I-Bootstrapped kwi-multi-million ARR kunye ne-co-founders ezintathu kwaye ayikho nentengiso ye-venture, i-Twofold isakhiwo ngokucacileyo into enomdlavuza ye-AI ye-infrastructure ye-ambulatory healthcare. Kule i-edition ye-"Behind the Startup", uIshan Pandey ibekwe kunye neGal Steinberg, i-co-founder kunye ne-CEO Ukubuyekeza njani ukuba i-inthanethi ye-inthanethi ye-inthanethi ye-inthanethi ye-inthanethi ye-inthanethi ye-inthanethi ye-inthanethi ye-inthanethi ye-inthanethi ye-inthanethi ye-inthanethi ye-inthanethi ye-inthanethi ye-inthanethi ye-inthanethi ye-inthanethi ye-inthanethi ye-inthanethi ye-inthanethi ye-inthanethi ye-inthanethi ye-inthanethi ye-inthanethi ye-inthanethi ye-inthanethi ye-inthanethi ye-inthanethi. Ukucinga Hi Gal, kubalulekile ukuba ufumane kwi- "Behind the Startup" series yethu. Phambi ukufikelela kwi-Twofold, unokukwazi ukunikezela kubasebenzisi bethu ngexesha elifutshane malunga nawe kunye neengxaki ezidlulileyo yokwakha isakhiwo se-AI ye-healthcare? Ishan Pandey: Thank you, Ishan, ndingathanda kakhulu ukuba apha. Ndingathanda kunye noCEO of . Umgangatho yami uxhulumanisa i-software engineering kunye ne-cybersecurity, kwaye ngoko ke ngexesha ukufumana i-MBA yam kwi-INSEAD. Phambi kwi-Twofold, ndiyifaka kwakhona kunye nokugqiba inkampani, ngoko ndingathanda kule nto ngathi ndingathanda ngokucacileyo ukuba kufuneka ukufikelela kwi-zero ukuya kwi-imeyile. Le nkcebiso ibonisa indlela ndingathanda kwi-building: Gal Steinberg: Ukucinga 
 
 kunye ne-discipline, ngokufanelekileyo kubathengi, kwaye ngaphandle kokuthintela izinto eziphambili. kunye ne-discipline, ngokufanelekileyo kubathengi, kwaye ngaphandle kokuthintela izinto eziphambili. Ngoku, i-focus yam ngokupheleleyo kwi-building ye-AI infrastructure eyenza ngokufanelekileyo kwi-healthcare practices. Iimpawu ezininzi ze-AI ze-healthcare zibonisa iimali ezininzi ngaphambi kokubhaliwe iilwimi elinye. Umzekelo we-fundraising ngokuvamile kuqala iimveliso. Uyakhetha indlela eyahlukileyo ngokupheleleyo kunye ne-Doufold, ukufikelela kwi-bootstrapped kunye nokufumana i-multi-million ARR kunye neentlawulo ezintathu kuphela. Yintoni i-logic ye-decision, kwaye ufuna ukuba iimodeli ye-venture-heavy kwi-healthcare AI ibonakali kakhulu? Ishan Pandey: Zifumaneka i-Double ngaphandle kwe-Venture Funding ngenxa yokufunda i-business yokuqala ngaphambi kokufunda i-fundraising story. Gal Steinberg: 
 
 Kwi-healthcare, kulula ukuvelisa ukujongwa kwe-AI, kodwa kunzima kakhulu ukuvelisa into eyenza i-clinicians ukuba zisetyenziswe ngosuku zonke. Ukuvunyanwa kwe-bootstrapped iyanikeza thina ukuba ziyafumaneka kumakhasimende, ukulayisha ngokukhawuleza, kwaye zihlanganisa kwimveliso efanelekileyo kwimarike yeemveliso kunokuba kwimveliso ye-vanity. Kwi-healthcare, kulula ukuvelisa ukujongwa kwe-AI, kodwa kunzima kakhulu ukuvelisa into eyenza i-clinicians ukuba zisetyenziswe ngosuku