Certilytics

What Certilytics does

Certilytics, Inc. is a privately held healthcare AI and analytics company founded in 2014 and headquartered in Louisville, Kentucky. The company builds a Healthcare Data & Prediction Platform that unifies enterprise healthcare data into a single source of truth and applies proprietary deep learning and generative AI technology to produce predictive insights, decision support, and population health analytics. The platform processes 30M+ lives weekly, holds 250M+ lives on platform, and manages 21B total member records, drawing on a library of 1,000+ predictive models organized around a proprietary CORE Clinical Episode Grouper covering 432 clinical conditions. The company's technology stack includes Member Deep Representations (mDR) trained via unsupervised representation learning, the All CORE Condition (ACC) deep learning model, and CertHLM, a healthcare-specific large language model debuted at HIMSS 2026 that converts natural language queries into expert-grade answers and reports.

The company's go-to-market is a direct B2B enterprise sales motion targeting health plans, employers, benefit advisors, health systems, government entities, and solution vendors. Revenue is generated through platform licensing on a subscription/recurring basis, with quote-based pricing negotiated by organizational scope and data volume, and a standard 90-day implementation timeline. The company has expanded its product surface in 2025-2026 to include BrainstormAI Studio (an AI development environment), CertHLM (a healthcare-specific LLM), and Insights & Advisory Services (a professional services offering). Strategic partnerships with IKS Health, Carenet Health, Gainwell Technologies, and the Healthcare Purchaser Alliance of Maine extend the platform's reach into agentic care enablement, intelligent engagement, rural health transformation, and employer/coalition segments. Certilytics is led by President & CEO Merle A. Ryland and Co-Founder Martin F. Jackson, with a team of 130+ healthcare experts including actuaries, data scientists, technologists, and clinicians, and operates under HIPAA, HITRUST, and SOC 2/Type 2 compliance.

Name

Certilytics

Legal name

Certilytics, Inc.

Website

https://certilytics.com

Company type

Private

Founded year

2014

Operating status

Operating

Headcount range

51–100 employees

Short description

Certilytics is a healthcare AI analytics company that unifies enterprise healthcare data and provides predictive analytics and generative AI-powered decision support to health plans, employers, health systems, benefit advisors, government entities, and solution vendors.

Ownership category

akta.pro rank

Product category

Healthcare Data Analytics Software

NAICS

Software Publishers (5132), Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (51821), Computer Systems Design and Related Services (54151)

SIC

Services-Prepackaged Software (7372), Services-Computer Processing & Data Preparation (7374), Services-Computer Integrated Systems Design (7373)

akta.pro industry

PRIMARYHLACAIAE

Healthcare Data Quality, Profiling & Observability

Healthcare & Life Sciences/Digital Health & Health IT/Healthcare Data Platforms, Warehousing & Governance

SECONDARYHLACAHAB

Risk Stratification & Predictive Modeling (utilization, cost, readmission)

Healthcare & Life Sciences/Digital Health & Health IT/Population Health Management & Value-Based Care Analytics

SECONDARYHDAAAGAI

Healthcare & Wellness Personalization

Hardware, Technology & Telecom/Artificial Intelligence & Machine Learning/Recommender Systems & Personalization

SECONDARYHLACAGAA

Diagnostic & Triage Decision Support

Healthcare & Life Sciences/Digital Health & Health IT/Clinical Decision Support (CDS) & Care Pathway Tools

Keywords

• Healthcare predictive analytics
• Population health management
• Clinical risk prediction
• Healthcare data platform
• Value-based care analytics

Headquarters

HQ city

Louisville

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Software

Cost components

Personnel, Technology or R&D, Infrastructure, Marketing or Sales, Operations

Revenue model

1. Healthcare Analytics Platform Licensing: Certilytics generates revenue through licensing its AI-driven healthcare analytics platform to healthcare organizations. The platform is provided as a composable application that unifies enterprise data into a single source of truth using proprietary deep learning and generative AI technology.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels9 records

Core offering

Certilytics provides a composable AI-driven healthcare analytics platform that unifies enterprise healthcare data into a single source of truth and applies proprietary deep learning, generative AI, and agentic AI to deliver predictive clinical, financial, and behavioral insights. Its offerings include the CertHLM healthcare-specific language model, the BrainstormAI Studio AI development environment, the Data Logistics Suite, Fusion BI, and the BrainstormAI Model Library of 1,000+ predictive models, sold primarily to large health plans, employers, health systems, benefit advisors, solution vendors, and government healthcare programs.

Product overview

Certilytics is a healthcare AI platform company offering a unified Healthcare Data & Prediction Platform with multiple integrated products and solutions. The platform combines deep learning and generative AI technology to unify healthcare data and provide predictive analytics. Key products include: (1) CertHLM - a healthcare-specific GenAI language model for natural language healthcare intelligence; (2) BrainstormAI Studio - an AI development environment with 1,000+ predictive models; (3) Data Logistics Suite - for data processing at scale (30M+ lives weekly, 250M+ lives on platform); (4) Fusion BI - for business intelligence and visualization; and (5) the BrainstormAI Model Library - containing predictive models for clinical, financial, and behavioral outcomes. Supporting solutions include AI Accelerator for rapid implementation, Total Health Management for population health, ROI Measurement for program evaluation, Network Composition for value-based care, and Insights & Advisory Services for professional support. The platform serves health plans, employers, benefit advisors, health systems, solution vendors, and government entities.

