Commure

“When you find someone who actually is addicted to pain, they tend to perform really well at startups and they tend to make great leaders. They tend to grow very quickly. And our thesis has always been find these people and make them celebrities in the company.”

“So for Ambien and charge entry and charge capture, the, it's about seven percent of all healthcare visits in the US run on our platform.”

“We're a company that's doing hundreds of millions of dollars. It's almost unheard of to be doing hundreds of millions of dollars in annual revenue”

“It took a long time to get our FDA clearance. It, you know, it took almost two years longer than we initially expected.”

“If you think about the scale of problem that we're trying to solve in healthcare we're, I wouldn't consider it a success in, we really wouldn't have penetrated much of healthcare at all if we weren't a hundred billion dollar company.”

“And so adapting our tools to the needs of the region It was an order of magnitude easier than we initially thought, and language models have made localization and workflow optimization for a region much easier.”

“And for us, 85% of our claims don't touch a human. They're entirely autonomous. And everything from the packaging of the claim, the submission, the coding of the claim, and then the back and forth with the pair is done by a model, which is very exciting.”

“And HCA talked about this in their earnings call. I think a couple of our other customers have now talked about this on earnings calls as well. They've seen the productivity lift very clearly in terms of the number of appointments that a physician can do. And …”

“We've done, I would say like five meaningful acquisitions and then 15 acqui-hires.”

“And we're in pricing bake-offs with all the models every day. Like we pick the best model for the job and we're extracting every last bit of, you know, margin from them as we can.”

“The full company today is about 1200 people. Yeah, we're, you know, seven different offices, India, Bangladesh included and then a New York hub, a Boston hub, a Nashville hub, and then Mountain Dews HQ and Salt Lake as well.”

“In total, the business has raised about seven hundred and fifty million bucks.”

“We've extensively used CBF, which is General Catalyst's non-dilutive customer value fund to fund our go-to-market expansion without needing to dilute shareholders.”

“We have parts of our business that run at pure SAS margins in the high eighties, mid nineties. And you have other parts of the business like full cycle RCM that have a labor component and a heavy token component. And those run at everywhere, anywhere from the …”

“We're in the hundreds of millions of dollars in revenue.”

“In, in health systems like HCA, it's a very similar story. We've been able to add a couple hours to every physician's day.”

“We probably, we support, I want to say, two hundred million patient encounters every year now.”

“That does about fifty million annualized appointments every year, saving, like, I want to say at least seventy-five million hours a year for physicians, and that's just productivity straight back into the American economy.”

“There's a lot of nonsense GPT wrapper businesses out there right now. I won't say them by name. Maybe I'll say them by name later, but the, you know, they grew fast. They got a lot of VC interest, but they're going to be gone in three years because companies l…”

“We had RFK Jr. Visit the hospital last week, and we hosted him there, and it was an amazing visit, showing him the transformation with ambient documentation on ComerStack, with ADOC, which is a, an imaging-based company that's essentially automating a lot of t…”

“We've also acquired some businesses like Augmetics that was, you know, a public company, and it was particularly done for distribution. They were, you know, in 40 different health systems and trading at like, 1.5 x revenue.”

“And also transform their margin structure using LLMs. You know, primarily labor-based business that is now primarily software-based using language models.”

“I would not say I was inspired by Elizabeth Holmes. That sounds like an Alfred jab but we were started around the same time that the whole Theranos saga was happening. That is not untrue.”

“Our residual blood sample partnership with this health system was actually nothing more than Deepika being friends with the security guard and the front desk lady. And so we had accumulated hundreds of samples, and they were, you know, anonymized, and, you kno…”

“Yeah, that's a great question, and Commure is a unique-ish example in the sense that Commure is a company that Hamath and I started within General Catalyst. It's a quote, what we call hatch, Right. It's an incubation from within the firm.”