Axle Health Raises $10M Series A to Scale Home Healthcare Logistics

Axle Health builds AI-driven scheduling and workforce management software for in-home healthcare providers. Founded in 2020 by CEO Adam Stansell and co-founder Connor Hailey, the Los Angeles-based startup raised a $10 million Series A round led by F-Prime Capital, with participation from Y Combinator, Pear VC, and Lightbank, as reported by Business Insider and Home Health Care News.

The company originally launched in Y Combinator’s W21 batch as a tech-enabled home health provider operating its own clinician network. In 2023, Axle Health pivoted to focus entirely on licensing its software stack to outside home healthcare agencies and health systems. The shift yielded a tenfold revenue increase over FY 2024, according to PR Newswire.

Solving 3D Logistics in Home Healthcare

In-home care requires balancing a three-dimensional tradeoff between clinician licensure, geography, and visit timing. In an interview on Built to Ship with Adam Stansell - CEO of Axle Health on Voker, Adam Stansell—who previously managed Uber Eats market launches and worked at fleet management software company Motive—explained that scheduling home healthcare is far more complex than gig-economy dispatching. Systems must match clinicians to patients based on state licensure requirements, clinical qualifications, patient language and gender preferences, drive time, and vehicle inventory like refrigerated supplies.

The platform also uses generative AI to convert unstructured patient SMS communications into structured scheduling inputs. By automating dispatching, route optimization, and patient engagement, the software reduces manual scheduling work by approximately 70% and increases field team utilization by 17% to 30% for providers such as Cityblock Health and Grandcare.

In an interview on Slice of Healthcare Network, Adam Stansell recalled recognizing the magnitude of the operational gap after visiting a home health agency executive who managed high-salaried nurses using a physical six-foot wall map and color-coded thumbtacks.

Team and Engineering Growth

Axle Health operates as a 14-person team working onsite in Santa Monica, California. Following its $10 million Series A, the startup is expanding its engineering, product, and design teams to scale backend infrastructure, deepen integrations with Electronic Health Record (EHR) systems, and build automated patient engagement tools.

To lead technical delivery, the company is hiring an Engineering Manager, Backend Team ($200,000 - $250,000 USD, onsite in Santa Monica, CA, US) to manage a backend team of six. The role is roughly 60% hands-on, requiring writing and reviewing code while owning cloud infrastructure and production health in a high-compliance healthcare environment.

The backend team is also adding a Senior Software Engineer, DevOps and Infrastructure ($170,000 - $200,000 USD, onsite in Santa Monica, CA, US) to own foundational AWS cloud systems, maintain CI/CD pipelines, enforce HIPAA compliance, and manage container orchestration.

To expand integrations with healthcare providers, Axle Health is recruiting a Senior Software Engineer, Interoperability ($170,000 - $200,000 USD, onsite in Santa Monica HQ). This engineer will design high-volume data connections between the logistics platform and EHRs for systems supporting hundreds of thousands of patients.

Product execution is supported by a Senior Product Manager ($150,000 - $180,000 USD, onsite in Santa Monica, CA, US) to lead scheduling, route optimization, and patient engagement features—including ride-alongs and direct field research with clinicians—and a Senior User Experience Designer ($150,000 - $180,000 USD, onsite in Santa Monica, CA, US) to lead design processes across web and mobile applications.

Open Roles at Axle Health

All open positions are full-time roles based onsite in Santa Monica.

See all open roles at Axle Health