Startup Diligence
Diligence report Healthcare remote care, remote patient monitoring, chronic care management, clinical AI Private venture-backed unicorn / growth-stage healthcare technology company

Cadence Solutions, Inc.

Cadence Solutions, Inc. Startup Diligence Research Report

Upside is a health-system embedded chronic-care infrastructure platform with validated outcomes and APCM/RPM reimbursement tailwinds; downside is labor-intensive services revenue with high compliance exposure and opaque economics.

Company profile

Cadence Solutions, Inc. Startup Diligence Research Report

Cadence shows credible public traction in AI-enabled remote chronic care, but financial, customer, reimbursement, clinical-safety, and regulatory diligence remain essential before relying on the $1B+ valuation.

Website
www.cadence.care
Sector
Healthcare remote care, remote patient monitoring, chronic care management, clinical AI
Geography
United States; Delaware corporation with New York headquarters signal
Stage
Private venture-backed unicorn / growth-stage healthcare technology company
Known aliases
Cadence, Cadence Care, Cadence RPM, Care in Sync, Cadence Health FL, PLLC, Cadence Health CA, PC, Cadence Health NJ LLC, NY Remote Medical Monitoring, PLLC
Report version
1.0
Timezone
America/New_York

Executive summary

Strengths

  • Cadence operates in remote chronic care/RPM/CCM/APCM with health-system customers and clinical workflows.
  • Chris Altchek is verified as founder/CEO and SEC executive/director, with Kareem Zaki also publicly named as co-founder.
  • 2021 financing and $1B valuation references are publicly corroborated, though valuation is not in Form D.

Risks

  • Financial opacity and valuation bridge.
  • Reimbursement and billing-compliance dependency.
  • Customer concentration, renewal, and implementation risk.
  • HIPAA, AI, and cybersecurity exposure.

Gaps

  • Audited financials, ARR, margin, cash, burn, runway, debt, cap table, and investor rights.
  • Revenue by customer, active patient counts, churn, renewal status, and customer references.
  • Clinical study methods, raw claims/outcomes data, adverse events, and regulatory/billing audits.
  • Device/vendor contracts, EMR integration metrics, cybersecurity reports, and HIPAA/AI governance records.

Recommended next steps

  • Open financial, cap-table, customer, billing, clinical, compliance, security, legal, IP, HR, and vendor data rooms.
  • Conduct direct customer/reference calls with named health systems and validate active deployments and ROI.
  • Engage healthcare regulatory counsel and clinical/statistical reviewers before relying on outcomes or reimbursement economics.

Risk register

high high likelihood

R-001: Financial opacity and valuation bridge

Financing and valuation references are public, but financial statements, ARR, margin, cash, and runway are private.

Diligence request: Request audited financials, KPIs, budget-to-actuals, bank/debt records, board decks, and valuation support.

high medium likelihood

R-002: Reimbursement and billing-compliance dependency

RPM/CCM/APCM/telehealth services depend on Medicare/payer billing, consent, supervision, coding, and audit compliance.

Diligence request: Review billing policies, legal opinions, payer contracts, coding audits, denial rates, and compliance minutes.

high medium likelihood

R-003: Clinical outcomes attribution and safety validation

Positive outcomes claims need full methods, conflicts, raw claims, adverse-event, and customer-specific validation.

Diligence request: Have clinical/statistical experts review full studies, data, adverse events, and partner outcomes.

high medium likelihood

R-004: Customer concentration, renewal, and implementation risk

Named health systems are strong signals, but revenue concentration, active lives, renewals, and churn are private.

Diligence request: Request customer revenue schedule, active lives, renewal/churn, backlog, implementation dashboards, and reference calls.

high medium likelihood

R-005: HIPAA, privacy, AI, and cybersecurity exposure

Cadence handles PHI, uses AI workflows/voice technology, and operates a security program; independent certifications were not public.

Diligence request: Review HIPAA risk analysis, SOC 2/HITRUST, BAAs, breach logs, AI governance, pen tests, and vendor risk.

high medium likelihood

R-006: Clinical workforce, licensure, and staffing scalability

Care model depends on licensed clinical staff, remote roles, state licensure, supervision, and retention.

Diligence request: Request licensure matrix, staffing ratios, credentialing, malpractice coverage, turnover, and QA audits.

high unknown likelihood

R-012: Cap-table, dilution, and financing-runway unknowns

Public sources identify 2021 financings but not current ownership, preferences, debt, option pool, cash, or runway.

Diligence request: Request fully diluted cap table, investor rights, debt/notes, option plan, 409A, and financing plan.

medium high likelihood

R-008: Competitive pricing and differentiation pressure

RPM, virtual chronic care, and care-at-home markets have multiple scaled competitors and adjacent platforms.

Diligence request: Run win/loss interviews, pricing benchmark, buyer survey, and competitor product comparison.

Chapter 01

01Financial Information

Public evidence verifies identity, 2021 financings, and reported $1B valuation; operating financial quality remains private.

I.A Annual and quarterly financial information for the past three years

not publicly verifiable confidence: high

Annual and quarterly financial information for the past three years: public evidence and diligence gaps are documented in linked claims and exhibits.

Evidence gaps

  • Private diligence needed for annual and quarterly financial information for the past three years records, management explanation, and supporting documents.

