ShiftOS builds healthcare workforce and operations products that help organizations staff smarter, operate leaner, and scale with confidence.

Healthcare workforce management has been run on spreadsheets, phone trees, and 1990s enterprise software for 30 years.

We're the company that changes that.

Staffing to volume only, is not enough. Our platform considers work related to visit volume, additional work not related to volume, as well as pre-determined business rules to suggest and recommend staff schedules for both clinical and non-clinical teammates.

TeamBuilder is the first predictive staff scheduling platform built specifically for ambulatory care.

Staffing in ambulatory care is fundamentally complex, with fluctuating patient demand, varying specialty needs, multiple locations, and diverse staff preferences. Yet, 95% of ambulatory organizations still rely on outdated paper or Excel-based scheduling, which makes it difficult to optimize staffing effectively. This results in costly overstaffing, administrative inefficiencies, and a lack of visibility into critical operational metrics, such as cost per visit. 

TeamBuilder transforms this process by using predictive technology and advanced data science to deliver real-time, optimized schedules that meet both patient demand, clinical workflow and staff availability, ensuring the right staff are always in place. With TeamBuilder, you gain more than just a smarter scheduling tool— you unlock the ability to reduce staffing costs, improve patient access, eliminate administrative inefficiencies, and gain deep visibility into your operations. With TeamBuilder, you’ll always know exactly who you need today, tomorrow, and next month—empowering you to make smarter, more strategic decisions. Let TeamBuilder help you reimagine staff scheduling.

While EHR systems may include basic scheduling modules, they are not built for the complexity of real-time workforce management. They still require a human administrator to monitor, react, and manually resolve every call-out, swap request, or coverage gap. That burden typically falls on charge nurses and CNOs, pulling them away from patient care. Holly is autonomous. She identifies and resolves scheduling issues as they happen, without waiting for a human to step in. The result is less administrative overhead, faster response times, and clinical leaders who can focus on what matters most.

Holly operates in a space between legacy scheduling software and general-purpose AI agents. Legacy platforms still require human oversight to function. General AI agents are not built for healthcare complexity. Holly is purpose-built to handle both, autonomously and at scale.

EHRs do not currently offer optimized staff scheduling in either the ambulatory or acute space.

TeamBuilder is purpose built for the ambulatory environment - our platform uses leading data-science to drive staff schedule optimization based on more than just patient volume. This level of sophisitication allows for a more accurate, and more actionable set of recommendations for matching your staff supply with workload demands.