The Venture Codex

Participated · Seed · Jun 2026

Ladder Health delivers virtual-first, AI-enabled developmental and therapeutic care for children, providing speech, occupational, physical, and feeding therapy through a model that activates caregivers as therapeutic partners. The platform offers evenings and weekends access and emphasizes extending care into the home to reduce wait times from months to days. Ladder partners with pediatric practices and health systems as a referral and care-extension partner and reports working with more than 80 provider organizations and health systems across Massachusetts, North Carolina, and Maryland. The company was incubated by 25madison and developed in collaboration with clinical experts at Boston Children's Hospital, which holds equity in Ladder. Current plans highlighted by the company include geographic expansion into additional states and continued investment in its AI-enabled care platform and health system integrations. Ladder positions its model as a scalable response to pediatric workforce shortages and the surge in demand for developmental services.