A week has 168 hours. A couple spends 50 minutes of it on the therapist’s couch.
167 hours lived in the dark.
How do we open the clinical “black box” between therapy sessions?
Tracy Daly (CEO) and Kevin Daly (CTO) · Commercial rollout Q4 2026 · Debuted at the SHA National Conference with 35+ therapists on the waitlist
How do therapists see the 167 hours between sessions?
Couples and sex therapists work blind—and individual therapy faces the same 167-hour gap. Legacy EHRs handle billing at the front desk, while clinical interventions stall between appointments.

1Retrospective recall bias
Seven days later, partners and individual clients can’t accurately reconstruct arguments, libido shifts, or stress triggers. 40% of session time goes to untangling conflicting, emotionally distorted memories.
2Paper and PDF homework fails
Therapists send couples and solo clients home with static worksheets (Sensate Focus, Gottman checklists, somatic logs). Compliance is under 25%, with no data on emotional triggers or physiological reactions.
3Incumbent EHRs can’t see the week
SimplePractice and TherapyNotes were built for billing compliance. They give no between-session visibility into a couple’s relational friction or an individual client’s nervous-system dysregulation.
Samna Care: practice management that sees the other 167 hours
Built for couples and sex therapy—and seamless for individual therapy so clinicians run their entire caseload in one EHR. Full practice management (calendar, billing, telehealth, and notes) plus clinical AI that drafts SOAP notes and reads Samna telemetry and past sessions to suggest treatment options. The therapist keeps diagnostic command.
01Continuous telemetry between visits
Daily health signals between visits (mood rhythms, sleep debt, wearable HRV stress, cycle phases, and intimate check-ins) are consented under user-generated keys for both couples and individual therapy clients. Recall bias drops out of the session.
02Prescribed homework that clients actually open
Clinicians assign evidence-based modules for couples and solo clients (Sensate Focus phases I and II, Gottman Love Maps, somatic grounding, and solo reflection) straight to clients’ phones and see completion and engagement as it happens.
03Clinical AI: in-session SOAP and treatment options
Transcribes in-session dialogue (multi-speaker for couples or 1-on-1 for individual therapy) and combines it with session history and between-session telemetry into structured SOAP notes and evidence-based treatment options. Diagnosis stays with the clinician.
The technology engine: from mobile app to clinical chart
Four pieces of proprietary engineering connect consumer privacy to licensed clinical practice across couples and individual care.

Perception asymmetry (Δ ≥ 2.5)
Compares each partner’s independent ratings in Samna™ to flag unaddressed blind spots (Δ ≥ 2.5) before a couples session starts—and tracks longitudinal mood and somatic baselines for individual therapy.
Zero-knowledge cryptography
Clients hold the keys, and data is processed in RAM only. No unencrypted health data is stored in the cloud. HIPAA/GDPR certified.
Clinical AI and automated SOAP
In-session speech diarization (multi-speaker couples or 1-on-1 individual) drafts SOAP notes immediately, and Samna telemetry plus past sessions inform suggested treatment paths. The therapist keeps diagnostic autonomy.
Full practice desk operations
EHR coreScheduling, client self-booking, invoicing, superbills (CMS-1500), telehealth, and encrypted rich-text notes for both couples and individual caseloads. Replaces SimplePractice entirely.
Predictable B2B SaaS, plus a B2B2C consumer flywheel
High-retention clinician subscriptions across couples and individual therapy, combined with a client acquisition loop that costs nothing to run.

The zero-CAC B2B2C acquisition flywheel
Each participating clinician onboards 20 couples onto Samna™ ($59.99 USD/yr or $11.99/mo for both partners), a conservative ~50–60% of an LMFT’s average 30–35 couple caseload—while also prescribing Samna Solo ($39.99 USD/yr or $7.99/mo) to individual therapy clients. At 15,000 clinicians that is 300,000 couples subscriptions ($18M consumer ARR). Samna’s free ad-supported period tracker and direct B2C sales sit as standalone upside in the appendix.
