Cadence is the AI scheduling and operations layer for outpatient clinics. We sit on top of the EHR and turn a clinic's calendar into a self-optimizing system — predicting no-shows, auto-filling gaps from a smart waitlist, and rebalancing provider load in real time.
Outpatient clinics run on calendars they can't control. The average practice loses 14–20% of booked slots to no-shows and last-minute cancellations, and front-desk staff spend hours a day playing phone tag to backfill them. Cadence replaces that manual scramble with a model that predicts risk per appointment and fills the gap before it happens — lifting utilization without adding a single hour of staff time.
EHR vendors finally opened FHIR write-access APIs in 2024, making real-time schedule automation possible for the first time without a custom integration per clinic. The plumbing exists; nobody has built the intelligence on top of it.
Priya practiced as an outpatient physician for eight years and lived the no-show problem daily; Eli led ML infra at a digital-health unicorn. We pair clinical credibility with the engineering to ship against messy healthcare data.
An 18-month runway to harden the EHR integrations, prove the no-show model across specialties, and build a repeatable sales motion into mid-size clinic groups — reaching default-alive on a Series A trajectory.
Cadence connects to the clinic's EHR in under a day, learns its booking patterns, and runs three loops continuously — predict, fill, and balance. Staff keep their existing calendar; Cadence works underneath it, surfacing actions instead of dashboards nobody reads.
No-show prediction. We start with the one number every clinic feels in revenue: the empty chair. Cadence scores every upcoming appointment for risk, then proactively fills high-risk slots from a ranked waitlist — a sharp, measurable ROI that gets us in the door before we expand across operations.
Across our first nine clinics, Cadence lifted filled-slot rate from 81% to 92% and cut no-shows by a third — an average of $5,800 in recovered monthly revenue per provider, against a sub-$150 software cost.
There are ~280,000 outpatient clinic sites in the US employing roughly 1.1M providers. Scheduling inefficiency is a universal, recurring tax on every one of them — and it compounds with every empty chair.
TAM = 1.1M providers × $700/provider/yr blended ACV. SAM = clinics on FHIR-capable EHRs we can integrate today. SOM = realistic 3-yr capture at planned sales capacity.
Margin pressure is pushing clinics to recover revenue from existing capacity rather than add staff. FHIR write-access went GA across major EHRs in 2024–25. And patients now expect SMS-first, self-serve rescheduling — the exact surface Cadence automates.
Reminders are a solved, commodity problem — and that's exactly the trap. Incumbents send texts; they don't decide who to overbook, which slot to fill, or how to protect a provider's day. Cadence is the only player closing the loop from prediction to action.
Nine paying clinics, $84K ARR run-rate, 22% MoM growth — all from founder-led sales and zero paid acquisition. The model works; we're raising to make selling it repeatable.
Ship Elation + eClinicalWorks write-back; reach 4 supported EHRs.
Onboarding that goes live in under a day with no implementation call.
Provider load-balancing and capacity analytics out of beta.
Type II complete; unlocks larger multi-site clinic groups.
The $1.5M funds an 18-month runway to 80 paying clinics and a ~$1.2M ARR exit rate — the shape that supports a Series A. Plan holds with a 20% miss on growth.
~58% to product · ~28% to revenue · runway to Q4 2027.
Software-margin economics; SMS pass-through is the only variable cost.
Year-1 ARR is the seed exit rate (80 clinics). Years 2–3 assume the Series A funds the sales scale-up; NRR of 115%+ carries ~40% of net-new growth.
Cadence has the wedge, the proof, and the team. The seed is what turns nine clinics into eighty — and a working product into a category-defining company.
Round closed; engineering and first AE hired against the plan.
Self-serve onboarding shipping; 30 paying clinics on the platform.
Compliance unlocked; mid-size groups closing on the new motion.
80 clinics, default-alive trajectory — raise the Series A.
The empty chair is a $150B problem every clinic feels and no incumbent solves end-to-end. We've proven clinics will pay for the fix and stay for it. This round buys the runway to make that motion repeatable — and to be the system clinics run their day on.