Ryan Tolsma
20 posts
Ryan Tolsma
@ryanatolsma
Founder @ Adaptive Innovations, @joinadaptive
Katılım Mart 2026
165 Takip Edilen65 Takipçiler
I’m excited to share that I’ll be joining OpenAI and look forward to working with the exceptional team there.
It was a difficult decision to move on. I’m incredibly proud of the amazing team at Google and everything we’ve built together. It has been an honor and a pleasure to work with all of you.
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an underrated aspect of studying pure math, is that at times, it forces you to think entirely in terms of toolkit expansion.
so many layers of abstraction and meta-layers are built up to result in theories that unify and solve swaths of problems all at once
in today's world of engineering, execution is simplifying and code is cheap. all of the leverage is shifting towards the higher-order designs and interfaces, that once in place, solve complete categories of problems as the next intelligence tranche unlocks
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Ryan Tolsma retweetledi
Two in five home health patients get turned away, not because care isn't available, but because the admin overhead costs more than the agency gets paid.
$40B in referrals are rejected every year. That's the problem @AlexRWendland and Ryan Tolsma are rebuilding from scratch with @joinAdaptive.
AI-native operations. 100K+ visits delivered. 4.9% rehospitalization rate vs. 12.9% state average.
@Felicis investors @Pxd and @EricFlaningam sat down with Alex and Ryan to discuss the future they're building with Adaptive.
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“How badly do you want this deal?” Ryan, our general counsel, called me while I was at dinner.
Turns out @joinAdaptive redlined the term sheet we sent them to lead their Series A, and they put in a clause that gave me second thoughts.
For context: I’m a die-hard @49ers fan. Beating the Cowboys is always a good feeling. Winning the last 4 games against the Dallas Cowboys including 2 playoff games? The best.
The clause they inserted was a tough one to accept. We ultimately agreed that when the company reaches a significant revenue milestone, @Felicis board members will attend a Cowboys game in Dallas with the founding team… in full Cowboys gear.
Today, over 40% of patients referred to home health don’t get the care they need. Adaptive is using AI to help home health agencies serve more patients, reduce overhead, and expand access to care.
AI has been transforming the digital world, but is only just beginning to change the physical world. Home health is the fastest-growing outpatient sector, on pace to nearly double over the next 5-6 years. The current foundation of fragmented small home health providers is not ready for that influx. Adaptive is rebuilding from the inside out to lay a foundation for an industry positioned to scale.
I’d prefer to keep my 49ers loyalty intact. But if wearing a Cowboys jersey is the price of helping build a company that improves healthcare for millions of people, I’ll survive. To @AlexRWendland, @ryanatolsma, Logan, and Hunter, I’m rooting for you...but not your football team.
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@joinadaptive Read more about our healthcare abundance vision here: adaptive.co/blog/engineeri…
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Today we announced @joinadaptive's $50M Series A.
We are building the full end-to-end platform for care delivery, an AI-native provider.
We’ve rebuilt the entire operating system that care runs on with AI at its core. Our engineering team has developed the infrastructure — harnesses, evals, skills, and domain model — to put agents first in our product development. We’re raising the floor so that every operator, manager, or clinician can rapidly prototype and deploy production agents to solve their own scaling problems. The products that we’re building are meant to augment the capabilities of every healthcare operator and clinician on our team. For ourselves, built by ourselves. We are exceptionally focused on building the foundations that will compound as abundant intelligence progresses.
Our talented team is filled with ex-founders, researchers, engineers, and operators, who all choose to dedicate their time towards something worth building: fixing healthcare. If any of this resonates, we’re hiring across every function and we’d love to meet you.
More in the comments.
Alex Wendland@AlexRWendland
Excited to share Adaptive Innovation’s (@joinadaptive) $50M Series A led by @felicis and $10M Seed led by @BainCapVC. Adaptive is an AI-native healthcare provider rebuilding the way care is delivered in America, starting with home health
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@baymahmutbey appreciate the kind words! pushing hard for the work to show for itself 💪
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Worth mentioning @ryanatolsma is without a doubt one of the most intelligent and versatile founders out there right now.
And when the smartest people you know work on big problems, you better pay attention.
Alex Wendland@AlexRWendland
Excited to share Adaptive Innovation’s (@joinadaptive) $50M Series A led by @felicis and $10M Seed led by @BainCapVC. Adaptive is an AI-native healthcare provider rebuilding the way care is delivered in America, starting with home health
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Congrats @ryanatolsma and the team on the launch!