Hidden risks

  • Financial opacity and valuation bridge

Follow-up questions

  • Provide support for annual and quarterly financial information for the past three years and reconcile to public claims and exhibits.
Revenue and financial-quality signal ledger
metricpublic signalstatusriskdiligence request
Revenue / ARRSEC revenue range declined to disclose; no ARR publicnot_publicly_verifiableNo valuation bridgeAudited financials, ARR, revenue by customer/product.
Scale20+ or 21 health systems and >90,000 patients claimedpartially_verifiedScale may not equal recurring revenueActive/revenue-generating lives and ARR by customer.
Gross marginClinical care team and licensed roles are visible; margin not publicnot_publicly_verifiableServices labor may limit software marginsCOGS by labor, devices, support, cloud, claims admin.
Cash / burn / runwayNo public records foundnot_publicly_verifiableFinancing need unknownBank, payables, debt, budget, runway plan.

Stub rows are included where private financials are unavailable.

I.B Financial Projections

partially verified confidence: medium

Financial Projections: public evidence and diligence gaps are documented in linked claims and exhibits.

Evidence gaps

  • Private diligence needed for financial projections records, management explanation, and supporting documents.

Hidden risks

  • Financial opacity and valuation bridge

Follow-up questions

  • Provide support for financial projections and reconcile to public claims and exhibits.

I.C Capital Structure

partially verified confidence: medium

Capital Structure: public evidence and diligence gaps are documented in linked claims and exhibits.

Evidence gaps

  • Private diligence needed for capital structure records, management explanation, and supporting documents.

Hidden risks

  • Cap-table, dilution, and financing-runway unknowns

Follow-up questions

  • Provide support for capital structure and reconcile to public claims and exhibits.
Capital structure and ownership snapshot
stakeholderpublic positionevidencestatusdiligence request
Chris AltchekCEO, founder, executive officer/director, signerLaunch post, SEC filings, unicorn listverifiedEquity, vesting, employment agreement, board status.
Kareem Zaki / ThriveCo-founder and director signalLaunch post and Form D related personverifiedOwnership and board/investor rights.
General Catalyst / Hemant TanejaLead investor and director signalLaunch post and Form D related personverifiedInvestor rights and side letters.
CoatueSeries B lead reported by trade presspharmaphorum articlepartially_verifiedConfirm securities and governance rights.
Other holders / options / debtnot publicNo cap table, debt, or option plan publicnot_publicly_verifiableFully diluted cap table, debt, warrants, option pool.

Ownership percentages are not public.

I.D Other financial information

partially verified confidence: medium

Other financial information: public evidence and diligence gaps are documented in linked claims and exhibits.

Evidence gaps

  • Private diligence needed for other financial information records, management explanation, and supporting documents.

Hidden risks

  • Financial opacity and valuation bridge
  • Cap-table, dilution, and financing-runway unknowns

Follow-up questions

  • Provide support for other financial information and reconcile to public claims and exhibits.
Public funding-round history
dateeventamountvaluationstatusdiligence request
2021-06-29 / 2021-07-14Launch / Series A Form D$40,911,524 sold; $41M launch fundingnot disclosedverifiedSeries A documents, price per share, cap table.
2021-12-07 / 2021-12-15Series B Form D / trade press round$102,549,999 sold; trade press says $100M$1B reported by list/trade presspartially_verifiedClosing schedule, preferences, side letters.
2022-2026Later financingsnot public in fetched EDGAR feednot publicly verifiablenot_publicly_verifiableAll equity/debt/SAFE/note/secondary transactions.

Form D does not disclose valuation or full cap table.

Financing and scale timeline Timeline of public financing and scale milestones.
Public funding and valuation trajectory Chart of public financing amounts and valuation anchor.
Chapter 02

02Products

Public product evidence is strong, but architecture, AI validation, economics, and safety require data-room review.

II.A Description of each product

partially verified confidence: medium

Description of each product: public evidence and diligence gaps are documented in linked claims and exhibits.

Evidence gaps

  • Private diligence needed for description of each product records, management explanation, and supporting documents.

Hidden risks

  • Reimbursement and billing-compliance dependency
  • Clinical outcomes attribution and safety validation
  • HIPAA, privacy, AI, and cybersecurity exposure

Follow-up questions

  • Provide support for description of each product and reconcile to public claims and exhibits.
Product and clinical-program matrix
productaudiencefeaturesconditionsstatusdiligence request
Clinical Intelligence / Remote Patient Carehealth systems, clinicians, older adultsvitals/symptoms/medications/engagement tracking; AI agents; care teamhypertension, heart failure, diabetes, COPDverifiedDemo, architecture, model validation, protocols.
Care in Sync legacy platformpartner clinicians and patientscollects vitals, medical history, wellness data; machine learningheart failure, COPD, type 2 diabetes, hypertensionverifiedRoadmap/migration from Care in Sync to Clinical Intelligence.
RPM / CCM / APCM / telehealth servicesMedicare and covered patients through providersremote monitoring, chronic care management, advanced primary care managementchronic condition populationsverifiedBilling workflow, compliance, claims denials.
Outcomes evidence layerbuyers, payers, cliniciansMayo/JACC/AHA summaries on cost, admissions, BP, GDMThypertension and heart failure emphasizedpartially_verifiedFull papers, raw claims, adverse events, statistician review.

