Healthcare prices are spiraling out of control. And yet hospitals are operating on razor-thin margins. Procurement represents 40–50% of operating expenses — and the cost of supplies, devices, drugs, purchased services, and staffing agencies is growing 3x faster than healthcare revenue.

Health systems negotiate billions in vendor contracts but have no modern tooling to manage the administrative complexity, fragmented data, and inefficient purchasing that follows. Contracts live in PDFs, emails, portals, and price files. AP teams approve spend without clear visibility into pricing, rebates, credits, or off-contract leakage.

This is not just a back-office problem.

Surgeons working from outdated physician preference cards. Clinicians manually entering device IDs because item masters are stale. Nurses scrambling for substitutes while the patient is under anesthesia. Workers placing rush, off-contract orders just to avoid rescheduling.

Healthcare wastes hundreds of billions on this kind of administrative complexity. Everyone focuses on revenue cycle and consumer price transparency — both critical — but the opacity permeates every level and it's time to fix the problem from the ground up.

Every dollar wasted is a dollar not spent on patient care.

We're building a new operating system for healthcare procurement — AI agents that help health organizations understand what they should be buying, what they agreed to pay, and where money is actually flowing against their contracts.

Why now: Procurement workflows are heavily manual and fragmented. AI makes it possible to address this continuously and at scale. Modern LLMs can read unstructured contracts, extract key terms, and check every invoice against those terms to surface overpayments, missed credits, and non-compliance.

Business model: Contingency fee on realized savings first, then recurring software for ongoing prevention and adjacent workflows.

We're in active discussions with 6 health systems across multiple states, with early design partner conversations underway.

I've spent my career in healthcare pricing, operations, and supply chain — most recently at Turquoise Health, building contract and pricing infrastructure on the payer-provider side. Before that, I built medical devices and studied manufacturing at MIT.

If you're excited about building a new infrastructure layer at the intersection of healthcare, fintech, and operations — drop your email below.