FirstHx

What FirstHx does

FirstHx is a Toronto-based clinician-led healthcare technology company that has built a knowledge-based adaptive patient history-taking platform combined with an ambient AI scribe (ARIS). The platform administers AI-guided adaptive medical interviews that patients complete before appointments, producing structured pre-visit histories mapped to SNOMED and ICD coding standards, which then prime the ARIS ambient scribe during the live encounter to generate SOAP notes in real time. The company operates across 40+ clinical specialties with dedicated modules (PedsHx, ENTHx, ObesityMedicineHx, LongevityHx, MentalHealthHx, NurseHx, UrgentHx, VirtualCareHx, DermatologyHx, OphthalmologyHx, Interventional Pain, VetHx) and supports 40+ languages, claiming zero hallucinations across 2.5M+ completed histories.

The technology stack includes knowledge-based adaptive algorithms, NLP for question adaptation, speech-to-structured-note processing, ICD/SNOMED auto-coding, predictive population-health analytics (risk stratification, outbreak detection), and SMART on FHIR integrations with Epic App Orchard and 7+ other EHRs (Accuro, Athena Health, eClinicalWorks, Oscar Pro, PointClickCare, Canvas Medical, AdvancedMD). The company reports full compliance with HIPAA, HITECH, PIPEDA, PHIPA (Ontario and provincial), CCPA, and several Canadian provincial privacy statutes, with country-of-origin data residency.

FirstHx operates a SaaS subscription model at $129.99/month per user (ARIS + FirstHx) and $199.99/month per user (FirstHx and ARIS PRO), with custom enterprise pricing for large health systems. Go-to-market combines direct enterprise sales to health systems, EHR marketplace distribution (Epic App Orchard), channel partnerships with virtual care platforms (Rocket Doctor, eVisitNB, Lumeca Health, MD Connected), and self-serve onboarding via a 14-day free trial. The company has raised $4.55M CAD from the Center for Aging and Brain Health Innovation and operates in Canada, the United States, the Middle East, Australia, and New Zealand, with a wholly-owned veterinary sub-brand (VetHx).

Name

FirstHx

Legal name

FirstHx Corp.

Website

https://firsthx.com

Company type

Private

Founded year

2015

Operating status

Operating

Headcount range

11–50 employees

Short description

FirstHx is a Toronto-based clinician-led healthcare technology company offering an AI-guided adaptive pre-visit patient intake platform paired with the ARIS ambient scribe, serving physicians, specialists, virtual care platforms, and health systems across 40+ specialties in Canada, the US, Middle East, Australia, and New Zealand.

Ownership category

akta.pro rank

Product category

Clinical Documentation Software

NAICS

Offices of Physicians (62111), Offices of Physicians, Mental Health Specialists (621112)

SIC

Services-Prepackaged Software (7372)

akta.pro primary industry

Acute Episodic Care Telehealth Platforms (non-emergent conditions) (HLALAJAI)

akta.pro secondary industries

Adherence, Reminders & Engagement Automation (Medication/Follow-up) (HLACAEAJ), Prior Authorization (ePA), Utilization Management & Coverage Verification (HLACAKAE)

Keywords

• Patient intake software
• Clinical documentation AI
• Ambient medical scribe
• Medical history automation
• Healthcare EHR integration

Headquarters

HQ city

Toronto

HQ country

Canada

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Software

Cost components

Personnel, Technology or R&D, Marketing or Sales, Operations, Infrastructure

Revenue model

1. SaaS Subscription - ARIS + FirstHx: Monthly or annual subscription at $129.99/month per user. Includes unlimited ARIS visit notes, custom templates, high-fidelity SOAP notes, AI-generated specialty-specific referral notes, and priority support.
2. SaaS Subscription - FirstHx and ARIS PRO: Premium tier at $199.99/month per user with ICD & SNOMED auto-coding, basic analytics, longitudinal clinical intelligence, advanced analytics & insights, and premium support.
3. Enterprise Custom Pricing: Custom pricing for large health systems with enterprise-grade governance, custom integrations, dedicated support, custom population analytics, and unlimited histories and notes.

