The name is Hebrew. It means she who brings light.
We chose it because everything else depends on that act. You cannot understand what you cannot see.
Organ donation and transplant is, at its heart, an act of collaboration. It takes thousands of people across dozens of organizations, most of them working for families and patients they will never meet. When it works, it is one of the most generous things a country does together. And it works only when all of that effort is coordinated.
The United States loses transplantable organs every year not for want of medicine, but for want of coordination. In 2025 the country recovered organs from 16,550 deceased donors (OPTN 2026) against a federal estimate of 35,000 to 40,000 potential (HRSA 2013). That gap does not sit inside any one organ procurement organization, hospital, or transplant center. It accumulates, unseen, in the handoffs between them. The roughly 8,000 people who hold those handoffs together, the system cannot even count.
Meira exists to bring that work into view, and to serve the people who carry it.
In December 2024, on a long assignment in the Midwest, our founder was working as a family services coordinator when a family reached a donation decision under real constraint. The recovery had to happen that evening. It could not be staffed in time. The family went home, and the donation did not happen.
The explanation afterward was that scheduling is hard and staffing is hard. That was not an answer we could accept. What happened was not one organization having a bad night. It was the predictable output of a system that strains at the same seam every time, the place where organizations meet. Articles of incorporation followed the next month.
Meira is an operating system for U.S. organ donation and transplant, built to serve the people and organizations who make it work. It brings the three things organ recovery actually runs on into one place.
MeiraWorks gives the traveling workforce somewhere to stand. Credentialing, scheduling, and payment in one platform, with background checks, certifications, training, and BAA status that travel with the professional across assignments rather than resetting at every organization. Underneath that sits the working arc of the assignment itself. A professional’s identity and onboarding, a credential wallet mapped to the specific roles this field runs on, direct connection between organizations and professionals with no agency in the middle, availability and scheduling, timesheets, and tax and 1099 handling. One system for the whole assignment, not a slice of it.
MeiraPay makes the money legible. Coordinator labor is categorized against the CMS-216 cost report at the moment of the assignment, so the report becomes a continuous read rather than an audit-time reconstruction. It is a full billing and settlement layer, not a line-item tagger. Invoices are generated and run through a validation engine, rolled into master statements, and tracked on a tamper-evident audit trail, with the platform fee and every adjustment handled inside the record rather than bolted on after. It is built to settle payment directly and to reconcile with the accounting systems organ procurement organizations and transplant centers already use, so the financial picture is correct as it is created, not reconstructed later.
Atlas is the intelligence layer. The operational picture of where donation is won and lost, drawn together at a national scale the field has never had. It sits on the federal record the field has never had in one place. Cost reports, nonprofit tax filings, and national donation and transplant data, tens of millions of records harmonized into a single substrate and turned into a picture that reads organization by organization and hospital by hospital. Not a dashboard on one organization’s numbers, but the whole field seen at once.
Three layers on one spine. The same record of the people who do the work runs through all of it, so the workforce, the money, and the intelligence are not three tools bolted together but one system. A workforce that can be counted, money that can be seen, and a field that can finally see itself.
Meira is built by 2460 Health Tech, a research company that studies the operational reality beneath U.S. organ donation and transplant and publishes what it finds. The platform is downstream of that work, an expression of what the research shows the field is missing, not a product in search of a problem.
Six working papers carry one throughline: the shortage is a coordination problem, and underneath it is a workforce problem. They document a workforce of roughly 8,000 the system cannot count, a taxonomy of more than 58 roles, and a name for the people who do this work, the Independent Donation and Transplant Professional.
The organ shortage is not, first, a clinical problem. It is a coordination problem, and the work that closes it is human work, carried by thousands of people on behalf of strangers and neighbors. Meira exists to serve them, and to bring that work into the light.
