AI-native operating system for mental health

You're facing an unprecedented challenge. It needs a system-level solution.

Since October 7 you've been running a mission the system was never built for. Demand at this scale can't be met by adding supply - only by making the system work better: the right care the first time, nobody waiting without someone accountable for them, and a foundation the next decade of tools can actually be built on. Spine is that layer: what care actually exists, who needs it, and the coordination in between. The current plans are too far away. We're proposing something different.

01 What's broken

Invisible demand

Far more people would benefit from support than ever seek it - held back by stigma, circumstance, and self-perception.

The flow problem

Among those who do seek help, a large share never reach effective treatment. They drop at every intake, referral, form, and callback.

Care mismatch

Roughly 80% of help-seekers don't need scarce clinical-grade therapy, yet poor routing overloads exactly that tier.

The supply problem

The system is overwhelmed by demand, with too few therapists and care providers to meet the scale of need.

Post-October 7, the system is overloaded with more than 2 million people with post-traumatic stress symptoms. This is a bottleneck that requires cutting-edge tools to solve.

02 What Spine is

Spine is one AI-native layer across every organization that shares a patient - built to multiply the people already in the system, not add to the queue.

01Supercharges case managers & therapists with AI
02Connects the players into a system
03Capacity without new headcount
04AI-native - no years of legacy migration
05Purpose-built for mental health
03 The platform, in four parts
Patient Records
One record that follows the patient
A longitudinal clinical record that moves with the patient across every organization, level of care, and handoff - so no one ever has to start from scratch.
AI-Ready Data
A shared layer the whole ecosystem can build on
Our integration hub connects payers, providers, and community organizations through a unified API - enabling real-time data exchange without costly point-to-point integrations.
Agentic Layer
Automation that handles the connective work
Spine's agentic layer manages referrals, follow-ups, and handoff coordination autonomously - with human oversight at every clinically significant decision point.
Provider Matching
The right provider, not just the next available
Intelligent matching routes patients to the provider best suited to their clinical needs, location, payer, and availability - reducing mismatch and shrinking wait times.
04 Our commitments

Clinical judgment stays human. AI carries the busywork, while every clinical decision has a clinician behind it.

No integration project on your plate. - We do the connecting - your teams just keep working while the seams close around them.

Your data stays yours. Self-hosted and FHIR-native, engineered to the standard the data deserves: end-to-end encryption, role-based access, full audit trails. Your residency requirements, your governance, your patients' consent.

We're not a new front door. You're the face the country trusts, and you know what you're doing - Spine just makes sure the system behind you keeps up.