TheraMatch
Lowering the barrier to entry.
Ian Harman · Co-Founder · August 2024–April 2025
A directory can narrow the search for a therapist by location, specialty, or insurance. A person still has to decide whom they might feel able to work with. TheraMatch began with that question of fit. After TPN.health acquired the TheraMatch technology, TheraMatch and TPN Match reached $1 million in ARR and more than 1 million lives under care in less than 12 months.
Making care easier to reach
Make the first connection easier.
When someone decides to seek help, giving them more names does not always make the next step easier. People need enough information to make a useful first connection. I co-founded TheraMatch because I saw an opportunity to make that first connection easier.
I built the product, technology, and strategy, including the initial matching algorithm and clinical delivery framework for our early clients. Our matching logic brought together clinical frameworks, patient preferences, and provider information so the recommendation could account for more than location or availability.
There were people on both sides of that match. Physician practices needed a useful referral path. Therapists needed to take part. Someone seeking care needed a connection they could begin with. We had to serve all three. Winning physician customers, bringing therapists into the service, and helping patients make a useful connection were parts of the same business.
Product decisions
Follow the connection beyond the recommendation.
I chose to build clinical fit into the product itself, using more than 20 psychographic measures and clinical frameworks. I built the app with Elixir, Phoenix, LiveView, and Ecto, including the intake, matching logic, data model, and operating tools.
I wanted to understand what happened after a recommendation. We measured whether a person was still with their first therapist at the one-month follow-up. That gave us a way to learn about the connection beyond a click or an introduction.
A matching score could help inform a choice. It could not guarantee a therapeutic relationship or a clinical outcome. We had to make a useful product within that limit.
Customers and acquisition
Build something people can use and a business that can support it.
Early traction came from physician practices. We won 12 physician clients across three practices. About 40 providers took part, and about 300 matches formed the basis of the reported 98% one-month first-match retention result. TheraMatch reached about $12,000 in monthly recurring revenue before acquisition.
Typical contract value was $4,000–$5,000 from September 2024 to January 2025. We had to find terms physician customers would accept and make the service useful enough to become part of their day.
TPN.health announced its acquisition of All Counseling and the TheraMatch technology on February 27, 2025. I led the acquisition and integration work. Our matching product then became part of a broader provider-access business, with new responsibilities around networks, navigation, claims, and payment.
TheraMatch and TPN Match reached $1 million in ARR and more than 1 million lives under care in less than 12 months. A matching product that began with 12 physician clients was now reaching far more people, and that reach raised the claims and payment questions I describe in the TPN Match story.
Read the acquisition announcementAbout this account and these results
These figures are my account. Our 98% measure means the person remained with the first therapist at the one-month follow-up, not a clinical outcome. The $1 million ARR and 1 million lives figures belong to TheraMatch and TPN Match together. TPN.health’s announcement concerns All Counseling and its TheraMatch technology. Co-founders, clinicians, providers, customers, and partners all contributed to TheraMatch.
Work with me
What does your customer still have to figure out?
If you are building access to care, I can lead product and technology with you, from the first useful match to the operations that have to hold up behind it.