Healthcare.Engineer

Sustainability engineering
for mid-market healthcare.

We build the platforms that put the senior at the center of every decision.

Mid-market healthcare — assisted living facilities, rehab centers, skilled nursing, specialty pharmacies, home health — is fragmented, underserved, and overdue for transparency. We’re building it the right way: with the family always in the room, the operator always accountable, and the regulator always informed.

Florida Live  ·  Additional states on the roadmap
Our Products

Two are live. Three are coming.

Each vertical is a self-contained product, built around the people it serves. Pick the one that matches you.

Senior Living. 360 Connected. (HE Architecture)

Verticals on the roadmap
Coming · 2026

H.E 360 for Rehab

For inpatient rehab facilities and discharge planners

Coming · 2026

H.E 360 for SNFs

For skilled nursing facilities

Coming · 2027

H.E 360 for Pharmacies

For specialty pharmacies and LTC pharmacy operators

H.E 360 for Seniors

The family journey, engineered.

Five moments where the architecture shows up — every step accountable to the senior at the center.

The Search — a family begins the journey
01 The Search
The Right to Know — transparency replaces opaque rankings
02 The Right to Know
The Direct Contact — family reaches the community directly
03 The Direct Contact
The Senior at the Center — arrival in a chosen community
04 The Senior at the Center
The Connection — ongoing family-community connection
05 The Connection
Coverage

Starting Florida. Expanding nationwide.

Florida is live with 3,010 facilities across all populated counties. Other states are next.

H.E 360 adapts to each state’s regulator (AHCA · HHSC · CDSS · DOH), vocabulary (ALF · RCFE · ACF · Type A/B · Personal Care Home · Board & Care), and license types — one architecture, state-specific surfacing.

● Live Florida — 3,010 facilities · 54 counties
Miami-Dade 803
Hillsborough 262
Broward 249
Palm Beach 201
Pinellas 138
Brevard 126
Orange 120
St. Lucie 114
Volusia 88
Sarasota 87
Lee 79
Duval 68
Pasco 49
Lake 48
Polk 42
Manatee 42
Marion 31
Hernando 24
+ 35 more counties
Coming More states in development for 2026–2027 national roll-out
North Carolina ~580
Texas TBD
California TBD
Georgia TBD
Ohio TBD
Pennsylvania TBD
New York TBD
Arizona TBD
Virginia TBD
Illinois TBD
+ 40 more states
The Story

Every venture brought us closer to the senior.
H.E 360 is the answer.

Dharma Nukarapu
Founder · Healthcare.Engineer LLC

Nine years. Six companies. Two countries. Every angle of healthcare I could touch.

It began with research in the smart pill bottle — at the patient’s bedside, supporting older adults with complex medication regimens — and a smart prescription compliance ecosystem for the specialty pharmacies on the other end of that supply chain, shipping to a largely Medicare-eligible customer base. Remote vital monitoring brought to rural patients, including older adults aging in place far from clinics. COVID tracking and field medical units, deployed where seniors faced the highest risk. Operating multi-specialty hospitals through the pandemic. Custom insurance research to free patients from copay traps that hit fixed-income seniors hardest. Mobile dental care brought directly into ALFs across the U.S., where residents couldn’t easily reach a dental chair. And operating assisted living facilities in Citrus County, Florida — daily, direct, on the ground.

Every layer had the same broken pattern — fragmentation, opaque pricing, intermediaries who profited from confusion. Families and small operators always paying the cost.

H.E 360 is the synthesis. Nine years of crossing every angle, focused on one promise: the senior at the center, and the family at their side.

A prior company in this nine-year arc — SharkDreams, Inc. (2017–2020) — is the subject of a public SEC matter (Litigation Release 26275, final judgment March 2025). Healthcare.Engineer LLC is a separate Florida entity, structured around operating revenue, regulated facilities, and transparent reporting. The full public record is available at sec.gov.