Rubicon International

What Rubicon International does

Rubicon International, founded in 1989 and headquartered in Brentwood, Tennessee, is a privately held healthcare technology and services company focused exclusively on the home health segment. The company builds and operates Salsa, a cloud-based EMR platform that consolidates clinical documentation, records management, automated QA audits, smart scheduling, OASIS review and submission, revenue cycle management, HR file management, interactive mapping, and EVV-compliant mobile point-of-care data capture into a single integrated system. Rubicon layers clinical-oversight services (OASIS review, coding, QAPI, nursing administrative support) on top of the software, and has codified a proprietary "microagency" operating model that enables institutional affiliates — hospitals and ACOs — to run a viable home health agency with as few as 2.0 FTEs and a monthly census under 20 patients.

The company sells to hospital-based home health agencies, freestanding home health agencies, hospitals, and accountable care organizations, reaching 100+ clients across three continents. Its go-to-market is consultative and direct, offering complementary consultations and product demonstrations and providing the Salsa software license to clients at no separate charge. All services — software, RCM, and clinical oversight — are priced as a percentage of the client's collected revenue, aligning Rubicon's incentives with the agency's financial performance.

Rubicon is founder-led by Jeff Bauer (computer scientist) and Jean Robertson (accountant and registered nurse), with executive team members Shannon Hendon (Medicare Advantage expert) and Matt Sevier (nurse practitioner) contributing over 150 years of collective home health experience. The organization is bootstrapped, lean (1-10 employees), and has no disclosed institutional investors, M&A activity, or funding rounds — operating as a capital-efficient specialty vendor rather than a venture-scaled platform.

Name

Rubicon International

Legal name

Rubicon International

Website

https://rubicon.healthcare

Company type

Private

Founded year

1989

Operating status

Operating

Headcount range

1–10 employees

Short description

Rubicon International provides the cloud-based Salsa EMR, bundled revenue-cycle and clinical-oversight services, and a proprietary microagency operating model to hospital-based and freestanding home health agencies, hospitals, and ACOs worldwide. All services are priced as a percentage of client collected revenue.

Ownership category

akta.pro rank

Headquarters

HQ city

Brentwood

HQ country

United States

HQ region

North America

Markets served

GTM type

B2B

Offering type

Software

Cost components

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

Revenue model

1. Salsa Software Licensing: Cloud-based EMR software licensed to home health agencies. Complementary license provided to clients as part of service offering.
2. Revenue Cycle Management Services: Clinical oversight services including OASIS review, coding, QAPI, and nursing administrative support, plus revenue cycle management and billing services.
3. Outcome-Based Pricing: All services priced as a percentage of collected revenue, aligning company incentives with client success.

Pricing tiers

Go-to-market motion1 record

Distribution channels2 records

Marketing channels2 records

Core offering

Rubicon International develops and licenses Salsa, a cloud-based EMR platform that consolidates clinical documentation, records management, automated QA audits, smart scheduling, OASIS review and submission, revenue cycle management and billing, HR file management, and interactive mapping for home health agencies. It complements the software with revenue cycle management, clinical oversight services (OASIS review, coding, QAPI, nursing administrative support), and consulting that helps hospitals and ACOs establish or operate home health service lines. All engagements are priced as a percentage of the client's collected revenue, and the Salsa software license is provided as part of the service offering.

Product overview

Rubicon International offers a cloud-based software platform centered around Salsa, an EMR system that integrates all essential home health agency functions into a single platform. The core product includes clinical documentation, records management, automated QA audits, smart scheduling, OASIS review and submission, revenue cycle management and billing, HR file management, and interactive mapping. Mobile applications provide EVV-compliant geotagged point-of-care data collection. Additional services include revenue cycle management, clinical oversight (OASIS review, coding, QAPI, nursing administrative support), and facility partnerships for hospitals and ACOs. All services are priced as a percentage of collected revenue, with the microagency concept enabling even small hospitals or ACOs to run a successful home health service line with as few as 2.0 FTEs.

