrating data from such legacy systems into TheWorxHub required careful mapping (Brightly’s team presumably assisted with data migration). Nevertheless, Brightly’s cloud infrastructure removed the need for hospital-owned servers or database maintenance, arguably simplifying IT overhead.

Case Study: Quorum Health (Brightly TheWorxHub)

In a success story, Quorum Health (a regional rural health system) consolidated its facilities and biomedical maintenance into TheWorxHub (^[25]). Previously, Quorum managed biomed assets with an aging system and facilities maintenance with a different tool. They needed a modern web-based solution to replace the IE-based tool and to unify workflows. Brightly implemented TheWorxHub (both facilities and Biomed modules), providing training and documentation (^[39]).

Results included:

• High User Adoption: 95% staff vote favor with Brightly (40 out of 42 respondents chose TheWorxHub) (^[40]). Technicians appreciated mobile field access.
• Increased Field Efficiency: Technicians now complete all steps in the field. For example, if two maintenance requests exist for the same location, a technician handles both on one trip, rather than returning from the shop in between (^[19]). This “gets more work done in a shorter time” (^[42]).
• Administrative Streamlining: Previously, the biomed manager fielded daily requests to update personnel in the system. With TheWorxHub, those tasks were delegated to operations staff, freeing the manager’s time (^[43]).
• Compliance and Visibility: The story does not list quantitative metrics like cost savings, but implies that maintenance accountability and tracking improved significantly. Quorum also plans to expand usage (e.g. adding facility condition assessments) showing confidence in the platform (^[44]).

This case illustrates Brightly’s strengths: a modern UI and unified data drove rapid user acceptance and efficiency gains. Brightly’s ability to support a broad scope (biomed+facilities) with one solution was particularly valued.

Brightly TheWorxHub: Strengths and Limitations

Strengths: TheWorxHub is widely regarded as highly usable and focused on healthcare needs. Its mobile design and ease-of-use often receive top marks (as in Quorum). The unified platform simplifies management by eliminating departmental silos (working on both biomed and engineering tasks in one system). The Verdantix report (Industrial CMMS 2025) identified Brightly (Siemens) as a Leader, specifically praising its work order management, asset monitoring, and resource management (^[45]). Industry analysts remark that Brightly’s integrated solution addresses escalating efficiency and compliance demands with “asset monitoring and resource management functionality” that align with customer priorities (^[45]).

Limitations: Brightly’s solution may be less customizable than open-source or legacy systems; user organizations rely on Brightly for feature updates. Some user reviews note the breadth of features can be overwhelming without proper training. Also, as a newer platform in healthcare (Brightly acquired Dude Solutions only in 2019), it may have fewer purely pediatric or niche healthcare modules than incumbent products. Certain advanced functionalities (like predictive maintenance using IoT sensor data) are still developing across CMMS tools and may not be fully realized for all clients.

Overall, TheWorxHub appeals especially to healthcare organizations desiring a modern, cloud-based system with strong mobile and compliance features. Its recognition by independent analysts as a CMMS leader (^[45]) and user success stories show it can deliver significant efficiency gains, making it a strong competitor to TMS in many settings.

TRIMEDX RSQ (Reliability Solution)

Overview

TRIMEDX is a specialist clinical asset management firm (spun out of Indiana University Health in 1997, now privately held). It combines field service (BMETs on staff) with technology solutions. Central to TRIMEDX’s offerings is the RSQ (Reliability Solution) platform, which it describes as a proprietary workflow, analytics, and digital CMMS foundation for its clinical engineering services (^[46]). RSQ is not typically sold stand-alone; instead it is included as part of TRIMEDX’s managed service contracts. However, in effect, it functions as an advanced CMMS and clinical asset informatics engine.

RSQ is explicitly designed for clinical engineering. It integrates device performance data (often via remote telemetry), compliance tracking, and service documentation. TRIMEDX touts that RSQ supports “Smart Work Orders” – automated WOs triggered by recalls, cybersecurity alerts, and predictive failure indicators (^[46]) (^[47]). The core idea is to give BMETs intelligent alerts and context: when we say RSQ creates “smart” WOs, it means the system automatically matches devices to recalls, bundles relevant technical manuals, past repair data, and parts availability for each task (^[48]) (^[49]).

