Health is in decline.
AI can save it.
But only if we rebuild the foundation.
We Are Losing Ground
For years, the narrative was simple: healthcare is broken.
The evidence is everywhere. Chronic illness rising. Fertility falling. Life expectancy dropping for the first time in generations. Clinicians drowning in administrative burden, spending more time on screens than with patients.
Despite unprecedented technological progress, human health is in decline. Our environment and technology are changing faster than our biology can adapt.
The problem isn't clinical. It's infrastructural.
The system is drowning under its own weight. Innovation is suffocated by gatekeepers and fragmented data systems. Digital health founders spend years fighting infrastructure instead of building products.
Healthcare lost an entire generation of founders because building inside the system was too painful and too slow.
AI Brought Them Back
AI represents the first real chance in a generation to reverse this trend. Founders see the potential. Investors see the opportunity. Clinicians see the hope.
But AI can't save healthcare from the outside. It needs to operate inside the systems where care actually happens.
Without reliable access to clinical data, AI is a demo. Without the ability to write back into EHRs, AI can't change care. Without real-time integration, AI can't act when it matters.
This window is fragile.
Without the infrastructure to support it, founders will leave again. And if they leave, we lose our best shot at fixing healthcare.
Cobalt Is the Foundation
We're not building an integration tool. We're building the infrastructure layer that determines whether the next generation of healthcare innovation survives or dies.
Cobalt gives innovators the access layer AI needs to actually make an impact:
- →Deep read access. Complete patient data from any EHR, even those without APIs.
- →Write capabilities. AI can't change outcomes if it can't act. We close the loop.
- →Real-time integration. AI needs fresh data to act intelligently, not batch updates from yesterday.
- →Deploy in days, not years. RPA agents that navigate systems like humans, accessing data APIs will never expose.
Every AI scribe that writes notes back into the chart. Every voice agent that autonomously books appointments. Every payment platform that monitors claims in real-time. They're built on Cobalt.
We exist so innovators don't waste years fighting infrastructure.
This is the Stripe layer for health data. The Plaid layer for clinical systems. The foundational infrastructure on which an entire generation of healthcare AI will be built.
The Mission
If healthcare is going to benefit from AI, the data infrastructure must finally work.
That's not a product vision. It's an existential requirement.
We're building Cobalt for the founders who refuse to accept that "this is just how healthcare works." For the engineers who run toward hard problems instead of away from them. For the innovators who understand that infrastructure isn't boring—it's the difference between demos and real impact.
Healthcare's AI moment is here. The infrastructure can't fail again.
If this mission resonates, we'd love to work with you.