Nashville Entrepreneur Center
Internal explainer · Rob to Aidan · September 2026
Concept explainer

Nashville RFS

A quarterly survey that asks Nashville health system executives what they need, then turns the answers into a product for founders, a premium service for investors, and a sourcing engine for EC programs.

RFS = request for startups, borrowed from Y Combinator Status concept, not launched Partner Nashville Health Care Council
The idea in one line

Health systems tell us what's broken. We tell founders what to build. Investors pay to be introduced to the ones who built it.

Health system executives By department, via NHCC respond Quarterly survey 20 minutes What's broken, what's overbuilt, what you'd buy EC synthesizes Themes + contacts The digest Founders in programs: free Alumni: reduced rate Curated intros Investors: premium Outside founders: premium Raw data EC internal only Sourcing + PH curation
Dashed box is not sold. It's what EC keeps to decide who gets into Project Healthcare and what the next bootcamp should teach.
Who answers the survey

Health system executives, one department at a time

The respondent isn't "HCA." It's the VP of revenue cycle at HCA, the chief nursing officer at Ardent, the head of patient access at Vanderbilt. Department-level answers are what founders can act on, and the department is also the contact EC keeps.

The ask
20 minutes, once a quarter. Three questions: what's broken in your workflow, what's already overbuilt, what would make you take a meeting.
Who recruits them
Nashville Health Care Council carries the ask to its members. EC fields the survey and does the synthesis. NHCC's name on the invite is what gets a VP to open it.
What they get
Nothing to buy. They get a vetted founder in front of them only when they've said they want one, and never a cold pitch. Their answers are attributed by department and system, not by name, unless they opt in.
Target panel
40 to 60 respondents per quarter across HCA, Vanderbilt Health, Ardent, Community Health Systems, LifePoint, Surgery Partners, Humana, and BCBS-TN.
Who reads it, and what they pay

Three tiers, gated the same way as the funding finder

Founders in EC programs get it because they're in a program. Alumni get it cheap because they've earned it. Investors and outside founders pay for the thing that's actually scarce: a curated introduction to a department that already said yes.

Current program founders
Free
  • Quarterly digest
  • Department-level demand themes
  • "Overbuilt" warnings
  • Guided toward product-market fit inside Project Healthcare
Alumni
Reduced rate
  • Everything in the free tier
  • Access after graduation
  • Priority when a department's need matches what they built
Investors and outside founders
Premium
  • Everything in the alumni tier
  • Curated intros to the department that stated the need
  • Double opt-in, scheduled call, EC brokers
  • Success fee on signed contracts, structure open

Price points are deliberately blank. Kerry's portfolio put curated intros at "a couple thousand" a year. That's the anchor, not the decision.

What EC keeps

The raw data is the sourcing engine

The survey is the product people see. The information behind it is what EC uses and never sells. Each quarter's responses answer three internal questions:

  • Who should be in the next Project Healthcare cohort? Recruit founders building what departments said they need, not founders who applied.
  • What should the next healthcare bootcamp teach? If four systems say the same workflow is broken, that's the curriculum.
  • Which current founders are close to product-market fit? Match what they built against what a department asked for, and guide them the last mile.
What this lets EC say

"We have the founders. We know what you need."

EC doesn't offer the raw data to anyone. What it offers is the claim the data makes true: access to a bench of founders who have been pointed, by evidence, at the problems health systems actually have.

That's the pitch to a donor, a partner, or a health system. Not "we run programs." Rather: "we run the only program in Nashville that starts from what the buyer said."

Why Nashville Health Care Council is in this

NHCC is asking whether Project Healthcare fits its members. This is the answer.

NHCC has questioned the types of companies coming through Project Healthcare. Aidan is already working on a second opportunity to align better with their members. The RFS is the structural version of that fix: NHCC's members define the demand, and EC sources to it.

What NHCC gives

  • Its name on the survey invite
  • Its member list as the respondent pool
  • Standing to say "take this seriously" to a VP

What NHCC gets

  • Visible proof EC is listening to its members
  • Founders in Project Healthcare who match stated member needs
  • A quarterly artifact it can share as its own contribution

The relationship stops being "EC runs a program NHCC sponsors" and becomes "NHCC and EC jointly identify what Nashville health systems need next."

