Health systems working with Dallas-based Guidehealth can now deploy Koda Health’s Advance Care Planning platform to help navigate end-of-life decisions. Photo via Getty Images.

Houston-based Koda Health and Dallas’ Guidehealth, an AI-powered health care services platform, announced a strategic partnership to provide access to tech-enabled solutions to help improve care and reduce costs for patients navigating serious illness.

Health systems and clinically integrated networks working with Guidehealth can now deploy Koda Health’s Advance Care Planning (ACP) platform, which allows patients to document and share their care preferences, goals and advance directives for health systems. Guidehealth’s platform integrates into primary care workflows and allows providers to identify high-risk patients, coordinate care and reduce administrative burden.

Guidehealth also works with a team of virtual caregivers, known as Guidehealth Healthguides, who help patients navigate end-of-life decisions. With this new partnership, the Healthguides will be able to integrate Koda Health’s ACP platform into their workflows.

“Koda Health’s mission is to ensure that every patient’s voice is heard, especially during the most vulnerable times in their lives,” Dr. Desh Mohan, Chief Medical Officer and co-founder of Koda Health, said in a news release. “This partnership with Guidehealth accelerates our ability to reach patients at scale, especially those in value-based arrangements where care alignment and quality of life are top priorities.”

Guidehealth works with more than 500,000 patients and major systems, such as Emory Healthcare, according to the release. The company closed a $14 million seed round last year, which included investment from Memorial Hermann.

“Advance care planning is essential to delivering care that is not just high quality, but also compassionate and aligned with what matters most to each patient,” Dr. Sanjay Doddamani, founder and CEO of Guidehealth, said in a news release. “Koda Health brings a scalable, digital-first approach to a historically complex and emotional process. By embedding Koda into our value-based care ecosystem, we’re equipping providers to have meaningful conversations with patients, reduce unnecessary interventions and ultimately improve the experience for families and clinicians alike.”

Koda Health was born out of the TMC's Biodesign Fellowship and was launched by CEO Tatiana Fofanova, Dr. Desh Mohan, and Katelin Cherry in March 2020. It closed an oversubscribed seed round for an undisclosed amount last year, with investments from AARP, Memorial Hermann Health System and the Texas Medical Center Venture Fund. The company also added Kidney Action Planningto its suite of services in 2024.

The Lone Star State isn't shining bright when it comes to equality. Photo by Claudio Schwarz on Unsplash

New study asserts Texas is the 2nd worst state for women's equality

all's not fair

Texas, WalletHub thinks we have a major equality problem. The Lone Star State has ranked at the bottom of the personal finance website's new nationwide analysis of gender equality.

The annual "Best & Worst States for Women's Equality" report, published August 19, ranked Texas No. 49 out of all 50 states where where women receive the most equal treatment in the U.S. Texas is accompanied in the bottom five by Utah (No. 50), Wyoming (No. 48), Idaho (No. 47), and Missouri (No. 46).

At the top of the list of the best states for women's equality is Hawaii (No. 1), followed by California (No. 2), Minnesota (No. 3), Maine (No. 4), and New Mexico (No. 5).

The study ranked each state based on 17 metrics in three key dimensions: Workplace environment, education and health, and political empowerment. Factors that were examined in the study include income disparity, job security disparity, the share of the population aged 25 and older with an advanced degree (higher than a bachelor's degree), and the disparity in the share of Congress members and other elected officials, among others.

Texas earned a miserable score of 39.75 points out of a possible 100. The state performed the best in the "workplace environment" equality rank, earning No. 23, but fell far behind as No. 40 in the "political empowerment" ranking. The state landed at the bottom in the national comparison of "education and health" equality, ranking No. 49.

Texas' ranking may not come as a surprise for women living in Houston, where the city's gender pay gap means men can earn over $4,000 more income than women.

Here's how WalletHub broke down Texas' ranking, where No. 1 is the best and No. 25 is average:

  • No. 21 – Earnings Gap
  • No. 21 – Entrepreneurship Rate Gap
  • No. 22– Work Hours Gap
  • No. 32 – Executive Positions Gap
  • No. 40 – Unemployment Rate Gap
  • No. 40 – Political Representation Gap

The WalletHub study is also doubling down on the unfavorable quality of life in Texas, as the state most recently ranked as the No. 15 worst state to live in the U.S.