US market first: 140,000 high-trust clinicians
HIPAA-ready from day one. A phased clinical rollout anchored by the SHA National Conference (Denver; completed, 35+ therapists waitlisted) and Women’s HealthX (Boston; booked).
SHA National, Denver
Commercial debut at the Sexual Health Alliance National Conference. 35+ therapists joined the waitlist, and clinician feedback was very positive.
“I’ve never been excited by an EHR till now.”Therapist at SHA National
Women’s HealthX, Boston
Clinical expansion in Boston. A funded, booked sponsorship reaching female health practitioners, somatic therapists, and clinic networks.
Future therapy conferences
Building a calendar of upcoming therapy and sexual health conferences to target for sponsorship and demos, repeating the SHA and Women’s HealthX playbook.
Targeted LinkedIn outreach
Direct, targeted outreach on LinkedIn to LMFTs, sex therapists, and group practice owners, turning conference interest and the waitlist into booked demos.
Unbillable time
Saves ~16 hours a month of charting and intake work across couples and individual sessions, worth over $2,400/mo in clinician capacity.
Client-led onboarding
Couples and individual clients invite their existing therapist through a secure encrypted link to review their weekly check-ins in Samna Care.
Incumbents stop at the desk. Samna Care covers the 167 hours.
Samna Care matches SimplePractice and TherapyNotes on calendar, billing, and notes for both couples and individual therapy, and adds the between-session recall they can’t replicate.
| Capability | Samna Care | SimplePractice | TherapyNotes | Kareo / Tebra | Orchid Health |
|---|---|---|---|---|---|
| Monthly price | $29.99–$119.99/mo $59.99 Therapist Base |
$39–$99/mo $69+ for video |
$59/mo +$0.14/claim |
$125–$300/mo | $49/mo |
| Calendar, scheduling, and billing | Full suite (couples & solo) | Full suite | Full suite | Full suite | Basic |
| Between-session client telemetry | Yes (Samna™) | No | No | No | No |
| Interactive mobile homework | Native app modules | Static PDF only | None | None | None |
| Perception asymmetry detection | Automated (Δ ≥ 2.5) | No | No | No | No |
| Zero-knowledge patient encryption | User-generated keys | Server encrypted | Server encrypted | Server encrypted | Server encrypted |
| Current estimated scale | Q4 2026 debut | ~180k clinicians | ~100k clinicians | ~40k clinicians | ~5k clinicians |
Domain expertise in clinical psychology and cryptography
A rare combination: relationship wellness vision, empathy for clinical providers, and secure systems engineering.
Tracy Daly
Leads executive strategy, clinical provider partnerships, brand stewardship, and GTM execution. Deep background in relationship dynamics, community building, and digital health product delivery.
tracy@medenc.com
Kevin Daly
Extensive startup and leadership experience across both the Toronto and Silicon Valley ecosystems. Architect of MedEnc’s zero-knowledge cryptographic engine, the Samna Care desktop and web apps, the secure cloud microservices, and the Samna consumer platform.
kevin@medenc.comThe path to $18M+ ARR in clinical SaaS
Positioned in the $2.42B mental health practice software market, growing at a 12.44% CAGR across couples and individual care.
Commercial rollout across LMFT, sex therapy, coaching ($29.99/mo), and individual therapy practices ($59.99/mo base). Validates $75+ blended ARPU with Clinical AI (+$29.99), Ambient Scribe (+$29.99), and All-In Suite ($119.99/mo) attach.
Expansion into group practices (+$29.99/mo per extra clinician seat) and Insurance Clearinghouse EDI (+$9.99/mo). B2B2C consumer loops accelerate across couples ($59.99/yr) and solo ($39.99/yr) caseloads.
Category leadership in relationship practice software. Scales to $18M+ ARR at 15,000 clinicians (under 11% of SAM).
