Gratitude for What We Built Together
Seven years ago, four of us set out to do something that felt obvious to patients – but oddly rare in healthcare: bring truly great physical therapy to people where they actually live.
Today, when I look back on what Luna has become, I feel a deep sense of pride – and even more gratitude.
I’m proud of what we built. I’m proud of the people who made it real. And I’m especially proud of my three co-founders:
- Palak Shah, who set the clinical bar and helped ensure “quality at scale” wasn’t just a slogan (across 3,500 clinicians!)
- Ryan Gaffney, who built one of the most sophisticated technology platforms in healthcare today
- Lily Beltran, who made the operation work in the real world – day after day, market after market (55 of them!)
Luna’s story has always been about care – but also about execution. And over seven years, we proved that in-home, in-person PT can scale nationally while staying patient-first.
The simple idea that turned into a movement
The problem we wanted to solve was hiding in plain sight:
- PT is essential to recovery, mobility, independence, and quality of life.
- But getting to a clinic is often the hardest part – especially post-op, in pain, older, busy, or without easy transportation.
- Virtual-only care can help some people, but it can’t replace hands-on clinical skill for many conditions.
So we built a model that respects the reality of patients’ lives: in-home, 1:1, in-person care – powered by technology that makes the experience easy to access, coordinate, and improve over time.
What we achieved together
When you’re in the day-to-day grind of building a company, you don’t always pause to absorb what the team is accomplishing. The numbers below helped me do exactly that.
We’ve delivered almost 2 million visits since launching while maintaining an NPS of 88 and 99.7% patient satisfaction. That’s not just growth. That’s trust, earned one visit at a time.
More than 20,000 physicians have referred patients to Luna – because the model works, and because the experience reduces friction for clinicians who are trying to do right by their patients. We’ve also partnered with 25 health systems to help bring that care home at scale.
And the clinician network has grown to 3,500 physical therapists, which still amazes me – because the quality bar is high, and because therapists have choices every day.
We’ve also grown to 400 corporate team members – a reflection of just how much infrastructure it takes to deliver healthcare at scale while staying personal.
One detail I love: Luna has always framed our impact in human terms – 2 million visits is approximately “100 million minutes of one-on-one care” and a visit being delivered in the home every 11 seconds. Those aren’t just metrics. They are millions of moments of someone getting back on their feet.
Culture matters – especially in healthcare
Healthcare is a mission, but it’s also a profession. The work is demanding. The emotional load is real. And the difference between “good” and “great” care is often the difference between teams that feel supported and teams that feel stretched.
One of the things I’m proudest of is that Luna didn’t just scale visits – we worked hard to scale the culture that makes great care possible. That showed up publicly in a meaningful way.
I’m grateful I got to build alongside my co-founders and the whole team. And I’m grateful to every clinician, operator, engineer, Concierge team member, partner, and leader who carried the mission forward. We truly had (and have!) the best team in healthcare.
Two recognitions that meant a lot to me
1) Forbes – America’s Best Startup Employers (2024 and 2025)
Luna was recognized by Forbes as a top-rated employer in its list of America’s Best Startup Employers for 2024 and 2025. Luna’s announcement states the company ranked #61 overall, #1 in musculoskeletal care, and #3 across healthcare. (read more)
Employer recognition like this signals something important: the people building the system believe in it, too.
2) Fast Company – World’s Most Innovative Companies (Healthcare, 2024)
Luna was also named by Fast Company among the World’s Most Innovative Companies in healthcare for 2024, ranking #13 in the healthcare category. (read more)
That one hit me because “innovation” in healthcare is often code for novelty. What mattered here was innovation in service of outcomes – making high-quality care more accessible, more coordinated, and more human.
The bigger picture: Care is moving to the home
Luna’s success isn’t happening in a vacuum. Patients want convenience, but more importantly they want outcomes – and home-based care removes barriers that have nothing to do with clinical need and everything to do with logistics.
Over seven years, Luna helped prove something I believe will define the next era of healthcare delivery: The home is becoming a primary site of care.
And when you combine hands-on clinical expertise with thoughtful operations and enabling technology, you can deliver something that feels both modern and deeply personal.
Thank you to everyone who makes Luna real
If you are a patient, a clinician, a physician, a health system partner, or a teammate – thank you. You are the story.
The work isn’t finished. Demand for high-quality care at home will only grow, and I’m excited to see Luna continue to raise the bar – for patients, for therapists, and for our health system partners that rely on them.
I’m proud of what we built, and I’m proud of the example we set – showing that you can scale healthcare while keeping the patient at the center and respecting the clinicians who do the work. Seven years in, I’m still grateful we said yes to the hard path. Because it mattered – and it still does.
If you need physical therapy, please consider Luna.
