About Cadence
Cadence exists because scheduling software for therapy practices has never been built by people who understand what therapy practices actually need.
Every SLP practice deserves scheduling software that understands care, not just calendars.
Cadence was built around a single belief: the administrative overhead of running a therapy practice should not compete with the clinical work of running one.
When a speech therapist spends Monday morning rebuilding a schedule from scratch, that time doesn't come from nowhere. It comes from patient preparation, documentation, and rest. The work of the practice administration should be invisible, not intrusive.
We build Cadence to make that true.
How we got here
In 2024, we sat down with Amanda, a speech-language pathologist who had built a private practice over six years. She had a thriving schedule, strong patient relationships, and a Google Sheet she'd been maintaining since day one that had become something between a masterpiece and a liability.
The spreadsheet tracked names, frequencies, insurance authorizations, session counts, and a color system only she understood. Every Monday morning, she rebuilt the week by copying from the last one, checking a separate doc for sessions remaining, and calling patients who hadn't confirmed. It took two hours before she saw her first patient.
"I knew which patients needed to be seen. I just couldn't keep track of everything else at the same time."
We asked what software she'd tried. She had. None of it was built for what she actually did, with one patient population, one (or a few) therapists, complex insurance logic, and the need to text people back. We decided to build what didn't exist.
What we believe
A tool that does one thing perfectly is worth more than a platform that does ten things adequately. We build fewer features and build them right. Every element in Cadence exists because it solves a real problem we've seen in real practices.
Every minute spent in software is a minute away from patients. If Cadence can't save more time than it takes to use it, we've failed. Every feature is measured against a simple question: does this make Monday morning shorter?
Cay exists because there is a specific, high-value job that software is objectively better at than people: sending a text at the right moment, with the right context, without being asked. We don't use AI to look impressive. We use it where it actually helps.
Every early access practice gets a direct line to us. Not a ticket system. Not a feedback form. A conversation. We ship what we learn from those conversations, not what seems interesting in a vacuum.
Join the team
Cadence is early-stage and intentionally small. We're not trying to be a general-purpose healthcare platform. We're building the best scheduling tool for speech therapy practices, and we want people who care about that problem specifically.
If that sounds like your kind of work, we'd like to hear from you.
Get in touchYou care about healthcare workflows as much as you care about type. You've done B2B SaaS and you want to work on something that matters to the people using it.
Strong with TypeScript, comfortable with Python, and excited to work on a product where correctness actually matters. Healthcare is unforgiving. We like that.
You run or have run a private SLP practice and want to shape software that didn't exist when you needed it. Time commitment is light. Impact is high.
Whether you want to use Cadence, advise on it, or help build it, the best first step is the same: say hello.
We respond to every message personally.