SKU economics are private.

Pricing and reimbursement evidence
elementpublic evidenceimplicationstatusdiligence request
Commercial pricingNo public enterprise price schedule foundARR/margin cannot be public-validatednot_publicly_verifiableMSAs, order forms, value-based terms.
Patient cost-sharingTerms disclose copays, coinsurance, deductibles, separate paymentsCan affect engagement and complaintsverifiedBilling scripts, collections, complaints.
APCM reimbursementCMS finalized G0556/G0557/G0558Potential tailwind; compliance riskverifiedCoding policies, payer contracts, denial rates.
Outcome-based economicsCost/hospitalization reduction claims in studiesValue-based upside needs validationpartially_verifiedAttribution, claims data, risk-sharing contracts.

Public pricing is a major gap.

Remote care product architecture Inferred product dependencies from public sources.

Inferred, not engineering documentation.

Chapter 03

03Customer Information

Multiple health-system partnerships are public; revenue concentration, active deployments, churn, and supplier spend are private.

III.A Top customers by application

partially verified confidence: medium

Top customers by application: public evidence and diligence gaps are documented in linked claims and exhibits.

Evidence gaps

  • Private diligence needed for top customers by application records, management explanation, and supporting documents.

Hidden risks

  • Clinical outcomes attribution and safety validation
  • Customer concentration, renewal, and implementation risk

Follow-up questions

  • Provide support for top customers by application and reconcile to public claims and exhibits.
Publicly known customers and case studies
customeruse casepublic scalestatusdiligence request
LifePoint Healthfounding remote care partnershipover 100,000 people at full rollout claimedpartially_verifiedActive status, revenue, renewal, reference.
Community Health SystemsRPM/virtual care for chronic conditionsthousands of patients claimedverifiedContract, active lives, revenue.
ProvidenceRPM in Washington; broader seven-state focusover 300 active patients; 89% daily vitals at disclosurepartially_verifiedCurrent expansion and outcomes.
ArdentRPM/responsive virtual care30 hospitals, 200 sites in six statesverifiedMarket-by-market rollout and economics.
RUSH / Memorial HermannMedicare/Medicaid chronic monitoring; RPM/APCMpatient counts not disclosed in announcementsverifiedGo-live, active lives, pricing, references.

Customer revenue/concentration is private.

Customer and scale anchors Bar chart of selected public customer/scale anchors.

III.B Strategic relationships

partially verified confidence: medium

Strategic relationships: public evidence and diligence gaps are documented in linked claims and exhibits.

Evidence gaps

  • Private diligence needed for strategic relationships records, management explanation, and supporting documents.

Hidden risks

  • Customer concentration, renewal, and implementation risk

Follow-up questions

  • Provide support for strategic relationships and reconcile to public claims and exhibits.
Strategic relationship ledger
partnerrelationshipstrategic valuepublic evidencegap
LifePointfounding health-system partnerearly community/rural validationlaunch postcurrent status and revenue
Providencehealth-system partner; source of CMO backgroundlarge system and virtual-care expertiseProvidence announcement and CMO postcustomer concentration and independence
General Catalyst / Thrive / Coatueinvestors / governance ecosystemcapital and healthcare networkslaunch, SEC, trade pressrights, reserves, pro rata
Newer systemsexpansion customerssupports 20+ system scale claimhomepage and Memorial Hermann postcontracted vs live status

Economics and obligations are private.

III.C Revenue by customer

not publicly verifiable confidence: high

Revenue by customer: public evidence and diligence gaps are documented in linked claims and exhibits.

Evidence gaps

  • Private diligence needed for revenue by customer records, management explanation, and supporting documents.

Hidden risks

  • Customer concentration, renewal, and implementation risk

Follow-up questions

  • Provide support for revenue by customer and reconcile to public claims and exhibits.

III.D Significant relationships severed within the last two years

partially verified confidence: medium

Significant relationships severed within the last two years: public evidence and diligence gaps are documented in linked claims and exhibits.

Evidence gaps

  • Private diligence needed for significant relationships severed within the last two years records, management explanation, and supporting documents.

Follow-up questions

  • Provide support for significant relationships severed within the last two years and reconcile to public claims and exhibits.

III.E Top suppliers

partially verified confidence: medium

Top suppliers: public evidence and diligence gaps are documented in linked claims and exhibits.

Evidence gaps

  • Private diligence needed for top suppliers records, management explanation, and supporting documents.

Hidden risks

  • Clinical workforce, licensure, and staffing scalability
  • Device, data-quality, and integration dependency

Follow-up questions

  • Provide support for top suppliers and reconcile to public claims and exhibits.
Top suppliers and dependencies
dependencyrolepublic evidenceriskdiligence request
Connected devicescapture vitalsTerms list BP monitors, glucometers, scales, pulse oximeters; Cadence does not manufacture devicesquality, recalls, availability, data accuracyvendor contracts, FDA clearances, recalls
EMR/HIE integrationscare coordination and data accessNPP mentions HIE; company bio says deep EMR integrationprivacy, uptime, deployment complexityBAAs, integration list, SLAs, uptime
Clinical workforcemonitoring, triage, interventionsClinician page and open roles show licensed stafflicensure, retention, qualitylicensure matrix, staffing ratios
AI/voice and analytics vendorscall routing and risk surfacingprivacy/NPP disclose AI voice; homepage claims AI agentsmodel safety, vendor, privacymodel/vendor list, BAAs, validation

Spend and vendor concentration are private.

