The opportunity
A huge, aging-driven market still run on spreadsheets and disconnected tools.
Home-based and community care is one of the fastest-growing corners of healthcare as populations age, and it is delivered by tens of thousands of small and mid-size agencies. Most stitch together a schedule app, a separate electronic-visit-verification tool, a paper compliance binder, a billing clearinghouse, and a payroll provider, then reconcile them by hand. The result is colliding shifts, certifications that lapse unnoticed until an audit, visits that never become claims, and no single source of truth for who is working, where, whether they are cleared to be there, and whether the agency ever got paid for the work.
The wedge
We win compliance, then own the cascade everything hangs off.
Scheduling tools are everywhere. The product an agency cannot live without is the one that keeps it out of trouble and gets it paid. PulSe starts at the sharpest pain, compliance, with certifications, training, and documentation tracked in one place and alerts that fire before anything lapses, not after an auditor finds it. Then it connects that source of truth to the rest of the operation through a single cascade: one verified visit auto-generates the claim, posts the remittance, and drives payroll from the same clock-in hours. Win compliance and the cascade, and the schedule, the billing, the money movement, and the payroll all follow, because they all hang off one record.
Why it wins
The moat.
Nine care verticals, one platform
Not a single use case but a workforce operating system: DDS and IDD group homes (the deepest, 46 pages), ABA, pediatric, physician services, rehab, wound care, mental health, hospice, and home health, plus staffing, medical staffing, telehealth, and remote patient monitoring. An agency that adds a line of business does not change software.
The full revenue-cycle and money-movement stack
EDI 837P claims, ERA 835 remittance, denials, AR-aging, and claim scrubbing, with the Availity clearinghouse live. Money moves end to end: GL auto-posting, a 35-account chart of accounts seeded per org, two-way QuickBooks Online sync, Plaid banking, and dual direct deposit (Stripe Connect plus NACHA ACH), with ADP and Paychex connectors.
Five named execution agents, plus owner controls
Thirty-two AI agents, including five named Tier-3 agents that take real pipeline actions: Manka enforces compliance and cannot be disabled, Anye runs the revenue cycle, Vault handles payroll and ACH, Atlas optimizes the schedule, and Gateway automates intake. A governance layer of owner toggles and per-agent approval thresholds keeps the owner in control of every automated action.
TaTech engine
A shared multi-tenant platform, database-enforced security, observability, and AI plumbing across a portfolio of products, so new features and verticals ship fast and cheap.
Traction
Live, with the hard plumbing already built.
- Live at pulsecare.health with real-data wiring, not a demo shell.
- Availity clearinghouse is live, so verified visits can flow into real 837P claims and 835 remittance.
- QuickBooks Online two-way sync and Plaid banking wired, with GL auto-posting and a 35-account chart of accounts seeded per organization.
- A 50-state ecosystem of demo organizations built to prove multi-tenant scale, plus a platform-admin command center with live cost, health, and a synthetic monitor running the full check suite on a schedule.
- Two onboarding paths: a public self-signup 14-day trial and a platform-admin wizard for guided setup.
Business model
Recurring software, priced to the agency, on top of the money rail.
Subscription
Five-tier per-agency plans by staff count, branches, and verticals. Predictable, and it expands as the agency adds caregivers, locations, and lines of business.
Compliance & payroll value
The modules that carry real regulatory and cash weight, compliance enforcement, the revenue cycle, and payroll, are the ones an agency will never cancel because they are how it stays licensed and gets paid.
Ecosystem
Telehealth, remote monitoring, staffing, coordination, and reporting layered on the same base, growing seat value over time.
The ask
Let's talk.
We are raising to expand from a live platform into a paid rollout across agencies, deepen the revenue-cycle and money-movement engine, and grow the multi-vertical ecosystem. (Stripe is in test mode today; the live money rails are wired and waiting on activation.) If you back founder-led, AI-native software in a large, aging-driven market that still runs on five disconnected tools, we should talk.