August Health, or how to retire the clipboard.

I. WHO THEY ARE, RIGHT NOW

A quiet revolution, fluorescent-lit.

It is a Tuesday morning in a memory care wing somewhere outside Seattle. A caregiver named Maria taps an iPad. The screen tells her that Mr. Halloway's blood pressure has trended low three days running, that his daughter signed his quarterly assessment last night at 11:42 PM, and that his medication is two doors down with another resident who needs it first. None of this used to live on a screen. Most of it used to live in Maria's head, or on a fax machine, or nowhere at all. That iPad is running August Health.

August Health is, in the official telling, an electronic health record platform for senior living. That description is correct and almost completely misses the point. The product is really a piece of plumbing - a thin layer of software that connects the medication cart to the billing department to the state inspector to the daughter in Cleveland. The pitch deck calls it an EHR. The caregivers call it "the iPad thing." The state surveyors call it "thank god."

II. THE PROBLEM THEY SAW

Eldercare's most expensive software is paper.

Senior living is a $90-billion industry that, until very recently, ran on three-ring binders. The reasons are unromantic. Hospital EHRs - Epic, Cerner - were built for acute care, not the slow, social work of a memory care unit. Multi-purpose EHRs from the long-term-care world, like PointClickCare, were architected for skilled nursing first and tacked assisted living on later. Operators muddled through with spreadsheets, faxes, and the patience of saints.

The bill came due during COVID. Communities that could not digitally check in a family member, could not text a med-pass status, could not pull a real-time incident report - those communities lost residents. The ones with paper charts lost them faster.

This is the problem August Health was built to solve. Not "modernize the EHR." Not "add AI." The problem is older and simpler: the people doing the most important work in America were using the worst tools in America. A clipboard, a sticky note, a colleague's memory. The bet was that software written specifically for them - mobile, fast, designed for hands that are already full - would change the math of an entire industry.

III. THE FOUNDERS' BET

A playground, a pandemic, an introduction.

Justin Schram was, in early 2020, a physician who had spent the previous several years as Medical Director at Landmark Health, watching the senior living workflow up close. He had a clinical eye for what was broken. He did not, by his own admission, know how to build software.

Erez Cohen had just left Apple. Before Apple acquired his company, Cohen had founded a data analytics startup that the consumer electronics giant absorbed. He knew, as the senior housing trade press would later put it, the value of designing easy-to-use software and operationalizing data for everyday decision-making. He did not, by his own admission, know much about senior living.

They met by accident at a playground in San Francisco. Pandemic-era parenting being what it was, the two of them got to talking. Schram described what he had seen. Cohen described what he could build. Some of the best companies start in garages; this one started near a swing set.

By the time TenOneTen Ventures wrote an early check, the pitch was already crisp: one of us has lived inside the problem, the other one has shipped the solution.

IV. THE PRODUCT

Seven modules, one boring thesis.

August Health's product page lists seven things. They are - and we mean this as a compliment - boring. EHR. eMAR. Move-Ins. Care Track. Insights. Billing & Payments. Integrations. The boring is the point. Senior living operators do not want to be wowed. They want the audit to go quickly.

The interesting design choice is what August did not build. There is no consumer-facing wearable. No clinical-trial integration. No telehealth video pane. The team picked the boring middle - documentation, medication, money - and went deep. The result is something senior living staff describe with words that almost never get used about healthcare software, like "fast" and "okay, that's actually fine."

V. THE PROOF

Numbers that the surveyor noticed.

It is unfashionable, in venture-backed software, to talk about outcomes. Outcomes are slow. Outcomes are someone else's department. August Health, perhaps because half its founding DNA is clinical, has been unfashionable about this from day one.

The customer roster has the same texture. Belmont Village - one of the largest premium operators in the country - moved all of its US communities to August Health's Move-Ins module in October 2025. Koelsch Communities deployed it across 40+ buildings in eight states. 12 Oaks went portfolio-wide. Westmont Living signed a multi-year partnership. Sonida Senior Living, a publicly traded operator, is on the list.

VI. THE MISSION

Empowering the essential work.

August Health's stated mission is "to empower the essential work of caring for our elders." It is a sentence that, if you let it, can sound like it was written by a committee. Read it twice and the word essential starts doing work.

The American workforce that staffs senior living is overwhelmingly female, overwhelmingly underpaid, and overwhelmingly unseen. The job, when done well, is one of the hardest in the country. The job, when done badly, is on the front page of the local newspaper. August Health's bet is that better tools change which version of the job most caregivers get to do most days.

The Series B materials emphasized AI - August Intelligence, the new module, will surface real-time recommendations from resident data. The phrase "AI-enabled care partner" appears, with apologies, in every press release. But the founding instinct has not really changed since the playground conversation: do not replace the caregiver. Do not even augment the caregiver. Just stop wasting her time.

VII. WHY IT MATTERS TOMORROW

The demographics are not subtle.

By 2030, every Baby Boomer will be over 65. By 2034, for the first time in American history, there will be more people over 65 than under 18. The senior living industry is forecast to need somewhere on the order of 800,000 new units in the next decade. The labor force that will staff those units is, on current trend, going to be smaller per resident than it is today - not larger.

That is the macroeconomic case for software that makes a single caregiver more effective. It is also the case for software that makes a single regulator less suspicious, a single family more informed, and a single billing cycle less of an ordeal. August Health is sitting, almost incidentally, at the intersection of all four.

The competitors are real. PointClickCare is enormous. Yardi is incumbent in property management and creeping in. Eldermark and AL Advantage have been at this for a decade. The advantage August has is not technological. The advantage is that the product was designed by people who knew, on day one, that the most important user was the one with med-pass in twenty minutes.

Back in the memory care wing outside Seattle, Maria finishes her med-pass. The iPad updates the family portal. The state surveyor, three months from now, will pull the report in fourteen seconds instead of fourteen days. Mr. Halloway's daughter will get a notification on her phone. None of it is dramatic. All of it is what August Health is selling: the absence of drama. In senior living, the absence of drama is the entire point.