Chapter 04

04Competition

Market need is strong and competition is crowded; public data is insufficient for pricing power or share.

IV.A Competitive landscape by market segment

partially verified confidence: medium

Competitive landscape by market segment: public evidence and diligence gaps are documented in linked claims and exhibits.

Evidence gaps

  • Private diligence needed for competitive landscape by market segment records, management explanation, and supporting documents.

Hidden risks

  • Competitive pricing and differentiation pressure

Follow-up questions

  • Provide support for competitive landscape by market segment and reconcile to public claims and exhibits.
Competitor comparison matrix
companysegmentscale signaloverlapdifferentiator or risk
CadenceAI-enabled chronic remote care for health systems$1B reported valuation; 20+ systems/>90k patients claimedRPM/CCM/APCM, clinical teamembedded health-system clinical model; economics private
Current Healthcomplex/high-acuity care at homepublic positioning reviewedAI-enabled remote managementhigh-acuity/advanced therapy emphasis
BiofourmisAI-driven in-home care / RPM50+ health systems/payers claimedremote patient managementglobal/pharma/care-continuum breadth
HRSenterprise RPM/CCMdecade+ enterprise positioning and logosdirect RPM/CCM platform/servicesmature category competitor
Omadavirtual chronic programsprograms for diabetes, hypertension, MSKchronic outcomes budgetsemployer/plan orientation

Competitor funding not invented when not fetched.

Basis-of-competition scoring
axiscadence positioncompetitor positionevidencegap
Outcomes evidencemultiple positive public study summariescompetitors also claim outcomesEC-015 EC-016 EC-017 EC-029independent validation
Enterprise health-system salesmultiple named partnershipsBiofourmis/HRS also claim enterprise reachEC-010 to EC-014 EC-029win/loss and pricing
AI plus clinical care teamClinical Intelligence and care teamCurrent/Biofourmis AI-enabled care at homeEC-008 EC-029model validation and labor leverage
Defensibilityregistered mark; patent search inconclusiveunknown from this researchEC-024 EC-026IP/FTO landscape

Qualitative public-evidence scoring only.

Remote care competitive map Qualitative map by care-team intensity and acuity.

Coordinates are analyst qualitative scores.

Chapter 05

05Marketing, Sales, and Distribution

GTM appears enterprise health-system-led with outcomes and reimbursement content; CAC, pipeline, and productivity are private.

V.A Strategy and implementation

partially verified confidence: medium

Strategy and implementation: public evidence and diligence gaps are documented in linked claims and exhibits.

Evidence gaps

  • Private diligence needed for strategy and implementation records, management explanation, and supporting documents.

Hidden risks

  • Reimbursement and billing-compliance dependency
  • Patient engagement, billing, and communication friction

Follow-up questions

  • Provide support for strategy and implementation and reconcile to public claims and exhibits.
Distribution channels and GTM motions
channeltargetpublic evidencestatusdiligence request
Enterprise health-system partnershipsexecutives, clinical/value-based leadersLifePoint, CHS, Ardent, Providence, RUSH, Memorial HermannverifiedCRM, ACV, sales cycle, win rate
Clinician enablementpartner cliniciansworkflow burden and escalation claimspartially_verifiedclinician NPS and workflow metrics
Reimbursement-enabled servicesMedicare populations and providersAPCM/RPM terms and CMS codesverifiedbilling compliance and denial rates
Outcomes content marketinghealth-system buyers/payersMayo/JACC/AHA summariespartially_verifiedlead attribution and CAC

GTM economics are private.

Public marketing-signal summary
signalobservationstrengthriskdiligence request
Trade press$1B valuation coveragemediumvaluation story may outpace metricsinvestor memo and revenue bridge
Outcomes marketingmultiple company summaries of studiesmediumbias/attributionfull publications and data
Recruiting brandLinkedIn Top Startups post and open rolesmediumnot retention proofheadcount and turnover
Consumer app-storeno clear first-party app signal foundlowpublic product adoption opaqueapp IDs and patient metrics

Mostly company-owned signals.

GTM evidence strength by channel Bar chart scoring public evidence by GTM channel.

Scores are analyst-coded, not disclosed channel mix.

V.B Major Customers

partially verified confidence: medium

Major Customers: public evidence and diligence gaps are documented in linked claims and exhibits.

Evidence gaps

  • Private diligence needed for major customers records, management explanation, and supporting documents.

Hidden risks

  • Customer concentration, renewal, and implementation risk
  • Patient engagement, billing, and communication friction

Follow-up questions

  • Provide support for major customers and reconcile to public claims and exhibits.

V.C Principal avenues for generating new business

partially verified confidence: medium

Principal avenues for generating new business: public evidence and diligence gaps are documented in linked claims and exhibits.

Evidence gaps

  • Private diligence needed for principal avenues for generating new business records, management explanation, and supporting documents.

Follow-up questions

  • Provide support for principal avenues for generating new business and reconcile to public claims and exhibits.

V.D Sales force productivity model

not publicly verifiable confidence: high

Sales force productivity model: public evidence and diligence gaps are documented in linked claims and exhibits.

Evidence gaps

  • Private diligence needed for sales force productivity model records, management explanation, and supporting documents.