Unfortunately, closing these disparity gaps in Texas (and elsewhere) isn't so simple, according to WalletHub analyst Cassandra Happe. She said it's going to take much more than "giving men and women the same fundamental rights" to ensure true equality.

"States also need to work to make sure that women receive equal treatment to men when it comes to financial opportunities, education, and politics," Happe says in the report. "The best states for women’s equality have drastically reduced the disparities between men and women on multiple fronts."

According to WalletHub, the best state for women's equality is Hawaii, earning a score of 79.24 points out of 100. Hawaii has the third smallest gap in work hours between men and women, and no gap in the rate of men and women who are minimum-wage workers. Furthermore, the state has an equal share of political representatives that are men and women in the U.S. Senate and House of Representatives.

The full report and its methodology can be found on wallethub.com.

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This article originally ran on CultureMap.

Living in Texas is not all rainbows and sunshine, according to WalletHub. Photo via Getty Images

Texas tumbles to No. 36 in new 2024 ranking of best states to live

this just in

Texas is being ruled out as one of the top states to live in the country, according to a new livability study by WalletHub. The Lone Star State ranked No. 36 out of all 50 states.

WalletHub ranked every state based on 51 metrics in five major categories: Affordability, economy, education and health, quality of life, and safety. Factors that were considered include a state's housing affordability, the share of the population living in poverty, wealth gaps, the quality of the public school system, road quality, among others.

Texas' not-so-stellar ranking has now branded the state as the 15th worst state to live in the nation. For comparison, Massachusetts ranked as the No. 1 best state to live in, followed by Florida (No. 2), New Jersey (No. 3), Utah (No. 4), and New Hampshire (No. 5).

In a confusing ranking of states with the best economies, Texas placed No. 36, despite WalletHub's earlier 2024 report that declared Texas had the fourth best economy in the nation.

Here's how the study broke down Texas' ranking across the remaining four key dimensions:

  • No. 8 – Quality of life rank
  • No. 34 – Safety rank
  • No. 34 – Affordability rank
  • No. 38 – Education and health rank

The study's findings show Texas has the fifth lowest rate of homeownership nationwide, ranking No. 46 out of all 50 states. In the ranking of each state's population aged 25 and older who have earned a high school diploma or more, Texas ranked No. 49. The state similarly ranked at the bottom of the list for its proportion of the population that has insurance (No. 50). Texas workers also have the second-longest average work week, placing the state at No. 48 (tied with Wyoming) in the national comparison of average weekly work hours.

The only ranking that Texas excelled in (surprisingly) was the restaurants metric. Texas landed in a four-way tie with California, New York, and Florida for the No. 1 most restaurants per capita.

Other WalletHub studies have supported the idea that Texas may not be the best state for putting down roots. Most recently, the state landed a middling rank as the No. 29 best public school system in the U.S., and it ranked No. 28 in WalletHub's annual report of the "Best and Worst States for Military Retirees."

Moreover, Texas ranked 28th in a new report on best states for the arts by SmileHub, a nonprofit tech company founded by the same CEO as WalletHub.

"When deciding on a place to move, you should first consider financial factors like the cost of living, housing prices and job availability," said WalletHub analyst Cassandra Happe. "Many states have strong economies, though, so you should also consider a wide variety of other factors, such as how where you live will impact your health and safety, and whether you will have adequate access to activities that you enjoy. If you have children, a robust education system is also key."

At the opposite end of the study, Louisiana landed at the bottom of the national ranking as the worst state to live in for 2024. New Mexico (No. 49), Arkansas (No. 48), Alaska (No. 47), and Nevada (No. 46) round out the five worst states.

The full report can be found on wallethub.com.

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This article originally ran on CultureMap.

Houston could have ranked higher on a global report of top cities in the world if it had a bit more business diversification. Photo via Getty Images

Report ranks Houston as a top global city — with one thing holding it back

take note

A new analysis positions the Energy Capital of the World as an economic dynamo, albeit a flawed one.

The recently released Oxford Economics Global Cities Index, which assesses the strengths and weaknesses of the world’s 1,000 largest cities, puts Houston at No. 25.

