Attunement

What do they actually do

Attunement sells a cloud “clinical notebook” used by neuropsychologists and other testing clinicians to organize case materials and draft long-form assessment reports. Clinicians define their report structure and rules once, upload relevant documents (intake notes, test data, prior reports, transcripts) into a HIPAA‑aligned workspace, and the system produces a draft that links each statement back to its source for provenance. The clinician reviews and edits the draft and remains responsible for interpretation and final sign‑off (homepage/FAQ, blog).

The product is positioned to sit alongside existing EHRs and testing tools rather than replace them, and the company encourages incremental adoption (e.g., trial on a single case or part of a workflow) with clear auditability and clinician control (homepage, blog). Longer term, they’ve stated a roadmap toward continuous patient monitoring and clinician‑facing recommendations, but today’s live product focuses on documentation and structured report generation for testing practices (YC profile).

Who are their target customer(s)

• Private‑practice neuropsychologist writing full evaluations solo: Spends many unpaid hours merging test scores, intake notes, and prior records into a single narrative; needs faster drafting that preserves exact source links for every claim (homepage, blog).
• Multi‑clinician testing clinic or group practice manager: Faces uneven report quality and slow peer review because staff format and synthesize differently; needs shared templates and provenance to standardize outputs and speed QA (homepage).
• Pediatric/educational evaluation teams (IEPs, diagnostics): Must combine intake forms, school records, test batteries, and transcripts under deadlines while maintaining traceable links to sources for accountability (homepage).
• Behavioral‑health clinics aiming to measure outcomes over time (near‑term target): Want ongoing measurement and clinician‑facing recommendations to know when treatment is working or needs to change, but require HIPAA alignment, audit trails, and clinician control (YC profile, blog).

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

• First 10: Personally recruit solo neuropsychologists and testing clinicians for hands‑on, single‑case trials; co‑pilot one live case per clinician at free or discounted pricing to demonstrate provenance and time saved (homepage, blog).
• First 50: Convert early wins into short paid pilots with small clinics and pediatric/IEP teams; publish anonymized before/after case studies and run targeted webinars/listserv outreach to lead clinicians and clinic managers, emphasizing templates, provenance, and HIPAA alignment (homepage).
• First 100: Add light integrations or clear workflows for common EHR/testing tools, hire 1–2 field reps for regional outreach, and formalize a customer‑success playbook so clinics can adopt incrementally with audit documentation and standard templates (homepage, YC profile).

What is the rough total addressable market

Top-down context:

In the U.S., there are roughly 71,730 clinical and counseling psychologists (May 2023 OEWS) and 62,790 school psychologists (May 2023 OEWS), many of whom conduct assessments and produce formal reports (BLS 19‑3033, BLS 19‑3034). Among board‑certified specialists, clinical neuropsychology is the most common ABPP certification, about 30% of ~4,400 certified psychologists (~1,320 clinicians), indicating a sizable testing‑focused subsegment (APA Monitor datapoint, ABPP summary).

Bottom-up calculation:

Focus on the current wedge: clinicians who regularly produce complex assessment reports. Assuming ~10% of 71,730 clinical/counseling psychologists are testing‑focused (~7,000) plus ~3,000 school‑psych/IEP seats involved in formal evaluations yields ~10,000 potential U.S. seats; at $200/month per clinician (~$2,400/year), TAM ≈ $24M annually (BLS 19‑3033, BLS 19‑3034).

Assumptions:

• Initial focus is U.S. clinicians producing long‑form assessments; excludes general therapy documentation and enterprise monitoring tool budgets.
• Priced at ~$200 per clinician per month (~$2,400/year).
• About 10% of clinical/counseling psychologists are testing‑focused; ~3,000 additional seats from school‑based evaluation teams.

Who are some of their notable competitors

• Reverb Reports: Psychology‑specific report writer that automates score tables, summaries, and templates; overlaps on speeding evaluations but is oriented to producing finished reports rather than a provenance‑linked case notebook.
• PsychAssist: End‑to‑end assessment workflow (intake → testing → draft reports) for testing psychologists; focuses on faster report generation with less emphasis on granular provenance/audit trails.
• PsychWriterPro: Long‑standing psychological report generator with scoring/classification and templated narratives; competes for solo and small practices needing standardized reports, with a traditional composer approach.
• Eleos Health: Enterprise behavioral‑health platform that automates progress notes and extracts session insights; more aligned with Attunement’s future roadmap of continuous measurement and decision support than today’s notebook product.
• Upheal: AI note‑taking and analytics for therapy sessions (audio/video capture, longitudinal analytics, supervision tools); overlaps with a future vision of continuous measurement, but today focuses on therapy documentation rather than formal neuropsych assessments.