 Hi Abhinav, the first thing we really love to know about is I know from the point where you started which was further innovations that you did post, I would want to know that barring the doctors who were of course able to make use of this information, who were the other beneficiaries of it. So I think we started off the company commercially like in August 2014 and I think before this like it was like a research project that we were sort of like doing like with like research institutions. Broad thesis was the fact that like healthcare just like information is going to open up and it's going to go on to the cloud and people are going to do like massive scale like innovation on top of it and there is no ubiquitous platform that solves for getting the data, opening it up and like ability to sort of like build software applications on top of it. There's no ubiquitous layer that sort of like solves for that, that's what we were sort of like trying to build out. Commercially the company sort of like started off like in August 2014 where we got like a little bit of seed funding from Rajan Anandan and capillary founders and a few of like people who sort of like were doing like software in India in general and at that point like we started building this as a horizontal software company that would focus on building out tools and technologies for like large enterprises to first get a lot of their data that they have been storing in silos onto a common cloud platform then have like a layer on top that can they can run large-scale analytics on top of it and then an API layer on which like they can do like more and more software innovation on top of it. So that was sort of initial thesis, we got Disney, Walter Sluwars, NASA, a lot of them as customers initially and then like when we sort of like saw the state of healthcare and like where healthcare technology was I think we decided to narrow down our focus and just focus on healthcare as the key problem that we are going to go solve for. And what other elements did you add to this? Clearly I mean you know one area if you can talk about is COVID in particularly how did this entire databases and analytics were very useful during this time for the healthcare industry? Yeah, perfect. So I think as we sort of like went into healthcare like I think the first thing that we were solving was that the patient-doctor relationship was generally like very very transactional. You go to a doctor first time like you're basically entering your name and like that's the context that they're working on. You go to a bank, you go to like your retailer which is Amazon, Flipkart, whatever you sort of like go to. They have a lot more context about you because they know basically like their journey with you and all of those type of things. So that context for the doctor did not sort of like exist. So that was the first problem that we solved that bringing all of these data systems together so that when you go to the doctor they understand your medical history. You're not sort of like first time going and writing on a piece of paper that like I had diabetes or like my sugar was sort of like low or like any other conditions that were sort of like that. So they have like this view and on top of that like you provide some level of like clinical decision support that if someone's test came and their A1C count was basically like greater than nine which was three years back which means that they're at high risk of diabetes. So how do you put that information in front of the doctor so that they can really at the point of care know that these are like the conditions that they're sort of like suffering for and these are like the high risk items that you can sort of like look at. So that was the first problem that we saw and then on top of it we like built out like various engagement mechanisms that if the doctor has gotten to know some of these things they can click a button and send some material out to you like a text or like an email that hey like these are things that you should be doing for your diet. This is how you should be thinking about like staying healthy and like all of those type of things. So the relationship suddenly from this transactional relationship where you just went to the doctor and at one go you are sort of like just like they treat you for when you're sick. It just became a relationship where they are responsible for keeping you healthy over a period of time. So the big shift that we are trying to drive like through the technology is in some way like reactive care to preventative care. Preventative care yeah that's what I was going to come to. So it sort of solves the problem of preventive health care which is otherwise hard to address. So tell me are you currently only doing this for USA or are you doing it in other markets also? So I think like the first four or five years we've just been focused on US like it's a very very large market it's also fairly fragmented per se. So I think like the first four or five years we've been very very focused on like the US markets per se. This year I think like we've started like expanding like internationally a little bit as well like UK and UAE sort of like EMEA in some ways basically is becoming like the second market that we are approaching. Most markets that we are approaching have some sort of digitalization of health care already right like so like the electronic health record and on top of it you can then create like the system of intelligence on top of it as well right. So I think those are that's the natural course of evolution of the company but even today basically like 95 percent of our revenue comes from the US. And what other markets are you looking to enter into? I think for this year it's probably going to be UK and UAE only but like over the course of the next few years I think most markets which have like some bit of like electronic health record applicability are markets that we are interested in. Healthcare companies not come up come out as investors in in a way sir or did you not reach out to them? I think when we started we wanted to have like tech investors invest because we were we are building a technology company that's focused on healthcare rather than like a healthcare company that's doing technology. So I mean but likewise all healthcare companies also need technology. Yeah so I think like so we wanted to have like investors who've seen like tech company scale right like so people from Rajan and then like going on to like Westbridge and Light Speed and then Tiger and Dragoneer all of these are like market tech investors they've seen like the life cycle of how tech companies evolve what are like the growth metrics how can you sort of like really build out like institutional scale like in a technology business how do you expand globally like all of these things that are very very helpful for us to get a perspective from investors like these right so that that's the investor set that we've been like focused on very primarily like tech heavy investor base who invested in companies like will you and Rob Box and Box and Snowflake and all of these like companies that have sort of like broken through. What all needs to be fixed in the healthcare industry so that you know we don't lose lives and I mean you know you quite right a reactive healthcare is still the easier part you can find out through imaging and everything you can find out the disease and cure it but really it's the preventive healthcare which is the most important part of it