Houston ranks well for economics (No. 15) and human capital (No. 18), but ranks poorly for governance (No. 184), environment (No. 271), and quality of life (No. 298).

New York City appears at No. 1 on the index, followed by London; San Jose, California; Tokyo; and Paris. Dallas lands at No. 18 and Austin at No. 39.

In its Global Cities Index report, Oxford Economics says Houston’s status as “an international and vertically integrated hub for the oil and gas sector makes it an economic powerhouse. Most aspects of the industry — downstream, midstream, and upstream — are managed from here, including the major fuel refining and petrochemicals sectors.”

“And although the city has notable aerospace and logistics sectors and has diversified into other areas such as biomedical research and tech, its fortunes remain very much tied to oil and gas,” the report adds. “As such, its economic stability and growth lag other leading cities in the index.”

The report points out that Houston ranks highly in the human capital category thanks to the large number of corporate headquarters in the region. The Houston area is home to the headquarters of 26 Fortune 500 companies, including ExxonMobil, Hewlett Packard Enterprise, and Sysco.

Another contributor to Houston’s human capital ranking, the report says, is the presence of Rice University, the University of Houston and the Texas Medical Center.

“Despite this,” says the report, “it lacks the number of world-leading universities that other cities have, and only performs moderately in terms of the educational attainment of its residents.”

Slower-than-expected population growth and an aging population weaken Houston’s human capital score, the report says.

Meanwhile, Houston’s score for quality is life is hurt by a high level of income inequality, along with a low life expectancy compared with nearly half the 1,000 cities on the list, says the report.

Also in the quality-of-life bucket, the report underscores the region’s variety of arts, cultural, and recreational activities. But that’s offset by urban sprawl, traffic congestion, an underdeveloped public transportation system, decreased air quality, and high carbon emissions.

Furthermore, the report downgrades Houston’s environmental stature due to the risks of hurricanes and flooding.

“Undoubtedly, Houston is a leading business [center] that plays a key role in supporting the U.S. economy,” says the report, “but given its shortcomings in other categories, it will need to follow the path of some of its more well-rounded peers in order to move up in the rankings.”

H-Town jumped 43 spots into No. 97 this year. Photo via Getty Images

Houston jumps significantly on annual list of best places to live in 2024

by the numbers

Things are looking a little brighter for Houston as the city was recently named among the top 100 best places to live in U.S. News and World Report's "Best Places to Live" list for 2024-2025.

Previously, H-Town had shockingly plummeted toward the bottom of the list as No. 140 in the 2023-2024 rankings. But the latest report has placed Houston at No. 97, suggesting substantial improvements over the last year.

U.S. News annually measures 150 top American cities for their livability and ranks them based on four major indexes: quality of life, value, desirability, and job market.

New for the 2024-2025 report, U.S. News updated its methodology to analyze city-based data rather than metropolitan area data. Secondly, the report's annual survey decided to place greater weight on a city's "value and job market" while "weights for desirability and quality of life took a slight dip" on the grading scale.

"Rising concerns about career prospects, housing affordability and increased cost of goods and services are reflected in this year’s rankings," said U.S. News loans expert and reporter Erika Giovanetti in a press release. "While quality of life remains the top priority for many Americans, a city’s value and job market are becoming increasingly important for those looking for a place to live."

There's many factors that draw folks to Houston, among them our city's diversity, the highly esteemed schools, top universities, and much more. Houston is also a great place for retirees looking to settle down without compromising on the big city lifestyle. The city truly has something for everyone.

The good news continues: Houston additionally moved up two spots to take No. 8 on the report's Best Place to Live in Texas list for 2024. The Bayou City ranked No. 10 last year.

Elsewhere in Texas
The recent focus on city-based data was likely a major factor that fueled Houston's improvement in the statewide and national rankings, but it also favorably shifted nine other Texas cities.

Austin – which previously ranked No. 40 in last year's rankings – became the only city to represent the Lone Star State among the top 10 best places to live in 2024. The Texas Capital jumped up 31 spots to claim No. 9 nationally, due to its "high desirability and job market scores," the report said.

Three cities in the Rio Grande Valley also ranked higher than Houston, suggesting that South Texas may be a better place to live than East Texas. The border towns of McAllen (No. 48) and Brownsville (No. 87) climbed into the overall top 100 this year after formerly ranking No. 137 and No. 134 last year. Meanwhile, Corpus Christi moved up from No. 132 last year to No. 77 in 2024.

