The Therapeutic Mattresses and Overlays ecosystem spans upstream material sourcing, midstream design and integration, and downstream delivery to care facilities. Upstream participants supply foam, gel, textiles, and mechanical components that form the core structure. Midstream actors – technology firms, original equipment manufacturers, and system integrators – embed pressure‑relief electronics, connectivity, and clinical algorithms, creating differentiated therapeutic value. Downstream channels distribute finished systems through medical‑device distributors and direct sales to hospitals, long‑term care, and home‑care operators. Value is captured primarily at the integration and channel stages, where product differentiation, regulatory compliance, and service contracts translate raw inputs into reimbursable clinical solutions.