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mkinsella

437 karma · joined March 27, 2009

Real-life programmer in San Francisco via San Diego.
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mkinsella··on Ask HN: Who is hiring? (September 2026)
Vitalize | Senior Product Manager or Staff Product Manager | San Francisco (hybrid)

What we do: Hospitals run critical operations (staffing, labor planning, and capacity) on spreadsheets, phone calls, and gut instinct. Labor is the biggest cost and hardest operational problem, and it’s still largely manual. Vitalize is building the operating system for hospital labor (and ultimately capacity): we forecast demand from real hospital data (e.g., ADT + historical patterns + acuity) and translate that into concrete staffing decisions: next month’s schedule and the next shift.

Traction: - ~$37M raised - Launched 2024; ~$13M committed ARR across 10+ health systems - Live in 20+ hospitals and growing quickly

The role: We're hiring a PM to own the product experience that takes a hospital from signed contract to successfully using Vitalize in production. Getting there is complex: every health system has its own HRIS, scheduling workflows, union rules, and technical environment. This team builds the custom integrations and internal tooling that make those deployments faster, more repeatable, and less manual as we scale.

We're looking for a PM who... - Led messy third-party enterprise integrations deep enough to make real technical calls with eng - Has built internal tooling with an internal team as the customer - Prioritized a roadmap under live GTM pressure and held the line when the loudest deal wasn't the right build - Startup experience, where the system you were building didn't exist yet

If you're interested, email me mark@vitalize.care

Comp: $215K-$260K + equity

mkinsella··on Ask HN: Who is hiring? (August 2026)
Vitalize | Full-time Engineer | San Francisco (hybrid)

What we do: Hospitals run critical operations (staffing, labor planning, and capacity) on spreadsheets, phone calls, and gut instinct. Labor is the biggest cost and hardest operational problem, and it’s still largely manual. Vitalize is building the operating system for hospital labor (and ultimately capacity): we forecast demand from real hospital data (e.g., ADT + historical patterns + acuity) and translate that into concrete staffing decisions: next month’s schedule and the next shift.

Traction: - Launched Jan 2024; ~$8M committed ARR across 10+ health systems (deals ~$300K–$2M) - Live in 20+ hospitals and growing quickly - ~$37M raised (Oak HC/FT, Norwest, .406, plus customer-investors MemorialCare & Rochester Regional Health)

How we work: We’re extremely customer-obsessed: everyone visits customer sites (including engineering) and we regularly build alongside operators to solve real problems (not hypotheticals). High ownership, high candor, high velocity.

Who we're looking for: Engineers who learn quickly, reason clearly about hard problems, and want to ship high-impact product at the intersection of AI + operations + healthcare. If you're interested, email me mark@vitalize.care

Stack: TypeScript + Postgres + Effect

Comp: $160k–$270k + equity

mkinsella··on DIY NAS: 2026 Edition
I just purchased one of these on BF sale. How hard is it to install Truenas?
mkinsella··on Waymo robotaxis are now giving rides on freeways in LA, SF and Phoenix
In the few times I’ve seen a Waymo on the freeway in the Bay Area, they have always been in the slow lane and driving 55-65 MPH.
mkinsella··on Heavy Construction of a Sewage Pump Station – Ep 3 [video]
This video series is one of the best pieces of content I’ve watched on YouTube. If anyone has other similar recommendations then please share!
mkinsella··on I've built my first successful side project, and I hate it
Pager was great! Thank you for building it.
mkinsella··on Azure ChatGPT: Private and secure ChatGPT for internal enterprise use
Microsoft is a major investor in OpenAI. Guaranteed they worked with OpenAI on this and have partnership to use the trademarks.
mkinsella··on GameStop Terminates CEO Amidst Declining Revenue
It makes buying used games (which they make much more profit on) more enticing to the consumer.
mkinsella··on New York to ban natural gas, including stoves, in new buildings
Agreed. An induction cooktop and electric stove are far superior to gas.
mkinsella··on Detect breaches with Canary credit cards
Use Privacy.com for that!
mkinsella··on WLED Arduino WiFi LED Controller
Can you link to what bedside lamp you're using? I'm happy to modify/retrofit an existing lamp but have yet to find something that would work well with LED strips.
mkinsella··on iPhone 13 Pro and iPhone 13 Pro Max
Doesn't seem like a big enough improvement over the 12 to warrant the price difference? I'm on the iPhone X and will likely get the 12.
mkinsella··on Instacart mulls direct listing in snub to IPOs
Have you worked at a company that has gone public? It's a huge day for the company. Seeing the stock dip is a major morale killer, attributes to attrition, and can cause issues with hiring strong talent.
mkinsella··on Ask HN: What does mastery look like in software engineering?
This is the biggest difference between a Junior Engineer and a Senior (or Staff Engineer).