Pricing tiers

Go-to-market motion3 records

Distribution channels4 records

Marketing channels6 records

Core offering

FirstHx sells an AI-guided patient intake and clinical documentation platform for healthcare providers. Patients complete an adaptive, evidence-based pre-visit history interview on their phone before the appointment, and the resulting structured history is delivered into the clinician's EMR. During the visit, the ARIS ambient scribe listens to the conversation, structures it into SOAP-formatted clinical notes in real time, and produces coded outputs for downstream analytics and population health.

Product overview

FirstHx is a clinician-led AI-powered patient intake platform combining three core components: Pre-Visit History (AI-guided adaptive medical interviews patients complete before appointments), ARIS Ambient Scribe (real-time visit documentation), and Analytics & Population Insights (population-level data). The platform operates on a modular architecture with specialty-specific modules including VetHx (veterinary), PedsHx (pediatric), ENTHx (otolaryngology), ObesityMedicineHx (weight management), LongevityHx (longevity medicine), MentalHealthHx, NurseHx, UrgentHx, and VirtualCareHx. Pricing tiers include ARIS + FirstHx ($129.99/month), FirstHx and ARIS PRO ($199.99/month), and Enterprise with custom integrations. The platform supports 40+ languages and integrates with major EMR systems including Epic, Athena Health, Canvas Medical, and others via SMART on FHIR.

Differentiator

Problem solved

Functional benefit

Products and services

• Pre-Visit History

Quantifiable outcome

• 2.5M+ histories completed with 4.53/5 average patient rating
• +9 more outcomes

Named customers7 records

Segments5 records

Ideal customer profiles4 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration13 records

AI capability8 records

Feature8 records

Partnerships

14 partnerships are on record, tiered core.

• Atlantic Memory CliniccoreStrategic or Co-development Partner · 12 January 2026Partnership to strengthen cognitive health care and early detection of cognitive decline in New Brunswick.
• Horizon Health NetworkcoreStrategic or Co-development Partner · 23 December 2025Partnership to advance digital innovation in patient care and clinical research. Collaboration supports patient-centered, data-informed approach to care delivery in New Brunswick.
• Lumeca HealthcoreTechnology or Integration · 20 August 2024Strategic integration combining Lumeca Health's virtual care software with FirstHx's AI-guided medical history-taking. Reduces average consultation length by up to 25%. Patients complete intake directly in Lumeca interface.
• Silverberry HealthcoreStrategic or Co-development Partner · 10 June 2024Partnership to enhance patient visit experience from pre-visit to post-visit. FirstHx handles pre-visit intake while Silverberry provides ambient AI during visits and post-visit patient follow-up via Pingoo.AI.
• Orchid Healthcare SolutionscoreStrategic or Co-development Partner · 29 May 2024Integration of FirstHx's AI-guided patient intake into Orchid Oncology Navigation Solution. Streamlines cancer care navigation and improves patient journey through pre-visit history collection.
• UTMHealthcarecoreStrategic or Co-development Partner · 23 April 2024Partnership combining FirstHx's AI-guided medical history with UTMHealthcare's remote patient monitoring platform. Creates comprehensive view of patient health for clinicians.
• Healthspan DigitalcoreStrategic or Co-development Partner · 11 March 2024Integration of LongevityHx module into Healthspan Digital's Proactive and Precision programs for longevity clinics. Empowers members to share medical history efficiently for precision medicine assessments.
• Digital Medicine Society and Boston Children's HospitalcoreStrategic or Co-development Partner · 7 December 2023Joint effort to create The Playbook: Pediatric Digital Medicine - an action-oriented, open-access resource ensuring digital health optimizes care for every child.
• MD ConnectedcoreChannel Partner/ Reseller/ Distributor · 15 August 2023MD Connected implemented FirstHx for patients in both virtual and in-person care settings. Positive impact on patients and clinical workflow. Implemented PedsHx for pediatric population.
• Vector Institute FastLane ProgramcoreStrategic or Co-development Partner · 14 August 2023Accepted into Vector Institute FastLane Program - globally-renowned AI Institute enabling businesses to accelerate AI in Canada responsibly.
• AIMA LaboratoriescoreStrategic or Co-development Partner · 13 April 2023Partnership to improve care for people living with endometriosis. FirstHx integrated into AIMA Labs platform to capture symptom history when patients take endometriosis home test.
• eVisitNBcoreChannel Partner/ Reseller/ Distributor · 14 July 2022FirstHx available to virtual care patients in New Brunswick. Bilingual solution in English and French. Clinicians gain better patient understanding before visits.
• Rocket DoctorcoreChannel Partner/ Reseller/ Distributor · 4 April 2022Patients tell their health story prior to meeting physicians on Rocket Doctor's virtual care platform. 97% positive interaction, 4.7/5 rating, 70%+ patient adoption.
• Epic App OrchardcoreTechnology or Integration · 10 May 2021FirstHx's knowledge-based AI history-taking solution available in Epic App Orchard. Provides seamless fully integrated experience for patients and healthcare team with history appearing directly in Epic record.