Capital requirements and commercial rollout
Funds 12–18 months of Canadian & US clinical deployment and practice scaling. Standalone consumer revenue is upside, outside this round’s target.
Use of funds, up to $750,000 CDN
Weighted to clinical commercializationClinical provider outreach, pilot onboarding, customer success, the clinician referral network, and clearinghouse integrations.
Continuous feature iteration, UX refinements, and EHR tooling for couples and individual therapy driven by therapist workflows.
Legal, regulatory compliance, HIPAA and security audits, and secure cloud infrastructure.
Targeted direct acquisition for Samna™. Standalone consumer app revenue is upside outside the clinical target.
The relationship & loneliness crisis needs a product that stands alone
Samna™ works as a standalone consumer app for couples and individuals who aren’t in a therapist’s office. The customer is the person using the app; connecting to a Samna Care clinician is optional, later.
Divorce and breakups
U.S. crude divorce rate hits a 50-year low as formal marriage declines.
Cohabiting couples break up at double the rate of married couples.
Share of divorces initiated by women, driven by emotional labor exhaustion.
Male relational isolation
Report having zero close confidants, a 5× increase since 1990.
Only 21% of men receive weekly emotional support outside their partner.
Men account for ~80% of U.S. suicides; relationship breakdown is a leading trigger.
Female relational fatigue
Women in cohabiting couples do double the daily domestic chores.
Daily in-person support time has dropped 37% over a decade.
Statistically matches male rates, dismantling the myth of female immunity.
Samna™, for couples and individuals
Built and deployed. Couples open Samna without a therapist for daily play, shared questions, cycle tracking, menopause and HRT support for her, TRT support for him, and wearables—while solo mode supports individual self-care and between-session tracking for individual therapy.

Playing together, or reflecting solo
Daily games, questions, and shared challenges on the same shelf as Paired, Lasting, and Flamme ($59.99 USD/yr per couple), plus solo reflection games and somatic rituals for individual users ($39.99 USD/yr).
Cycle, menopause, HRT, and TRT
She gets cycle context, menopause symptom logs, and HRT protocols. He gets TRT support: evaluating through maintenance, dose reminders, testosterone labs, and symptom logs—inside a relationship or tracked solo.
Complete on its own, ready for Samna Care
Samna is already live on the App Store and Google Play. When a couple or an individual enters therapy, Samna Care can receive consented between-session telemetry.
Engagement and subscriber retention
A yearly subscription stays paid when there is something new to open. Samna™ keeps that loop going with reading, play, and rituals—the same loop a Samna Care clinician counts on between couples or individual sessions.
New articles to read
Fresh articles give a subscriber a reason to open the app between games and between sessions. Reading is ongoing, so the subscription stays useful after the first week.
Games and challenges
Daily games and shared or solo challenges are the habit. Couples play together in Samna, and individual therapy clients have solo reflection games waiting when the hour is over.
Rituals, made into games
Check-ins, date rituals, breathwork, and somatic grounding habits become streaks and completed rituals. Progress is visible, and that carries a subscriber through the year.
Samna™ sells as a standalone consumer app
Standalone subscriptions are a second revenue line. Samna competes in the couples category (Paired, Lasting, Flamme, Connected) and individual somatic tracking with no therapist required. These figures sit outside the $18M clinical forecast.
Samna™ Couples Plan (2-User Bundle)
$59.99 USD/yr · $11.99/moCovers both partners (~$30/yr/user, 58% annual savings; extra partner seat +$4.99/mo or $29.99/yr). Competes directly with Paired ($74.99–$149.98/yr), Lasting ($359.88/yr), Flamme ($143.88/yr), and Connected ($59.99/yr) in the $2.53B couples-wellness SAM.
Upside: $27M ARR at 500k couples · outside the $18M clinical case
Samna™ Solo Plan & Free Tier
$39.99 USD/yr · $7.99/mo · Free tierFree Forever tier (contextual non-profiling ads, full period tracker & wellness library) drives zero-CAC top-of-funnel acquisition. Solo Plan ($39.99/yr or $7.99/mo) unlocks smartwatch HRV/sleep sync, menopause/HRT, male TRT/erection telemetry, and solo Q&A.
