The number one question I get asked:
Why did you buy a hospital?
It's an opportunity to model how we create a proactive, affordable, accessible American healthcare system that takes strain out of the system for patients and clinicians alike.
Today we are unveiling an important milestone toward that mission. With our founders, we are pioneering the full stack of what a health system needs to deliver assurance: intelligent systems from the supply chain to the first patient visit, clinician experience to agentic nursing and virtual care. Aidoc, Clarium, Commure, Fabric, Hippocratic AI, Judi Health, Transcarent and Verse Medical are the first companies in that stack, with Percepta building the Health System Command Center to unify them into a single intelligent operating system.
When I wrote UnHealthcare in 2020, I argued that this transformation would require an entirely new set of companies, a next generation of healthcare infrastructure. What I did not anticipate was the role AI would play. COVID made the case for change impossible to ignore. Then language models arrived. Together they created a a once-in-a-generation opening for healthcare, and we have leaned into it alongside our founders ever since.
I have been investing in healthcare for more than twenty years, and I have watched the same two patterns repeat. Technology never really gets the chance to reshape how care is delivered. Startups can't get inside a health system deeply enough to change it, stuck in pilots and procurement or reduced to one of many disconnected tools. And as investors, we've been tied to a fund clock.
We bought Summa, on our balance sheet, to break both patterns at once. It lets us play the thirty-year long game that transformation at scale actually requires, and it gives our founders a real customer at scale that they can build with. Their teams are living in Akron, walking the halls alongside our clinicians. Every one of these products will be materially better for it, and I don't know of another advantage like it in venture.
What I think most about is the impact this can have on patients, providers, and the people who keep a hospital running. We have exhausted the people we depend on, and no amount of software fixes a workforce with nothing left to give. One of our goals is to ease the burden on healthcare workers and take care of our people so they can do their jobs better. Health systems have absorbed a generation of technology that made the work harder, and the team at Summa has shown tremendous courage in taking this challenge on anyway. They have begun changing how they work while continuing to do the work, with two hospitals and twenty health centers running without pause.