A Senior Engineer knows what the highest-value work is and is influencing/driving the roadmap. A Senior Engineer says 'no' more often than 'yes' and backs it up with a 'why.'

mkinsella··on Yelp cancels internship program due to Covid-19 outbreak
I highly doubt the shelter-in-place order will be lifted before mid-May.
mkinsella··on Zesty (YC W14) Raises $17M Series A to Improve the Health of Humanity
How do you measure this? Number of meals delivered per week? I'm surprised ZeroCater and Cater2me are smaller...
mkinsella··on elgooG
slooF lirpA yppaH
mkinsella··on A better pull request
Are there that many non-enterprise companies using Bitbucket over Github? Most startups and mid-sized companies I know use Github for private repo hosting.
mkinsella··on Update on Sony Investigation
Also, Cuba.
mkinsella··on My New FiberHouse in Kansas City
This is great for the area. There is a lot of unsung innovation coming out of the Midwest with Kansas City playing a large part of it. Coupled with a ton of very smart people, Kansas City is ripe to become a major player in the startup community.

Also, the city is wonderful. Beautiful, amazing food, great schools, cheap, clean, and great transportation options for vacations (out of a great airport!). As someone who lived there for 18 months before moving to San Francisco, there is a lot about Kansas City that I miss.

mkinsella··on Cards Against Humanity: Results of "pay what you want"
Only the Holiday pack was pay what you want. The base game is $25 or free to print.
mkinsella··on Google Maps for iOS
I can finally upgrade to iOS 6.
mkinsella··on Zynga May Have Just Laid Off 100+ Employees From Its Austin Office
Which is exactly the opposite of what will happen. People are talking about it more because they tried to bury it during the Apple event.
mkinsella··on Zynga May Have Just Laid Off 100+ Employees From Its Austin Office
Also rumored to have shut down their Boston and Chicago offices.
mkinsella··on How Long Will You Need to Save to Buy a Home In Your City?
Unfortunately, Chicago is amazing for less than only half the year: spring and fall. Winter and summer are a miserable experience. And winter usually lasts quite long.
mkinsella··on All eight women disqualified for throwing badminton matches
A round-robin stage is fine as long as all final matches are played simultaneously (as is the case for most football/soccer group stages). That wasn't the case this time.
mkinsella··on All eight women disqualified for throwing badminton matches
One umpire even showed a black card to both competing teams (which would automatically disqualify them) but then rescinded his decision and allowed the farce to continue.
mkinsella··on All eight women disqualified for throwing badminton matches
Completely unrelated.

All four of these badminton teams had already qualified for the next round with only the seeding still to be determined.

In swimming qualifiers, only the top 8 swimmers across all heats advance to the finals. There is absolutely no guarantee that an individual swimmer in a heat will qualify for the next round if he or she simply swims slowly to conserve energy.

mkinsella··on The futures of Facebook and Google are embedded in these two images
Interesting point. However, I'll disagree with Amazon.com. Purchasing real world products is much more than just a database frontend.
mkinsella··on Little Printer prints you a beautiful mini-newspaper.
Thank you for not calling it "Printr"
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