Situational Healthcare LLC

Situational Healthcare is building the compliance-ready infrastructure layer for healthcare software. Our platform implements HIPAA and SOC 2 controls at the architecture level — not certification after the fact, but controls built into how every module is constructed — so that healthcare application development, which typically requires 12–18 months of compliance and infrastructure work before a single feature ships, can happen in weeks instead.

The problem. Hospitals run on dozens of disconnected systems — scheduling, staffing, equipment, clinical documentation, facility operations — each optimized in isolation, none of them intelligent about what's actually happening moment to moment. The result is waste that no single system is positioned to see: idle capacity, delays, and inefficiency scattered across departments and shifts. The operating room is the sharpest example — it drives up to 70% of hospital revenue, yet an estimated 98% of its waste happens intra-day, in the gaps between cases that scheduling software never sees, at a cost of roughly $100 per OR-minute of downtime. The same structural blind spot exists throughout the rest of the hospital; the OR is simply where it's most expensive and most visible.

Products. Our flagship product is OperaFlo, a real-time orchestration platform built on a Bayesian inference and Gaussian mixture model stack, giving hospital leadership live, predictive visibility into operations as they happen — not after the fact. OperaFlo is the proof point for our broader Clinical Intelligence Suite, which extends the same architecture across the hospital: OperaSpan for enterprise analytics and clinical collaboration, and OperaPilot for OR-specific monitoring. The same compliant, modular, AI-driven foundation underlying all three lets us stand up new applications across any part of hospital operations far faster than the industry norm.

Business model. Platform licensing, combined with a compliance package and implementation services — built for medical device manufacturers, healthcare facility vendors, hospital systems, and ambulatory surgical centers that need to deploy software handling protected health information without absorbing a multi-year compliance buildout themselves.

Customers and market. Our target buyers span hospital systems, healthcare facility and equipment vendors, and ambulatory surgical centers — anywhere hospital operations, administration, and execution need real-time intelligence rather than after-the-fact reporting. We are in active commercial conversations with several healthcare technology companies — including Broadata Communications, Baxter, Stryker, VOC, and Zenaptic — exploring platform integration and licensing.

Team. Situational Healthcare is built by two people who have spent their careers on opposite sides of the exact gap the platform closes — the space between how hospitals actually operate and the systems meant to run them.

Kate Newcomb-DeSanto (MSN, RN, MSW, EDAC) has spent 25+ years inside the clinical and operational reality of healthcare — as a nurse, in hospital administration, and in healthcare design and construction, shaping how facilities are built and run across the full continuum of care, not just one department. She knows what hospitals need because she's worked inside them, run them, and helped design them-including flagship projects at Penn Medicine, IU Health, RWJBarnabas Health/Rutgers Cancer Institute, and Trinity Health. 

Brian Moores has spent 28 years building the technology infrastructure inside those same facilities — systems integration spanning clinical, operational, and administrative environments across device, network, and data disciplines, with a career built at firms including Shen Milsom & Wilke and D'Arcy Moores Design Associates. He knows exactly how hospital systems connect — and where they don't— including groundbreaking projects at Cleveland Clinic, Mount Sinai, Memorial Sloan Kettering, and Penn Medicine, to name only a few.

Most healthcare software teams have one side of this or the other: clinical founders who don't understand systems integration, or technical founders who've never worked inside a hospital. Kate and Brian have both — earned over decades of projects where the other's expertise was the missing piece. Together, they've advised on more than $15 billion in healthcare capital and infrastructure projects, meaning Situational Healthcare isn't a platform built on assumptions about how hospitals work. It's built by two people who've spent their careers making hospitals work, from the blueprint to the bedside.