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CareRev

Summer 2016Acquired

Seamlessly connecting healthcare facilities and professionals through…

Save
CareRev logo

CareRev

Summer 2016Acquired

Seamlessly connecting healthcare facilities and professionals through…

Save
Company details

CareRev is a technology platform empowering healthcare professionals to take control of their careers. CareRev provides a direct line between healthcare facilities and local clinical talent, cutting out the middleman and enabling professionals to work where and when they want. Together, we’re building the local, resilient, flexible healthcare workforce of the future. For more information, visit carerev.com or follow us on LinkedIn.

Location
Remote, OR, USA; Remote
Founded
2015
Category
Marketplace
YC profilewww.carerev.com
Founders
  • WP
    William Patterson
    Founder/CEO
    LinkedIn
  • SP
    Sofia Pessanha
    Founder/COO
    LinkedIn

CareRev is a technology platform empowering healthcare professionals to take control of their careers. CareRev provides a direct line between healthcare facilities and local clinical talent, cutting out the middleman and enabling professionals to work where and when they want. Together, we’re building the local, resilient, flexible healthcare workforce of the future. For more information, visit carerev.com or follow us on LinkedIn.

Location
Remote, OR, USA; Remote
Founded
2015
Category
Marketplace
YC profilewww.carerev.com
Founders
  • WP
    William Patterson
    Founder/CEO
    LinkedIn
  • SP
    Sofia Pessanha
    Founder/COO
    LinkedIn

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On this page
  • Overview
  • Founding Story
  • Timeline
  • What They Built
  • Market Position
  • Traction
  • Business Model
  • Post-Mortem
  • Key Lessons
  • Sources

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CareRev (S16) at a glance

  1. Start with the working nurse. Patterson connected difficulty finding extra local shifts with hospitals' difficulty moving staff. Solve both sides of the booking problem. Founder account
  2. Adoption takes work. The founders described two years before a major Froedtert relationship. Budget for facility onboarding alongside clinician recruitment. Founder account
  3. Expansion needs a use check. After rapid growth, CareRev reduced staff and refocused on self-service and facility adoption. Measure repeat usage before widening coverage. 2023 refocus
  4. Follow the product after acquisition. IntelyCare announced continued brands and services; CareRev later announced a Dallas partnership. Product continuity matters when judging the outcome. Dallas announcement

Overview

CareRev connects healthcare facilities with local clinicians who can claim shifts through an app. Founded in 2015 and part of YC's Summer 2016 batch, it grew from outpatient staffing into acute-care hospitals and internal workforce management. [1] [2]

IntelyCare announced its acquisition of CareRev on January 8, 2026, saying both brands and services would continue. The stated combination joined acute and post-acute staffing, recruiting and internal resource pools. A January 16 IntelyCare account described an agreement to acquire; neither source supplies a separate closing date or purchase price. [11] [12]

CareRev's trajectory includes rapid pandemic expansion, a 2023 staffing reduction and a broader surviving product. The practical lesson is that matching workers with openings requires local supply, facility-specific qualifications and control over labor costs. A funding round or acquisition announcement alone cannot show whether that operating model earned acceptable returns.

CareRev promotional interface showing a hospital shift schedule and a clinician phone view
CareRev's product illustration pairs a facility schedule with the clinician app. The screen shows Demo Hospital A, not measured customer results.

Image 1 / 1

Founding Story

William Patterson brought direct experience from ICU nursing. He graduated from Duke's nursing program in 2012 and struggled to find extra local shifts while carrying six-figure student debt. Hospitals also struggled to move their own professionals between facilities. His 2021 account describes Airbnb as an inspiration for making discovery and booking easier. [2]

Patterson met mentor and co-founder Sofia Pessanha in 2014. Derrek Long later joined as third co-founder and CTO. The team started with outpatient centers, moved toward larger health systems in 2018 and secured Froedtert Health after a two-year sales effort. That account shows how enterprise sales and onboarding shaped expansion; it does not date the Froedtert contract precisely. [2]

By May 2020, Patterson was using ABC7's Hiring SoCal initiative to reach local workers. He named Valley Presbyterian, Mission Community Hospital and College Hospital in Long Beach as customers with staffing needs. The interview captured a mixed pandemic market: some hospitals needed help while cancelled elective procedures left others quieter. [3]

Timeline

  • 2015–2016: CareRev launches and joins YC's Summer 2016 batch. [1]
  • 2018: The founders move upstream from outpatient centers toward health systems. [2]
  • April 2021: CareRev announces a $50 million Series A led by Transformation Capital. [4]
  • 2022: CareRev raises a $50 million Series B; in November it secures $70 million in committed debt financing from JPMorgan Chase. [5]
  • January 2023: Patterson announces layoffs and a refocus on technology and facility adoption. [5]
  • June 2023: Brandon Atkinson becomes CEO; Patterson remains an adviser and board member. [6]
  • June–September 2025: CareRev announces broader allied and ancillary coverage, then nationwide access to a W-2 workforce through its platform and partners. [9] [10]
  • January 2026: IntelyCare announces the acquisition and continued operation of both brands. [11]
  • June 2026: Advanced Dallas Hospital & Clinics announces a CareRev partnership for Dallas–Fort Worth staffing. [13]

What They Built

The marketplace follows a short sequence. Facilities post shifts, eligible local clinicians receive app notifications, and professionals claim work, attend on site and receive payment from CareRev. Current materials advertise local W-2 clinicians, bundled shift blocks and an Available Now pool for professionals who indicate availability within 72 hours. [14]

The qualification work is more involved than the booking screen. In June 2023, CareRev described nurse interviews, KarmaCheck background checks, Nursys license verification, health screenings, specialty certifications and facility orientation. These are the company's stated processes. They do not establish that every historical placement met every applicable requirement. [7]