Upside: zero-CAC free funnel + $39.99/yr Solo · outside the $18M case
Samna Care Clinical B2B Suite
$29.99–$119.99 USD/moCoach ($29.99/mo · $299/yr), Therapist Base ($59.99/mo · $599/yr), and All-In Clinical Suite ($119.99/mo · $1,199/yr), plus modular EDI (+$9.99/mo), Clinical AI (+$29.99/mo), Ambient Scribe (+$29.99/mo), and Extra Seats (+$29.99/mo).
Core clinical forecast: $18M+ B2B ARR + $18M B2B2C ARR
Zero-knowledge core powers distribution
Samna earns consumer subscription revenue on its own for couples and solo users. Samna Care multiplies clinical reach across couples and individual therapy; both share the zero-knowledge engine.
Why standalone point solutions fail clinical care
Wearable trackers and couples quiz apps work in silos. MedEnc closes the loop.
Wearable trackers alone
Apple Watch, Oura, and Whoop measure physiology (HRV, sleep debt, body temperature), but they have no relational or clinical context. They can’t tell that stress is triggering an argument or therapy setback.
Blind to partner co-regulation and therapy
Consumer couples apps
Paired, Lasting, and Flamme already sell couples subscriptions: quizzes, courses, and date play. Samna plays in that same category and adds solo mode, wearable context, cycle tracking, and an optional clinical bridge.
Samna sells here directly
Samna Care
Samna captures subjective feelings and objective wearable biometrics for couples and solo clients. Samna Care detects couple perception asymmetry (Δ ≥ 2.5), tracks individual trends, and puts actionable intelligence into the therapist’s chart for the 50-minute session.
Clinical care and daily life, connected
Zero-knowledge cryptography: privacy by architecture
How MedEnc meets HIPAA, GDPR, and post-Dobbs reproductive safety requirements without giving up clinical utility.

1Ephemeral user-provided AES-256 keys
Whitepaper ↗Clients supply encryption keys at runtime in request headers. Keys exist only in volatile RAM during transit and are never cached or written to server disks.
2Shadow UUID pseudonymization
IsolationBiometric and sexual health records are indexed under an anonymous Shadow UUID, cryptographically separated from authentication identities to prevent correlation attacks.
3Scoped clinician grant / claim sequence
HIPAA scopingPatients grant their therapist access through an ephemeral QR code or invite link. They choose what to share (for example HRV and homework, but not private diary notes) and can revoke access at any time.
Market sizing: $38B TAM · $2.2B SAM · $45M SOM
Bottom-up valuation across clinical practice software, couples intimacy wellness, and individual somatic tracking.
Global SexTech, digital wellness, teletherapy, and wearable somatic telemetry across B2B and B2C.
North American privacy-first couples wellness, somatic tracking, and clinical therapy practice management.
15k Samna Care clinician seats ($18M ARR) plus 500k active B2C couples subscribers ($27M ARR).
Samna competes where couples already pay
These are the couples apps in MedEnc’s competitive set. Together they already collect about $13M in estimated ARR. Samna plays in the same category at $59.99 USD/yr ($11.99/mo) covering both partners (~$30/yr/user), plus a $39.99 USD/yr ($7.99/mo) Solo tier and a Free Forever period tracker.
