Building Truentity Health

This started with my dad. He has multiple chronic conditions, and at one point, he was prescribed a double dose of an ACE inhibitor. It could have been avoided with better visibility or a simple way to intervene between visits.

Around that time, I reconnected Rajeev. We had both come out of a startup years earlier that didn’t work out, but stayed in touch. When we started digging into this problem, it was clear we wanted to build it together.

It didn’t feel rare. It felt like the system working as designed, fragmented, episodic, and reactive.

It took a few pivots to get there, but we kept coming back to the same question: Why does care only show up when something goes wrong?

Chronic care doesn’t break down because of a lack of providers. It breaks down between visits. That’s where patients actually live, managing medications, dealing with symptoms, and making daily decisions that determine outcomes.

In most communities, especially rural ones, the only place that consistently sees these patients is the local pharmacy. The access is there. The relationship is there. What’s missing is the infrastructure to turn that into continuous care.

Along the way, I’ve spent time with pharmacy owners across the country. Many are multi-generational. They know their patients by name, they understand their communities, and they care deeply about the outcomes.

For a long time, they haven’t been set up to practice at the top of their license, not because they lack the ability, but because they lack the infrastructure.

That’s starting to change. And our role is to make sure they have the tools and workflows to actually deliver the kind of care they’ve always been capable of.

That’s what we built Truentity around, and it drives everything we do.

If the patient outcome improves, everything else works.

If the patient is healthier:

• pharmacies are delivering meaningful care
• providers are supported
• the burden on patients and caregivers is reduced

A big step in that journey was bringing Truentity and IndyCare Medical together. That’s when Franklin, Greg, and Josh came in and helped shape what this looks like in practice. It aligned the clinical layer and the operational layer into one system, combining physician governance, workflows, technology, and reimbursement into something that can actually scale.

Today, this is no longer theoretical.

Across the network:

• patients are seeing real reductions in blood pressure and A1C
• pharmacies are delivering care without adding staff and generating real clinical revenue
• the model is expanding across states

That’s what gave us the conviction to lean in.

Over the last few years, we’ve seen firsthand what this can do for patients. Earlier interventions, issues caught before they escalate, and in some cases, situations that could have turned into serious harm were avoided. That’s the part that matters. If we can consistently create those outcomes, everything else follows.

We’re also operating in a different moment. There is a real regulatory tailwind building around how care gets delivered, especially in rural and underserved communities. Programs like the Rural Health Transformation Program (RHTP) are pushing states to invest in models that expand access, improve outcomes, and scale without relying on new facilities. That aligns directly with what we’ve been building.

It’s also what brought us together with Evidenced VC. Sean and Bryan focus on companies that combine strong execution with real regulatory tailwinds, and there was early alignment that this isn’t just a software problem, it’s a care delivery problem that has to work within the system as it exists.

At the same time, we’re operating in a different moment technologically. AI is making this model better, not as a feature, but as part of the system. It helps:

• identify patients earlier
• reduce administrative work for our pharmacy partners
• support better clinical decisions in real time

For a model that runs inside daily workflows, that matters.

This funding lets us accelerate what’s already working:

• expand the pharmacy network
• build distribution through national partners
• simplify workflows
• expand clinical governance and programs

But the core doesn’t change. Create a positive outcome for the patient, and the rest takes care of itself.

What comes next is scale. More pharmacies, more patients, and more consistent outcomes.

Still early.