CareRev also sells internal staffing tools. IRP+ gives employed staff first access to openings, cascades shifts across workgroups and applies visibility, overtime and hours policies. Its current solutions page includes forecasting and cost planning. [21] This continues an approach Patterson described in 2020: use internal employees and float pools before supplemental external resources. [15] [8]

Smart Rates adds suggested shift pricing based on demand and past performance. CareRev reports an 18% labor-cost reduction in a cohort of 7,812 shifts from July 2022 through March 2023, with results varying by customer. That vendor case study is useful evidence of a specific deployment claim, not a general savings guarantee. [20]

Market Position

CareRev sells into a persistent staffing problem. BLS currently projects about 180,800 registered-nurse openings annually during 2025–2035, including replacement openings. AHA's March 2026 report estimates labor, including purchased services, at 60% of hospital expenses in 2025. Neither measure is a software market estimate. [17] [18]

Its early distribution depended on hospital relationships and local clinician recruitment. The 2021 funding announcement named SSM Health and Froedtert; its January 2023 note also named Providence and Advocate Aurora. These dated relationships should not be treated as a list of current contracts. [4] [5]

OfferingDocumented jobImplication for a new entrant
CareRev MarketplaceLocal clinical shift access and paymentRequires a qualified local workforce and facility adoption
CareRev IRP+Internal-first staffing, cascading policies and workforce planningA generic internal scheduling app already has direct competition
ShiftMed FlexBranded internal-pool app, routing and credential workflowsTiered release alone provides limited differentiation

The comparison comes from current vendor descriptions. CareRev's acquisition announcement adds acute and post-acute coverage to the combined organization's intended range. It does not prove that customers already use a fully unified workflow. [14] [15] [16] [11]

Traction

CareRev reported more than 11,000 professionals, over 30 hospitals and health systems, and more than 500 outpatient centers in April 2021. It also reported 20% monthly growth since April 2020 and revenue doubling over six months, without publishing the revenue base. [4]

The June 2023 CEO announcement reported over 22,000 professionals and a 133% increase in filled shifts from 2021 to 2022. The June 2026 Dallas release reported more than 35,000 clinicians, over 650 locations and coverage in over 32 metropolitan areas. [6] [13]

These company-reported counts show an expanding advertised footprint. They combine different measures and do not establish active clinicians, comparable fill rates, recurring revenue or independently measured patient outcomes.

Business Model

CareRev connects a hospital buyer's paid staffing need with a clinician's earnings. Its current marketplace promotes control over hourly rates and payment through CareRev. Public product pages do not provide a universal fee schedule, contract margin or audited unit economics. [14]

The Information reported $55 million 2022 net revenue, one-third from SSM, and disputed vetting allegations. [19]

The two disclosed $50 million rounds financed expansion and product work. Transformation Capital led Series A; Series B participants included ShawSpring, Tribe Capital, Transformation Capital, HighSage and MBX. The $70 million financing was a debt commitment, not proof that CareRev drew or spent that amount. [4] [5]

For a local staffing marketplace, each additional facility must justify recruiting, screening, onboarding and support costs through repeat qualified shifts. Concentrated buyers can expose both revenue and worker opportunity to a renewal decision. Public disclosures do not provide enough detail to calculate CareRev's contribution margin or sale returns.

Post-Mortem

The clearest documented operating reversal came in January 2023. Patterson announced a staff reduction, accepted responsibility and prioritized self-service tools, facility adoption and better use of the workforce already registered. That change supports a diagnosis of expansion being reset around product adoption and operating focus. It does not measure how much the reset improved retention or profitability. [5]

The product subsequently broadened beyond nursing and added W-2 access, internal pools and pricing tools. The announced IntelyCare combination offered a route across more care settings, while the 2026 Dallas partnership documents continued selling under the CareRev brand. [9] [10] [13]

The acquisition thesis connects acute and post-acute staffing within health systems. Whether shared technology, recruiting or qualification operations lower costs remains a claim to test. The public record leaves purchase consideration, investor recovery and the exact economic contribution of earlier operating problems unresolved.

Key Lessons

  • Solve both sides of a local staffing problem. Patterson's account connects an available nurse's difficulty finding work with hospitals' difficulty moving staff. Reliable repeat coverage requires both sides to participate.
  • Budget for enterprise adoption. The founders described two years of work before a major Froedtert relationship. Integration, onboarding and buyer trust affect how fast a marketplace can grow.
  • Measure durable use after expansion. The 2023 refocus emphasized self-service and facility adoption. Track comparable completed shifts and support costs before expanding another region.
  • Keep qualification evidence current. License checks and facility orientation belong in the staffing decision. A confirmed booking does not by itself establish clinical suitability.
  • Compare against the surviving product. IRP+ and ShiftMed Flex already serve internal pools. A rebuild needs a tested workflow advantage and a buyer willing to pay for it.

Sources

  1. YC company profile
  2. Patterson Series A letter, May 2021
  3. ABC7 interview, May 2020
  4. Series A announcement, April 2021
  5. CareRev refocus, January 2023
  6. CEO appointment, June 2023
  7. Credentialing processes, June 2023
  8. CareRev staffing Q&A, November 2020
  9. Allied and ancillary expansion, June 2025
  10. W-2 workforce announcement, September 2025
  11. CareRev acquisition announcement, January 2026
  12. IntelyCare acquisition account, January 2026
  13. Advanced Dallas partnership, June 2026
  14. Current CareRev Marketplace
  15. Current CareRev IRP+
  16. ShiftMed Flex
  17. BLS registered nurses outlook
  18. AHA Costs of Caring, March 2026
  19. Independent reporting
  20. CareRev Smart Rates cohort
  21. CareRev workforce solutions