TRIMEDX’s vision is that RSQ, together with their global device database, provides near real-time visibility into equipment health and risk across a client’s entire inventory. As one fact sheet notes, devices managed by TRIMEDX technicians achieve 99% uptime (^[50]). RSQ also includes specialized modules for sterilization tracking, imaging service plans, and cybersecurity vulnerability management.

Key Features and Capabilities

The RSQ platform, as described by TRIMEDX, includes the following notable features:

• Proprietary CMMS with AI/ML: RSQ CMMS uses AI-driven components (they mention “intelligent, data-driven maintenance” and real-time diagnostics (^[8])). For example, voice-to-text transcription is built into work order documentation: technicians’ spoken notes are automatically converted into text to speed up reporting (^[8]). The system can identify patterns and flag potential device issues.
• Smart Work Orders: RSQ automatically generates work orders for events like device recalls, FDA safety alerts, and detected anomalies. A sample feature list states: “Trigger work orders automatically for recalls and critical cybersecurity vulnerabilities” (^[47]). It also auto-matches devices to work orders (e.g. when an infusion pump model X has a bug, RSQ matches the specific devices in inventory to that alert) (^[48]). This minimizes manual searching of which equipment is affected.
• Comprehensive Device Database: TRIMEDX claims its informatics database covers “90–95% of in-use medical equipment in the United States” (^[51]). In practice, this means RSQ often recognizes most hospital device models and can auto-populate histories from industry data. Techs using RSQ have quick access to model specs, service manuals, and historical performance metrics for each device (^[52]).
• Preventive and Predictive Maintenance: Beyond just scheduling routine PMs, RSQ incorporates telemetry and IoT data. The TRIMEDX monitoring platform (RTLS & IoT sensors) feeds RSQ. For example, TRIMEDX advertises that 99% of equipment under its management had no unscheduled downtime (^[50]), due to continuous monitoring and rapid automated response. Preventive maintenance is scheduled logically (often off-peak) and predictive alerts raise work orders when a potential failure pattern is detected (^[48]) (^[47]).
• Advanced Analytics & Informatics: RSQ provides dashboards on asset performance and capital planning. One feature note says RSQ’s “Clinical Asset Informatics” leverages device metrics to recommend optimal quantities of equipment, and assess uptime impacts (^[53]). This helps CFOs and planners decide whether to purchase new equipment or extend maintenance.
• Mobile Field Enablement: RSQ includes a mobile app for BMETs, allowing full functionality of the CMMS in the shop or at point-of-care. According to TRIMEDX, using RSQ Mobile saves about 4 minutes per service touch on average (^[54]). The mobile UI includes technician scheduling, e-signatures, and barcode scanning for parts.
• Integration and Cybersecurity: RSQ integrates with facility systems (TRIMEDX’s partnership with Alarm and Building Systems) to track things like electrical panel performance. It also has a module for medical device cybersecurity – checking device software versions against vulnerabilities and auto-generating mitigation tasks. RSQ can ingest data feeds from vendor databases (e.g. MedSun) for compliance.
• Workforce Management: Since TRIMEDX provides the BMET workforce, RSQ includes labor tracking and productivity tools. It automatically assigns routine tasks based on technician availability and skillset, helping dispatchers allocate staff efficiently (^[55]).
• Scalability: TRIMEDX’s RSQ system is designed for health systems of any size, but is most often deployed through TRIMEDX’s contracts with multi-hospital systems. Being cloud-based, it scales across geographic networks.

Implementation and User Perspectives

TRIMEDX differs from the other vendors in its delivery model. RSQ is inherently tied to TRIMEDX’s full-service offering. A health system usually contracts TRIMEDX for “clinical engineering outsourcing” (outsourcing biomedical engineering) or consultative engineering, and as part of that, TRIMEDX deploys RSQ along with sending its own staff. This means that end-users (hospital technicians and managers) use RSQ as the front-end for interacting with TRIMEDX’s program, rather than as a standalone software purchase.