Follow-up questions

  • Provide support for sales force productivity model and reconcile to public claims and exhibits.

V.E Ability to implement marketing plan with current and projected budgets

partially verified confidence: medium

Ability to implement marketing plan with current and projected budgets: public evidence and diligence gaps are documented in linked claims and exhibits.

Evidence gaps

  • Private diligence needed for ability to implement marketing plan with current and projected budgets records, management explanation, and supporting documents.

Follow-up questions

  • Provide support for ability to implement marketing plan with current and projected budgets and reconcile to public claims and exhibits.
Chapter 06

06Research and Development

R&D centers on Clinical Intelligence, clinical workflows, device/EMR integrations, APCM, and outcomes research; budget and roadmap are private.

VI.A Description of R&D organization

partially verified confidence: medium

Description of R&D organization: public evidence and diligence gaps are documented in linked claims and exhibits.

Evidence gaps

  • Private diligence needed for description of r&d organization records, management explanation, and supporting documents.

Follow-up questions

  • Provide support for description of r&d organization and reconcile to public claims and exhibits.
Key R&D personnel and leadership
name or rolepublic rolebackground signalsourcediligence request
Chris AltchekCEO & Founderfounder, Form D signer, public spokespersonlaunch/SEC/leadershipsuccession and employment agreement
Dr. Eve CunninghamCMOProvidence virtual care/digital health; AI clinical supportCMO postclinical governance and credentialing
AI/data/engineering rolesApplied AI, Senior AI, data, DevOps, securityopen roles show R&D/infrastructure hiringopen rolesR&D org, roadmap, security staffing
Founding technical/clinical teamCTO, CMO, product, care delivery, partnershipslaunch post named multiple founding leaderslaunch postcurrent tenure/departures

Current reporting lines private.

R&D and clinical governance portfolio Publicly inferred R&D streams.

VI.B New Product Pipeline

partially verified confidence: medium

New Product Pipeline: public evidence and diligence gaps are documented in linked claims and exhibits.

Evidence gaps

  • Private diligence needed for new product pipeline records, management explanation, and supporting documents.

Hidden risks

  • Device, data-quality, and integration dependency
  • Limited public IP defensibility beyond trademark

Follow-up questions

  • Provide support for new product pipeline and reconcile to public claims and exhibits.
Public product and R&D pipeline
initiativestatus publicevidencestatusdiligence request
Clinical Intelligence / AI carecurrent marketed producthomepage and partner announcementsverifiedmodel cards, validation, FDA analysis
APCM services expansionpublicly mentioned in 2026 partnershipMemorial Hermann plus CMS codespartially_verifiedgo-live, claim volume, compliance review
Outcomes researchmultiple 2025 study summariesMayo, AHA, JACC summariespartially_verifiedpublication roadmap and raw data
Device/EMR/HIE integrationsimplied by terms/NPP/biodevice list, HIE participation, EMR integration claimpartially_verifiedintegration roadmap and SLAs

R&D budget and sprint roadmap not public.

Chapter 07

07Management and Personnel

Public sources identify founder/CEO and several leaders plus hiring signals; headcount, compensation, and turnover are private.

VII.A Organization Chart

partially verified confidence: medium

Organization Chart: public evidence and diligence gaps are documented in linked claims and exhibits.

Evidence gaps

  • Private diligence needed for organization chart records, management explanation, and supporting documents.

Follow-up questions

  • Provide support for organization chart and reconcile to public claims and exhibits.
Public management and governance org chart Public leadership/governance structure.

Reporting lines inferred; request actual org chart.

VII.B Historical and projected headcount by function and location

partially verified confidence: medium

Historical and projected headcount by function and location: public evidence and diligence gaps are documented in linked claims and exhibits.

Evidence gaps

  • Private diligence needed for historical and projected headcount by function and location records, management explanation, and supporting documents.

Hidden risks

  • Clinical workforce, licensure, and staffing scalability

Follow-up questions

  • Provide support for historical and projected headcount by function and location and reconcile to public claims and exhibits.
Headcount and hiring signals
anchorpublic signalfunction mixstatusdiligence request
2021 trade pressexpected 155 clinicians by mid-2022clinical care deliverypartially_verifiedhistorical headcount and staffing plan
2026 scale21 systems and >90,000 patientscompany-wide scalingpartially_verifiedcurrent employee count by function
careers snapshotclinical, AI, sales, legal, finance, IT rolesclinical and technology-heavy hiringverifiedopen requisitions and offer pipeline
turnover/projectionnot publicunknownnot_publicly_verifiableHRIS, turnover, hiring plan, benefits

Open roles are point-in-time.

Public staffing and scale anchors Chart of public staffing/scale anchors.

VII.C Senior management biographies

partially verified confidence: medium

Senior management biographies: public evidence and diligence gaps are documented in linked claims and exhibits.

Evidence gaps

  • Private diligence needed for senior management biographies records, management explanation, and supporting documents.