Differentiator

Problem solved

Functional benefit

Products and services

• Healthcare Data & Prediction Platform Certilytics' core composable application platform that unifies enterprise healthcare data into a single source of truth using proprietary deep learning and generative AI technology to provide answer-ready data, predictive models, data storage, visualization, and integration capabilities. Designed for health plans, employers, benefit advisors, health systems, solution vendors, and government healthcare programs.
• BrainstormAI Studio AI development environment and portal for data science teams to build and deploy machine learning models without building their own data and modeling infrastructure. Provides access to the CORE Clinical Episode Grouper, CQM measures, and a library of 1,000+ predictive models, with code execution, data visualization, workflow documentation, and collaborative modeling tools. Used by healthcare data science teams and licensed by healthcare technology vendors.
• Data Logistics Suite Data processing and integration infrastructure that ingests, validates, transforms, and integrates large-scale healthcare data from any source. Supports 30M+ lives processed weekly, 250M+ lives on platform, and 21B+ total member records, with a standardized 90-day implementation timeline and HIPAA, HITRUST, and SOC 2/Type 2 compliance. Used by health plans, employers, health systems, and solution vendors.
• CertHLM (Certilytics Health Language Model) Healthcare-specific GenAI-powered large language model that delivers real-time, expert-level intelligence by converting natural language questions into instant, expert-grade answers and reports. The first language model built specifically for healthcare intelligence and decision support, debuting at HIMSS 2026. Designed to work with customers' existing data warehouse or data lake ecosystems. Used by healthcare payers, providers, and solution vendors.
• Fusion BI Business intelligence solution for healthcare analytics, providing data visualization and reporting capabilities for clinical and financial decision-making, including the integrated population health reporting portal Aspects Intel Dashboards.
• Insights & Advisory Services Professional services offering where customers collaborate with Certilytics' AI and healthcare experts to maximize the value of their data, including custom reporting, predictive model development, and access to the Advanced Development Environment. Used by health plans, employers, and benefit advisors needing expert support.

Quantifiable outcome

• 30M+ lives processed weekly with 90-day implementation
• +3 more outcomes

Named customers4 records

Segments6 records

Ideal customer profiles6 records

Technology focussed Yes

API detail

Has API

Yes

API docs

API detail

Core technology

AI maturity

App detail

AI capability9 records

Feature6 records

Partnerships

Four partnerships are on record, tiered core and strategic.

• IKS HealthcoreStrategic or Co-development Partner · 21 April 2026Expanded strategic partnership integrating Certilytics' GenAI-powered predictive intelligence (BrainstormAI Studio and CertHLM) into IKS Health's Agentic Care Enablement Platform. The collaboration aims to improve healthcare workflows, member engagement, and patient outcomes using agentic AI with human oversight. Solutions focus on prior authorization and patient outreach automation. Partnership builds on two years of collaboration and combines Certilytics' predictive 'brain' with IKS Health's agentic 'hands' to bridge the payer-provider gap.
• Gainwell TechnologiescoreStrategic or Co-development Partner · 18 December 2025Certilytics joined Gainwell Technologies' Rural Health Transformation Collaborative as a strategic partner. The initiative, supporting CMS Rural Health Transformation Program, aims to stabilize rural hospitals through data integration and analytics. Certilytics contributes healthcare data and predictive analytics capabilities to the collaborative, with Florida identified as a priority state for improved rural health access and outcomes.
• Carenet HealthcoreStrategic or Co-development Partner · 17 June 2025Partnership embeds Certilytics' AI-driven data management and predictive analytics into Carenet's Intelligent Engagement platform. The collaboration enables Carenet to efficiently identify at-risk populations, improve health intervention targeting, and guide healthcare consumers in decision-making. Integration extends Carenet's ability to deliver actionable insights at scale, powering intelligent engagement and more precise targeting for 500+ healthcare clients.
• Healthcare Purchaser Alliance of Maine (HPA)strategicStrategic or Co-development Partner · 27 May 2025Partnership with nonprofit organization representing 60+ members including employers, benefit trusts, hospitals, providers, health plans, and brokers. Certilytics provides data management and AI-driven predictive analytic solutions to help HPA and members leverage healthcare business intelligence innovations to improve health outcomes and maximize healthcare value. HPA cited Certilytics' depth of healthcare expertise as key differentiator.

Scale indicators8 records

Recent moves6 records

Expansion highlights6 records

Market position

Competitive moat6 records

Key highlights7 records

Customer concentration

• Xtwitter.com/Certilytics
• YouTubeyoutube.com/@certilytics
• LinkedInlinkedin.com/company/11752591

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles13 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Certilytics