
Founder & CEO @NarrativeDx, AI used by 85% of health systems (acq’d @Qualtrics @PressGaney); 6 AI patents
Austin, TX
Joined July 2014
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Replying to @NarrativeDx
@NarrativeDx winner of 2022 AI Excellence Awards! 🔥
"The product of six different U.S. patents, NarrativeDx invented the industry standard for understanding feedback specific to healthcare – from patients, providers, consumers and health plan members."
lnkd.in/ehHa8Bqk
Kyle Robertson retweeted
Reading Rockefeller's biography
Interesting line last night:
"When it came to mergers, he didn't fight for the last dollar and tried to conclude matters cordially"
One of the most intense business people of all time understood still having a good relationship with folks on the other side of the table is mission critical
Because, once the deal is done, the real works starts. And you need the help of the other person on the other side of the table
This isn't a zero sum game in SMB M&A
Kyle Robertson retweeted
There’s so much to unpack here, but it’s a huge lesson for startup founders AND for their customers.
For background, ServiceTitan announced that they are no longer integrating with Podium and customers (which it seems like there are ~1,000) have 3 weeks to find a replacement.
This is the definition of platform risk.
Not because one company is necessarily right or wrong, but because it exposes a truth that both founders and customers routinely underprice.... an integration is not a product feature. It is a revocable treaty between two companies whose incentives can (and will) change.
There are a few important lessons here:
1/ Platform risk is an incentive problem, not an API problem.
Founders worry about uptime, rate limits, documentation, and technical stability.
But the largest risk is strategic and has nothing to do with the tech.
An integration remains safe only while the two companies are complementary. The moment the partner begins owning a valuable adjacent workflow, more customer data, or the customer relationship itself, it can (and will) become a competitor.
This happens all the time, and is exactly what is happening in the Podium / ServiceTitan relationship.
2/ The system of record owns the veto.
A partner can have the better product, stronger customer love, thousands of users, and signed annual contracts.
But the platform controlling the system of record still controls the access point.
In platform markets, the company creating the most value is not always the company with the power to decide whether that value may continue flowing.
3/ Platform dependent ARR is contingent ARR.
So many startups I talk to sell customers annual contracts while relying on platform access that can be changed in hours/days/weeks.
Long-term obligations built on short-term permission is a nightmare.
If a meaningful percentage of your revenue depends on one company’s API, you do not just have partner concentration. You have a giant liability inside your business model.
Investors will evaluate platform concentration the same way they evaluate customer concentration.
Not all ARR has the same durability. Although you may be able to grow quickly being a platform partner, the risk and valuation aren't worth it.
4/ Marketplace ecosystems follow a predictable arc.
A platform recruits partners to fill product gaps.
The partners discover demand, educate the market, and build new categories.
The platform watches which categories become strategically important.
Then it decides whether to continue partnering, acquire, restrict, replace, or build.
The ecosystem is often most open before the platform knows which adjacencies are valuable.
Amazon is the king of this.. but it's the same playbook over and over.
5/ Customers ultimately inherit the vendor conflict.
An “integrated stack” feels modular until one vendor can sever the connection and leave the customer with overlapping contracts, stranded workflows, retraining costs, and a rushed migration.
The important procurement question is not merely:
“Does it integrate?”
It is: “Who can revoke the integration, what breaks if they do, who owns the data, and how quickly can we recover?”
At the end of the day it comes down to this..
Founders should build portability before they need it.
And customers should buy continuity, not just connectivity.
Because when platforms and partners divorce, the customer pays the breakup fee.
Kyle Robertson retweeted
More fiction has been written in Microsoft Excel than inside of novels
Few realize this
I’m guilty of giving people unnecessary titles to hire them when we were short on cash.
But hiring a “founding customer success manager” after raising $5M seems a bridge too far.
I am listening to my wife plead with @TurkishAirlines to approve the change or let us book a new flight without cancelling our existing return flight before they die. It’s honestly mind blowingly awful customer service. We have provided all the documentation they asked for
It’s exactly the same amount of effort (or more) to sell a hospital a $10,000 product as compared to a $1,000,000 product.
The end of an era. Thank you for your service 🫡
Amazon will stop accepting new customers for Mechanical Turk techcrunch.com/2026/07/05/am…
They sent a poet 👨🎨
USA. A Mexican restaurant. We had not yet ordered anything, and the food was already arriving.
Chips. Salsa. Unrequested. Free.
I stopped the waiter. "We have not earned these."
"They just come with the table, man."
They come with the TABLE. In my land, hospitality is a debt. Every gift creates an obligation, weighed carefully, returned in the proper season with interest of feeling. Here, the gift arrives before you have even proven you can pay for dinner.
This is not an appetizer. This is a declaration: we trust you. Eat.
I ate with the gravity the moment deserved. And then — I must report this calmly — the basket emptied, and a new one appeared.
"Did we…?"
"Refill," the waiter said. "It's bottomless."
Bottomless. They have wells of salsa. The supply lines of this nation are beyond anything my ancestors imagined.
My friend warned me. "Don't fill up on chips, dude."
Too late. I had accepted three baskets. Honor demanded each one be finished — an unfinished gift is an insult. By the time my actual food arrived, I was a ruined man.
I was not hungry. I was not comfortable. I had been defeated by a courtesy.
Generosity that arrives before the request cannot be repaid. It can only be survived.
I know the rule now. I have made my peace with the basket. One basket. Two at the most.
Who am I deceiving. There is no number of baskets I would refuse. The trust of a nation is in that salsa, and I intend to honor all of it.
🎉🎉 I’m excited to share Charge Health's peer-reviewed publication in The Journal of Nursing Administration! 🎉🎉
Simply playing Charge Health improves caregivers’ likelihood to recommend working for their organization by 9%!
journals.lww.com/jonajournal…
Congrats on merging two titans of healthcare! The future of human experience is bright ⭐️
Big news: @Qualtrics has acquired @PressGaney Forsta, adding the world's largest healthcare experience dataset to our platform. More data. More context. More precise #AI. The Experience Gap is closing. Read what it means here: qualtrics.com/articles/custo…
















