Commure Acquires Augmedix As Ambient AI Race Heats Up

Commure is buying the dip in Augmedix, and it isn’t leaving a single share behind.

The take-private transaction will see Commure acquire Augmedix for $139M, which means shareholders are set to receive $2.35 per share – a 150% premium above their last close.

  • Not bad for an overnight return, but then again Augmedix was trading at nearly $6 back in January.

Commure provides a healthcare-focused operating system that connects patient care, clinical operations, and administrative functions into a single interface powered by AI.

  • Since merging with Athelas late last year, Commure’s solution suite has grown to include everything from patient engagement and RPM to revenue cycle management and staff safety.
  • Commure also recently announced its own Commure Scribe documentation solution, which it made available at no cost to providers and will continue to offer alongside Augmedix’s product portfolio.

Augmedix got its start as a tech-focused VC darling before leaning in on scribing, and it took an interesting path to its current position near the front of the ambient AI pack.

  • October 2020: Augmedix hits the OTC market through a SPAC merger
  • October 2021: Augmedix gets uplisted to the NASDAQ with a $40M public offering
  • July 2024: Augmedix gets taken private once again by Commure 

The acquisition makes Commure a newfound powerhouse in the healthcare AI arena, with a strong foothold in one of the hottest corners of the market. 

  • Not only does Augmedix advance Commure’s strategy of using LLMs to consolidate various point solutions into a unified platform, but it also brings along over 20 health system partners – including a marquee collaboration with HCA.

The Takeaway

The ambient AI consolidation has begun, and Commure just fast-tracked its way to a leadership position. Commure has its work cut out for it to prove that its operating system approach makes Augmedix more valuable than the market gave it credit for, but this could mark the start of a new wave of consolidation if it can pull it off.

Augmedix Takes Hit As Ambient AI Heats Up

Augmedix just reported Q1 results that managed to axe its share price in half, an interesting turn of events given the company’s role as the bellwether for the white hot ambient AI space.

There’s plenty to unpack when the only publicly-traded medical scribe company takes a hit like that despite beating expectations for both EPS and revenue, which jumped 40% to $13.5M.

The simple explanation? Competition. Augmedix saw “a slow-down in purchasing commitments” as providers evaluate competing offerings, prompting it to cut its full-year revenue forecast to between $52M and $55M (down from $60M to $62M).

  • During the investor call, Augmedix said that 42 companies currently offer GenAI medical documentation solutions, leading to a ton of noise and just as many pilots.
  • Although the increased demand from health systems is promising for the overall sector, it doesn’t exactly translate to success for established players when nimble startups like Nabla, Abridge, and Suki start swarming in on the action.

Augmedix is shaping its strategy around a product portfolio that lets providers choose the right tool for their needs, expanding beyond Augmedix Live (human scribes, high cost) with Augmedix Go (GenAI scribe, low cost) and Augmedix Go Assist (GenAI + human review, medium cost).

  • The push into GenAI has apparently been a double-edged sword. Augmedix reported that strong uptake for its new AI products might result in slower revenue growth as customers transition away from its high-margin Live solution.
  • New products tailored to specific settings will be another focus, as seen with the recent debut of Augmedix Go ED following a pilot-turned-implementation at HCA Healthcare. As scribing tech becomes commoditized, expect to see more players differentiate on setting / specialty.

The Takeaway

If there’s one lesson to learn from Augmedix’s first quarter, it’s that business is booming in the ambient AI space, but that doesn’t benefit incumbent leaders when it also attracts hungry competitors looking to feast on the same momentum.

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