Adaptive Innovations

Adaptive Innovations is an AI-native healthcare provider that operates as a full-stack, vertically integrated home health agency rather than as a software vendor. The company pairs clinicians delivering in-person care in patients' homes with an AI operating system that runs the surrounding administrative chain: intake, scheduling, prior authorization, charting, coding, billing and compliance. Its stated premise is that coordination overhead — cited at $0.60 to $0.90 for every $1 of clinical labor, and 40-50% of home health spending — causes agencies to reject an estimated $40B in referrals annually, leaving roughly 40% (two in five) of referred patients without care.

By automating that overhead, Adaptive says it can profitably accept referrals that legacy agencies decline, including patients outside the traditional Medicare book of business; the company states only about a quarter of its patients are on traditional Medicare, versus an industry norm of roughly 80%. The company describes home health as the coordination layer for post-acute care and states an intent to extend into adjacent verticals such as home infusion, dialysis, durable medical equipment, hospice and specialty pharmaceuticals as patient density grows.

The founding team is Co-CEOs Alex Wendland and Logan Stinson, CTO Ryan Tolsma and COO Hunter Stinson. Wendland and Tolsma approached home health from an AI perspective; Logan Stinson has home health operating experience in Texas, and Hunter Stinson is a former nurse and U.S. Army Ranger officer. The broader team is described as engineers and operators from Scale AI, Palantir, Jane Street, Citadel and the U.S. Army Rangers.

Founding story

Alex Wendland and Ryan Tolsma initially examined home health through an AI lens and attempted to sell back-office streamlining software to existing agencies, but found the agencies too entrenched to adopt redesigned workflows, leaving the underlying economics of which patients got treated unchanged. They concluded the leverage was in becoming the provider rather than selling tools to providers, and built a home health company with AI embedded in the administrative chain from the start, adding operators Logan Stinson, who had scaled home health operations in Texas, and Hunter Stinson, a former nurse and U.S. Army Ranger officer.

Business model

Adaptive is the provider of record rather than a software vendor, earning revenue from delivering home health visits reimbursed by payers, including traditional Medicare, Medicare Advantage and commercial plans. Because AI removes most administrative cost, the company says it earns a wider margin per visit than a traditional agency and can accept referrals that would be uneconomic for legacy providers. It describes a physical network flywheel: more accepted patients increase geographic density, which reduces clinician drive time and raises clinician productivity and pay, which deepens health-system referral relationships. The company also states an intent to pursue outcomes-aligned contracting models with payers as scale increases.

Fee-for-service reimbursement for home health visits from payers; the company notes traditional Medicare pays roughly two to three times what Medicare Advantage and commercial plans pay for the same visit, and that its lower admin cost makes lower-reimbursement patients viable. Future payer partnerships on outcomes-based contracting are described as a plan, not current practice.

Traction

Since launching in 2025: over 100,000 patient visits delivered, 500+ referring healthcare organizations, 24/7 clinical coverage across five Texas regions, and referral relationships with every major Texas hospital system. Reported outcomes include a 4.9% rehospitalization rate, over 95% of patients improving in ambulation, 99% admitted within 48 hours of referral, a 4.5-star CMS rating, and approximately 80% less clinician documentation time.

Latest developments

On June 2, 2026 Adaptive Innovations announced a $50M Series A led by Felicis and Bain Capital Ventures, disclosed a prior $10M seed round, and stated that proceeds will grow engineering and operations teams, accelerate software development and support expansion into new state markets. Stated six-month milestone is multi-state expansion.