A system includes a patient support apparatus that has one or more therapies. The therapies are optionally available depending on the acuity of the patient. A request for enablement of a therapy is transferred to a service provider for approval and, when approved, the therapy is enabled by the service provider. The patient support apparatus may be in communication with a server that is in communication with multiple patient support apparatuses so that the server is operable to selectively enable therapies on various patient support apparatuses.