A healthcare communication system includes a first plurality of computer devices operable as a nurse call system. The first plurality of computer devices has core nurse call functionality. The system also includes a second plurality of computer devices communicatively coupled to the first plurality of computer devices. The first plurality of computer devices are interconnected logically and/or physically in a tiered architecture arrangement to provide fault isolation among the tiers so that faults occurring in computer devices of one tier don't affect the operability of computer devices in other tiers and so that faults occurring in any of the second plurality of computer devices don't affect the core nurse call functionality of the first plurality of computer devices.