Compass AI is Butterfly Network's enterprise software platform that uses artificial intelligence to automate documentation, quality assurance, and workflow management for point-of-care ultrasound (POCUS) programs. It is designed for health systems, hospitals, and large clinical groups that need to standardize and govern POCUS at scale — across multiple providers, departments, and sites.

Compass AI addresses the 3 most common operational challenges in enterprise POCUS programs: undocumented scans ('ghost scans') that result in lost billing revenue, inconsistent quality assurance across providers, and fragmented documentation that doesn't connect to existing clinical workflows. By automating capture, documentation, and QA in real time, Compass AI helps health systems standardize POCUS practice and generate measurable financial and operational returns.

Compass AI captures ultrasound documentation in real time at the point of scan, reducing the number of exams that go unrecorded or improperly coded. Ghost scans — exams performed but not billed — represent a significant source of lost revenue for health systems. By automating structured documentation and supporting compliant coding workflows, Compass AI helps organizations capture revenue from POCUS exams that would otherwise be uncompensated.

A ghost scan is a point-of-care ultrasound exam that is performed by a clinician but never formally documented or billed. Ghost scans are a widespread problem in POCUS programs — estimates suggest a significant percentage of exams go unrecorded. Compass AI reduces ghost scans by automatically capturing documentation at the time of imaging, ensuring that completed exams are recorded and eligible for billing.

Compass AI provides centralized quality assurance tools that allow POCUS program directors to review, score, and provide feedback on ultrasound exams across their organization. QA workflows can be automated, with flagging criteria and review queues configured for each institution. This enables health systems to maintain imaging standards, support credentialing and competency tracking, and demonstrate compliance with institutional or accreditation requirements.

Compass AI is designed to integrate with existing clinical workflows, including electronic health record (EHR) systems. Integration capabilities allow ultrasound documentation captured through Compass AI to flow into the appropriate clinical records, reducing duplicate data entry and supporting audit trails. Specific integration options vary by health system configuration — contact Butterfly Network for details on EHR compatibility.

Yes. Compass AI's QA and tracking tools support competency management workflows, allowing POCUS program administrators to monitor individual provider performance, track exam volume by clinician, and document proficiency milestones. This supports institutional credentialing processes and ongoing competency maintenance requirements.

Yes. Compass AI is built for enterprise scale, supporting POCUS program governance across multiple departments, hospitals, and geographic sites. Centralized dashboards give program directors visibility into exam volume, QA compliance, and provider activity across the entire organization from a single platform.

Compass AI provides the infrastructure for health systems to expand POCUS programs systematically — with standardized documentation, quality oversight, and revenue tracking built in from the start. By reducing administrative burden and demonstrating financial ROI through improved billing capture, Compass AI helps administrators build the business case for investing in additional Butterfly devices and expanding POCUS to new departments or providers.