Mike,
I had one at my facility. It served no other purpose than a normal medicine ball. The sand made alot of noise. It stayed in a corner, before I popped it and threw it away.
I used the Ballast ball today after I inflated it fully.
I like that it is hard and sturdy feeling with thick rubber. I was a bit concerned when I read it only supports 250 pounds.
I often use duraball pro for chest press with around 200 pounds plus body weight. The duraball pro (from Australia) claims to be burst rated to 1100lbs
The hard ball worked great for push-ups and crunches and I got creative with some transverse plane movements such as many different types of woodchops during walking lunges.
It has 2.5 pounds of sand/kitty litter on the inside which increased the challenge of any exercise in the transverse plane.
I would like to see a different weight options as 2.5 pounds is different to a 230 pound male than a 95 pound female.
Overall I think the Bosu Ballast ball is a worthy addition to any gym, and could replace the old spongy crap stability balls.
It is not as versatile as the Bosu balance trainer and wouldn't be a priority if I already had good stability balls in my training studio but if I was starting out, I would get a ballast ball with a regular stability ball.