[faresahmed]

I disagree, many businesses that put their software in maintenance mode (fix/upgrade on breakage) will be losing money in the long run.

Consider a hospital, many statistics can be collected o provide insights and make immediate decisions, faster algorithms and new ones to problems we couldn't solve back then have been discovered, the UI/UX can always be improved for productivity, etc. All of that makes money.

Software customers aren't, and shouldn't be, one-time shoppers; there's always room for improvement and new needs pop up all the time.

[nradov]

None of that really makes money for a hospital. Most of what hospitals do is direct, hands-on patient care. Software improvements can at best deliver some small cost savings or slight reductions in clinical errors. And many hospitals are non-profit or government run, so there's not even a direct management incentive to improve financial performance.

Do you know what makes money for a hospital? Buying a new MRI machine. They can directly charge customers for scans. In budget planning cycles any proposed IT upgrades have to compete against stuff like that.