I have been using a hospital bed for over 5 years now.
Ours was donated to us, though we had to pay to have it moved to us and into our house (about $2,000).
The bed belonged to someone whose spouse died of ALS. She donated it to the ALSA, but moving it out of her house was so hard, the ALSA just "stored" it at her place. After a few years, she was looking to get rid of it and let us know it was available. At that point it was officially the ALSA's bed, so she coordinated with them to get the bed officially donated to us.
Moving it was a big deal, because of where it was located in her house. It took four very strong people to get it out. Getting it into our house should have been easier, but the moving company only sent 3 people. The bed weighs close to 500 very awkward pounds, and the 3 people really struggled to get it into our house, doing a bit of damage (to the house and the bed) along the way.
The bed is quite old (probably over 20 years old), but wonderful. it has handrails and all the expected power functions (legs, heads, elevate, and forward and reverse trandelenburg. The bed will automatically put me in a seated position. It is wonderful.
One of the critical items is the mattress. It is a special foam-filled air mattress that we set to automatically adjust pressure to reduce the likelihood of bed sores. I had a few problem with bed sores before getting the bed, but none sense.
I have trouble getting my head and torso up when flat. The bed will do that for me and makes it so much easier to get out of the bed. I spend more time in the bed than I ever could have imagined, about 14 to 16 hours on many days.
I will also add that I procrastinated for over a year after my neurologist suggested I get a hospital bed. After that year, I spent another year investigating and then finally coming across the bed I use now. I really, really, really did not want to get a hospital bed, but once I had it, realized how much it helped.
I encourage others to not wait as long as I did!
Steve