
Valley Children's Hospital
Streamlining iNO Delivery and Scaling Access with Simplicity
Valley Children’s Hospital in Madera, California, is a 358-bed, stand-alone pediatric teaching hospital serving over 1.3 million children across Central California. It houses the region’s only Level IV Neonatal Intensive Care Unit (NICU), offering the highest level of care for critically ill newborns. The hospital's NICU includes 88 Level IV beds at the main campus and 28 Level II and III beds at partner hospitals in Fresno, Merced, and Hanford. Collectively, these units provide specialized care for more than 1,400 babies and nearly 25,000 patient days annually.
Why Valley Children’s Sought a New iNO Solution
The Respiratory Care team at Valley Children’s, led by Manager Bryon Martinho, began evaluating alternatives to their tank-based iNO delivery system in 2024 due to multiple operational challenges:
- Limited and noncompliant tank storage space
- Workflow inefficiencies while locating and transporting cylinders
- Manual start-time tracking for billing
- Unresolved device functionality issues
- Lack of supply chain integration
- Rising and unpredictable costs
How LungFit PH Improved Workflow, Training, and Cost
The team selected LungFit® PH to address these issues and modernize their nitric oxide program. By generating NO from room air, the tankless system eliminated the need for cylinders entirely and dramatically simplified both setup and training. More than 150 RCPs were trained across the departments—with even infrequent users expressing confidence.
NICU Beds
LungFit PH Systems
RCPs Trained
"The simplicity of LungFit PH made onboarding easy and scalable. Over 150 staff have been trained and even teams who rarely use it feel confident. That’s huge."
Bryon Martinho
Manager of Respiratory Care, Valley Children's Hospital

Scalable Results Across Care Areas
At peak times, up to 14 patients can be on therapy simultaneously. The team reports reclaimed RT resources, streamlined workflows, and substantial cost savings that enable reinvestment into other critical operational priorities.
Let’s Bring Tankless to Your Team
Ready to explore how LungFit® PH could work in your hospital? Whether you're just starting to evaluate iNO solutions or want to see how our tankless system stacks up, we're here to help.