Follow-up questions

  • Provide support for senior management biographies and reconcile to public claims and exhibits.
Senior management roster
namerolepublic datebackgroundstatusdiligence request
Chris AltchekCEO & Founderfounder at launch; CEO through 2026 postsnot independently researched beyond public company/SEC sourcesverifiedbio, references, comp, equity
Dr. Eve CunninghamChief Medical Officerappointed 2025-02-25Providence virtual care/digital health; MedPearlverifiedemployment agreement and clinical authority
Chris HolmesChief Financial Officereffective February 23 per company postOpendoor and Uberpartially_verifiedfinance controls and audit readiness
Casey BaileyChief People Officereffective February 23 per company postDeel, Divvy, Uberpartially_verifiedpeople plan and retention metrics

Limited to leaders surfaced publicly.

VII.D Compensation arrangements

not publicly verifiable confidence: high

Compensation arrangements: public evidence and diligence gaps are documented in linked claims and exhibits.

Evidence gaps

  • Private diligence needed for compensation arrangements records, management explanation, and supporting documents.

Follow-up questions

  • Provide support for compensation arrangements and reconcile to public claims and exhibits.

VII.E Incentive stock plans

not publicly verifiable confidence: high

Incentive stock plans: public evidence and diligence gaps are documented in linked claims and exhibits.

Evidence gaps

  • Private diligence needed for incentive stock plans records, management explanation, and supporting documents.

Follow-up questions

  • Provide support for incentive stock plans and reconcile to public claims and exhibits.

VII.F Significant employee relations problems, past or present

partially verified confidence: medium

Significant employee relations problems, past or present: public evidence and diligence gaps are documented in linked claims and exhibits.

Evidence gaps

  • Private diligence needed for significant employee relations problems, past or present records, management explanation, and supporting documents.

Follow-up questions

  • Provide support for significant employee relations problems, past or present and reconcile to public claims and exhibits.

VII.G Personnel Turnover

partially verified confidence: medium

Personnel Turnover: public evidence and diligence gaps are documented in linked claims and exhibits.

Evidence gaps

  • Private diligence needed for personnel turnover records, management explanation, and supporting documents.

Hidden risks

  • Clinical workforce, licensure, and staffing scalability

Follow-up questions

  • Provide support for personnel turnover and reconcile to public claims and exhibits.
Chapter 08

08Legal and Related Matters

Policies show HIPAA/privacy/security posture and registered trademark; comprehensive legal, regulatory, and IP diligence remains needed.

VIII.A Pending lawsuits against the Company

unverified confidence: medium

Pending lawsuits against the Company: public evidence and diligence gaps are documented in linked claims and exhibits.

Evidence gaps

  • Private diligence needed for pending lawsuits against the company records, management explanation, and supporting documents.

Hidden risks

  • Legal and regulatory search incompleteness

Follow-up questions

  • Provide support for pending lawsuits against the company and reconcile to public claims and exhibits.
Public legal-matter summary
matterpublic resultstatussourcediligence request
Pending lawsuits against companyCourtListener exact opinion search returned zero resultsunverifiedCourtListenerPACER/state docket/arbitration search
Company-initiated lawsuitsNo public case found in reviewed sourcesnot_publicly_verifiablepublic search scopelegal claims schedule
Privacy/regulatory complaintsPolicies disclose HIPAA/privacy obligations; no enforcement source foundnot_publicly_verifiableprivacy/NPPOCR/FTC/state/CMS searches and breach log
Patient billing/terms disputesterms disclose financial responsibility and termination conditionspartially_verifiedtermscomplaints, refunds, collections

No legal conclusion; search is not comprehensive.

VIII.B Pending lawsuits initiated by Company

partially verified confidence: medium

Pending lawsuits initiated by Company: public evidence and diligence gaps are documented in linked claims and exhibits.

Evidence gaps

  • Private diligence needed for pending lawsuits initiated by company records, management explanation, and supporting documents.

Hidden risks

  • Legal and regulatory search incompleteness

Follow-up questions

  • Provide support for pending lawsuits initiated by company and reconcile to public claims and exhibits.

VIII.C Environmental and employee safety issues and liabilities

partially verified confidence: medium

Environmental and employee safety issues and liabilities: public evidence and diligence gaps are documented in linked claims and exhibits.

Evidence gaps

  • Private diligence needed for environmental and employee safety issues and liabilities records, management explanation, and supporting documents.

Follow-up questions

  • Provide support for environmental and employee safety issues and liabilities and reconcile to public claims and exhibits.

VIII.D Material patents, copyrights, licenses, and trademarks

partially verified confidence: medium

Material patents, copyrights, licenses, and trademarks: public evidence and diligence gaps are documented in linked claims and exhibits.

Evidence gaps

  • Private diligence needed for material patents, copyrights, licenses, and trademarks records, management explanation, and supporting documents.

Hidden risks

  • Limited public IP defensibility beyond trademark

Follow-up questions

  • Provide support for material patents, copyrights, licenses, and trademarks and reconcile to public claims and exhibits.
IP, regulatory, and contract summary
areapublic evidencestatusriskdiligence request
TrademarkCADENCE registered mark serial 97978759 / registration 7573821verifiedbrand protection but coexistence monitoring neededTSDR verification and international marks
Patentsno visible Google Patents assignee resultsinconclusivelimited public patent defensibilitypatent/FTO/trade-secret review
Regulatory/privacy/securityHIPAA NPP, privacy policy, AI voice, HIE, vulnerability disclosureverifiedPHI/AI/cyber exposureHIPAA risk analysis, SOC 2/HITRUST, BAAs, breach log
Material contracts / insurancenamed partnerships and terms public; contracts/insurance not publicnot_publicly_verifiableunknown indemnities, SLAs, liability caps, coverageMSAs, BAAs, insurance certificates, claims history

Contracts and insurance remain private.

