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After the acquisition of Galvanize by Diligent in early 2021, I spent the past 5 years…
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Keith Cerny shared thisThis is real progress for the right reasons.Keith Cerny shared thisSomething is broken in healthcare and nobody wants to say it out loud. The fastest-growing segment of health tech is designed to remove your doctor from the equation entirely. Subscription lab platforms. Self-service dashboards. AI-generated care plans reviewed by a rotating cast of doctors you’ll never actually meet. They call it empowerment. I think it’s abandonment dressed up in good design. Here’s what I believe. The best care still depends on a human who knows you. Not an algorithm. Not a generic mega-panel. A real provider who understands your history, interprets your results, and builds a plan around your life. That belief is why we built Fullscript Journeys. Today, we’re putting the infrastructure of modern health tech directly into the hands of 125,000 providers. Not to replace them. To make them more powerful than any self-service health subscription could ever be. The average Fullscript Journeys provider offers over five condition-specific health packages. Not a one-size-fits-all panel. Pricing starts at $50, making provider-guided care accessible to people who’ve been priced out by self-service health subscriptions. No subscription traps. No faceless tech. Just a better version of the care you’ve been looking for, with a real human at the center of it. We built journeys on 13,600 hours of clinical logic validated by our medical advisory team. But the technology isn’t the point. The point is what it gives back to the provider and the patient. Time. Clarity. Connection. The future of healthcare isn’t going to be built by removing humans from the picture. It’s going to be built by giving them better tools. Technology should enable the best human care at scale. Never replace it. Welcome to Fullscript Journeys. To care is human.
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Keith Cerny shared thisYou can't sell to a CEO That is the prevailing wisdom I learned when it comes to selling anything to the CEO of an organization. They are not the buyer because they are normally not a user nor the one implementing your solution. But what about when your offering is a way to manage, measure and master the skills a CEO and their organization needs to thrive? Skills like: - Build and Lead an Effective Executive Team - Lead Effective Board Engagement - Navigate Geopolitical Risk & Complexity - Allocate Capital & Resources to Drive Growth - Shape the Company Narrative Is it still impossible to sell to the CEO? Asking for a friend ;) #ceo #skills
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Keith Cerny shared thisI find myself entering the 'Ho Hum' stage now. Every digital product I use is updating at frenetic pace (or is about to). Improvements that would have impressed me in the past are just expected now so it is hard to get excited about them. Don't get me wrong, the improvements are both great and welcome. I'm just not feeling much about them. I expect them. I wonder if I am bored by change. I don't feel overwhelmed, but getting numb to it a bit. Perhaps numb to uncertainty also. I also have to figure out what is actually worth learning about and what to just let flow by. That is a skill that needs some work. I'll call it my "Change Discernment Skill" and track it in Admire. Once in a while something lands though. The new /btw command in Claude hits the target for some reason. I felt a tingle. Not sure why it stands out, but it did. Being able to talk to AI while it is thinking about what it is thinking without interrupting that thinking. Cool. Wonder if I'm just early or alone for this feeling or if others feel the same way?
