Home Investor brief
Most health-facility software in emerging markets is a patient register with billing bolted on. SmartCare is a complete operating system for a hospital — clinical, pharmacy, laboratory, procurement, payroll and a real general ledger — on one schema, with the local payment and messaging rails built in.
What’s built
The hard part of this category is breadth: a hospital will not run half its operations on you. Every figure below is a count taken from the codebase and the running system, not an estimate.
Double-entry accounting, payroll with PAYE bands, HL7 lab integration, procurement through to vendor bill payment, and shift rostering with leave that blocks conflicting assignments. These are the modules competitors leave for “phase two”.
M-Pesa alongside Stripe and PayPal. Africa’s Talking alongside Twilio. WhatsApp as a first-class channel. Multi-facility, multi-currency and per-facility tax and time-zone settings from the start rather than retrofitted.
The activity trail is written at the database layer, so every write is captured with actor, IP and before/after values — the property that makes the system defensible to a regulator and expensive for a customer to leave.
Working system, exercised against a seeded dataset of 1,500 patients, 4,966 visits and 20,338 ledger entries. The full module list is here.
Business model
Beds are the one number a hospital cannot fake and that grows as the facility grows, so revenue expands without renegotiation. The figures below are arithmetic on published list pricing.
| Segment | Tier | Rate | Typical size | ACV |
|---|---|---|---|---|
| Clinic | Starter | $14 / bed | 10 beds | $1,680 |
| Small hospital | Professional | $24 / bed | 25 beds | $7,200 |
| Mid hospital | Professional | $24 / bed | 50 beds | $14,400 |
| Large hospital | Enterprise | $38 / bed | 100 beds | $45,600 |
| Referral hospital | Enterprise | $38 / bed | 300 beds | $136,800 |
A customer that adds a ward adds revenue automatically. A customer that adds a site moves to Network. Neither requires a new sales cycle.
Once payroll, the ledger and the audit trail live here, leaving means rebuilding the finance function. Gross retention in this category is the reason it is worth owning.
Migration and configuration are quoted separately from subscription, which funds the onboarding team without discounting recurring revenue.
Market
Cite the specific national health-information or insurance-claim mandates you’re riding — e.g. digital claims requirements — with dates and sources.
Mobile money removed the hardest part of billing in these markets. Facilities can already take payment digitally; what they lack is a system that records it against a patient, an invoice and a ledger account at the same time.
The competitor to displace in most facilities is not another vendor — it is paper, Excel, and a patient register. That makes the sale about operational relief rather than feature-by-feature comparison.
I have deliberately not written a market size here. Anything I invented would be the weakest and most scrutinised claim on the page. Supply, with sources:
Traction
The product section above is fully evidenced. This one cannot be, by me — every item here is a fact only you hold, and an investor will check all of them:
Until these are filled in, this page overstates readiness. It should stay
unlinked, and it is marked noindex.
The ask
State the round size, the instrument, the runway it buys, and the three milestones it is meant to reach — expressed as customer and revenue outcomes, not as features. Then name the single riskiest assumption in the plan and say how this money tests it.