and reacting to a virus even before it starts spreading that's that's what is required so what how do you think the healthcare industry is going towards that not just in a way sir but the entire healthcare industry. Yeah and like I think like we talk about like this concept of singularity quite often like in like our communication in general but like as you sort of like see today like things like Fitbit and other sensors are starting to basically come where you can like have like some bit of like monitoring of health done like at a remote location your heart beats basically like increases your blood pressure increases your like a lot of these things are now getting measured through devices that are connected to the internet. So suddenly we are going to see like a massive boom in like data that's been collected on you that can be used to now drive like medical insights and none of the health providers are basically like ready for things of this nature right like because the doctor does not see you like this today. So there is like this aspect of change that's going to happen like over the next five to seven years that there is one healthcare delivery like model which is very based based on the fact that you go to the doctor and then they check what's your heartbeat and like they sort of like make deductions based on that and then there is this parallel stream that's like emerging which is like how do you sort of like monitor more and more of the body and really get signals out of the body per se. So how do you sort of like now merge these two worlds together because you still want the doctor to be making the eventual decision on things right you don't want like an algorithm to be deciding whether you are sick or not you still want like a doctor's involvement in those decisions what are the medications that you are going to be on how do you sort of like like get treated for a particular thing there is like bringing of these two worlds together and data is basically key right because data is basically like coming in from one source and the at the other receiving end like people are not having tools and technologies to sort of like utilize that and help them sort of like make like more clinical decisions based on top of it. So I think bringing these two worlds together over the next five to seven years I think what we think of healthcare today is going to change like on its head like the doctor is like for very very critical decisions but we are getting monitored like a lot more regularly and therefore like catching chronic diseases even before they sort of like happen is basically going to come in the realm of possibility in some way or form and that's what I think like needs to happen and more and more quickly as as much as we can sure. So I mean so just to simplify what you're saying I mean so looking at the data points of a patient could the would the doctor be able to tell that you know three years hence he's more prone to have a cancer or you know he's sitting on a diabetes hot seat or whatever so is that going to be possible because of technology in healthcare? Yeah no I'll give you examples right so it's already starting to happen like with some of like our cases where like we are seeing regular course of like the patient's information and their weight is increasing like over a period of time like and it's consistently getting to a point where like you don't need to go to a doctor for them to basically be able to analyze this like but if your weight is like increasing like fairly like consistently and if you're like and you did a cholesterol test like somewhere where like it's sort of like came that your overall sort of like chances of a heart failure basically have reached like a critical threshold at that point today what happens is that unless you go to the doctor there is nothing that would happen right like you will continue on that path and you really go to the doctor at the point where like things have already like escalated and it's not like an under control but in this case there is an alert that comes up like on the doctor's window and they send you basically like a notification hey come see me because like your things are basically off the chart and we've seen that like this year like Medicare and Medicaid like even because of these type of interventions that we are able to drive through data their quality of care and outcomes increased by 8% with like all of our customers they measure like 16 different like chronic conditions and on like on top of it like outcomes improved by 8% it's just like intervention of data preemptively rather than like when they were like really sick so I think we are seeing a lot of that trend sort of like happen and actually if you do this the overall cost of care also goes down because you're not like treating the patient like in a very expensive like surgery but like telling them that hey like just change your diet plan and do like a few of these things and I think like health outcomes would sort of like change dramatically like for you so I think we're seeing like a lot of that we we saw like I think like with our customers cost come down by a billion dollars last year from right like and like health outcomes improved by 8% so like America spends four trillion dollars on healthcare today right like which is larger than like in some way like right like and so like the typical answer to everything is spend more from right but that's not true in this case like if you have like smart technological interventions you can use the same amount of money being spent and people will be far more healthier sure so before you decided to sort of start in a ways or was it something that you were always passionate about and you went forward with it yeah so I think like I went to Kharagpur like as my undergrad like we started off something called the Kharagpur consulting group there from like Kanna when I basically like started that up like so I think the entrepreneurial bug was almost always there like we wanted to basically do something and then my first job was with this with this company calling us all ran which is like a friend like they gave me this role for creating for India by India strategy right like and I was the chief of staff to like the person who was like the chief strategy officer for India and right out of undergrad I was working between China, India, US to basically bring technologies from all of these different places and build stuff for India and like when I joined it was like an idea on paper and like three years that I sort of like worked on it like it became like a 40-50 million dollar revenue business and it was like someone who was 23, 21, 23 years old it was incredible to see that like you can think of something like on a piece of paper and suddenly it could become products and thousands of people sort of like using those products and how does that journey sort of like look like and it was like an incredible learning experience like like Ingersoll and India's like CEO was like one of our seed investors like Venkatesh Velluri like so I think we wanted to do something Sandy and I were sort of like working together like at Ingersoll and so all three of us sort of like wanted to do something even before like we started Innovator and then this professor reached out and said that we want to do this for Harvard and bring all of that data together this is an area that we had worked on like before and that was just like the right opportunity right time sort of like coming together.