Naples, Florida won the gold medal as the No. 1 best place to live in the U.S. in 2024. Rounding out the top five are Boise, Idaho (No. 2); Colorado Springs, Colorado (No. 3); Greenville, South Carolina (No. 4); and Charlotte, North Carolina (No. 5).

Here's how other Texas cities faired in 2024's Best Places to Live report:

  • No. 62 – El Paso (up from No. 128 last year)
  • No. 89 – San Antonio (up from No. 103 last year)
  • No. 95 – Dallas (up from No. 113 last year)
  • No. 99 – Beaumont (up from No. 131 last year)
  • No. 107 – Killeen (up from No. 122 last year)
The full report and its methodology can be found on realestate.usnews.com.

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This article originally ran on CultureMap.

Houston needs to lighten up a little, sheesh. Photo by Rome Wilkerson on Unsplash

Houstonians are pretty miserable, new study finds

frowns in H-town

Not-so-happy news for Texans living in Houston – they're living in one of the "unhappiest" cities in the nation.

A recent SmartAsset study ranked Houston the No. 81 happiest city in the U.S., based on an analysis of 90 large cities for their residents' quality of life, well being, and personal finances.

The city's rank in the bottom 10 — alongside Texas neighbors Dallas (No. 80), El Paso (No. 83), and Laredo (No. 89) – shows not everything about Houston is as easygoing as people think it is. We can hear Ken Hoffman's disagreement from here.

The study found 28.5 percent of all Houston households make a six-figure salary or more, and 16.2 percent of residents are burdened by their housing costs. Houston's poverty rate is 20.7 percent, so maybe it really is more difficult to live comfortably in the city, after all.

Houston has a marriage rate of 39.4 percent, and its residents have a life expectancy of 79 years old. Nearly 76 percent of residents have health insurance, and a Houstonian has nearly five "mentally unhealthy" days per month on average.

Our beloved city has had some bad press recently: H-Town isn't exactly revered for having the best drivers; the city and its suburbs are apparently less appealing for new residents making the move to Texas; and its popularity in the tech industry seems to be waning.

It's not all doom and gloom, though. There's always plenty of new restaurants to try, our city's inventive art scene remains unmatched, and plenty of hometown hero celebrities, Hall of Fame athletes, and talented musicians praise Houston for its culture and hospitality.

While money can't necessarily buy happiness, SmartAsset suggests that having a higher quality of life can influence a person's financial decisions, therefore leading to a greater probability of beneficial outcomes. Of course, that's assuming high financial literacy and strong money management skills.

"Depending where you live, certain quality of life factors, including metrics like life expectancy, infrastructure and the rate of marriage, can ultimately impact your happiness," the report's author wrote.

Elsewhere in Texas, the Dallas suburb of Plano soared to the top as the No. 2 happiest city in the nation. More than half (52.5 percent) of all Plano households make a six-figure salary or more, and only 12.1 percent of residents are burdened by their housing costs. Plano's poverty rate is less than five percent, its marriage rate is 56 percent, and nearly 90 percent of Plano residents have health insurance.

Other Texas cities that earned spots in the report, that notably aren't as happy as Plano, include: Fort Worth (No. 38), Arlington (No. 47), Irving (No. 64), Austin (No. 65), San Antonio (No. 70), Corpus Christi (No. 77), and Lubbock (No. 78).

The top 10 happiest cities in the U.S. are:

  • No. 1 – Arlington, Virginia
  • No. 2 – Plano, Texas
  • No. 3 – Fremont, California
  • No. 4 – San Jose, California
  • No. 5 – Seattle, Washington
  • No. 6 – Boise City, Idaho
  • No. 7 – Raleigh, North Carolina
  • No. 8 – Chesapeake, Virginia
  • No. 9 – San Francisco, California
  • No. 10 – Anchorage, Alaska
The report ranked the 90 most populous U.S. cities based on data from the U.S. Census Bureau 1-Year American Community Survey for 2022 and from the County Health Rankings and Roadmaps for 2023. Data that factored into each city's ranking included a city's household income, poverty level, life expectancy, health insurance rates, marriage rates, overcrowding rates, and more.The full report and its methodology can be found on smartasset.com

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This article originally ran on CultureMap.

