Orion started because a vendor said no.

A practice owner asked for AI-assisted documentation so his clinicians could stop losing hours a day to paperwork. His EHR vendor turned him down, not because the technology didn't exist, but because nobody was going to make them build it. That conversation is the company.

The two people who started it

  • Andrew GodbyCo-founder & CEO
  • Paul F. Kaple, PTCo-founder

Why Orion exists

That answer wasn't unusual. It's the business model.

The market, in one sentenceSpecialty practices were an afterthought when the EHR market got built, and the platforms that filled the gap never had to earn a renewal.

Epic and Oracle were designed for hospitals. A six-therapist clinic was never their customer, and never going to be.

Smaller platforms stepped into that gap and got the positioning right. Then the incentives took over. Switching costs are brutal, integrations are messy, and an independent practice has no procurement team to push back with.

So prices drifted up. Features moved behind higher tiers. Integrations became line items. Billing got opaque enough that an owner can't tell you what they'll owe next month. And roadmaps went quiet, because a customer who can't leave doesn't have to be won.

Which leaves a practice owner two options: step down to something older (reliable, but frozen in time) or pay premium rates for a modern platform that still won't build what you asked for. Two kinds of trapped.

None of that is a technology problem. Every capability those practices are waiting on already exists somewhere else in software. It just hasn't been pointed at them.

EHRs stopped improving, not because they couldn't, but because they didn't have to.

The premise Orion started from
  • $2–3K / moWhat premium specialty platforms run a small practice, on billing opaque enough that owners can't predict next month.
  • The switch itselfThe transition is the deterrent, and it runs long enough that most owners decide the trap is cheaper than the move.
  • One lanePurpose-built platforms serve a single discipline, then stop. The practice grows; the software doesn't.

Orion is the answer to that. One platform for specialty practices, at a single published rate, with nothing missing out of the box: documentation drafted by an ambient AI scribe while you treat, revenue cycle, patient portal, care plans, reporting. Not a better version of what exists. What the market should have built a decade ago.

We start where the workflows, the billing and the clinical needs are known cold: physical therapy and occupational therapy. When we enter a new specialty, we hire from inside it first. We're a small team on purpose: engineers building full-time, and advisors from business and clinical practice.

Where this goes

Every independent practice with technology as capable as the largest hospital networks.

Our vision · no matter its size or specialty

Ruled out, permanently

  • Quote-gated pricing
  • A percentage of your collections
  • An AI surcharge
  • Holding your data when you leave
  • 01Built with practicing cliniciansWorkflows are shaped against how clinics actually run, in the specialties we've hired from.
  • 02AI-native, with AuroraDocumentation shouldn't follow clinicians home. Aurora drafts the note while you treat.
  • 03Transparent by defaultPublished pricing. No module upsells, and you only pay for providers who bill.
  • 04The switch is reversibleNothing migrates until you're sure. Your old system stays live.

Leadership

Forty years of software and clinical practice, between two people.

No layers and no product committee. If something in Orion is wrong, one of these two decided it.

  • Andrew Godby

    Co-Founder & CEO

    A senior software engineer who has spent his career on the systems businesses actually run on: high-performance platforms, APIs and design systems, including healthcare software built to work the first time under real pressure. That work is what made the gap in specialty care software impossible to ignore.

    • DepthEnterprise platforms, APIs, design systems
    • OwnsProduct, engineering, go-to-market

  • Paul F. Kaple, PT

    Co-Founder

    A physical therapist and private practice owner with more than thirty years in outpatient orthopedic and rehabilitative care. Paul isn't an advisor with a title. The clinical side of every decision comes from someone who has run a schedule, a payroll and a payer appeal in the same week.

    • In practice30+ years, outpatient orthopedic & rehab
    • CredentialsCertified WorkAbility Therapist · MARN board member
    • OwnsClinical workflows, documentation standards, care model

Come see what we're building.

See Orion run your practice on a real PT workflow, or take a guided Test Drive in a sandbox and poke at it yourself.

See Orion run your practice → Take a Test Drive
  • Built by an engineer and a practice owner, not a committee
  • Published pricing, no percentage of collections