The Factor That Makes or Breaks Renewals, Expansions, and Long-Term U.S. Adoption The first sale gets all the attention. It's the LinkedIn post. The celebratory email. The board slide with another hospital logo added to the pipeline because apparently one contract means world domination now. Unfortunately, it's also the sale that's most likely losing you money. Step 8 was about getting a hospital live. Step 9 is about making sure they never want to leave. Launch is an event.