VIII.E Insurance coverage and material exposures

partially verified confidence: medium

Insurance coverage and material exposures: public evidence and diligence gaps are documented in linked claims and exhibits.

Evidence gaps

  • Private diligence needed for insurance coverage and material exposures records, management explanation, and supporting documents.

Follow-up questions

  • Provide support for insurance coverage and material exposures and reconcile to public claims and exhibits.

VIII.F Material contracts

partially verified confidence: medium

Material contracts: public evidence and diligence gaps are documented in linked claims and exhibits.

Evidence gaps

  • Private diligence needed for material contracts records, management explanation, and supporting documents.

Hidden risks

  • Device, data-quality, and integration dependency
  • Patient engagement, billing, and communication friction

Follow-up questions

  • Provide support for material contracts and reconcile to public claims and exhibits.

VIII.G Regulatory agency problems

partially verified confidence: medium

Regulatory agency problems: public evidence and diligence gaps are documented in linked claims and exhibits.

Evidence gaps

  • Private diligence needed for regulatory agency problems records, management explanation, and supporting documents.

Hidden risks

  • Reimbursement and billing-compliance dependency
  • HIPAA, privacy, AI, and cybersecurity exposure
  • Legal and regulatory search incompleteness

Follow-up questions

  • Provide support for regulatory agency problems and reconcile to public claims and exhibits.
Legal, IP, privacy, and financing timeline Public legal/regulatory/IP milestones.
Diligence risk heatmap Heatmap of risk register.

Risk points mirror risk_register.