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Keith Cerny shared thisCongrats to the entire Remitian team!! There are over $75 billion of late fees and penalties paid each year by taxpayers (individuals and organizations), often because of inefficiencies and mistakes made during the annual process. Excited to support Remitian as their Tax Payment API gives accounting firms and software providers a single gateway to initiate, track, and reconcile payments across jurisdictions. No more logging into multiple government portals. No more spreadsheet tracking. No more Accountants losing clients over penalty frustrations. No more late fees.Keith Cerny shared thisBig news for Remitian . We can now announce our $7M seed round! Tax payments are still fragmented across thousands of portals, forms, and workflows. Every jurisdiction works differently. Every firm has its own process. Every client ends up chasing approvals, logins, and deadlines. We believe tax payments should work like modern infrastructure. So we built the Remitian API. One API that unifies tax remittance across federal, state, and local authorities. What this means in practice: -CPA firms and financial advisors can automate tax payments instead of logging into dozens of government portals - Fintech and banking platforms can embed tax remittance directly into their product -Advisors can manage personal, corporate, trust, and other tax accounts in one system - Clients can authorize payments securely instead of sending blank checks or manual instructions The goal is simple. Turn tax remittance into programmable infrastructure. For firms, this means fewer manual steps, fewer errors, and predictable workflows. For developers, it means a unified API layer over a fragmented tax payment ecosystem. For the industry, it means tax payments finally move at software speed. We have spent the last four years building this with some of the best CPA firms in North America. Now we are ready to scale it. Thank you to our investors, advisors, customers, and team who believed in this vision early. Tax infrastructure is being rebuilt. Remitian is the API layer that unifies it. What is so exciting about this, is the VIP list of backers, all experts in the industries we serve, a select few below: Alex Norman from N49P Adrian Salamunovic Andrew Arruda Dr. Andrew Meikle Aydin Mirzaee Craig Weaver Daniel Eberhard from KOHO Ellen Choi Kenneth Dettman, CPA Guy Pearson from Ignition James A. Cordova Justin Adams from Aiwyn Justin Ferrabee John McGowan Lance Laking from Graphite venture Larry Hasson CPA, CA Mark Ang Michael Kravshik, CPA, CA Mike McCauley & Michael Litt from Garage Capital Mike Potter from Rewind Mike Weider Keith Cerny from Fresh Founders Richard Aprio Kopelman Rex Salisbury Ryan Embree Ryan Lazanis, CPA Sibi Thomas Shane Parrish Pablo Srugo Tal Schwartz Tariq Zaid
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Keith Cerny shared thisCongratulations John Austin on the launch of RipPDF!Keith Cerny shared thisAfter a year in stealth, RipPDF is officially released. We solve a problem most knowledge workers hit every day with AI—without realizing the real cause. When answers are wrong, people blame the model: “ChatGPT hallucinated.” “The copilot missed it.” “RAG isn’t accurate.” But usually it’s not the AI.... It’s the PDF. PDFs hide structure and context—tables flatten, reading order breaks, meaning gets lost—so retrieval pulls the wrong pieces and the AI confidently responds anyway. RipPDF fixes the ingestion layer. We turn PDFs into AI-ready knowledge assets so you get more accurate answers, faster, with lower token spend. And because not every workflow is the same, RipPDF supports three production-grade outputs: · Data-Enriched PDFs for authoritative, governed documents · Sidecar Intelligence (the LLM-ready cover sheet: purpose, scope, audience, do/don’t-use rules) · Markdown + Data Packs for production RAG (chunks + manifest + provenance + assets) Same documents. Different constraints. Clean AI either way. Make your PDFs AI-ready: higher accuracy, fewer hallucinations, lower cost. Visit RipPDF.com.
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Keith Cerny shared thisI'm going to nerd out here and draw on experience leading R&D and HR in the past. I think about skills constantly. Individual skills, team skills and organizational skills. Following a first principles and second order thinking approach, I've arrived at a skills architecture for modern AI focused organizations. Beginning with tone from the top; At the executive level there is a critical role to play with leading AI strategy and governance. This includes defining the vision and prioritizing AI investments, setting acceptable use policy, managing risk and Shadow AI, driving organizational readiness, evaluating impact in alignment with strategic objectives. At the management level there is work to align AI to organizational intent (to avoid optimizing for the wrong goals). Leaders need to translate organizational goals into agent-actionable specifications. This goes beyond context engineering to capture values based intent. What a human "just gets" after being in the company for some time, you need to spell out for AI. Managers also have people and AI agents to align and ensure the Human-AI pair work optimally as a unit and within in a larger team (see my earlier post about us becoming islands). Finally there are the skills needed at the individual employee level (Execs and Managers are employees also). This is where using modern AI tools effectively, evaluating (validating) outputs, and protecting company proprietary data and customer data. This is where a lot of progress has been made so no need to spell it out. This all leads to how I'm thinking of an organization now as a collection of collections of skills. An organization is made up of "capability units" CUs... a person is one, AI-agent another, a robot yet another. Then you have the combinations of CUs like human-agent, human-robot, ai-robot etc. Each CU or combo CU has a collection of skills to produce optimal work products. Hey, I did say I was going to nerd out here. You were warned. I hate reducing people down to this concept of a Capability Unit but it makes designing an operational skills intelligence platform simpler. I have each of these skills broken down into much more detail if anyone is interested to deep dive in this area.
