Tend vs athenahealth
Side-by-side comparison of AI visibility scores, market position, and capabilities
Tend is a tech-enabled dental services organization (DSO) with 30+ US locations; raised $270M total including a $125M Series D led by Oak HC/FT in early 2025; offers dentists up to 40% commission plus equity; 579 employees as of March 2026.
About
Tend is a modern dental care company founded in 2018 by Andy Grover, Michael Stenclik, and Doug Hudson, and headquartered in Nashville, Tennessee. The company operates a chain of dental clinics designed to deliver a patient-centered experience that addresses two longstanding problems in dentistry: patient anxiety and dentist burnout. On the patient side, Tend's studios feature spa-like environments, consistent staffing, transparent pricing, and digital tools for scheduling, treatment planning, and care coordination — all aimed at reducing the avoidance behaviors that lead to poor oral health outcomes in adults. On the provider side, Tend offers dentists a differentiated compensation model, including commissions of up to 40% and equity participation in the company.
$1.7B annual revenue; 160K+ providers, 117M patients; 18.15% EHR market share; 6,713+ companies using 2025; acquired by Bain Capital & Hellman & Friedman Nov 2021 at $17B; AI interoperability 2025
About
athenahealth is a cloud-based electronic health records (EHR), medical billing, and practice management company founded in 1997 and headquartered in Watertown, Massachusetts. The company was built on the principle that healthcare administration should be managed as a service — with athenahealth absorbing the complexity of payer rule updates, regulatory compliance, and billing workflows so that physicians and clinical staff can focus entirely on patient care. Its cloud-native architecture, deployed before most EHR competitors moved to the cloud, remains a core technical differentiator.\n\nathenahealth's platform — athenaOne — integrates EHR, revenue cycle management, patient engagement, and care coordination in a single system used by over 160,000 providers across 117 million patient records. The company serves ambulatory practices ranging from solo physicians to large health systems and medical groups. Its continuously updated rules engine processes millions of payer transactions daily, enabling higher clean claim rates and faster reimbursement compared to on-premise EHR alternatives. athenahealth holds an 18.15% share of the US ambulatory EHR market.\n\nathenahealth is currently owned by a private equity consortium of Bain Capital and Hellman & Friedman, which acquired the company in 2019 for $5.7 billion. Annual revenue stands at approximately $1.7 billion. The company competes with Epic, eClinicalWorks, and Oracle Health in the ambulatory EHR market. Its managed-service model, shared payer network data, and cloud-native infrastructure continue to make it a compelling choice for ambulatory providers who prioritize revenue cycle performance and reduced administrative burden.
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