Evidence

Evidence claims
IDClaimStatusSources
EC-001 Cadence Solutions, Inc. identity and Delaware corporation status are publicly verified. verified high SRC-003SRC-004SRC-005
EC-002 Cadence publicly launched with $41M funding led by General Catalyst and Thrive and named Chris Altchek and Kareem Zaki as founders. verified high SRC-002
EC-003 Cadence Series A Form D reported $40,911,524 sold to 24 investors. verified high SRC-004
EC-004 Cadence December 2021 Form D reported $102,549,999 sold on a $105,000,001 offering. verified high SRC-005
EC-005 Wikipedia unicorn list reports Cadence Solutions, Inc. at 1+ valuation in December 2021 with founder Chris Altchek. partially verified medium SRC-006
EC-006 Trade press reported a $1B valuation after a $100M financing led by Coatue. partially verified medium SRC-007
EC-007 Cadence currently brands itself as Clinical AI for Chronic Care trusted by 20+ health systems. partially verified medium SRC-001
EC-008 Cadence Clinical Intelligence tracks vitals, symptoms, medications, and engagement with AI-assisted care workflows. verified medium SRC-001
EC-009 Cadence publishes workflow and outcome claims including 0.2% escalation, 5.5x GDMT, and 50% cost reduction. partially verified medium SRC-008SRC-009
EC-010 CHS announced a Cadence partnership to deploy RPM and virtual care across its national footprint. verified medium SRC-010
EC-011 Providence partnership disclosed over 300 active patients, 89% daily vitals, and 0.2% escalation. partially verified medium SRC-011
EC-012 Ardent partnership covers 30 hospitals and 200 sites of care in six states. verified medium SRC-012
EC-013 RUSH launched a Cadence program for Medicare and Medicaid chronic-condition patients in Chicago. verified medium SRC-013
EC-014 Memorial Hermann announced AI-enabled RPM and APCM partnership; Cadence bio claims >90,000 patients and 20+ systems. partially verified medium SRC-014
EC-015 Company summary of Mayo Clinic Proceedings reports $1,302 lower annual cost and 27% fewer hospitalizations. partially verified medium SRC-015
EC-016 Cadence heart-failure analysis reported $183 monthly savings and 18% fewer admissions. partially verified medium SRC-016
EC-017 JACC Advances summary reports 23,638 hypertension patients, 7/5 mmHg BP drop, and 70% relative increase in BP-goal achievement. partially verified medium SRC-017
EC-018 Cadence announced CFO/CPO hires and reported 21 health systems and >90,000 patients. partially verified medium SRC-018
EC-019 Cadence appointed Dr. Eve Cunningham as Chief Medical Officer with Providence virtual-care and AI experience. verified medium SRC-019
EC-020 Cadence open roles show hiring across clinical, AI/software, partnerships, sales, legal, finance, people, and IT. verified medium SRC-020
EC-021 Cadence policy pages disclose health data, affiliated professional entities, HIPAA obligations, HIE participation, and AI voice technology. verified medium SRC-021SRC-022
EC-022 Cadence Terms define RPM, CCM, APCM, telehealth services, patient financial responsibility, and device dependencies. verified medium SRC-023
EC-023 Cadence maintains a vulnerability disclosure process with seven-business-day acknowledgement and ten-business-day critical triage. verified medium SRC-024
EC-024 Public trademark evidence reports CADENCE registered to Cadence Solutions, Inc. in classes 044, 042, and 010. verified medium SRC-025
EC-025 CourtListener exact search returned zero public opinion results for Cadence Solutions, Inc. unverified medium SRC-026
EC-026 Google Patents reader output did not surface visible patents assigned to Cadence Solutions, Inc. inconclusive low SRC-027
EC-027 CDC describes chronic disease as a leading driver of illness, death, and $4.9T annual U.S. healthcare cost. verified high SRC-028
EC-028 CMS finalized 2025 APCM payment codes G0556, G0557, and G0558. verified high SRC-029
EC-029 Current Health, Biofourmis, HRS, and Omada publicly position in overlapping remote care, RPM, in-home care, or chronic-care segments. verified medium SRC-030SRC-031SRC-032SRC-033
EC-030 Public app-store search did not reveal a clear first-party Cadence Solutions patient app signal. inconclusive low SRC-034
EC-031 Company recruiting materials say Cadence was named to LinkedIn Top Startups and show open roles. partially verified medium SRC-035SRC-020
EC-032 Revenue, ARR, gross margin, cash, burn, runway, debt, customer concentration, and cap table are not publicly verifiable. not publicly verifiable high SRC-003SRC-004SRC-005
EC-033 Fetched EDGAR company feed listed two Cadence Form D filings, both in 2021. verified high SRC-003
Sources
IDPublisherTitleAccessed
SRC-001 Cadence Solutions, Inc. Clinical AI for Chronic Care 2026-05-31
SRC-002 Cadence Solutions, Inc. Cadence - A Health Tech Company Redefining Remote Care 2026-05-31
SRC-003 U.S. Securities and Exchange Commission SEC EDGAR company search: Cadence Solutions, Inc. 2026-05-31
SRC-004 U.S. Securities and Exchange Commission Cadence Form D accession 0001872109-21-000001 2026-05-31
SRC-005 U.S. Securities and Exchange Commission Cadence Form D accession 0001872109-21-000002 2026-05-31
SRC-006 Wikipedia List of unicorn startup companies: Cadence Solutions, Inc. row 2026-05-31
SRC-007 pharmaphorum Remote care specialist Cadence worth $1bn after raising $100m 2026-05-31
SRC-008 Cadence Solutions, Inc. Health Systems Partnerships | Cadence RPM 2026-05-31
SRC-009 Cadence Solutions, Inc. Clinician Partners | Cadence RPM 2026-05-31
SRC-010 Cadence Solutions, Inc. CHS & Cadence partner in RPM solution for chronic conditions 2026-05-31
SRC-011 Cadence Solutions, Inc. Cadence and Providence launch RPM program 2026-05-31
SRC-012 Cadence Solutions, Inc. Cadence and Ardent Health Services launch RPM solution 2026-05-31
SRC-013 Cadence Solutions, Inc. Cadence and RUSH launch remote monitoring program 2026-05-31
SRC-014 Cadence Solutions, Inc. Memorial Hermann and Cadence partner for AI-enabled remote care 2026-05-31
SRC-015 Cadence Solutions, Inc. Mayo Clinic Proceedings study finds Cadence RPC reduces Medicare costs 2026-05-31
SRC-016 Cadence Solutions, Inc. Cadence heart failure study shows 18% fewer admissions 2026-05-31
SRC-017 Cadence Solutions, Inc. New JACC Advances study: RPC improves blood pressure control 2026-05-31
SRC-018 Cadence Solutions, Inc. Cadence strengthens leadership team with Casey Bailey and Chris Holmes 2026-05-31
SRC-019 Cadence Solutions, Inc. Cadence appoints Dr. Eve Cunningham as Chief Medical Officer 2026-05-31
SRC-020 Cadence Solutions, Inc. Cadence - Open Roles 2026-05-31
SRC-021 Cadence Solutions, Inc. Privacy Policy | Cadence 2026-05-31
SRC-022 Cadence Solutions, Inc. Notice of Privacy Practices | Cadence 2026-05-31
SRC-023 Cadence Solutions, Inc. Website Terms of Use | Cadence 2026-05-31
SRC-024 Cadence Solutions, Inc. Security Disclosures | Cadence 2026-05-31
SRC-025 Trademarkia / USPTO TSDR link CADENCE Trademark | Trademarkia with USPTO TSDR link 2026-05-31
SRC-026 Free Law Project / CourtListener CourtListener search for Cadence Solutions, Inc. 2026-05-31
SRC-027 Google Patents Google Patents assignee search for Cadence Solutions, Inc. 2026-05-31
SRC-028 Centers for Disease Control and Prevention About Chronic Diseases 2026-05-31
SRC-029 Centers for Medicare & Medicaid Services CY 2025 Medicare Physician Fee Schedule Final Rule 2026-05-31
SRC-030 Current Health Current Health 2026-05-31
SRC-031 Biofourmis Biofourmis | Revolutionize the delivery of care 2026-05-31
SRC-032 Health Recovery Solutions Remote Patient Monitoring & CCM | Health Recovery Solutions 2026-05-31
SRC-033 Omada Health Manage Chronic Conditions | Omada Health 2026-05-31
SRC-034 Google Play Cadence Health - Android Apps on Google Play 2026-05-31
SRC-035 Cadence Solutions, Inc. Cadence named to LinkedIn Top Startups List 2026-05-31

Disclaimer

This report is a public-evidence diligence snapshot, not investment advice. Important financial, legal, technical, and contractual facts remain non-public and should be verified directly with management and primary documents before any investment decision.