Back to RCM
Founder / Operator·RCM

Nick Perry

CEO and Co-Founder at Candid Health

San Francisco, California

NP
LinkedIn
Why they matter

Palantir alum running the fastest-scaling AI RCM platform: 190% run-rate growth, 180% net retention, 200+ providers, and a live read on billing automation economics.

Background

Nick Perry is co-founder and CEO of Candid Health, which he started in 2019 with fellow Palantir alum Doug Proctor after five years at Palantir working on healthcare. He built the company on the thesis that medical billing is fundamentally a data engineering problem, so Candid's platform submits claims correctly on the first attempt rather than reworking denials downstream. Candid went through Y Combinator's W20 batch and has raised more than $219 million across four rounds, most recently a $120 million Series D in July 2026.

Notable deals

  • 2026
    Raised $120M Series D led by Sixth Street Growth, with Oak HC/FT, 8VC and Y Combinator participating, tripling the company's valuation off 190% YoY run-rate revenue growth and 180% net dollar retention
  • 2025
    Raised $52.5M Series C led by Oak HC/FT to expand GenAI features, bringing total funding to $99.5M with 200+ healthcare organizations on the platform
  • 2024
    Raised $29M Series B led by 8VC with First Round Capital, BoxGroup and Y Combinator, on the pitch of flipping the RCM model from post-submission denial resolution to first-pass accuracy
  • 2025
    Grew Candid revenue nearly 250% in 2024 and expanded from telehealth customers including Talkiatry, Nourish and Allara into large physician groups

Call-prep brief

Background

  • Co-founded Candid Health in 2019 with Doug Proctor (COO); both are Palantir alumni, Perry spent roughly five years there on healthcare.
  • Core thesis: medical billing is a data engineering problem, not a staffing problem. Candid submits claims correctly the first time instead of reworking denials.
  • Y Combinator W20. HQ in San Francisco, with offices in New York and Denver.

Current focus

  • Scaling beyond digital health and telehealth customers (Talkiatry, Nourish, Allara) into large multi-site physician groups.
  • Pushing toward autonomous RCM: the Series C announcement cited touchless claim rates and payor net collection rates above 95%.
  • Deploying the $120M Series D (July 2026, Sixth Street Growth) into AI capability and go-to-market. Growth to date has been largely word-of-mouth with minimal marketing spend.

What he cares about

  • Durable infrastructure over quick wins. He frames Candid as payments infrastructure in the mold of Stripe or Shopify, and on exit plans has said "Stripe is a very large private company, and they seem great." Read that as limited near-term IPO or sale appetite.
  • Proof through metrics: 190% YoY run-rate revenue growth and roughly 180% net dollar retention in 2025.

Potential sensitivities

  • Exit timing and valuation specifics, given he has publicly downplayed IPO ambition.
  • Competitive framing against both legacy RCM incumbents and the wave of new AI RCM entrants.
  • Named customers, payor relationships, and contract economics are likely confidential.

Questions to ask

  1. Where does automation still break down: which claim types or payors require human touch today, and what closes that gap?
  2. How does the multi-site physician group motion differ from digital health on sales cycle, implementation load, and net retention?
  3. With Sixth Street's growth capital in, which adjacencies (eligibility, patient collections, payor contracting) are on the roadmap, and would you consider M&A to get there?

Outreach draft

Subject
Question on Candid's move into physician groups
Hi Nick, Congratulations on the Series D. Tripling valuation on 190% run-rate growth is a rare combination in RCM right now. I'm reaching out because we're spending real time on healthcare revenue cycle infrastructure and the shift from denial rework to first-pass accuracy. Your framing of billing as a data engineering problem matches what we're seeing. The move from digital health into multi-site physician groups is where we have the most questions: implementation load, payor mix, and how net retention holds up at that scale. Would you be open to 30 minutes in the next few weeks? Happy to work around your calendar. Best, [Your Name]

Linked companies

Sources