Most CEOs at VIVE were talking about what AI could do. Brent Dover, CEO of Carta Healthcare, came back to the Tech Glow Up with receipts. Since we last spoke in October, Carta grew revenue 50% in a single quarter, retained every customer, and is now in conversations with major health systems about platforming their entire abstraction operations at scale.

The work is specific and the impact is real. Hospitals spend $15 billion a year paying nurses to log into patient records, scan through dozens of entries, and manually abstract the data that goes into clinical registries.

That data drives 30 years of quality benchmarking across the country. It is how hospitals know whether their knee replacements, their stents, and their stroke care are actually measuring up. Carta's AI tools cut that process from two hours to 40 minutes per form, surface findings a human abstractor might have missed, and do it while keeping the nurse's hands on the keyboard the entire time.

Episode Key Moment Highlights:

• [00:02:38] The $15 billion problem: why hospitals spend a fortune on clinical data abstraction and what is actually at stake in the quality data it produces.
• [00:05:52] What effective AI looks like in practice: from two hours to 40 minutes per form, better answers, and less cognitive burden on the people doing the work.
• [00:08:51] The cake mix design principle: why Carta deliberately slows the AI down just enough to keep humans cognitively engaged and in the driver's seat.
• [00:11:57] The update: 50% revenue growth since October, zero customer churn, and a path to doubling or tripling the business again within a year.
• [00:15:05] The Glow Up for 2026: closing the loop so abstracted data feeds back into hospital data science initiatives within an hour of the case, while the patient is still in the building.

Brent calls the standard approach to business backwards thinking. Most companies prioritize the company first and treat customers and employees as means to that end. Carta is building the other way around, and the growth numbers are making the case.

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