Vera is an AI platform for veterinary practices. It lands as a best-in-class clinical scribe — ambient SOAP notes written straight back into the practice's existing PIMS — then becomes the revenue-integrity layer: four modules that plug the biggest leaks in practice revenue, priced on a share of what they recover.
Four forces converge on the same 24 months: the money is there, the people aren't, the technology just crossed the threshold, and the buyers are consolidating into reachable groups.
US pet spend hit US$158B in 2025 (~95M pet households), heading to US$165B in 2026; veterinary care is the second-largest category.[S1] Australia mirrors it at launch scale: A$21.3B total pet spend, 73% of households with a pet, and a A$5.7B veterinary-services industry.[A1] [A2]
Up to 50% of vets report burnout, over 25% quit each year, and the US faces a ~15,000-vet shortfall by 2030. Vets spend 1–2 hrs/day on documentation — "pajama time."[S3] [S6] Australia is in its eighth year of veterinary shortage: 37% of vacancies take 12+ months to fill, average time-to-fill has tripled since 2014, and ~30% of vets intend to leave within five years.[A4]
~44 vet scribes in market and a category leader giving documentation away free is proof of demand — and proof the scribe itself is a commodity. The unclaimed layer is what the scribe's structured output makes possible.[S4] [S6]
Corporate/PE ownership of US clinics went from ~8% (2011) to ~50% (2025); PE deployed US$50B+ into the sector 2017–23, and Chewy acquired Modern Animal in April 2026. Independents still run ~51% of sites — so the go-to-market must be dual.[S11]
| Year | Corporate/PE share |
|---|---|
| 2011 | ~8% |
| 2025 | ~50% |
A practice that feels busy is quietly bleeding. None of this shows up as a line item — that's why owners underweight it. Each leak is independently sourced from US industry literature; validating the same rates on Australian P&Ls is an open item in §11.
Line items forgotten in a packed day and at staff handoff. AAHA found 17% of lab tests go unbilled; a documented solo practice lost ~8% (~US$40k/yr).[S7]
Phones are synchronous and interrupt-driven; most callers never retry. A clinic can leave US$100k+/yr on the table — and ~80% of vet malpractice cases involve a communication breakdown.[S9]
Weak reminders, no waitlist backfill. Every empty slot is fixed cost with zero revenue against it.[S8]
Leak percentages are sourced; how much of each leak Vera actually recovers is an assumption until the pilot data exists — that's the point of the seed round. Drag the inputs and the ledger recomputes.
Every current player owns either the visit understanding (scribes), or the system of record (PIMS), or the phone (comms tools). Nobody owns the connective tissue that turns visit understanding into recovered revenue across whatever PIMS the practice already runs. PIMS incumbents are building the revenue features — but getting them means ripping out your PIMS, and that migration pain is our moat against them.
| Player | Visit understanding | System of record | The phone | Cross-PIMS | Paid on recovery |
|---|---|---|---|---|---|
| Scribenote — US$8.2M seed (a16z), 6,000+ vets, free tier since Jun 2025 [S4] | ● | — | — | ◔ | — |
| VetRec — YC; Bond Vet (55+ sites), IndeVets; adding comms/assistant [S5] | ● | — | ◔ | ◔ | — |
| Scribe long tail — HappyDoc, ScribbleVet, CoVet, Otto, PupPilot, S10.ai… (~44 total) [S6] | ● | — | — | ◔ | — |
| Heidi Health (AU) — ~$700M-valuation human-health scribe; veterinary vertical live, Greencross among displayed clients [A8] | ● | — | — | ◔ | — |
| PIMS incumbents — IDEXX/ezyVet, Covetrus, Shepherd, Digitail: building charge capture & recall natively, but only inside their own system [S7] [S10] | ◔ | ● | — | — | — |
| Comms point tools — Peerlogic, virtual receptionists, PetsApp [S9] | — | — | ● | ◔ | — |
| Vera — the revenue-integrity layer on top of the existing PIMS | ● | ◔ | ● | ● | ● |
VetRec already prices in AUD (A$139–215/vet/mo). Heidi Health lists a veterinary vertical with Greencross among its displayed clients. Local vet scribes — Whippet Notes, Goldie, Vet Notes — compete on Australian data residency.[A8] Nobody sells cross-PIMS revenue integrity priced on recovery, and vet-specific phone/missed-call AI is essentially un-localised for Australia.
ezyVet (IDEXX-owned, Auckland-born), Covetrus RxWorks & VisionVPM migrating to cloud Ascend, open-source OpenVPMS, IDEXX Neo, Provet Cloud, Digitail.[A7] Integrating a half-dozen systems reaches most of the AU market — and every integration carries into ANZ and US expansion.