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Keith Cerny shared thisAdvisors will be able to serve more clients but every client will feel special. THIS is AI done well!Keith Cerny shared thisNucleus landed today—not as abstract AI hype, but as something advisors could see themselves using. Connected intelligence that shows HOW to get more done. The message that I think resonated: 1. AI does the work (90% of client proposal and meeting prep done in minutes before you walk in) 2. Connected intelligence makes the work right (risk alignment + investment research + income planning + tax education flowing together) 3. Persuasive visuals make the client feel it (catalyst moments that spark trust and confidence) Watching Rachel Cameron, Nicholas Harding, MBA, Justin Boatman, Jesse Rosato, and Micaela Barraza bring this story to life—this is what we've been building toward. Grateful for this team, and everyone at Nitrogen. Thank you to everyone who came. 🚀 #FearlessInvesting #FIS26
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Keith Cerny shared thisWe are becoming islands. Bridge building will be essential. I noticed something when talking to people and teams that have been using AI for longer periods: Individuals are becoming vastly more productive but aligning between team members is becoming harder. I am experiencing it myself. It happens 1-1 between myself and my co-founder Payam Moghaddam despite intense daily communication and common tooling, we are regularly re-aligning. We are both on our own personal trajectory with intense AI use. My friend Adam Dymitruk is moving even faster on his own AI trajectory and I struggle to keep up or even learn from him. My experience is that when someone starts using AI seriously, they go on a journey. They develop new habits. They adopt new tooling faster than ever. They figure out what the AI is good at and what it isn't. My friend John Austin is building advanced technology for data extraction and, while his product is easy to use, I need binoculars to see the John/AI island given his expertise. So we need to assume our friends and coworkers are on a different journey than us. They've built different habits, different mental models, different workflows. They acquired different skills. Even if you're using the same AI, the tool is so general-purpose that each person shapes it into something unique. This didn't happen with previous technologies. When everyone got spreadsheets, we used them roughly the same way (not including you Interquartile Range using outliers). The point is the variance was lower. With AI the variance can be enormous. I think this is creating a problem that most people haven't recognized yet. Each person-AI pairing has its own capabilities, its own dialect, its own assumptions about what's possible. This puts enormous pressure on a role that wasn't designed for it: Management. If everyone on your team has become a unique human-AI hybrid with their own private operating system, "pointing them in the right direction" isn't enough. Someone has to build bridges between the islands. They have to maintain a shared understanding that keeps the team from fragmenting into a collection of highly productive individuals who can't collaborate. The problem of alignment is not new but the intensity is. That's a different job than what we call "management" today.
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Keith Cerny posted thisEven if AI & robots could do literally everything, people will still want to acquire their own skills and organize with other people to do things.
Keith Cerny commented on a post
4d
Encourage staying and investing, not punishing leaving. This negative reinforcement will encourage quickly leaving before numbers get higher.
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Keith Cerny liked thisHonored to be shortlisted for Best Embedded Payments Solution at this year's Banking Tech Awards. The gap between tax filing and execution is real, and the 'last mile' of tax remittance is finally getting the attention it deserves. For firms, financial institutions, or enterprises thinking about how to better control, standardize, and monetize payment workflows, this is where a lot of the opportunity still exists. Happy to compare notes with anyone exploring this space. Proud to be part of the Remitian team. #BankingTechAwards #EmbeddedPayments #FintechKeith Cerny liked thisWe've been shortlisted for Best Embedded Payments Solution at the Banking Tech Awards USA 2026. Being recognized alongside some of the biggest names in payments is a milestone we're proud of, and a reflection of the work our team and customers are doing together. But the real reason we do this? Every taxpayer deserves a simpler way to pay. We're building the infrastructure that makes that possible. The winners are announced on May 28 in New York. Fingers crossed. #BankingTechAwardsUSA #EmbeddedPayments #Fintech #Remitian
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Keith Cerny reacted on thisKeith Cerny reacted on thisIt’s time to talk about deeply misleading revenue reporting by enterprise AI companies. The reason many AI startups are crushing revenue records is because they are using a metric dishonestly: Contracted ARR The setup: Company signs 3-year enterprise deals. Year 1 is discounted (say $1M), Year 2 steps up ($2M), Year 3 is full price ($3M). They report $3M as “ARR” — even though they’re only collecting $1M right now. The worst part: The customer has an opt-out option at 12 months! It’s not actually a 3 year contract. The customer can simply decide to cancel or negotiate lower pricing. In the chart below, by Q5 the company is trumpeting ~$100M “ARR” to press, while actual cash-generating, in-effect ARR is ~$35M. That’s ~3x inflation. At some point customers are going to start triggering their opt-out clauses or aggressively negotiating down Year 3 pricing. And a wave of highly valued enterprise AI companies may collapse under the weight of reset expectations.
