The Rehabilitation Medical Services ecosystem comprises interconnected upstream, midstream, and downstream actors that collectively generate and capture value across the care continuum. Upstream, medical device manufacturers, software vendors, and consumable suppliers provide the hardware, robotics, and data platforms that enable therapy delivery. Midstream participants—system integrators, rehabilitation centers, and managed‑service providers—assemble these components into patient‑centric treatment programs and coordinate clinical workflows. Downstream, payers, hospitals, outpatient clinics, and home‑care agencies act as primary channels, delivering services to patients and insurers. Value is created through the integration of technology, clinical expertise, and reimbursement structures, while capture is realized via service contracts, equipment leasing, and outcome‑based payments. This value chain analysis delineates the principal roles and interactions that define the market.