Twofold is building the AI operating layer for small and mid-sized healthcare practices. Instead of trying to replace entrenched legacy EHR systems, Twofold sits on top of them, unlocking capabilities those systems were never designed to deliver. By embedding an AI-native layer directly into clinical workflows, Twofold transforms documentation, treatment planning, and administrative tasks into automated, intelligent processes. Clinicians across behavioral health, primary care, allied health, and veterinary medicine use Twofold to generate structured clinical notes, streamline patient management, and reduce time spent on non-billable work. The result is improved revenue capture, stronger compliance, and more time focused on patient care. Founded in 2024, Twofold has scaled to multi-million-dollar ARR with strong profitability, powered by a highly efficient product-led, self-serve SaaS model. With thousands of active clinicians and strong retention, Twofold represents a scalable AI infrastructure layer for the fragmented SMB healthcare market.