/Companies

Kaizen Design

Techstars '26

Kearney, US · 1 known investors

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Kaizen offers an enterprise platform for health systems to centralize, manage, and enforce building design standards across capital projects. The platform replaces static PDFs and documents with a governed system of record that improves consistency, reduces rework, and accelerates project delivery.

Also known as Kaizen · Kaizen Design

Founders & leadership

BHBecky Holden
Becky HoldenFounder & CEO

Investors · 1

Techstarslisted by TechstarsBoulder · $220K

How we know: the Techstars portfolio · open dataset · Top 3000 Accelerator Startups (no YC) 2026-08 · Not right? Tell us

Company profile

researched Sep 2026

Kaizen develops the Living Standards platform, an enterprise system of record that health systems use to collect, improve and enforce building design standards across capital projects. The product is positioned as a replacement for design standards held in PDFs, binders, SharePoint folders and undocumented institutional knowledge, which the company argues causes teams to spend weeks searching for requirements, buries decisions in email threads and leads to repeated mistakes across projects.

The platform is organized around three functions. Collect covers uploading and organizing standards into a structured, searchable repository with role-based access and defined ownership. Improve provides collaborative review, update and approval workflows with version tracking and audit trails intended to make decisions defensible for board, auditor or regulatory review. Enforce surfaces published standards during capital projects so they are applied across sites and building types. Kaizen describes the outcomes it targets as fewer change orders, faster project delivery, auditable decision records, lower building lifecycle cost and consistency across a portfolio spanning ambulatory to acute facilities.

Founding story

Founder and CEO Becky Holden states she spent 20 years leading capital projects, including work with Cleveland Clinic and Stanford Health, serving as a designer for Cleveland Clinic Abu Dhabi and a design leader for Stanford. She describes observing health systems across the country struggling to treat design as a strategy, and built Kaizen to let operators capture learnings from each project and align project teams.

Business model

Enterprise software sold to health systems as an organization-wide governance platform for design standards, with deployment described as phased across a customer's capital program.

Traction

Founder Becky Holden, based in Kearney, received a $5,000 top prize reported by University of Nebraska at Kearney news.

▸Full profile — market position, technology, go-to-market, geography

Market position

Kaizen positions itself as the first enterprise platform aimed at health system owners for design standards governance, contrasting itself with Procore and similar tools that it characterizes as serving contractors managing projects rather than the owners defining what gets built. It frames the addressable problem around an approximately $70 billion annual U.S. healthcare construction spend with roughly 15% of project value lost to rework, change orders and preventable failures.

The company cites three differentiators: a data model built by a healthcare capital projects operator to match how health systems structure standards; a compounding dataset of standards, decisions, exceptions and outcomes contributed by each customer; and an enforcement-oriented governance platform with versioning and accountability rather than a document repository.

Technology

A governed system of record for building design standards featuring structured, searchable storage, role-based access, defined ownership, collaborative review and approval workflows, version tracking, audit trails, and delivery of published standards into active capital projects. The company states that standards, decisions, exceptions and outcomes contributed by customers accumulate into a shared dataset across the platform.

Go-to-market

Direct enterprise sales driven by a 30-minute briefing request on the company website, in which the prospect's current standards process is reviewed, the Living Standards platform is demonstrated and a phased deployment across the capital program is outlined.

Health systems and the owner-side capital project, facilities and design leaders who define building standards, as distinct from the contractors served by project management tools.

Geography

Based in Kearney, Nebraska, with a product framed around the U.S. healthcare construction market.

Compiled by commissioned research from 5 cited public sources — announcements, filings, and press listed under research sources below.

Key figures

latest reported
Claimed annual U.S. loss across a $70B healthcare construction spendJan 2025$10B
Claimed preventable annual waste on a $500M capital program managed in PDFsJan 2025$75M
Claimed share of construction project spend wasted on rework, change orders and Jan 202515%

Company-reported or press-reported figures, each dated to when it was claimed — not independently audited.

Timeline · 1

launches, deals, and filings
Jan 2025
Founder Becky Holden wins $5,000 top prize

Becky Holden of Kearney took home the top prize of $5,000, per University of Nebraska at Kearney news coverage tagged to Kaizen Design.

$5K source ↗

Dated company events from announcements, filings, and press; legal rows summarize public dockets and regulator releases.

▸Research sources · 5

primary sources listed

5 public sources were cited for this profile; the first-party ones are listed here.

Frequently asked questions

What does Kaizen Design do?
Enterprise platform for health systems to collect, govern and enforce building design standards across capital projects.
Who founded Kaizen Design?
Kaizen Design was founded by Becky Holden.
Who are Kaizen Design's investors?
Kaizen Design's investors include Techstars.
Where is Kaizen Design headquartered?
Kaizen Design is headquartered in Kearney, US.