200 health systems deliver care to most Americans. Their average operating margin? 0–2%. The cost of simply running a health system has increased 7x since the 1990s — from $150B to $1.2T. And it's accelerating.

We are at an existential inflection point.

When I first started working in healthcare, I expected those costs to be spread across hundreds of operational work streams. They're not. They're concentrated in roughly a dozen — a handful of massive work streams eating almost everything.

What makes it worse: those work streams are deeply interconnected, but each one operates within its own fragmented ecosystem of systems and point solutions. Every vendor promising to make work easier. Each one requiring its own workforce just to function at scale.

Peel back the next curtain, still no wizard. Just another salesperson insisting the next purchase will fix it all.

The people running our most important, life-saving institutions were sold a bill of goods. Consultants optimizing for their own short-term revenue, redesigning processes just so they can sell the redesign again next quarter. An entire industry built not on solving the problem, but on perpetuating it.

When I came into healthcare after building enterprise software, the ratio of engineers to salespeople at healthcare IT companies made me think I was misreading the data. These aren't software companies. They're sales organizations with a product attached.

AI changes this equation. Not incrementally. Fundamentally. For the first time, we have the technology to unify these fragmented work streams into a single intelligent system — one that actually operates as promised, not one that requires an army of people to keep it from falling over.

But the real question was never whether AI could fix healthcare operations. It's whether the industry would repeat every mistake we made the first time around.

So we asked a simpler question. What if one system — AI-native from day one — could actually do the work? Not manage it. Not make dashboards about it. Do it.

That's Luminai. We solve one specialized problem. We prove the ROI. Then we solve the next one on the same platform — and the next one, and the next one. Each one interconnected. Each one compounding. You set up the infrastructure once, and every solution you add makes the ones before it smarter.

The result isn't replacing your people. It's building an operating system where AI and humans finally work as one — where your operations don't just run, they scale.

We're not here to sell you another curtain to look behind. We're here to build the thing that should have existed all along.

The yellow brick road ends here. It's a new day for healthcare in America.

Kesava Kirupa Dinakaran

CEO and Founder - Luminai