| Couples app | Est. ARR | Price | What they sell | Where Samna plays |
|---|---|---|---|---|
| Samna™ | Direct sale | $59.99/yr couple ($11.99/mo) $39.99/yr Solo · Free tier |
Games, questions, cycle, menopause and HRT, TRT, wearables | 2 seats included (~$30/yr/user) |
| Paired | ~$5.1M | $74.99–$149.98/yr | Daily questions and therapist courses | 60–80% lower cost per couple, plus biometrics |
| Lasting | ~$5.0M | $29.99/mo ($359.88/yr) | Gottman-style self-guided courses | Adds daily play, wearables & 83% lower annual cost |
| Flamme | ~$1.2M | $11.99/mo ($143.88/yr) | Date play, widgets, long-distance | Same monthly price, 58% annual savings + cycle & HRV |
| Connected | ~$0.9M | $59.99/yr | AI coaching, iOS only | Same annual price, on iOS and Android |
| Lovewick, Cupla, Between | ~$0.7M | $14–$30/yr | Dates, calendars, shared memory | Play plus the emotional layer those utilities skip |
Competitive as a period tracker on its own
Samna™ ships a full cycle engine on its own: period tracking, menopause support, and HRT protocols, with no therapist required. It matches Flo, Clue, and Natural Cycles on AI predictions and fertile windows. The difference is biometrics, partner sync, and zero-knowledge.
Couples cycle log
Period, fertility, menopause, and HRT for her, shared with her partner under zero-knowledge keys. TRT support for him. Wearables included.
Individual cycle tracker
The same engine (cycle sync, menopause symptom logs, and HRT protocols), used solo by an individual woman with optional sharing to a Samna Care clinician.
$7.7B menstrual and fertility
Flo ~$200M ARR. Clue ~$23M ARR. Demand is proven. Privacy is not.
| Period-tracker capability | Samna™ | Flo | Clue | Natural Cycles |
|---|---|---|---|---|
| LH surge and cervical mucus | Yes | Yes | Yes | No |
| Flow color and clot detail | Yes | No | No | No |
| Sleep temperature | Yes | Limited | No | Oura |
| Nocturnal heart rate and HRV | Yes | No | No | No |
| Multiparametric ovulation score | Yes | No | No | No |
| Anovulatory cycle detection | Yes | No | No | No |
| Zero-knowledge user keys | Yes | No | No | No |
Macro forces: why the window opens in 2027
Four cultural and technical shifts make this the moment for Samna Care and MedEnc.
Post-Flo privacy backlash
After Flo Health’s $56M settlement and post-Dobbs surveillance fears, 72% of consumers actively want zero-knowledge encryption for intimate tracking.
Clinical AI readiness
Enterprise clinical language models and speech diarization now reliably produce structured SOAP drafts, analyze client app telemetry, and synthesize past sessions into treatment options for couples and individual therapy, with diagnosis left to the therapist.
Behavioral SaaS boom
Mental health practice management software is growing at a 12.44% CAGR ($2.42B → $7.81B) and takes 54.78% of all behavioral health software budgets.
Therapy destigmatization
Couples, sex, and individual relationship therapy have shifted from “crisis repair of last resort” to proactive, continuous maintenance for modern life.
Live demos: try Samna in your browser
Interactive simulations backed by production. Samna is fully deployed and interactive today; the Samna Care clinician portal is in private beta for Q4 2026 launch.
Samna™: couples & solo intimacy and health
A fully playable showcase of real-time couples play, solo reflection, daily questions, biometric sync, and zero-knowledge encryption in RAM. See how couples and individuals use the app before it connects to Samna Care.
- Daily intimacy & solo play: shared questions, Gottman-style rituals, solo check-ins, and relationship streaks
- Zero-knowledge security: client-side keys and an ephemeral QR pairing handshake in RAM
- Somatic telemetry: menopause, HRT and TRT symptom tracking, and wearable sync
Samna Care clinician hub
Private betaThe 167-hour client telemetry dashboard, perception asymmetry (Δ ≥ 2.5) detection for couples, longitudinal somatic tracking for individual therapy, automated SOAP notes, and calendar and billing. Live clinician walkthroughs are available on request with the founders.
Samna Care patient portal & telehealth
Q4 2026Client self-booking, digital intake, interactive homework delivery, encrypted messaging, and HIPAA-ready browser video sessions for both couples and solo therapy clients.