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Abridge

Abridge#56

Clinical AIAmbient DocumentationHealthcare
$84.00 2.4%per share
$124.32$104.16$40.32$25.201st Apr7th Apr15th Apr23rd Apr29th Apr

About

Abridge builds generative AI that listens to patient-clinician conversations and turns them into structured clinical notes, billing codes, and summaries in real time. Its ambient documentation platform is used across more than 150 health systems.

From X

Rohit Mittal
Rohit Mittal@rohitdotmittal

vertical AI startups are trading at insane multiples right now i dug into the numbers - ARR, valuations, and the math on whether these deals make sense here's what i found high level multiples: (caveat is that revenues are growing rapidly, so the multiples may already be lower) - Cursor: $1B ARR → $29B valuation (29x) - Sierra: $100M ARR → $10B valuation (100x) - Harvey: $100M ARR → $8B valuation (80x) - raised $160M today - Glean: $100M ARR → $7.2B valuation (72x) - Abridge: $100M ARR → $5.3B valuation (53x) For comparison, public vertical SaaS: Veeva: $2.45B rev → $35B (14x) Toast: $1.5B rev → $12.5B (8x) Procore: $780M rev → $11.2B (14x) ServiceTitan: $772M rev → $7.5B IPO (10x) 55x (for fast growth AI in private) vs 12x (lower growth public markets) the gap is 4-5x at 50x entry on $100M ARR with 100% annual growth: year 1: $200M year 3: $800M year 5: $3.2B exit at 10x (public comp) = $32B entry cost = $5B MOIC = 6.4x IRR = ~45% if the growth doesn't stay at 100% realistic scenario: year 1: 100% growth year 3: 50% growth year 5: 30% growth adjusted year 5 ARR: ~$1B (not $3.2B) new exit at 10x = $10B MOIC = 2x IRR = ~15% still works. but not venture-style returns. the magic number for 25%+ IRR with 5yr hold: need 3x MOIC minimum which means: 50x entry → need 15x+ exit with 80% CAGR 30x entry → need 10x exit with 60% CAGR multiple compression could be the killer by vertical: Healthcare AI (Abridge, Ambience): 40-55x quite rational - clear ROI, replacing $15B/yr in scribe costs Legal AI (Harvey, EvenUp): 50-80x fast adoption but crowded Coding (Cursor): 30x fastest growth - most reasonably priced in a way - but competition from the big AI labs is a risk valuations are pricing "winner take most" dynamics but theres 5+ well-funded players per vertical all assuming they'll be the winner AI vertical SaaS is real - the revenue growth is unprecedented but paying 50-100x ARR requires: sustained 60%+ growth for 5+ years no multiple compression being the category winner

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