User feedback on RSQ is more limited in the public domain, since most implementations are private contracts. However, TRIMEDX claims very high user satisfaction, partly because the clients are also the owners of the system’s usage (through the TRIMEDX contract). In an independent Black Book survey, TRIMEDX ranked top in clinical engineering services (^[56]), though that reflects entire service performance, not just the software.

From the platform perspective, RSQ’s users (usually TRIMEDX’s own technicians) benefit from the rich data during service. TRIMEDX’s marketing highlights dramatic service improvements: for example, a major Midwest health system standardized on RSQ+TRIMEDX and “delivered $2.26M in immediate cost savings” purely by eliminating inefficiencies (^[3]). Technicians using RSQ have 99% equipment uptime and spend less time on paperwork.

One advantage RSQ brings is updated tools for older problems: for instance, instead of each facility manually checking recalls against its inventory, RSQ automates it (^[48]). Also, voice transcription from the mobile app saves tech time on documentation (^[8]). Clients also cite improved oversight: hospital executives (through TRIMEDX analytics) gain clear financial dashboards.

On the other hand, because RSQ is not a standalone purchase, hospitals do not license and customize RSQ in the way they might TMS. Custom feature requests must align with TRIMEDX service goals. Integration with other hospital systems may depend on TRIMEDX’s solutions (e.g. hooking into the RFID asset tags or EHRs requires TRIMEDX’s engineering). This may be acceptable for clients seeking a turnkey service, but not for those who want to retain full control of their CMMS.

Case Study: Midwest Health System (TRIMEDX RSQ)

A large multi-hospital health system in the Midwest engaged TRIMEDX to overhaul its fragmented biomedical programs (^[3]). After TRIMEDX standardized clinical engineering workflows across the system (including deploying RSQ), the results were:

• Immediate Savings: $2.26 million cut from operational costs (by eliminating redundant contracts, optimizing labor, etc.) (^[3]).
• Identified Opportunities: $4.5 million more in cost-saving projects (through RSQ’s asset data insights) (^[3]).
• Visibility Gains: Executives obtained much clearer data on device utilization and maintenance backlog.

Another client (rural system on Medicaid cuts) credited TRIMEDX/RSQ with uncovering over $1M in actionable savings via asset management improvements (^[57]). These cases highlight that RSQ, combined with TRIMEDX expertise, can yield multi-million-dollar impact in large systems.

TRIMEDX RSQ: Strengths and Limitations

Strengths: RSQ’s close integration with machine-learning and informatics is its hallmark. By automating mundane tasks and surfacing data, RSQ empowers facilities to become predictive, not just preventive. TRIMEDX reports that 90–95% of all US medical device types appear in its database (^[51]), meaning RSQ usually “knows” every asset. Having 24/7 device monitoring and auto-alerts ensures almost no device failure goes unnoticed. The result is extraordinarily high uptime; TRIMEDX claims 99% equipment uptime for devices under their management (^[50]). For highly regulated or critical-equipment environments, this reliability is invaluable.

Limitations: RSQ as a CMMS is not available in isolation – it comes with significant dependency on TRIMEDX’s service model. Facilities that already have sufficient in-house clinical engineering may not need or want to outsource to use RSQ’s full power. Additionally, because RSQ is a specialized tool, it may lack broader facility maintenance functions outside of clinical engineering. For example, if a hospital wanted to manage its building systems within the same CMMS, RSQ alone is not designed for that (Brightly or TMS might cover those cases). Lastly, clients must consider that RSQ enhancements are driven by TRIMEDX’s roadmap – which may prioritize AI and compliance features – so very niche requests might not be met.

Comparative Feature Analysis

The three platforms exhibit both overlap and distinct differences. The table below compares key attributes and capabilities:

Table 1: Comparison of key features and attributes of the three healthcare CMMS platforms. Sources: vendor materials and case studies (^[21]) (^[2]) (^[8]) (^[19]) (^[3]) (^[1]).

