RealActivity bet $1 on Fable 5.1

RealActivity is the AI governance layer for healthcare, on both sides of care. Provider activity attestation. Patient agent orchestration. Provider Activity. Built over 15+ years alongside hospitals and academic medical centers. Provider side: our platform replaces traditional time studies with continuous, CMS-accepted effort reporting. 100% accuracy by the 15th of every month. 1,000+ provider attestations per cycle. 55+ operational use cases from one master dataset. True clinical FTE visibility, provider-confirmed monthly. Patient side: Tula is our open-source frontier patient agent. Aria is the commercial governed patient-agent swarm with identity, audit, compliance, and multi-agent orchestration for production hospital deployment. Hospital-grade governance for patient-side AI is a category most incumbents have not yet entered. The same operational discipline that runs the platform powers our AI governance advisory, aligned to NIST AI RMF, Joint Commission, and CMS. Advisory services: • Microsoft Healthcare AI: Strategy, Readiness & Governance • CMS Compliance Readiness Assessment • Physician Workforce Intelligence Workshop • Healthcare AI Strategy Advisory • Anthropic Advisory in Healthcare Founded and led by Paul J. Swider (CEO, Cloud Wars analyst, Microsoft speaker on agentic AI governance). Governance advisory delivered in strategic collaboration with Melinda deHoll, MSN, FACHE, AIGP Microsoft Solutions Partner. Microsoft for Startups graduate. HIMSS member. CMS has expanded audit activity from 60 to 550 plans annually. The question is when, not whether.

Founded 2014