Tim Hwang has spent his career moving between politics, policy, and startups. He worked on Barack Obama’s 2008 presidential campaign, studied public policy at Princeton, and took his first company, FiscalNote, public before he turned 30. Now, at the helm of Nitra, a healthcare financial and operational platform, he’s doing what he calls “the perfect confluence of everything I’ve worked on in the past.”

Nitra is an AI-native operating platform built specifically for medical practices. Rather than patching together separate tools for billing, purchasing, scheduling, and insurance verification, Nitra consolidates all of it into a single system powered by AI agents.

The company targets the administrative layer of healthcare—the back-office work that consumes enormous time and costs inside clinics—and automates it end to end, from expense management and accounting to patient communications and claims filing. It is, in Hwang’s words, designed to replace the fragmented patchwork of software that most practices currently rely on just to keep the lights on.

On Tuesday, Nitra announced a $50 million Series B round, bringing its total capital raised to $205 million. The funding comes alongside a milestone: the company’s platform has surpassed $1 billion in annualized processing volume and crossed $33 million in annual recurring revenue as of December 2025, representing approximately eight-fold year-over-year growth. More than 700 clinics are now live on the platform.