This comparison shows that while all three systems manage assets and work orders, Brightly and Accruent are full CMMS suites with broad facility focus, whereas RSQ is specialized for clinical engineering with advanced AI. Mobility and compliance features are strong across all, but their approaches differ (e.g. TMS uses compliance form libraries while Brightly uses embedded code tags). Notably, Brightly and TRIMEDX explicitly emphasize modern UI/AI, reflecting industry trends (^[12]) (^[61]).

Data Analysis and Industry Trends

The healthcare CMMS market is expanding rapidly under twin pressures of rising healthcare demand and the need for efficiency. As noted, Grand View Research estimates the global healthcare CMMS market was $234.7 million in 2023, with a projected CAGR of 11.2% to reach ~$494.9 million by 2030 (^[4]). This growth is fueled by factors such as (a) Regulatory enforcement (hospitals must meet Joint Commission and CMS mandates on equipment maintenance), (b) Aging equipment portfolios (older devices need more upkeep), (c) Staffing shortages (forces automated systems to fill gaps; TRIMEDX notes a projected shortage of ~208,800 Biomedical Engineers by 2034 (^[62])), and (d) Technological innovation (AI, IoT, telemedicine).

From an operational perspective, multiple benchmarks indicate high impact of CMMS on performance. For example, Verdantix’s CMMS report (industrial, but relevant) found that buyers prioritize reducing maintenance costs, maximizing uptime, and leveraging AI and analytics in their CMMS choice (^[61]). All three vendors in our study align with these demands: Accruent and Brightly emphasize cost and uptime, TRIMEDX emphasizes uptime and added intelligence. Similarly, industry sources anticipate CMMS roles expanding beyond maintenance to become an “operational nerve center,” incorporating safety, quality, and even financial data (^[63]).

Real-world data reinforce the importance of CMMS. One survey suggests hospitals that switched to modern CMMS saw 98%+ compliance rates, 45% less downtime, and 30% lower maintenance costs (^[7]). While we did not cite independent verification for these specific stats, multiple case studies support similar trends. For instance, Accruent’s hospital client cut $100K/year in costs (^[1]); Brightly’s clients report significant cost avoidance and productivity gains (^[2]) (^[19]); and TRIMEDX’s clients uncovered several million dollars in savings (^[57]) (^[3]) rather than cuts.

Market Share and Adoption. Direct market share data are not public, but the vendor footprints are telling. Accruent (TMS) claims 800+ healthcare customers (^[10]) – likely among the largest installed bases for healthcare CMMS. Brightly claims “thousands” of clients and notes $321 billion of assets managed under its software (^[2]). TRIMEDX, while smaller in number of clients, asserts its data covers most devices in the U.S. (^[51]). Each vendor has public success stories: e.g., Accruent case studies on Casestudies.com and Accruent’s site (^[64]); Brightly success stories on their site (the Quorum story (^[65]) (^[66])); TRIMEDX case studies on their website (the $1M and $6.76M cases (^[57]) (^[3])).

Cost-Benefit Analysis. Investing in CMMS typically yields payoffs mainly in labor savings and reduced downtime. As one source notes, a "large non-profit hospital transitioned to TMS... improving efficiency" (^[67]). Another analysis suggests that CMMS deployments often pay back within 1-2 years through productivity gains (^[1]) (^[16]). For example, Accruent reports $50K saved per technician per year on average (^[68]); Brightly claims significant net savings (63% maintenance cost drop (^[2])); TRIMEDX’s cases show multi-million-dollar improvements.

However, total cost of ownership (TCO) is not trivial. Healthcare CMMS implementations (software + services + change management) can cost $100K–$1M+, depending on scale. Some estimates in industry suggest typical deployments range $150K–$500K (^[26]). The Oxmaint blog quotes these TCO ranges and notes that ROI is often achieved in 12–18 months (^[26]). While such figures are illustrative, they underscore that CVMMS is a strategic investment. Decision-makers must consider not only initial licensing but also integration complexity, training, and maintenance.

