Why I'm Building for the Overlooked Majority of Healthcare
Sam De Brouwer
CEO & Co-Founder
November 10, 2025
Reading Time6 mins

The last eight months have been wild.
What we've accomplished at XY.AI Labs in the past year has been remarkable.
- Launched our secure, compliant agentic AI platform with our first suite of AI agents.
- Built a world-class team with proven success in healthcare and AI.
- Onboarded our first customers, with ROI already visible in days.
- Filed two patents, including our innovative Browser Agent.
- Secured $350,000 USD in Google Cloud credits through their startup program.
- Raised a $3 million seed round.
Our mission is simple and profound: to give healthcare teams back the gift of time, so they can focus on what matters most, caring for patients.
I'm deeply grateful to our investors, partners, and customers for believing in our vision and execution. And by the time you read this, there will likely be more on that list — because we never stop pushing forward.
The Vision
XY.AI is a human-centered AI platform built for healthcare. Our agents are efficient, intuitive, and affordable.
We're taking on the digital chaos that burdens nurses, doctors, and administrators, turning it into a coherent, intelligent system that helps manage resources, sustain operations, and restore focus to patient care.
The result: less burnout, better care, and measurable outcomes.
It's a quiet revolution for one of the economy's most stressed-out sectors.
How It Works
After more than a decade of working at the intersection of AI and healthcare, I knew the latest innovations, built with the right security, privacy, and governance, could finally bring coherence to fragmented workflows.
Our AI agents explore the virtual environments of digital operations such as billing, claims processing, payment posting, scheduling, data entry, and error reconciliation, and more, making sense of disconnected systems and managing them through natural language interaction.
They don't just automate tasks. They reason, validate, and ensure compliance, from patient care to billing and appeals.
Who We Serve: The Long Tail of Healthcare
We're building for the small and mid-sized medical providers, the people in the most immediate need.
They're big enough to juggle multiple, conflicting systems, but not big enough to afford large IT teams or absorb burnout.
I call them the long tail of healthcare, the vast, fragmented majority of small and mid-sized providers, clinics, and practices that together deliver most of the care, yet operate without the infrastructure or scale of large health systems.
The future of healthcare innovation won't come only from big hospitals , it will come from these thousands of distributed nodes that form the real backbone of care. The long tail of healthcare is ready, and so am I.
We're seeing success with our customers within weeks, because we're solving real problems in a way that's easy to use, affordable, and scalable.
Why Now
We've been here before. I worked with my team before, building full-stack AI systems to improve clinical outcomes and reduce costs for healthcare stakeholders, patients, payers, providers, and pharma.
But Generative AI changed everything, how we explore systems, adapt, and interact with people. It gave us new tools to build something truly revolutionary: an AI-native healthcare platform.
Healthcare automation today is a tangle of disconnected apps, systems attacking themselves with no central intelligence. Those times are over.
These are huge data conductive problems and not humanly solvable that Generative AI loves. With XY.AI we're building the missing brain, an intelligent, secure, interoperable layer that restores flow, trust, and transparency across the ecosystem.

Why We're Good At This
XY.AI is new, but our experience runs deep. We're AI-native yet grounded in traditional AI, with a deep understanding of healthcare's complexity and constraints.
Larger AI companies may have more capital, but they can't build smaller, domain-specific products fast enough. We can, and we are. Our early customer successes are just the beginning of a series of industry-shifting innovations.
We're obsessed with quality for efficiency, optimization for cost, and security for trust.
The long tail is now reachable. AI and automation can finally deliver enterprise-level intelligence at small-scale affordability.
That's democratization at its best, and it's what drives us every day.
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