A genuinely excellent vet-specific ambient scribe: consent-first capture, SOAP notes, dental charts, discharge summaries — written back into the existing PIMS, not copy-pasted. Priced accessibly: its job is distribution, not margin.
The seed of the business is already here: structured charge suggestions. "You mentioned a fecal test, an injection and a nail trim — two aren't on the invoice." That line is why a vet keeps Vera over a free scribe.
Charge Capture · Missed-Call Recovery · No-Show Backfill · Recall & Reactivation. Each sold as an ROI module with clean before/after measurement baked in — because measured recovery is the Series A story.
Benchmarking, inventory and demand forecasting, and an anonymized cross-practice data network that makes charge detection and recall timing smarter with every clinic — the flywheel a single-PIMS incumbent structurally can't match.
Bottoms-up on subscriptions and top-down on the value of the leaks — built independently so they can be stress-tested against each other. Australia is the launch market; the US is the scale market. The two lenses converge on a US software opportunity in the hundreds of millions per year.
~3,800 practices × ~A$1.5M average revenue (derived: A$5.7B ÷ 3,793 businesses) × the midpoint recoverable rate ≈ A$75k/practice. Software at 20–25% of recovered value ≈ A$57–71M/yr. Bottoms-up cross-check: 3,793 × A$10–15k platform ACV ≈ A$38–57M/yr.[A2] [A5]
A ~A$40–70M/yr software market is enough to prove recovery economics, NRR and the corporate-pilot motion — and too small to return a venture fund on its own. Leak rates are US-sourced benchmarks until validated on Australian P&Ls (§11). That's why the sequencing is AU launch → US scale, not AU-only.
Scribe-only is US$110–220M/yr and shrinking per-unit — the price war. Full-platform ACV of ~US$8–15k across 35,000 practices is the durable version: 35,000 × ~US$10k ≈ US$350M/yr.[S2]
~US$70k midpoint recoverable per practice × 35,000 practices. Software capturing 20–25% of that value is a US$490–610M/yr opportunity from recovery alone — before scribe seats, comms or international.[S7–S9]
Win the seat cheaply; monetize the value. The scribe is priced for distribution. The revenue modules are priced at ~20–30% of recovered revenue (or an ROI-anchored flat fee) — self-funding for the buyer, an order of magnitude more ACV than a scribe seat for us.
Evidence check (§11): practitioners already use buying language about scribes; nobody uses it about charge capture — leakage is absorbed as write-offs. So the revenue modules are sold to owners on audited before/after ROI, not marketed for inbound purchase. The scribe seat is the door; the pilot data is the pitch.
| Metric | Target | Rationale |
|---|---|---|
| Blended ACV, maturing | ~$6,000 → $8,000+ | scribe seats + attached revenue modules |
| Gross margin | ~75–80% | AI inference + support; improves with model efficiency |
| Blended CAC | ~$3,000–6,000 | self-serve scribe wedge + inside sales for modules |
| Payback | <12 months | revenue-share pricing accelerates it |
| Net revenue retention | >120% | land scribe → expand to modules and seats |
| LTV / CAC | >4× | cancelling Vera re-opens the leaks |
Free/low-cost scribe as top of funnel; vet-to-vet referral in a tight-knit, forum-driven profession. After 60–90 days of scribe usage, show the practice its own data: "Vera heard $X in charges that never hit an invoice last month." That sentence is the upsell.
Launch in Australia: ~89% of industry revenue sits outside the top two groups, the community is tight (one AVA, ~3,800 practices), and referral loops are short.[A6]
Corporate buyers want standardized revenue capture and analytics across locations — exactly the P&L language Vera speaks. Land 1–2 group pilots by Year 2. Locum vets — who rotate across clinics and PIMS — are a natural cross-practice beachhead.[S3] [S11]
The Australian majors are concentrated, PE-run and reachable: VetPartners (EQT), Greencross (TPG → Coles pending), Apiam (Adamantem), CVS AU, Vets Central — ~650–700 sites behind five buyers, most within Sydney and Melbourne.[A6]
Growth is powered less by logo count than by NRR — the same clinic paying 4–5× more as modules attach. The Australian launch phase, modeled in AUD; profitable from year one.
| Year 1 | Year 2 | Year 3 | |
|---|---|---|---|
| Paying clinics | ~15 | ~60 | ~120 |
| Blended ARPU / mo | ~A$900 | ~A$1,200 | ~A$1,650 |
| Revenue | ~A$0.15M | ~A$0.70M | ~A$2.0M |
| Gross margin | ~75% | ~76% | ~78% |
| Net profit | +A$12.5k | +A$60k | +A$180k |
The ways this dies, ranked — and what's engineered against each. Click a row for the mitigation.