Viability beyond founder-finding

An investor already told us he'd pay for this

Kerry Kellogg polled his healthcare portfolio in May on a different EC idea and came back with the RFS instead. Unprompted.

"With a list of the relationships you have plus an understanding of what those relationships are looking for, i.e. this hospital group is actively looking for chart reading solutions or radiology workflow tools or whatever, and can provide curated intros that make sense on both sides and the intros are with decision makers, then people would pay for that but the number is closer to a couple thousand. Wouldn't need to be in Nashville, could just be calls. And then figure out how you structure a success fee based on signed contracts."
Kerry Kellogg, healthcare investor, May 2026, relayed to Sam
What this proves: the premium tier isn't a guess. A buyer described the product, the format, and the price before we'd written any of it down. Founder-finding is the internal use. Investor revenue is the external one.
Example marketing pitch

Three audiences, three sentences each

How it would read if we launched tomorrow. Draft copy, not final.

To a health system VPvia NHCC, quarterly
Tell us what's broken. We'll only send you founders who fixed it.
Nashville Health Care Council and the Entrepreneur Center are asking department leaders one question each quarter: where does your workflow fail, and what would you actually buy? Twenty minutes. Your answers shape who gets into Project Healthcare. You'll never get a cold pitch from us.
To a founderprogram or alumni
Stop guessing what HCA wants. Read what they said.
Every quarter, Nashville's health systems tell EC where their biggest problems are, by department. The Nashville RFS turns that into what to build, what to reposition, and what's already crowded. Free if you're in a program. Reduced if you're alumni.
To an investorpremium tier
Your portfolio needs six buyer conversations. We know which six.
The Nashville RFS gives you the department-level demand signal from HCA, Vanderbilt, Ardent, Humana, and the rest. When a portfolio company matches a stated need, we broker the intro. Double opt-in, scheduled call, decision maker on the other end. Success fee when it closes.
Competitive scan

Nobody publishes this today

What exists in or near this space, and whether it actually competes.

SourceWhat they publishOverlap
Nashville Health Care Council annual reportIndustry achievements, event recaps, macro stats. Backward-looking, celebratory.Adjacent
Advocacy, not investor signal. And NHCC is our partner here, not a competitor.
NHCC Health Care Investors ConferenceAnnual in-person PE/VC panels on outlook and trends.Adjacent
Once a year, live. RFS is the durable artifact between conferences.
Bass Berry, Waller, Frost Brown Todd thought leadershipQuarterly healthcare M&A reports, regulatory updates, deal volume.Adjacent
Legal lens, lagging indicators.
Rock Health, CB Insights, PitchbookNational funding data, sector heat maps, deal lists.Adjacent
Founders can't act on "AI care delivery is hot." They can act on "Ardent's revenue cycle VP wants X."
YC Request for StartupsFree aspirational list of what YC wants funded.Adjacent
The structural inspiration. Different geography, and YC's is lead-gen, ours is the product.
Nashville Post, Nashville Business JournalDeal news, executive moves.No overlap
Reporting, not signal.
Other Nashville acceleratorsCohort newsletters, demo days.No overlap
None publishes buyer-side demand at department level.

The white space: department-level, forward-looking, Nashville-specific demand signal from health systems, published on a cadence, with a curated-intro layer on top.

Still open

Decisions this needs

  1. NHCC's actual roleCo-brand, distribute only, or advisory? Changes the invite copy and who owns the respondent list.
  2. Price pointsAlumni reduced rate and investor premium. Kerry's "couple thousand" is the anchor for premium.
  3. Success fee mechanicsPercent of first-year contract? Flat? Trigger at signature or first invoice? Counsel before we publish a number.
  4. Who runs itSurvey fielding, synthesis, and intro brokering are three jobs. Dakota's team, a contractor, or Rob and Sam for the pilot.
If we said yes

First 90 days

  1. Aidan takes it to NHCCAs the answer to their Project Healthcare question. Ask for the member list and their name on the invite.
  2. Draft the surveyThree questions, 20 minutes. Pilot with 8 to 10 department leaders EC already knows.
  3. Ship one free issueTo current Project Healthcare founders and alumni. Measure read-through and follow-up requests.
  4. Test the premium tierGo back to Kerry with the pilot issue and one question: would two of your portcos subscribe?