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Keith Cerny liked thisKeith Cerny liked thisGrateful doesn’t quite cover it. As I close this chapter as Chief People Officer at 123Dentist, I do so with immense appreciation for the people and culture that made this experience so meaningful. This is an organization with heart, ambition, and a deep commitment to doing right by its patients and its people—and it’s been a privilege to help steward the transformation of the organization into its next chapter. Thank you to Dr Amin Shivji, the Board of Directors, and the founding leadership team for their trust, and for building a values‑led culture grounded in integrity, teamwork, patient first care, and courage. That foundation is strong, and it will continue to guide what comes next. I’m equally appreciative of Jeff Leger’s leadership as he guides the organization through its next phase, building on the strong foundation already built, to establish 123Dentist as a truly national dental support platform. To everyone I’ve had the privilege of working alongside: thank you for the trust, partnership, and shared commitment to building something special and meaningful. I’m proud of what we have created together and excited to watch this team continue to thrive. To the wonderful HR team, you are doing important work in an organization which is fundamentally all about the people it serves and employs. The notes shared with me as I leave are a powerful reminder that people‑centred work matters—and that relationships are always the real legacy. For now, I'll be taking a moment to reflect and recharge— and I'm always open to thoughtful conversations with boards and leadership teams focused on scale, transformation, and sustainable value creation, particularly where people, culture, and leadership effectiveness are core to the strategy. #ExecutiveLeadership #BoardOfDirectors #ValueCreation #OrganizationalChange #Culture
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Keith Cerny liked thisKeith Cerny liked thisCPAs THAT VIBECODE Read that again I see countless CPAs grabbing their laptops and starting to build shit Brian C. Ashley Rhoden so proud of y’all Go for it!!! That’s how Remitian was started: Larry Hasson decided to do something about it Super excited for the future of the profession Come visit us in our growing Miami office or one of the meetups i run for innovation driven circles here!
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Keith Cerny reacted on thisKeith Cerny reacted on thisSomething is broken in healthcare and nobody wants to say it out loud. The fastest-growing segment of health tech is designed to remove your doctor from the equation entirely. Subscription lab platforms. Self-service dashboards. AI-generated care plans reviewed by a rotating cast of doctors you’ll never actually meet. They call it empowerment. I think it’s abandonment dressed up in good design. Here’s what I believe. The best care still depends on a human who knows you. Not an algorithm. Not a generic mega-panel. A real provider who understands your history, interprets your results, and builds a plan around your life. That belief is why we built Fullscript Journeys. Today, we’re putting the infrastructure of modern health tech directly into the hands of 125,000 providers. Not to replace them. To make them more powerful than any self-service health subscription could ever be. The average Fullscript Journeys provider offers over five condition-specific health packages. Not a one-size-fits-all panel. Pricing starts at $50, making provider-guided care accessible to people who’ve been priced out by self-service health subscriptions. No subscription traps. No faceless tech. Just a better version of the care you’ve been looking for, with a real human at the center of it. We built journeys on 13,600 hours of clinical logic validated by our medical advisory team. But the technology isn’t the point. The point is what it gives back to the provider and the patient. Time. Clarity. Connection. The future of healthcare isn’t going to be built by removing humans from the picture. It’s going to be built by giving them better tools. Technology should enable the best human care at scale. Never replace it. Welcome to Fullscript Journeys. To care is human.
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Keith Cerny reacted on thisKeith Cerny reacted on thisNah, we need to make Canada a country to stay for. Anything other than this is wrong. talent and capital aren't going to get any less mobile. You don’t trap those things. You compete for them. And we’re losing that competition. To be clear, we don't lack talent. Haven't you seen the meme that San Francisco is just one giant Waterloo wrapper? 😆 We have world-class builders, but they're chopped down. It's the zero-sum mentality or "tall poppy syndrome", it's weird af government interventions, it's scared capital, it's wantrepreneurs giving advice and taking equity. Trying to charge someone for leaving is just ignoring the root cause issue. If the solution is a $500k fine for leaving the country, don't you think there might just be a few things upstream that we probably got wrong?
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