Differentiator

Problem solved

Functional benefit

Brands

• Salsa: Our flagship EMR for managing your agency in a single platform

Products and services

• Salsa Flagship cloud-based EMR platform for managing a home health agency in a single platform, integrating clinical documentation, records management, automated QA audits, smart scheduling, OASIS review and submission, revenue cycle management and billing, HR file management, and interactive mapping. Provided to clients under a complementary license as part of Rubicon's service engagement.
• Mobile Applications Companion mobile applications providing EVV-compliant, geotagged point-of-care data collection and compliance oversight for field clinicians using the Salsa platform.
• Revenue Cycle Management and Clinical Oversight Services Professional services including revenue cycle management and billing as well as clinical oversight such as OASIS review and submission, coding, QAPI, and nursing administrative support, priced as a percentage of collected revenue.
• Facility Partnership Consulting Consulting and support services that help hospitals and ACOs establish and operate home health agencies, including Rubicon's proprietary microagency concept enabling successful operation with as few as 2.0 FTEs and a monthly census of less than 20 patients.

Quantifiable outcome

• Successful operation possible with as few as 2.0 FTEs
• +2 more outcomes

Named customers4 records

Segments4 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature8 records

Partnerships

Two partnerships are on record, tiered core.

• Hospitals (institutional partners)coreStrategic or Co-development PartnerHospitals partner with Rubicon to establish home health agencies, particularly through the microagency concept that enables operation with minimal staff and patient census. Rubicon provides comprehensive support from establishment through ongoing operations.
• Accountable Care Organizations (ACOs)coreStrategic or Co-development PartnerACOs work with Rubicon to establish home health service lines as part of care coordination strategies. The microagency model enables ACOs to offer home health services even with limited scale.

Scale indicators4 records

Recent moves1 record

Expansion highlights2 records

Emerging players

• Meditab Software: Meditab provides home health and broader ambulatory EMR/EHR solutions; while not exclusively home-health focused, its home care product overlaps with Rubicon's clinical documentation and billing capabilities.

Direct peers

• MatrixCare (ResMed): MatrixCare provides EMR and operational software for home health, hospice, and post-acute providers, directly overlapping with Rubicon's clinical documentation, scheduling, and billing offerings for home health agencies.
• Alora Healthcare Systems: Alora offers a cloud-based home health EMR with mobile point-of-care documentation, EVV, scheduling, and billing — a direct SMB-focused competitor to Rubicon for small and mid-sized home health agencies.
• KanTime: KanTime is a home health, hospice, and home care software platform with integrated EMR, scheduling, and RCM features, competing directly with Rubicon's Salsa in the agency segment.
• Axxess: Axxess provides cloud-based home health, hospice, and home care software with scheduling, documentation, billing, and EVV capabilities — a close functional peer to Rubicon's Salsa platform, particularly for mid-market agencies.
• WellSky (formerly Kinnser / Brightree): WellSky is one of the largest home health and hospice EMR platforms in the U.S., directly competing with Rubicon's Salsa in the same agency customer base and offering overlapping clinical documentation, RCM, and scheduling functionality.
• Homecare Homebase: Homecare Homebase is a widely deployed home health and hospice EMR with integrated point-of-care mobile documentation and billing, serving many of the same hospital-affiliated and freestanding agencies that Rubicon targets.
• Netsmart Technologies: Netsmart offers the HomeCare EHR and related post-acute platforms serving home health agencies, hospices, and behavioral health providers, directly comparable to Rubicon in clinical and operational software for the home health vertical.

Broad incumbents

• Oracle Health (formerly Cerner): Oracle Health offers large-scale EHR and population health platforms used by hospitals and ACOs, representing a broad incumbent competitor for integrated care delivery contracts that may include home health service line enablement.
• Epic Systems: Epic is a dominant inpatient and ambulatory EHR vendor used by many hospitals and health systems; hospitals seeking integrated home health modules may consider Epic instead of a specialist like Rubicon, making it an indirect competitive threat for hospital-based agency deals.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/company/rubicon-international

Revenue estimate

Valuation estimate

Number of profiles

Profiles4 records

Funding overview

Funding rounds

Investors

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 Rubicon International