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UH secures $5M in philanthropic gifts to bolster engineering, nursing

major gifts

The University of Houston has received two significant philanthropic gifts to advance innovation and healthcare, the college announced this month.

Manmohan Singh Kalsi and Marie-Luise Schubert Kalsi granted $4 million to UH’s Cullen College of Engineering to support endowed and current funds for graduate fellowships and industry interest in the mechanical and aerospace fields.

The gift is the Department of Mechanical and Aerospace Engineering’s largest donation in years, according to UH, and will establish two endowed professorships to attract and retain leading faculty. It will also create the Kalsi Faculty Research Fund, which aims to take emerging research to the next level.

Additionally, UH says it will also bring industry experts to campus to present and collaborate with students via the forthcoming Kalsi Seminar Series.

Manmohan Kalsi earned both his master’s degree and Ph.D. in mechanical engineering from UH. He went on to found Sugar Land-based Kalsi Engineering in 1978, which pioneered hydrodynamic rotary sealing technology and valve technology for nuclear power plants. In 2014, he established an endowed professorship within Cullen College in honor of the late UH professor Gabriel Fazekas.

"This gift provides a tremendous boost to our department's strategic momentum,” Karolos Grigoriadis, chair of the Department of Mechanical and Aerospace Engineering, said in a news release. “By simultaneously supporting faculty, graduate researchers and collaborative seminars, the Kalsis are strengthening every part of our research enterprise and creating new opportunities for discovery, collaboration and student mentorship.”

Meanwhile, Houston’s The Hamill Foundation also gave a $1 million gift to UH’s Andy and Barbara Gessner College of Nursing. The funds will establish The Hamill Foundation Endowed Professorship in Community Care Nursing, to support a faculty member focused on community-based nursing education, partnerships, research, and outreach to underserved communities in Houston.

Additionally, the funding will go toward efforts to address nurse shortages through the newly established UH Health program. The Hamill Foundation has donated $6 million previously to UH through the years, but the latest $1 million is the largest single investment from the foundation to date.

“The Hamill Foundation continues to help us raise the bar for nursing education and address the nursing shortage,” Kathryn Tart, founding dean and professor at Gessner College and Humana Endowed Dean's Chair in Nursing, said in a news release. “The enduring commitment and generosity of The Hamill Foundation allow us to answer the call and educate generations of competent and caring nursing professionals.”

Both of the recent gifts help fund UH’s $1 billion Can’t Stop Houston: The Centennial Campaign. As of September, the university had raised more than $881 million. UH turns 100 years old in March 2027.

SpaceX's supersized Starship rocket launches into orbit for first time

Out in Space

SpaceX launched its enormous Starship into orbit for the first time Monday, September 28, and successfully delivered the most advanced Starlink satellites yet, but cut the flight short to ensure safety.

The spacecraft reentered over the Pacific and splashed down north of Hawaii three hours after blasting off from Texas. The company had been aiming for a 10-hour flight, spanning six full laps around Earth, to prove its readiness for NASA’s Artemis moon program.

Starship tipped over and erupted in flames upon splashdown, a dramatic end to the mission.

Elon Musk's Starship almost didn't make it to orbit when one of its engines shut down prematurely. But with everything else working well and the bad engine no longer needed, flight controllers decided, after several tense minutes, to proceed as planned.

“Starship is orbital,” Mission Control announced to cheers.

NASA Administrator Jared Isaacman congratulated SpaceX on reaching orbit and “managing every step in a safe, responsible and especially inspirational way.”

Rocket carries 26 of Musk's most advanced Starlink satellites

Musk’s showpiece rocket — the biggest and most powerful ever built — carried 26 of the latest Starlinks to join the 11,000 older models already providing internet service. They popped out of the spacecraft one by one, drawing more cheers from the SpaceX crowd at the Starbase launch site.

The decision to end the flight early came soon afterward. SpaceX said hours later in an online update that the decision was made “out of an abundance of caution” because of the early engine trouble.

It was Starship’s 14th full-scale launch from Texas’ southern tip in three years. Earlier test flights ventured no farther than the Indian Ocean halfway around the world, often crashing in flames and briefly skimming space.