A proposal is only as honest as its open-items list. Status as of July 2026:
| Allocation | % | What it buys |
|---|---|---|
| Engineering | 45% | cross-PIMS integrations; first two revenue modules in production |
| GTM | 25% | ~120 ANZ clinics; first corporate pilot; US beachhead |
| Domain AI & data | 15% | vet-specific tuning, accuracy, auditability |
| Ops & compliance | 10% | consent handling; data governance |
| Buffer | 5% | — |
Synthesized from nine analytical passes (market selection, voice-of-customer, sizing, competitive intel, product, unit economics, GTM, financial model, devil's advocate), each cross-checking the others. Market, workforce, competitive and leakage figures are sourced below; anything marked Illustrative is a modeling assumption, not a fact.
[S1] APPA 2026 State of the Industry — US pet industry $158B (2025), $165B projected (2026), ~95M pet households; vet care #2 category. americanpetproducts.org; petfoodindustry.com
[S2] AVMA / US Census & JAVMA (Dec 2025) — 34,296 practices (2023), ~+1.3%/yr; gross revenue per FTE vet ~$555k; ~15 patients/day. avma.org
[S3] AVMA / BLS via co.vet — ~127,000 practicing US vets; up to 50% burnout; >25% annual attrition; ~15,000-vet shortfall by 2030. co.vet; aavmc.org
[S4] Scribenote — $8.2M seed led by a16z (Sept 2024); 6,000+ vets; free tier (June 2025); ~44 competing scribes. siliconrepublic.com; globenewswire.com; scribenote.com
[S5] VetRec — Y Combinator; Bond Vet (55+ locations), IndeVets. ycombinator.com; vetrec.io
[S6] Competitive landscape — scribe long tail; 1–2 hrs/day documentation (Volk 2022); scribe segment >30% CAGR through 2028. veterinarybusinessadvisors.com; happydoc.ai; puppilot.co
[S7] Missed charges — 5–10% of revenue; AAHA: 17% of lab tests unbilled; $2M practice → ~$200k/yr. ksmcpa.com; dvm360.com; todaysveterinarybusiness.com
[S8] No-shows 10–20% of slots; recall the most under-exploited lever. software.idexx.com
[S9] Missed calls ~25%; small businesses lose ~$126k/yr; ~80% of vet malpractice involves communication breakdown. peerlogic.com; unicomcorp.com; puppilot.co
[S10] Inventory — 20–25% of expenses, 5–10% waste. vetsource.com; digitail.com
[S11] Consolidation — ~8% (2011) → ~50% (2025) corporate/PE; PE $50B+ (2017–23); Chewy → Modern Animal (Apr 2026). ctacquisitions.com; aaha.org; thenation.com
[S12] US consent & recording law — one/two/all-party variation; consent-every-visit best practice. pawfectnotes.com
Australian sources — researched 4 July 2026 (this document's own verification pass):
[A1] Animal Medicines Australia, Pets in Australia 2025 (Sep 2025) — A$21.3B total pet spend; 73% of households; 31.6M pets across ~7.7M households. animalmedicinesaustralia.org.au
[A2] IBISWorld, Veterinary Services in Australia (2025) — A$5.7B industry revenue; 3,793 businesses (+2.1% CAGR 2020–25); AVA echoes the practice count. Note: AMA's household-survey vet spend (A$1.9B) uses a different methodology and is not mixed with IBISWorld figures here. ibisworld.com; ava.com.au
[A3] Vets in Australia — 16,167 (IBISWorld forecast FY2025-26); NSW anchor: 4,986 registered (NSW Veterinary Practitioners Board, 30 Jun 2025). ibisworld.com; vpb.nsw.gov.au
[A4] AU workforce crisis — AVA Workforce Survey 2023/24 (Oct 2024): 36.8% of vet vacancies take 12+ months to fill (44% regional); Jobs & Skills Australia: time-to-fill 8 wks (2014) → 25 wks (2023); Professionals Australia (2022): 30% intend to leave within 5 yrs; Frontiers in Vet Science (2024, n=320): 60.2% considered leaving their practice area in the past year; AVA: 8th consecutive year of shortage. ava.com.au; jobsandskills.gov.au; pmc.ncbi.nlm.nih.gov
