Insight

How Rupa Health scaled its platform before acquisition

This is an operator's view of what it took to scale Rupa Health's core product through rapid growth, while preparing for investor and acquirer scrutiny. No vanity metrics—just the kinds of decisions early-stage teams can reuse.

Written by Aravind Srinivas, early engineer at Rupa Health and Founder & CEO of HyperNest Labs. This article reflects public information and operator perspective—no speculation on confidential details.

What broke first (and what we fixed early)

Like most startups that find product-market fit, the first things to break were not the “fancy” parts of the stack—they were the unglamorous pieces: logging, on-call, and coordination between product and engineering.

The work started with simple questions: What are the most painful incidents? Where are engineers guessing about the right behavior? Which parts of the architecture are slowing down experiments?

Architecture and team patterns other startups can borrow

  • Separate clinician workflows from back-office operations.
  • Introduce clear domain boundaries before pursuing microservices.
  • Pair every major system change with an owner and a measurable outcome.
  • Create a simple, repeatable template for architecture and decision records.

Preparing for diligence long before it starts

By the time acquirers show up, it's too late to rewrite your engineering story. At Rupa, we treated investor updates, board decks, and internal scorecards as rehearsal for future diligence.

That meant pairing architecture work with documentation, tracking latency and reliability over time, and being candid about known risks and how we were burning them down.

Apply these lessons to your own startup