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Raj Mehra: From a Grandmother's Fall to a $124 Million Care Empire

How Raj Mehra turned personal tragedy into Sage, the AI-powered senior care platform backed by Goldman Sachs with $124 million raised.

Raj Mehra CEO and co-founder of Sage
Raj Mehra CEO and co-founder of Sage
  • Sage has raised $124 million in total funding, including a $65 million Series C led by Goldman Sachs Alternatives in March 2026.
  • Raj Mehra co-founded Sage in 2020 after his grandmother died from complications following a fall at her Atlanta home.
  • The platform has triaged over 1.3 million care events across hundreds of senior living communities in 26 states, cutting average response times from 20 minutes to under 8 minutes.
  • Mehra previously helped build Palantir’s healthcare practice and scaled Cedar from early stage to a commercial growth engine before launching Sage.

Sage operates in hundreds of senior living and skilled nursing facilities across 26 states. Its AI-powered platform monitors resident activity, coordinates caregiver workflows, and predicts fall risks before they turn fatal. Facilities using Sage have recorded a 50% drop in falls, 50% faster response times, and roughly $275 in additional monthly operating income per resident.

The man who built it, Raj Mehra, never planned to work in senior care. He got there the way many founders do — through loss. Here is how a Wall Street analyst turned Palantir strategist ended up building the operating system for America’s aging population.

An Emory Graduate Who Traded Finance for Healthcare

Mehra grew up in Atlanta and studied business at Emory University’s Goizueta Business School, graduating in 2005. His first career move was conventional: investment banking at Barclays Capital, where he spent two years advising on healthcare deals from 2009 to 2011.

But the spreadsheets told him more about hospital economics than about actual patients. Mehra left Barclays and co-founded Coupon Doc, a startup that helped consumers access medication discounts. The venture ran for two years. It didn’t become a unicorn, but it gave Mehra his first taste of building something in healthcare — and taught him how far the industry lagged behind the rest of tech.

Palantir, Cedar, and the Education Money Can’t Buy

In 2013, Mehra joined Palantir Technologies to build out the company’s corporate development team. He helped close major fundraising rounds, supported acquisitions, and — most critically — helped launch Palantir’s healthcare practice. For four years, he watched how data infrastructure could reshape the way hospitals operated.

”Everyone is doing their level-best here and everyone is still losing.” — Raj Mehra

In 2017, he moved to Cedar, a healthcare fintech startup, as Head of Strategy and Operations. Mehra built and scaled Cedar’s commercial teams, driving significant revenue growth over three years. Between Palantir and Cedar, he had spent seven years learning how technology could fix healthcare’s hardest problems — but the problem he cared most about wasn’t in hospitals.

2019: A Fall in Atlanta That Changed Everything

Mehra’s grandmother lived in Atlanta. As she aged, her family watched the tools available to keep her safe — emergency alert pendants and baby monitors — and realized how absurdly primitive they were. There was no software to track her daily needs, no system to flag warning signs, no way for caregivers to coordinate beyond walkie-talkies and paper logs.

Then came the fall. A traumatic hip fracture led to complications. His grandmother didn’t survive.

Mehra looked at the facilities his grandmother had used and saw the same thing everywhere: fragmented systems, burned-out caregivers, and a total absence of the kind of data infrastructure he had spent a decade building for hospitals and enterprises. Senior care, an industry serving tens of millions of Americans, was still running on pagers.

June 2020: Sage Launches Into a Pandemic

Mehra co-founded Sage — originally incorporated as Elder Technologies — in June 2020 with Matt Lynch, who had worked alongside him at Palantir, as CTO, and Ellen Johnston as Chief Product Officer. The timing was brutal. COVID-19 had locked down senior care facilities across the country. Families couldn’t visit. Staff turnover was devastating.

”Caregivers often manage entire shifts with fragmented systems — sometimes no more than pagers, paper logs, and walkie-talkies — while residents’ needs can change quickly and unexpectedly.” — Raj Mehra

But the pandemic also made Sage’s pitch undeniable. Facilities needed remote monitoring, real-time data, and smarter care coordination — exactly what Sage was building. The company raised a $9 million seed round in July 2022 and followed it with a $15 million Series A led by Maveron in October 2023.

From Nurse Calls to Predictive AI: Scaling Across 26 States

Sage’s core insight was deceptively simple: the nurse call system — the button a resident presses when they need help — generates enormous amounts of data that nobody was capturing. Sage turned that button into a data pipeline. Every call, every response time, every staffing gap became a data point feeding an AI engine that could predict problems before they happened.

The platform expanded quickly. By late 2024, Sage had hundreds of communities on its system. In December, IVP led a $35 million Series B, validating Sage’s position as the leading operating system for senior living. Staff turnover dropped 20% in participating communities. Average response times fell from 20 minutes to under 8.

Then came Sage Detect — an AI-powered, privacy-conscious monitoring layer that analyzes daily activity patterns like sleep changes and bathroom frequency to identify fall risks before adverse events occur. Not a camera watching residents. An algorithm watching for the subtle shifts that precede a crisis.

$124 Million Raised, Goldman Sachs at the Table

In March 2026, Sage closed a $65 million Series C led by Growth Equity at Goldman Sachs Alternatives, with IVP and Goldcrest Capital participating. Total funding: $124 million. The round came as the senior care crisis was accelerating — by 2030, 72 million Americans will reach retirement age, while the industry faces a shortage of 1.8 million licensed caregivers and a 79% staff turnover rate.

The numbers made Sage’s case better than any pitch deck could. Over 1.3 million care events triaged. A 50% reduction in falls. Expanded EHR partnerships pushing the platform nationwide.

”It’s about creating aging infrastructure that gives people leverage at all stages and enhances their quality of life.” — Raj Mehra

Building the Infrastructure America’s Aging Population Will Need

Sage announced it will host its inaugural Caregiver Summit in New York City in fall 2026 — a signal that Mehra sees Sage’s role as bigger than software. The platform is becoming the connective tissue between residents, caregivers, operators, and families in an industry that has resisted modernization for decades.

The trajectory from a grandmother’s fall in Atlanta to a Goldman Sachs-backed platform serving hundreds of facilities is not a story about disruption for its own sake. It is a story about a founder who watched the people he loved receive care from a system held together by pagers and paper — and decided to replace every piece of it.

Sage | Raj Mehra on LinkedIn

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#Mehra #Sage #healthcare #AI #aging

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