[A5] AU practice economics — average revenue/practice ~A$1.50M derived (A$5.7B ÷ 3,793; businesses ≠ clinic sites); A$400–600k revenue per FTE vet (ScaleSuite, undated — indicative only); gross margin 74–77% (ATO 2021 via Covetrus). scalesuite.com.au; software.covetrus.com
[A6] AU consolidation — Greencross: 200+ clinics, TPG-owned, Coles confirmed due diligence on a ~A$4bn acquisition (1 Jul 2026); VetPartners: 270+ ANZ+SG, EQT (completed Jan 2024), Sydney HQ; Apiam: 80+ clinics, Adamantem Capital, delisted Feb 2026; CVS Australia: 51 clinics (Sep 2025); Vets Central: 72. Revenue concentration (IBISWorld 2023): Greencross ~6.1%, VetPartners ~5%, remainder fragmented. insidefmcg.com.au; eqtgroup.com; apiam.com.au; cvsukltd.co.uk; vetscentral.com.au; vetsuppliersdirectory.com.au
[A7] AU/NZ PIMS — ezyVet (founded Auckland 2006; IDEXX acquired 2021, US$216M); Covetrus RxWorks & VisionVPM → cloud Ascend; OpenVPMS (Australian open-source); IDEXX Neo; Provet Cloud; Digitail. idexx.com; software.covetrus.com/apac; openvpms.org
[A8] AI scribes in AU — VetRec: AUD pricing A$139–215/vet/mo (vetrec.io/au); Heidi Health: veterinary vertical listed, Greencross among displayed client logos, ≈$138M raised / ~$700M valuation (heidihealth.com/en-au; medicalrepublic.com.au); Whippet Notes: AU vet scribe, AU/IE data residency, Ascend & RxWorks integrations (whippetnotes.com); Goldie, Vet Notes (competitor-cited). Vet-specific phone-AI: no localised AU player found.
[A9] AUD/USD ≈ 0.692 (2 Jul 2026). exchangerates.org.uk
Australian recording & privacy law — desk research 4 July 2026 (not legal advice; counsel review pending):
[L1] State surveillance law — all-party consent to record a private conversation: NSW (Surveillance Devices Act 2007 s7), WA (SDA 1998 s5), SA (SDA 2016 s4), TAS (Listening Devices Act 1991 s5), ACT (LDA 1992 s4). Participant recording lawful: VIC (SDA 1999 s6), QLD (Invasion of Privacy Act 1971 s43), NT (SDA 2007 s11) — but communication/publication of recordings is restricted in all eight jurisdictions, which makes covert-then-transcribe legally gray everywhere; all-party consent cures both. legislation.nsw.gov.au et al.; hamiltonlocke.com.au
[L2] Privacy Act 1988 (Cth) — ≤A$3M small-business exemption with carve-outs; vet clinics' status under the health-service definition unsettled (flag for counsel); the scribe vendor is an APP entity regardless. OAIC Guidance on privacy and commercially available AI products (Oct 2024) expressly covers transcription tools: PIA, transparency, no training on personal data without consent. oaic.gov.au
[L3] Vet board signals — Veterinary Practitioners Board of NSW lists an "AI-based Record Keeping and Note Taking" resource (updated ~Mar 2026; content to be pulled by counsel); state record-keeping guidelines: VIC Guideline 07, WA, SA (2024). vpb.nsw.gov.au; vetboard.vic.gov.au
[L4] Consent-practice precedent (human health) — Heidi & Lyrebird: per-visit verbal consent, timestamped consent logs, pre-notification, decline-with-unchanged-care; AIDH implementation sheet (Jun 2025); Safer Care Victoria ambient-scribe advisory (May 2025); Ahpra AI obligations (2024). heidihealth.com; lyrebirdhealth.com; digitalhealth.org.au; ahpra.gov.au
Forum vector — primary evidence, 4 July 2026:
[F] 30 verbatim practitioner comments across ~19 threads, r/Veterinary + r/VetTech (2022–2025), mined via the public PullPush archive after live Reddit blocked automated access; permalinks retained per item; vendor/SEO pages encountered in search were excluded as evidence. Verdict on the falsifiable hypothesis: MIXED — mention-volume clause supported, willingness-to-pay clause refuted at n=2. Known skews: US-centric, techs/associates over owners; VIN login-walled; AU communities unsampled. Full coded list: Module 8 research annex — forum-vector-primary-threads.md.