The revealing moment in sleep-apnea care comes after the box arrives. A patient has a diagnosis, a machine, and instructions. Success now depends on doing something unfamiliar every night. BetterNight has organized a business around that awkward interval between receiving treatment and making it part of ordinary life.
- Consultation, home testing, and prescribed therapy connected in one care pathway.
- Remote monitoring and sleep coaches help patients keep using treatment.
- A clinical business with 1995 roots, a virtual platform launched in 2018, and national ambitions.
The San Diego company brings physician visits onto a screen, sends diagnostic equipment home, and arranges therapy and follow-up. It works with individuals and the organizations around them: doctors, health plans, clinics, and employers. Its interesting proposition is continuity. Someone remains responsible for what happens next.
01 / The invention was the connection
BetterNight grew out of Sleep Data, a sleep-services business whose history begins in 1995. The virtual platform arrived in 2018. That distinction matters. This was an existing clinical operation finding a different way to deliver care, with experience in the practical business of testing patients and supporting positive airway pressure, or PAP, therapy.
Dave French, identified by the company as a BetterNight co-founder, had become Sleep Data’s CEO in 2011. The clinical team included chief medical officer Dominic Munafo. BetterNight’s expertise extends across physicians, respiratory therapists, sleep technicians, and behavioral specialists. Software sits inside that service, helping the people doing the work.
The pathway is straightforward. A patient consults a doctor remotely. If appropriate, a home sleep test follows. A physician reviews the findings and recommends treatment. Equipment is delivered, with specialists available to help patients get started and continue. The company also describes digital cognitive behavioral therapy for insomnia, addressing a different sleep problem from obstructed breathing.
02 / The quiet economics of a phone call
Before BetterNight launched, Sleep Data researchers helped investigate a useful question: could automated follow-up reduce the work of coaching without weakening treatment? A 2016 study compared messages triggered by preset conditions with scheduled telephone calls. Its final analysis included 122 patients.
Coaching time averaged 23.9 minutes per patient in the telehealth group, against 58.3 minutes with standard care, a 59% reduction. Adherence and treatment-effectiveness differences were not statistically significant. The finding supported a narrower, valuable possibility: some routine support could require less staff time while producing similar measured results.
Coaching minutes per patient
The operational implication is compelling. A team that spends less time on routine contacts may have more capacity for patients who need individual help. That is an interpretation of the finding, rather than a measured result. It explains why connecting device data to follow-up is more interesting than simply putting an appointment online.
BetterNight’s own research library returns to the first month of treatment. One study summary reports that patients with very low adherence at 30 days were unlikely to become adherent a year later. Early trouble deserves attention. Waiting for the next appointment can allow a difficult beginning to become an abandoned habit.
“ultimately in the business of human connection”BetterNight’s description of its work
03 / Two customers, one bedside
For patients, the appeal is fewer logistical obstacles. For a referring practice, it is a service that can accept responsibility for testing, therapy setup, or both. BetterNight’s physician page reports more than 80,000 patients treated in 2023. That is the company’s figure, and it gives the operating model a tangible scale.
The market includes sleep clinics, diagnostic laboratories, equipment providers, and other virtual services. BetterNight’s positioning depends on joining activities that patients otherwise have to coordinate. A 2020 agreement with Itamar Medical made the division of labor explicit: WatchPAT testing and physician interpretation could connect to BetterNight’s home PAP care, remote support, and insurance administration.
Healthcare reimbursement is part of this business. BetterNight lists major insurers and Medicare, while also marketing services to health plans and employers. Its ACO page publishes an average pathway cost of $1,800. That figure describes its advertised process; a patient’s actual payment depends on coverage, deductibles, and services. It is no substitute for an individual estimate.
Company-published average pathway cost.
Personal out-of-pocket cost varies.
04 / A virtual company buys real sleep centers
Expansion required capital. HCAP Partners announced a $6 million growth investment in 2019 and a Series B investment in 2021 with undisclosed terms. In February 2023, BetterNight announced $33 million led by NewSpring, with HCAP and Hamilton Lane participating. The stated uses included national expansion, patient engagement, and remote monitoring.
Then the network widened in a more physical way. In September 2025, BetterNight announced the acquisition of Coastal Sleep Diagnostics and Epoch Sleep Centers in the Northeast. Their capabilities included laboratory and home sleep studies. The deal added regional clinical operations to the virtual platform.
INAN BEYDILLI / CEO
DAVE FRENCH / CO-FOUNDERA 2024 Tideline and Impact Capital Managers case study adds a less visible detail: HCAP’s work with BetterNight included expanded health and retirement benefits, career development, and regular leadership lunches. Those initiatives make sense in a service whose promise depends on trained people. Retaining the person who can solve a patient’s problem is part of keeping the pathway connected.
The timing followed a leadership change. Inan Beydilli became CEO on August 25, 2025, bringing experience at Apria Healthcare and HME Specialists. French is now listed as a board member. Alongside the technology story is a recognizable healthcare-services task: run a larger organization while keeping its clinical work coordinated.
05 / Make the next night easier
Convenience has clinical boundaries. American Academy of Sleep Medicine guidance reserves home testing for appropriate patients; certain complex conditions require laboratory evaluation. A negative or inconclusive home test may also need a laboratory follow-up. BetterNight’s broader diagnostic network fits a world in which the right pathway varies by patient.
The lesson other businesses can borrow is practical: design support around the point where someone is likely to stop. Make the next action clear, notice difficulty early, and keep a person reachable. BetterNight’s proposition ultimately lives in an unremarkable place: tomorrow night, when a patient decides whether to use the treatment again.