We build governed AI for academic medicine.
On the provider side and the patient side - grounded in a human-attested record, and built by a team whose work spans dozens of US hospitals over the past 30 years, including governed AI proven in production inside an academic medical center.
Memory is not data.
The most trustworthy AI in healthcare won't be the one with the largest model. It will be the one built on a record a human actually verified.
RealActivity started from a stubborn problem in academic medicine: nobody could say, with confidence, how physician time was actually spent. The answer was reconstructed from memory, sampled for two weeks, and stretched across a year - then asked to hold up in a federal audit.
We took a different path. Capture activity as it happens, have a clinician confirm it in under thirty seconds, and keep an auditable record with provenance. That record does two things nothing else can: it stands up in a CMS audit, and it gives you a foundation safe enough to run an AI agent on.
That's the whole company. Governed agents on both sides of care - Ava helping providers verify their effort, Tula and Aria giving patients agency - all on the same runtime, all grounded in a human-attested record.
Three commitments we don't compromise.
A verifiable record
Every claim traces to something a human confirmed. We'd rather show you the lineage than ask you to trust the output.
Governed by design
Governance isn't a feature we bolted on. Human oversight, alignment to recognized AI risk frameworks, and HIPAA with a BAA are how the products are built.
Enablement, not surveillance
The same thirty seconds that satisfies compliance surfaces the invisible work and returns credit to the clinician. The people in the data benefit from it.
A team that has shipped, advised by people who run health systems.
Paul Swider
Founder & AI Lead
Leads RealActivity's product and AI strategy, with a long track record of putting AI into production inside healthcare.
Brian Smoker
Advisor · Dartmouth Health
Brings the operational perspective of a leading academic medical center to RealActivity's roadmap and partnerships.
Backed by a team across AI engineering, healthcare compliance, and partnerships, with experience spanning dozens of US hospitals over the past 30 years.
Let's talk about what governed AI looks like at your institution.
The best first conversation connects your CMO and Compliance leadership.