zonke. Ukuvunyanwa kwe-bootstrapped iyanikeza thina ukuba ziyafumaneka kumakhasimende, ukulayisha ngokukhawuleza, kwaye zihlanganisa kwimveliso efanelekileyo kwimarike yeemveliso kunokuba kwimveliso ye-vanity. Kwakhona inika nathi ukuvelisa kunye ne-discipline. Thina ndingathanda ukuba ingxelo elungileyo kwi-healthcare ayikho iingxabiso efunyenweyo, kodwa ukuba abathengi usebenzisa iimveliso, ukuvelisa, kunye nokulungisa. Ungazibazisa malunga ne-trajectory. I-Twofold iintsuku ezisibhozo, kwaye le mveliso namhlanje ibonisa kakhulu ukusuka kwindawo yokuqala. Faka kwiziphi na iinyanga ezimbini ezimbini kwakhona, yintoni i-khawula yokuqala, yintoni ufunde abasebenzisi ezincinane, yaye yintoni iye yenza i-visio ukuvelisa kwi-Twofold yaye ngoku? Ishan Pandey: Kwiinyanga ezimbini ezidlulileyo, i-Twofold iye yabaqhathaniswa kakhulu. Sifumaneka kunye nokugqitywa kwe-documentation kwaye isetyenziselwa ukufundisa apho i-AI ingaba kunokukwazi ukuvelisa i-value efanelekileyo kwiinkqubo zonyango. I-Twofold yabaqhathaniswa kakhulu kwi-behavioral health, nto leyo ibekwe kwimarike enzima kakhulu kwimeko zethu, kodwa le mhlawumbi elikhulu kunokuba i-speciality eyodwa. Gal Steinberg: https://youtu.be/--ibh8rRmx4?si=lYc-frJ5nb1b_zvh&embedable=true Kwiintsuku, i-Twofold i-AI-native care partner ebonakalayo kwiinkqubo ze-EHR, i-RCM, kunye ne-practice management ezisebenzisa iinkqubo ze-AI-driven workflows. Oku kubandakanya i-documentation, i-chart audits, i-clinical decision support, kunye neengxaki ze-staff retention. Yile ebonakalayo njenge-documentation wedge yaye yaye yaye yaye i-AI layer engaphezulu ye-ambulatory care. I-vision yandiswa njengoko sisaziwa kumakhasimende: i-practices ayidinga enye isisombululo se-point. Uyafikelela kwi-multi-million ARR ukusuka kwi-zero kwiinyanga ezine-18 kunye neqela le-three kunye nokunciphisa i-external funding. Lezi zifumaneka zithembisa izibane, zombini eziqhelekileyo kunye neengxaki. Ungayifumana i-metric real? Kwaye i-growth curve ibonisa njani malunga ne-signal ye-demand kwi-there market? Ishan Pandey: Thina yasungulwa inkampani malunga 1.5 iminyaka ezidlulileyo, kwaye ngexesha elide siphuma kwi-zero ukuya kwi-multi-million-dollar in ARR ngexesha lokufumana i-breakeven finance. Thina sinikezela ngaphezu kwe-3,000 iingcali e-USA. Gal Steinberg: Nangona siqale ukususela ukususela kwi-zero iinyanga ezili-18 ezidlulileyo, izinga lokukhula kwiminyaka emininzi kwiminyaka emininzi ngexabiso. Nangona kunjalo, ingxaki engaphezulu, ukuba siphinde i-multi-million ARR ngokukhawuleza ngokukhawuleza kunye neentliziyo ezintathu, ngaphandle kokufanelekiswa kwe-venture, kunye ne-product-led, self-serve go-to-market motion. It is fast growth, but efficient growth. Ukusuka kwebhizinisi, i-inthanethi ye-inthanethi ibhizinisi ibhizinisi ibhizinisi, i-Nuance, i-Abridge, i-Nabla, kunye neentlawulo ye-startups ezininzi zihlanganisa