On its way to be a healthcare tech giant 🔥
Alex Wendland@AlexRWendland
Excited to share Adaptive Innovation’s (@joinadaptive) $50M Series A led by @felicis and $10M Seed led by @BainCapVC. Adaptive is an AI-native healthcare provider rebuilding the way care is delivered in America, starting with home health
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So proud of this team! @AlexRWendland and @ryanatolsma are some of the most brilliant people I have ever met. Adaptive is going to be a rocket ship!
Alex Wendland@AlexRWendland
Excited to share Adaptive Innovation’s (@joinadaptive) $50M Series A led by @felicis and $10M Seed led by @BainCapVC. Adaptive is an AI-native healthcare provider rebuilding the way care is delivered in America, starting with home health
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@itsmichellexu pro-tip: fixing healthcare is easier with the best CoS!
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Major milestone for the team. Excited to be a part of this journey and to help rebuild and renovate the American healthcare system. Let's do this!
Alex Wendland@AlexRWendland
Excited to share Adaptive Innovation’s (@joinadaptive) $50M Series A led by @felicis and $10M Seed led by @BainCapVC. Adaptive is an AI-native healthcare provider rebuilding the way care is delivered in America, starting with home health
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@kaanertass thank you for building the abundant intelligence that fuels our vision
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This is a rare combination of the best people working on one of the most important problems. And it’s very timely, as we head into a decade where America will be older than it ever was before. Abundant healthcare for all!
Alex Wendland@AlexRWendland
Excited to share Adaptive Innovation’s (@joinadaptive) $50M Series A led by @felicis and $10M Seed led by @BainCapVC. Adaptive is an AI-native healthcare provider rebuilding the way care is delivered in America, starting with home health
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@pxd @joinadaptive @felicis It's been a thrill partnering with you and @felicis, time to fix healthcare!
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The @joinadaptive team is tackling one of the most important, under-the-radar problems in the American healthcare system, and we at @felicis are excited to be leading their $50M Series A.
x.com/AlexRWendland/…
Alex Wendland@AlexRWendland
Excited to share Adaptive Innovation’s (@joinadaptive) $50M Series A led by @felicis and $10M Seed led by @BainCapVC. Adaptive is an AI-native healthcare provider rebuilding the way care is delivered in America, starting with home health
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@advaypal @AlexRWendland tried coining "AI-vider" but it didn't roll off the tongue as well
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@kaanertass @AlexRWendland where else do launches point to? the moon
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Congrats on the launch @AlexRWendland @ryanatolsma ! Super excited to see where you go next ✨
Alex Wendland@AlexRWendland
Excited to share Adaptive Innovation’s (@joinadaptive) $50M Series A led by @felicis and $10M Seed led by @BainCapVC. Adaptive is an AI-native healthcare provider rebuilding the way care is delivered in America, starting with home health
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@0xtigs "keep working diligently, for the revolution has not yet been accomplished!"
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overheard at dinner once "it wouldnt be surprising if fira health (now adaptive) became the most valuable health tech company in the world"
onwards!! 🔥
Alex Wendland@AlexRWendland
Excited to share Adaptive Innovation’s (@joinadaptive) $50M Series A led by @felicis and $10M Seed led by @BainCapVC. Adaptive is an AI-native healthcare provider rebuilding the way care is delivered in America, starting with home health
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Somehow home health is a $140B industry where 40% of patients never receive care
Our older generation deserves the best, and Alex and Ryan are two of the brightest minds to build it better
This will be big for America
Alex Wendland@AlexRWendland
Excited to share Adaptive Innovation’s (@joinadaptive) $50M Series A led by @felicis and $10M Seed led by @BainCapVC. Adaptive is an AI-native healthcare provider rebuilding the way care is delivered in America, starting with home health
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@AlexRWendland @joinadaptive @felicis @BainCapVC If you want to build something meaningful on the frontier, @joinadaptive !
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Ryan Tolsma retweetledi
Excited to share Adaptive Innovation’s (@joinadaptive) $50M Series A led by @felicis and $10M Seed led by @BainCapVC.
Adaptive is an AI-native healthcare provider rebuilding the way care is delivered in America, starting with home health
English
large swaths of work are now accessible if you have the right validations in place
we shipped overnight on holiday this weekend some gardening tasks that used to take weeks:
- writing an entire LLM observability & eval suite and iterating for a several X cost reduction in our token usage
- rewrite our entire E2E testing suite into rendered unit tests for faster iteration and reduced flakiness
- upgrade our entire repo to py3.14 and /goal iterate on our CI checks for a 2-3x reduction in e2e time and costs
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