Scale indicators10 records

Recent moves7 records

Expansion highlights7 records

Direct peers

• Abridge: Abridge is a venture-backed AI medical scribe that converts patient-clinician conversations into clinical notes. It competes directly with FirstHx's ARIS ambient scribe for the same enterprise health system buyers, though it lacks FirstHx's structured pre-visit history layer.
• Suki AI: Suki is an AI voice assistant and ambient scribe for clinicians that generates notes, ICD-10/SNOMED codes, and answers documentation queries. It targets the same per-clinician workflow and competes head-to-head with ARIS in ambulatory and specialty settings.
• Ambience Healthcare: Ambience is an AI medical scribe and coding platform serving large health systems and specialty groups. It overlaps with FirstHx's ambient scribe and ICD/SNOMED auto-coding, targeting enterprise contracts with similar go-to-market.
• Notable Health: Notable combines patient intake automation (digital check-in, scheduling, registration) with ambient documentation. It is the closest structural peer to FirstHx because, like FirstHx, it pairs upstream structured patient data with downstream scribe functionality.
• DeepScribe: DeepScribe is an AI medical scribe that listens to patient encounters and generates SOAP notes, with specialty-specific customizations. It targets the same per-clinician ambient documentation use case as ARIS.
• Nabla: Nabla offers an ambient AI scribe used by individual clinicians and health systems to automate visit documentation. It competes with ARIS in the same ambient note-generation category.

Broad incumbents

• Augmedix: Augmedix is a publicly traded AI-augmented medical documentation company offering ambient scribing and live documentation services to large health systems. It is a broader incumbent in the same category, with deeper resources but a less pre-visit-centric product.
• Microsoft DAX (Nuance): Microsoft's DAX (formerly Nuance Dragon Ambient eXperience) is an enterprise ambient AI scribe deeply integrated with Microsoft Cloud for Healthcare and Epic. As a broad incumbent, it competes with FirstHx for large health system budgets but does not focus on structured pre-visit history.
• Phreesia: Phreesia is a publicly traded patient intake, registration, and engagement platform used by large health systems. It overlaps with FirstHx's Pre-Visit History for digital registration and patient communication workflows, though it does not offer an ambient scribe.

Emerging players

• Robin Healthcare: Robin Healthcare is an AI scribe focused on surgical and specialty practices that automates operative notes and clinic documentation. It competes with FirstHx's specialty modules (e.g., ObesityMedicineHx, ENTHx) in specialty-specific documentation.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/first_hx

Compliance8 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles14 records

Subsidiaries1 record

Funding overview

Funding rounds2 records

Investors1 record

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about FirstHx