Astrix Health

What do they actually do

Astrix Health builds AI tools to reduce administrative work in healthcare. Today they run two tracks: a live hiring product (Matcha) and early pilots of AI “purchasing agents” for clinics and hospitals (Astrix site, YC profile).

Matcha is a candidate‑facing app that lets clinicians enter their background once, then receive tailored job matches and introductions to hiring managers. It’s free for candidates; employers pay on successful placements. The site advertises thousands of curated jobs and an AI chat onboarding flow (Matcha).

Separately, Astrix is piloting AI agents that ingest invoices and purchasing data, find savings opportunities across vendors and contracts (including GPOs), and—with approval—place orders, showing status in one dashboard. Early usage is with a small set of clinics; scaling this will require deeper integrations and strict approval/oversight to avoid errors (YC profile).

Who are their target customer(s)

• Clinic/office manager (often a nurse handling operations): They spend hours ordering supplies, reconciling invoices, and managing stockouts or backorders, pulling time away from patient care and creating manual, error‑prone workflows (YC profile).
• Purchasing staff at small-to-medium hospitals/clinics: They compare vendors and manage GPOs/rebates by hand; complex rules and integrations make switching suppliers or automating purchasing risky and time‑consuming (YC profile).
• Practice/group finance or operations leader: They face opaque, rising supply costs and limited visibility into where money leaks, making it hard to prove savings or justify investment in purchasing/inventory tooling (YC profile).
• Clinicians looking for jobs (Matcha users): They don’t want to re‑enter work history for each application and often receive irrelevant leads; they want one profile and vetted matches without repeated effort (Matcha).
• Clinic/hospital hiring managers and recruiters: Sourcing and screening takes too long and often relies on agencies with high fees, so roles remain unfilled; they want faster access to pre‑vetted candidates and direct introductions (Matcha).

How would they acquire their first 10, 50, and 100 customers

• First 10: Turn current pilots into paid accounts by hand‑holding onboarding, reconciling initial automated orders, and documenting verified savings/time reclaimed as case studies (YC profile).
• First 50: Run targeted outbound using pilot referrals and Matcha relationships, offering short paid pilots with clear checkpoints and referral discounts; standardize a one‑week technical/approval checklist (Matcha, YC profile).
• First 100: Add channel partners (regional GPOs, supplier aggregators, EMR/ERP integrators), publish ROI from early customers, and use a repeatable pilot‑to‑rollout playbook managed by a small sales/CS team (YC profile).

What is the rough total addressable market

Top-down context:

Astrix targets two areas: provider supply purchasing and clinical hiring. U.S. medical‑supplies wholesaling is roughly $300–330B annually (the spend pool procurement tools can influence), while U.S. healthcare supply‑chain software/services revenue is in the hundreds of millions; healthcare staffing/recruiting is tens of billions (IBISWorld, Grand View Research, BioSpace summary, Precedence Research).

Bottom-up calculation:

Procurement: if Astrix sells automation to 3,000 small clinics at $12–25k ARR, that implies a $36–75M near‑term SAM. Hiring: if Matcha drives 2,000 employer‑paid hires per year at $5–15k per placement, that implies $10–30M in annual placement revenue potential.

Assumptions:

• Early focus on small clinics/ambulatory sites that lack heavy ERP/GPO automation and will pay $12–25k per year for procurement tooling.
• Matcha monetizes via employer placement fees in a $5–15k range per permanent hire for targeted clinician roles.
• Volumes (3,000 clinics; 2,000 hires/year) reflect a realistic 2–5 year foothold rather than the full market.

Who are some of their notable competitors

• Incredible Health: Nurse‑focused hiring marketplace matching clinicians to permanent roles; overlaps directly with Matcha on clinician sourcing and employer placements (site).
• Vivian Health: Healthcare jobs marketplace (travel, per diem, and permanent) with reusable profiles and employer tools; competes with Matcha for clinician discovery and hiring workflows (site, employer).
• Coupa: General spend‑management platform used by providers, offering AI‑driven spend analytics and sourcing; overlaps with Astrix’s savings discovery and purchasing automation aims (healthcare, AI features).
• GHX / Prodigo: Large provider‑focused procurement network (Prodigo acquired by GHX) offering directed buying and procure‑to‑pay; incumbent for hospital purchasing automation (acquisition release, vendor profile).
• Vizient: Major healthcare GPO providing procurement services, contract catalogs, and spend programs; competes on pricing visibility, contract compliance, and vendor management (site).