REV.health
Seed · $4M · 2026

The note is done before you leave the room. The claim is paid right the first time.

The ambient-AI-native EMR with revenue cycle built in — for independent primary care (1–5 clinicians).

Problem
2–3 hours of nightly charting; 5–10% of revenue leaks to fragmented billing.
Why now
A once-a-decade 2026–2027 regulatory reset — incumbents must retrofit; we start native.
Product
One platform: EHR + practice management + RCM, with a structure-first ambient scribe.
Moat
Patient-owned, portable record — each practice deepens a compounding network effect.
Model
$399/provider/mo + 3.5% of collections, 77% gross margin.
Plan
850 practices · $46M exit ARR · +$9.9M EBITDA by 2031 — burn to profit from 2030.
The ask

$4M seed to certified general availability.

Funds the team, ONC + EPCS certification, and the first paying design partners — to ~$2M ARR run-rate and the Series A milestone. 55% eng & product · 15% reg/cert · 12% design partners & GTM · 8% G&A · 10% contingency.

rev.health — confidentialfounders@rev.health

Problem

The underserved core of primary care

Clinicians spend 2–3 hours a night charting; fragmented billing leaks 5–10% of revenue. The 1–5 clinician practice is health IT's largest underserved segment — too small for the cloud suites, too modern for the budget EMRs.

Why now

A once-a-decade window

HTI-1, USCDI v3, CMS-0057-F, and TEFCA all land 2026–2027. Every incumbent must retrofit on decade-old schemas. We start FHIR-native, AI-native, TEFCA-connected. A once-a-decade window.

Product

One platform, end to end

One platform — EHR + practice management + RCM. A structure-first ambient scribe that writes coded fields with audio evidence, and turn-key RCM targeting ≥98% first-pass clean claims and ≤32-day AR.

Moat

A compounding network effect

Patients are users; the record is portable and every read is audited. Each practice added deepens one longitudinal chart — a compounding network effect no incumbent can copy.

Model

Transparent, turn-key economics

$399/provider/mo + 3.5% of collections — transparent, turn-key. ~$65K ACV/practice, 77% gross margin.

Plan

From design partners to profit

5 design partners (2027) → ONC-certified GA (2028) → 850 practices · $46M exit ARR · +$9.9M EBITDA by 2031. Disciplined, automation-led hiring turns burn to profit from 2030.