HealthStream, Relias, and Cornerstone OnDemand priced for the 5,000-employee hospital system. The contract assumes a CLO, a compliance officer, and a quarterly procurement cycle. A 40-clinician urgent-care group or a 120-aide home-health agency can't buy through that door. The sales call dies on the second question.
The fallback is a Drive folder, a SharePoint site, and a recurring Calendly link. Annual CPR recerts get tracked on a spreadsheet. OSHA bloodborne-pathogen training is a 30-minute Zoom plus a PDF sign-off. The compliance officer finds out something lapsed when a surveyor asks.
Classentra is the LMS half of the clinical training stack, done well, sold publicly, setup in days. Run live CPR sessions with attendance auto-captured, issue verifiable certificates per recertification, and keep your annual OSHA / HIPAA / bloodborne-pathogen training in one workspace that any surveyor can read.