CEO Letter: Reflecting on 2025 and Building the Infrastructure for 2026

The start of a new year naturally invites reflection, and as we head into 2026 – fourteen years since VectorCare’s genesis – I’m struck by how our role in healthcare and patient logistics has meaningfully taken shape.

What began as a platform to simplify patient transportation has evolved into something far more fundamental: infrastructure for patient logistics and service coordination, embedded directly into the EHR. In 2025, we didn't just scale, we redefined where coordination belongs and who should carry the operational burden.

That clarity now guides everything we are building...

2025: From Momentum to Maturity

In 2025, VectorCare crossed an important threshold. The platform proved not only that it can scale, but that it can operate as mission-critical infrastructure for healthcare systems.

Throughout the year, VectorCare supported millions of service requests and facilitated more than half a billion dollars of transactions through our marketplace, while maintaining reliability during peak demand. We expanded into new geographies, deepened enterprise relationships, and continued to see strong adoption across hospitals, payers, Fire and EMS agencies, and service providers.

More importantly, we delivered measurable impact where it matters most:

• Reduced administrative burden for case managers, nurses, and transfer center teams
• Improved operational throughput, helping organizations reduce delays and avoid unnecessary bed days
• Enhanced patient experience, driven by real-time visibility and coordinated services beyond hospital walls
• Lowered re-admissions, supported by scheduled post-discharge home visits and improved at-home care visibility

These outcomes reinforce a simple truth: better logistics lead to better care.

Re-Imagining Where Scheduling and Coordination Happen

For decades, patient logistics lived outside the EHR and was managed through phone calls, faxes, portals, spreadsheets, and disconnected systems. In 2025, we changed that.

One of the most significant milestones of last year was the launch of VectorCare’s embedded SMART on FHIR application, fundamentally reimagining where scheduling and service coordination should occur.

VectorCare is now embedded directly inside the EHR, allowing care teams to request, schedule, and manage services without leaving their native clinical workflow. Epic became our first EHR embedded integration, marking a major step toward making patient logistics a first-class capability inside clinical systems.

From within the EHR, teams can now:

• Schedule transportation, home health, DME services, and much more
• Receive real-time updates directly from service providers
• Enable two-way messaging across transportation, home health, and DME networks
• Maintain continuity and visibility as patients move across care settings

We also launched Lyft's embedded Smart on FHIR App, the first Transportation Network Company (TNC) embedded inside Epic, bringing consumer mobility into enterprise clinical workflows in a secure, compliant, and operationally scalable way. A couple of examples of why this is important: 

• Emergency departments can get patients home within minutes using Lyft, reducing lengthy wait times.
• Improved post-discharge appointment adherence, helping reduce ED re-admissions
• Care teams get to patients' homes with speed and efficiency.

Find our more about the FHIR initiative here.

These launches represent a shift in mindset: coordination should happen where clinical decisions are made – not after the fact.

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Automation and AI: Moving from Tools to Teammates

2025 marked a turning point in how automation and AI showed up inside VectorCare.

Our Automated Dispatching Intelligence (A.D.I.) moved from a powerful feature to a core workflow engine, taking on more of the repetitive, time-sensitive decisions that historically consumed human bandwidth. Customers consistently told us the same thing: A.D.I. doesn’t just save time – it changes how their teams work. To put a number on that, in 2025 A.D.I. saved more than 100,000 hours for our healthcare systems and healthcare suppliers. That’s time saved on admin that goes back into patient care, displaying how AI can work alongside clinical judgment by absorbing operational friction.

Our army of AI agents over the next year will be introduced internally, and later externally, to assist with call intake, scheduling, and event creation. AI agents will help organizations smooth demand, reduce overload, and maintain service levels. Throughout last year, we took a deliberate approach – deploying, learning, and refining – so that trust and safety kept pace with innovation.

Heading into 2026, AI at VectorCare is no longer experimental. It is embedded, invisible, and dependable.

2026: The Year of EHR-Native Infrastructure

If 2025 was about embedding VectorCare into the EHR, 2026 is about accelerating what can be built there. This year, we are launching SoFaaS™ – SMART on FHIR as a Service.

SoFaaS™ enables healthcare vendors, service providers, and suppliers to build, deploy, and scale EHR-embedded applications in weeks, not years. Using VectorCare’s no-code workflow builder, as well as a suite of internal tools we developed over the past several years – which we are now making publicly available – partners can focus on their domain of expertise while VectorCare handles the rest.

VectorCare provides the infrastructure that allows any healthcare vendor or supplier – transportation, home health, DME, remote monitoring, and beyond – to go deeper into the EHR workflow at the lowest cost and shortest path to value, while we handle:

• SMART on FHIR compliance
• Security and governance
• Installation across health systems
• Workflow orchestration
• Ongoing operational complexity

By removing the friction of EHR integration, SoFaaS™  allows innovation to move at the speed healthcare actually needs.

Expanding the Definition of Patient Logistics

In 2025, the industry increasingly recognized what we have long believed: patient logistics extends far beyond transportation.

VectorCare supported workflows across home health, durable medical equipment, remote monitoring, and post-discharge services – reinforced by integrations with partners like VitalStream. Software, data, and coordination must follow the patient wherever care occurs.

Our continued expansion into Fire and EMS further demonstrated this shift, as these organizations increasingly act as community-based care coordinators. Internationally, our work in the UK reinforced how universal these coordination challenges truly are.

Looking Ahead

As we move through 2026, our focus is clear:

1. Accelerate EHR-native workflows
2. Enable partners through SoFaaS™
3. Expand automation and AI responsibly
4. Reduce friction for healthcare operators
5. Support care delivery beyond traditional boundaries

At the center of all of this is a simple principle: Our goal is to support the people doing the work of healthcare by building infrastructure they can rely on.

Gratitude and Confidence

To our team: thank you for building with discipline, humility, and conviction.
To our customers and partners: thank you for trusting VectorCare with critical workflows.
To the healthcare community: thank you for pushing us to rethink what is possible.

Fourteen years later, patient logistics is no longer a back-office function – it's being recognized as foundational infrastructure. VectorCare is proud to be building the rails that allow care to move faster, safer, and more intelligently.

Sincerely,

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David

CEO, VectorCare

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