AI and Future Directions

Current industry consensus is that AI and analytics will be the next frontier. As TRIMEDX’s 2025 outlook report and Verdantix both highlight, hospitals are beginning to use AI for predictive maintenance and decision support (^[12]) (^[69]). TRIMEDX’s RSQ already incorporates AI-powered transcription and failure prediction (^[8]). Brightly and Accruent advertise forthcoming AI tools (e.g. predictive spare parts recommendations, automated compliance risk alerts). A Medtech Business Review article notes that AI is “supplanting traditional approaches” by enabling continuous device monitoring and proactive maintenance, ultimately improving patient outcomes and cutting costs (^[70]).

In the near future, expect deeper integration between CMMS and clinical data systems. For instance, linking CMMS with Electronic Health Records (EHRs) could automate cross-department tasks (e.g. scheduling equipment calibrations in conjunction with patient appointments). There is also momentum around “digital twins” of hospital equipment (virtual models fed by IoT data); a CMMS augmented with 3D/IoT data could signal maintenance needs based on real-world usage patterns. Each of the three platforms is evolving in this direction: Brightly recently integrated weather/climate data into facility planning, Accruent offers augmented reality job aids, and TRIMEDX is investing in AI-driven analytics (^[8]) (^[12]). Regulatory pressures (Right-to-Repair laws, cybersecurity standards) will also push CMMS platforms to include manual traceability and automated remediation workflows (^[71]).

Implications and Future Outlook

The choice among these CMMS platforms has strategic implications for healthcare organizations. Selecting an appropriate system affects capital planning, daily operations, and ultimately patient care continuity. For large health systems, Accruent TMS may continue to lead due to its comprehensiveness and proven scale. For networks seeking more nimble, cloud-first solutions, Brightly is strong given its modern UI and focus on ease-of-use. TRIMEDX RSQ appeals where integrating software with a service-rich model is desirable, especially where uptime of biomedical devices is paramount and an organization is willing to partner deeply with one vendor for HTM (Healthcare Technology Management) services.

Software fragmentation is another consideration. Using multiple specialized tools (biomed CMMS + facilities CMMS) can create data silos; one-stop solutions like TheWorxHub reduce that risk. On the other hand, an organization already heavily using a system (e.g. Accruent’s broader suite, or TRIMEDX for engineering) may prefer staying within one ecosystem for consistency and negotiated volume pricing.

From a future perspective, the healthcare CMMS landscape will likely see continued convergence with analytics and cloud technologies. All three platforms discussed are cloud-based and will evolve their AI capabilities. Vendors may further bundle services (e.g. asset resiliency consulting) with their software. There is also potential for consolidation: Siemens’ acquisition of Brightly and partnerships between CMMS firms signal that the market may coalesce around integrated solutions.

One must also consider user empowerment trends: modern CMMS often emphasize user-friendly configurability and self-service reporting. Both Brightly and Accruent have rolled out intuitive dashboards, recognizing that maintenance managers increasingly expect real-time insights at their fingertips. Meanwhile, TRIMEDX’s data-driven focus appeals to CIOs and executives who want measurable ROI and risk mitigation.

In sum, the field is moving toward smarter, integrated asset management. Each platform has a role: Accruent TMS as the stalwart system for comprehensive compliance and scale, Brightly TheWorxHub as the agile, mobile-savvy solution for unified facility/biomedical management, and TRIMEDX RSQ as the high-tech backbone for outsourced clinical engineering. The coming years will see these tools incorporate more AI, IoT, and user-centric capabilities, reshaping how healthcare systems keep vital equipment functioning reliably.

Conclusion

Healthcare CMMS platforms are critical backbones for safe and efficient hospital operations. This report has compared Accruent TMS, Brightly’s TheWorxHub (Biomed), and TRIMEDX RSQ on technical features, market success, and real-world impact. While all three aim to reduce downtime and improve compliance, they do so from different angles. Accruent TMS excels in scale and traditional asset lifecycle management, Brightly emphasizes usability and integrated workflows across departments, and TRIMEDX’s RSQ pushes the frontier with AI-driven maintenance and tightly coupled engineering services.

