Sam Toole

Today, we’re releasing the second Off-Label report, focused on how AI is transforming health systems. Health systems face a difficult equation: rising costs, thin margins, and growing demands on their clinicians. AI is already helping write notes, code encounters, and automate administrative work. But making today’s workflows more efficient is only the beginning. Our view: the next wave of AI will reshape how hospitals organize their people, make clinical decisions, and deliver care. Getting there won’t be straightforward. Health systems want fewer vendors, even as they want AI in more places. Epic, the scribes, and the frontier labs are competing for more of the clinician’s workday. And some of the most ambitious systems are building tools themselves. The report digs into where AI is delivering value today, what it takes to move beyond pilots, and where we see room for founders to build enduring companies. It’s grounded in conversations with 20+ experts, including @johnbrownstein (Boston Children’s Hospital), Eric Smith (Memorial Hermann), and Jon Slotkin (Geisinger). If you’re building, buying, or running AI in health systems, we'd love to hear your thoughts. offlabel.vc/

A handful of amazing opportunities in SF with our growing team in the Bay Area

Today we're launching Off-Label – AI in healthcare, one market at a time. Our first market report is on primary care where we explore the state of the market today, how AI is being used, and what we think the future holds for how care gets delivered. offlabel.vc/

Just absolutely epic execution

Really great time with spending time with the whole @oakhcft team and lots of amazing healthcare and fintech people last night!

Absolutely great way to kick off the #NYCSummit talking about all things healthcare sales with our friends and partners from @alley_corp, @ElektraHealth, & @Nomad_Health!

Not a sponsored post (don’t get me wrong I would happily take some free stuff 😜)….anyways I love @TegusHQ

Nothing better than starting your Monday morning at the DMV!

NYC healthcare is booming! Can’t wait to continue to see this ecosystem grow and evolve

Am I a TikTok star now?

Awesome listen from @jacobeffron for anyone interested in healthcare and the continued shift to value-based care!

Incredibly excited for @agnazem and the whole @Nomad_Health team! Absolutely amazing growth and execution — I'm lucky to call myself a Nomad Alumni :)

This morning my two daughters, my wife, my sister, my mom, and my friends wake up with fewer rights than they had yesterday morning. This decision is disgusting, disappointing, and wrong in so many ways.

At this point, what's the bear case for United Healthcare? Why shouldn't we all dump our money into it? @B_Madden4 @healthcareandy @jfschneidr @nikillinit

“Debt is no longer just a bug in our system. It is one of the main products.” khn.org/news/article/diagnos…

Love seeing the words "plunged" and "tumbled" in my @WSJ notifications on a daily basis....

“Having the discipline to say ‘no’ is more powerful than any other decision that I think an entrepreneur can make, especially at the early stages.” Fantastic to catch-up with @anmaslak about @ribbonhealthAPI and building a high-performing organization primary.vc/firstedition/post…

Simple, but effective way to think about raising money right now — the measuring stick has changed

Scale matters in care delivery. And know who has scale? @HCAhealthcare who had 35M+ patient encounters last year and has a whopping 26% market share across US health systems 🤯