ngokufanelekileyo ngokufanelekileyo. I-sceptic uya kuxhomekeke ukuba iingcebiso ze-healthcare ziquka i-Doufold. Yintoni i-response epheleleyo, kwaye indlela ufumane i-limit ye-competitive eyenza? Ishan Pandey: Umthengisi ulungele kuphela ukuba uqhagamshelane ngempumelelo njenge-note-generation. Thina ndingathanda ukuba uyaphuthwa kwimeko yayo. Uninzi lwabathengisi bafumana isixhobo olungcono yokufaka i-note-taking. Thina ukwakha i-AI workflow layer engaphezulu kwiimeko zonyango. Gal Steinberg: I-Behavioral Health iyimarike enkulu kwintengiso zethu, kodwa ingxaki ebonakalayo inesibini kakhulu kwiingcele zonyango. Iinkqubo ezidlulileyo zihlanganisa kakhulu, izindleko zokugqithisa ziquka aphezulu, kwaye iingcebiso akufuneka ukuxolisa yonke into. Baya ufuna ingxubevange ye-AI ebonakalayo leyo ebonakalayo kwaye isebenze ngokufanelekileyo indlela yokusebenza. Oku kwimeko esibonakalayo, kwaye kunzima kakhulu kunokuba iindidi ye-scribe kuphela. Kukho ingxaki phakathi kwe-AI enokufumana kwi-demo elawulwa kunye ne-environment ye-clinical enokufumana kwiinkqubo ze-workflow, iingxaki ze-edge, kunye neengxaki ze-high-stakes. Ukusuka kwindawo ye-technical kunye ne-operational, ngoko kufuneka ukwakha i-AI ukuba ama-clinicists zithembisa kakhulu ukuba zithembise ngosuku, kwaye abantu abaninzi zithembisa kule ndawo ngokwemvelo? Ishan Pandey: I-part ye-hardest is not making a demo look impressive. I-part ye-hardest is building something reliable enough to be trusted in a high-stakes, i-regulated environment. Kwi-healthcare, ukucaciswa kuphela ayikho. Ufuna ukuxhaswa, ukucaciswa, ukuxhaswa kwinkqubo yokusebenza, kunye nokuxhaswa. Gal Steinberg: Iingxaki ze-outsourcers ziquka kakhulu iinkqubo zokusebenza ze-real-world zokusebenza ze-clinical. Yonke iingxaki ziquka, zonke iingxaki zokusebenza ngokufanelekileyo, kwaye imiphumela ye-downstream ye-output ye-bad yi-real. Ukwakhiwa kwe-production-grade I-AI ye-healthcare kuthatha iingxaki ze-edge, ukwakha iinkcukacha ngokufanelekileyo, ukufikelela kwiinkqubo ezikhoyo, kwaye ukufumana ukhuseleko ngexesha elide. Oku kuthetha kakhulu ukwakhiwa kwimveliso ye-AI ye-consumer. Ukuphumelela kwimeko ye-venture-dominated kwimveliso ye-venture-dominated yi-unusebenziswano efanelekileyo efanelekileyo. Makhe unxibelelwano olufanelekileyo, njani i-team ye-three-person ibhale i-platform kwi-3,000 iinkqubo ngaphandle kokusetyenziswa kwe-cash? Yintoni i-stack yakho ye-automation ye-internal, kwaye i-limits ye-model yaye? Ishan Pandey: Inani elikhulu yayo yokusekelwe. Thina ukhethe i-pain point ebonakalayo, ezisekelwe malunga neemfuno yebhanki yayo, kwaye iye yenzelwe inkampani ukuba i-product-led kunye ne-self-serve ukususela ekuqaleni. Oku kunikeza kwinqanaba yokukhula elula kakhulu ngaphandle kokufuna iqela lokuthengisa elikhulu okanye i-overhead elikhulu. Gal Steinberg: Umzekelo wokugqibela umzekelo we-automation. 