This time, the intent was for SpaceX to circle the globe from an altitude of 170 miles (275 kilometers) — not just once but six times over almost 10 hours, ending with a Pacific splashdown near Chile. While Starship achieved the proper orbit, zipping along at 17,500 mph (28,000 kph), flight controllers opted to play it safe and bring it back several hours sooner, after just a couple of laps.

The first-stage booster was never meant to return to the Starbase launch site either, dropping instead into the Gulf of Mexico within minutes of the morning liftoff.

SpaceX wants to ensure that everything works before flying Starship back to Starbase. If the spacecraft breaks apart over land and rains debris onto people, “our popularity would diminish very rapidly,” Musk said at a business summit earlier this month. “That’s why we’re being extremely cautious here.”

Depending on the findings from Monday's orbital debut, the next Starship could return to the launch pad, where giant mechanical arms would grab the hovering spacecraft. If the catch works — Musk gives it even or slightly better odds — then SpaceX will refly the spacecraft by year’s end or early next year.

The 407-foot (124-meter) rocket was designed from the start to be fully reusable, a key to lowering launch costs. SpaceX managed to salvage the last Starship from the Indian Ocean in July. Engineers modified the newly launched Starship’s heat shield based on hands-on inspections of the recovered spacecraft, which is being tugged back to Starbase.

SpaceX wants Starship to be certified for orbital flight

SpaceX is pressing hard to certify Starship for orbital flight, a vital step toward moon and Mars travel.

NASA’s Artemis III mission is coming up as soon as next summer, a triple-launch docking exercise in orbit around Earth between an Orion capsule full of astronauts and competing lunar landers. Jeff Bezos’ Blue Moon would blast off first, followed by Orion — which would close in for a linkup — and then Musk’s Starship for a docking with Orion once Blue Moon is unleashed.

The next mission, Artemis IV, is slated for no sooner than 2028 and would have astronauts landing on the moon in either Blue Moon or Starship, whichever is ready first. Subsequent moonshots will alternate between the two billionaires’ landers.

Musk originally developed Starship for Mars, intending to launch scores of them with the red planet’s first settlers. For now, he plans to focus on the moon and use Starship to haul satellites into orbit by the truckload, phasing out the company’s frailer Falcon 9 rocket within several years. A second Starship launch site is nearing completion at Florida’s Kennedy Space Center and a third is planned for Louisiana.

Houston startup raises $2.4M for sleep apnea technology

sleep score

Houston-based Bairitone Health has closed an oversubscribed seed round and achieved a regulatory milestone, the company tells InnovationMap.

The healthtech startup, which is developing solutions and technology for untreated obstructive sleep apnea (OSA), raised $2.4 million, says CEO and co-founder Meagan Pitcher, exceeding its $2 million goal.

New York-based Golden Seeds, which invests in female entrepreneurs, led the round. Houston-based South Loop Ventures also participated, as well as MALIAM, Impact Invest Her and additional angel, venture, syndicate and family office investors. The company previously raised a pre-seed round of $435,000 in 2024.

Pitcher says the latest funding will go toward Bairitone's clinical site expansion, FDA-facing work and the continued product development of its SOMNAR technology.

"What I’m most excited about is what this lets us do next: expand our clinical testing, work with more patients and physicians, and keep improving based on what we learn," Pitcher said in a LinkedIn post.

SOMNAR is the company's noninvasive diagnostic platform for sleep apnea airway assessment. The platform maps users' anatomy during natural sleep using a facial patch to determine the root cause of airway obstruction. It then offers effective therapies for each patient.

SOMNAR received Breakthrough Device Designation from the Food and Drug Administration in April. It is currently for investigational use only and is still pending FDA clearance. The new designation aims to help speed up development, assessment and review for premarket approval for medical devices, according to the FDA. It will also give Bairitone more opportunities to interact directly with FDA experts to make the approval process more efficient.

Bairitone was founded in 2022 in the Texas Medical Center's Biodesign program by Pitcher, CTO Onur Kilic and chief medical officer Britt Cross. It was a member of Activate Houston's inaugural cohort and has participated in numerous accelerators and incubators.

The company was a finalist for the Houston Innovation Awards in 2025 and 2024.