To OP's original point, healthcare orgs tend to think in terms of 5 year chunks, at minimum, when planning. They figure that the likelihood of any small podunk

To OP's original point, healthcare orgs tend to think in terms of 5 year chunks, at minimum, when planning. They figure that the likelihood of any small podunk startup being around in 5 years is minimal, so even if the product is 10x or better than the existing solution, there's that additional barrier to adoption.