Our story

We built Midstream so health systems don't have to fight for money they already earned.

Midstream pairs veteran healthcare operators with world-class technologists to build AI made for the complexity of health system finance, so you capture every dollar you're owed..

Two kinds of experts. one capability neither could build alone.

Why Midstream

Why Midstream

Health systems manage multi-billion-dollar operations but operate in the dark

Health systems manage multi-billion-dollar operations but operate in the dark

Financial clarity arrives weeks or months too late, after underpayments are already written off and contract windows have closed. That's the reality of health system finance today, and it's costing millions in earned margin.

Midstream fixes this.

Midstream is an AI-powered, proactive financial action platform. Where traditional systems report on what already happened, Midstream acts in the moment it matters, closing the gaps and turning data into decisions in real time.


Financial clarity arrives weeks or months too late, after underpayments are already written off and contract windows have closed. That's the reality of health system finance today, and it's costing millions in earned margin.

Midstream fixes this.

Midstream is an AI-powered, proactive financial action platform. Where traditional systems report on what already happened, Midstream acts in the moment it matters, closing the gaps and turning data into decisions in real time.


Leadership

Sumit Kadakia

Co-founder, CEO

Venkat Mocherla

Co-founder, President

Omar Nagji

Chief Commercial Officer

Anisha Mocherla

Head of Product

Aneesh Kulkarni

VP of Engineering

Kelsey Mellard

Chief Customer Officer

Advisors

Mo Kaushal

Advisor to GA

Nancy McCutcheon

Former SVP Specialty Pharmacy, Optum

Debby Meredith

Former VP Engineering, Netscape

Vance Moore

Ex President, Mercy

Mitch Morris

Former Vice Chairman and Head of Healthcare, Deloitte

Andy Murphy

Partner, Chartis

Nitin Rao

Former Chief Product Officer at CloudFlare

Sara Sirajuddin

AI Software Lead at Intel, Former lead for TensorFlow

Mike Winfrey

Ex CSO, Alexian Brothers

The way we work together matters just as much as what we’re building

We’re a small, tight-knit team that shows up for each other with honesty, curiosity, and care. We move fast because we trust one another, learn openly, and share the same purpose.

Make things happen

We move fast, learn fast, and adapt in real time. We ship early and often — turning insight into impact with speed, focus, and a deep respect for execution.

Collaboration

We win together. We value curiosity, humility, and direct communication, believing the best ideas come from diverse perspectives. We build with, not for, each other.

Ownership mindset

We own outcomes, not tasks. Each of us acts like an owner — taking initiative, holding ourselves to high standards, and always following through.

Transparency

We operate with transparency — open communication, honest data, and clarity of purpose. Everyone understands the “why” behind decisions so we can move fast in the same direction.

Meet our Founders

A second financial brain that recovers the margin you already earned.

Midstream is filling the gaps, translating data into clarity, and transforming the tempo of decision-making itself.

A second financial brain that recovers the margin you already earned.

Midstream is filling the gaps, translating data into clarity, and transforming the tempo of decision-making itself.

A second financial brain that recovers the margin you already earned.

Midstream is filling the gaps, translating data into clarity, and transforming the tempo of decision-making itself.

You already earned it.
Midstream goes and gets it.


You already earned it.
Midstream goes and gets it.


You already earned it.
Midstream goes and gets it.


© 2025 Midstream Health

Location

703 Market Street San Francisco, CA