 
 I-Double isetyenziswa kumazwe ezintathu kuphela, kwaye sinikezela ukuvelisa iimveliso, ukuvelisa, ukuvelisa, ukunceda, ukuhanjiswa, ukuhlaziywa, kunye nokusebenza. I-Double isetyenziswa kumazwe ezintathu kuphela, kwaye sinikezela ukuvelisa iimveliso, ukuvelisa, ukuvelisa, ukunceda, ukuhanjiswa, ukuhlaziywa, kunye nokusebenza. Oku kuthetha ukuba usebenza kunye nenqanaba lokuphendula ukuba ngokuvamile kufuneka iqela elikhulu kakhulu. Thina akufuneka ukubonisa enkulu. Thina siphinde ukuba ngokukhawuleza, efanelekileyo, kunye neengxaki. Three co-founders running a company on this scale is a organizational model that most operators would call unsustainable. Kwixesha ngelixa ukuxhaswa lean kwenza isibambiso kunokuba iinkonzo, kwaye njani malunga neengxaki ezisebenzayo ukuba ungenza? Ishan Pandey: Inkampani iye kwakhona kuphela ezintathu co-founders. Oku kuthetha abantu abaninzi kuba ububanzi thina sifikelele, kodwa iyathembekile. Gal: Zonke nathi usebenza kwiifundo ezininzi, kwaye sinokusebenzisa i-automation kakhulu ukwandisa i-output. Oku kubandakanya iimveliso, ukuvelisa, inkxaso, i-analytics, kunye ne-operations ye-internal. Thina akufuneka ukwakha i-organization enkulu ngenxa yayo. Thina ndiza ukwakha i-automation ephumelelayo kakhulu. Kwixesha elide, ukugcina i-lean yaba i-avantage ye-competitive. Ngaba uqhagamshelane kwi-roadmap. Uyaziqhathanisa i-Ambition ye-Twofold njengoko kwindawo yokusebenza ye-AI ebonakalayo kwi-software ye-healthcare ye-legacy, nto leyo yinto elikhulu kakhulu kunokuba yenza isixhobo se-documentation. Yintoni i-2026 ikhona ngexesha elifanelekileyo, kwaye yintoni kufuneka yenzelwe kwimarike kunye ne-Twofold ukuze yale nqakraza elidlulileyo? Ishan Pandey: I-2026 kubandakanyeka ukwandisa ukusuka kwelanga ukuya kwi-AI epheleleyo ye-operating layer yeempawu zonyango. Oku kubandakanya iinkqubo ezininzi kwi-chart audits, i-clinical decision support, i-workflow automation, kunye ne-practice performance. I-behavioral health yi-part of that story for us, kodwa i-long-term vision iyona engaphezulu: ukunceda iimpazamo zokusebenza ngempumelelo kwiinkqubo ezikhoyo. Gal: I-Ambition yinto elikhulu kunokuba yenza i-inthanethi ye-AI. Thina ndingathanda ukuba iziko zonyango ziya kukufumaneka kwi-AI-native layer eyenza phezu kwizoftware ezidlulileyo kwaye ibonelela ekuphuculeni ukusetyenziswa kweengxaki, ukunciphisa ukuxhaswa kwe-administrative, ukunciphisa ukuxhaswa, kwaye ukunceda ukuxhaswa kwabasebenzi. Indawo yethu ukuba i-Doufold iya kuba le layer. Thina ndingathanda ukuba yinkampani eziqhelekileyo ze-AI ze-healthcare, kwaye thina ndingathanda ukuba sinokufumana nje kunye neengcali ezintathu ngokusebenzisa i-AI kunye ne-automation ukuxhaswa indlela yokubala. Ngaba ushiye ukuthetha kwaye ushiye iinkcukacha!

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