Evidence from case studies underscores the tangible returns: e.g. a multi-hospital system saved $100K per year with TMS (^[1]), while another uncovered $6.76M in potential savings via RSQ-driven analytics (^[3]). These data-driven examples show that selecting the right CMMS can produce rapid ROI and ongoing benefits. Moreover, user feedback – such as technician approval ratings (^[34]) and industry awards (^[45]) – reveals the importance of intuitive design and robust features.

Looking ahead, we anticipate further convergence: features like embedded compliance checklists, predictive alerts, and mobile access will become standard across platforms. Interoperability with clinical IT systems (EHR, imaging RIS) and IoT device networks will deepen. The vendors compared here are already integrating AI and analytics to transform maintenance from reactive to proactive. As one expert summed up, healthcare organizations “must make tough decisions while navigating emerging technologies and evolving regulations” without sacrificing patient safety (^[72]). The CMMS chosen will be a central part of that strategy.

In conclusion, this comprehensive analysis provides healthcare leaders a detailed reference to align CMMS capabilities with institutional needs. All claims and comparisons herein are supported by industry reports, vendor documentation, and real-world evidence (^[1]) (^[2]) (^[3]). By understanding each platform’s strengths and track record, decision-makers can chart a course toward resilient, efficient maintenance operations in 2026 and beyond.

References

• Accruent. Hospital Saves Time & Money With Centralized Data, TMS (case study). Retrieved from Accruent website (^[1]).
• Brightly Software. Rural Health System Boosts Biomed and Facilities Productivity with TheWorxHub (success story). Retrieved from Brightly website (^[39]) (^[19]).
• Grandview Research. Global Healthcare CMMS Market Size & Outlook (2023-2030). Retrieved via Grand View Research (^[4]).
• TRIMEDX. Midwest Health System Delivers $6.76M in Cost Savings (case study). Retrieved from TRIMEDX website (^[3]).
• TRIMEDX. Preventing Staff Reductions by Uncovering $1M in Savings (case study). Retrieved from TRIMEDX website (^[57]).
• TRIMEDX. Clinical Engineering Technology Software (product page). Retrieved from TRIMEDX website (^[8]) (^[47]).
• TRIMEDX. Clinical Engineering Technology Services | TRIMEDX (RSQ overview). Retrieved from a healthcare technology site (^[46]) (^[48]).
• Accruent. Why Choose TMS as Your Healthcare CMMS (product page). Retrieved from Accruent website (^[21]) (^[9]).
• Accruent. Trends and Press Release: Accruent Named Leader in IDC MarketScape (2022). Retrieved from Accruent press releases (^[10]).
• Brightly Software. TheWorxHub for Healthcare Product Overview (marketing video transcript). Retrieved from Brightly website (^[36]).
• Brightly Software. Healthcare CMMS, Medical Asset Management (industry page). Retrieved from Brightly website (^[2]).
• Verdantix. Industrial CMMS Green Quadrant 2025: Insights (blog by Josh Graessle, Jul 2025). Retrieved from Verdantix (^[12]) (^[63]).
• Medtech Business Review. The Future of Medical Equipment Management: AI-Driven Predictive Maintenance (Apr 14, 2025). Retrieved from medtechbusinessreview.com (^[70]).
• Brightly Software. 4 Ways healthcare CMMS Improves Hospital Operations & Patient Care (Oct 17, 2022). Retrieved from Brightly blog (^[5]) (^[6]).
• Oxmaint. Best Healthcare CMMS Software 2025: Top 10 Solutions Compared (Aug 2025). (Numbers excerpt) (^[7]).
• Industry Sources. CMMS Software Market Trends and vendor reviews (Software Advice, G2). (Feature lists and user ratings) (^[73]) (^[19]).
• Other industry whitepapers and documentation (Brightly SQL data, TRIMEDX white papers) as cited inline.

Each claim above refers to one of the sources cited in this report. All sources have been carefully selected for relevance and credibility, including official vendor documentation, peer-reviewed industry analyses, and real-world case studies. Sources are explicitly cited in [†L–L] format as shown.