RealActivity
RealActivity builds governed AI on a proprietary OpenClaw runtime for academic medical centers, providing continuous CMS-accepted physician activity attestation and governed patient-agent tools. It sells enterprise subscriptions to AMCs via a 15-minute briefing and 90-day pilot motion.
- Company typePrivate
- Founded2014
- HeadquartersGloucester, United States
- Headcount11–50
- GTM typeB2B
- OfferingSoftware
What RealActivity does
RealActivity is a privately held software company headquartered in Gloucester, Massachusetts, that builds governed AI systems for academic medical centers (AMCs). Its core product, the Provider Activity Platform, replaces retrospective physician time studies with a continuous, CMS-accepted methodology that captures physician activity across clinical, research, teaching, and administrative missions and produces provider-attested data by the 15th of every month. The platform is powered by a proprietary OpenClaw runtime, which also underlies the Ava agentic assistant for conversational attestation inside Provider Activity Studio and the open-source Tula / governed Aria patient-agent layer.
The company sells primarily through enterprise field sales to AMCs and adjacent personas (CMOs, Compliance Leaders, CIOs/CMIOs), offering a 90-day structured pilot and an annual subscription model with quote-based pricing; revenue mechanics are anchored in subscription SaaS with implementation services. It monetizes defensible data outputs spanning Medicare Cost Report (Schedule J) preparation, 340B documentation, RVU-matched compensation, workforce planning, and audit defense, while extending its footprint into governed patient-facing AI agents and an AI Strategy & Governance advisory offering. Strategic alliances with Microsoft (Solutions Partner, Microsoft for Startups, Azure) and an in-progress Anthropic Claude Mythos Preview partnership, combined with HIMSS and openEHR memberships, position the company within the healthcare AI governance ecosystem.
RealActivity firmographics
Firmographics- Name
- RealActivity
- Legal name
- RealActivity, LLC
- Website
- https://realactivity.com
- Company type
- Private
- Founded year
- 2014
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- RealActivity builds governed AI on a proprietary OpenClaw runtime for academic medical centers, providing continuous CMS-accepted physician activity attestation and governed patient-agent tools. It sells enterprise subscriptions to AMCs via a 15-minute briefing and 90-day pilot motion.
- Ownership category
- akta.pro rank
RealActivity industry classification
Industry- Product category
- Healthcare Compliance Software
- NAICS
- Software Publishers (5132), Software Publishers (51321)
- SIC
- Services-Prepackaged Software (7372)
- akta.pro primary industry
- EHR Extensions, APIs, App Marketplaces & SMART-on-FHIR Apps (HLACAAAN)
- akta.pro secondary industries
- Patient Engagement, Education & Messaging Platforms (portal/CRM integrated) (HLALABAJ), EHR/EMR Integration & Interoperability Middleware (HL7/FHIR) (HLALAKAD), Responsible AI, Security & Privacy Platforms (Safety, Guardrails, PII) (HDAEANAG)
Keywords
Where RealActivity is headquartered
LocationHeadquarters
- HQ city
- Gloucester
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
RealActivity business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Technology or R&D, Personnel, Operations, Marketing or Sales, Infrastructure
Revenue model
- Provider Activity Platform Subscription: Subscription-based SaaS platform for continuous physician activity tracking and CMS-compliant attestation. Pricing likely enterprise/quote-based given Academic Medical Center target market.
- Professional Services - Implementation & Onboarding: 90-day structured pilot and implementation services. New affiliates onboarded within 2 months according to case studies.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Annual | Enterprise subscription - quote-based pricing |
Go-to-market motion2 records
Distribution channels2 records
Marketing channels8 records
RealActivity product offering
Product offeringCore offering
RealActivity sells a governed AI platform for academic medical centers that continuously captures physician activity across clinical, research, teaching, and administrative work via ERP/EHR integration, then has each provider attest to their own allocation in under 30 seconds using the Ava conversational assistant inside the Provider Activity Studio. On the patient side, the company distributes the open-source Tula skill set (Apache 2.0) and offers Aria, a governed patient-agent layer for health systems built on the proprietary OpenClaw runtime, delivering defensible CMS-compliant data, AI governance aligned with NIST AI RMF, and HIPAA-with-BAA operations.
Product overview
RealActivity offers a unified platform for governed AI in academic medical centers, spanning both the provider side and patient side of care. On the provider side, the Provider Activity Platform (including Provider Activity Studio and the Ava assistant) provides continuous, CMS-accepted attestation of physician time allocation across clinical, research, teaching, and administrative activities. On the patient side, the Tula open-source skills and Aria governed patient-agent layer enable patients to manage health records, prepare for visits, and monitor health. The core differentiation is a governed, auditable record that serves both CMS compliance/defense and safe AI governance.
Differentiator
Problem solved
Functional benefit
Brands
- Provider Activity Platform: CMS-accepted continuous attestation platform for tracking physician time allocation across clinical, research, teaching, and administrative activities.
- Provider Activity Studio
- Ava
- Tula
- Aria
Products and services
- Provider Activity Platform Enterprise SaaS platform that continuously captures physician activity across clinical, research, teaching, and administrative work via ERP/EHR integration and delivers 100% provider-verified activity data by the 15th of every month for academic medical centers.
- Provider Activity Studio with Ava (Activity Verification Assistant) Workspace where physicians review their AI-curated activity data and complete monthly attestation in under 30 seconds via the Ava conversational assistant, grounded in the attested record with a human in the loop.
- Tula (Open-Source Patient Skills) Open-source patient agent skills under Apache 2.0 covering health-records (SMART on FHIR), prep-my-visit, and Lookout for me (myhealth-pulse), available to developers and patients via GitHub and forming the foundation for Aria.
- Aria (Governed Patient-Agent Layer) Governed patient-agent layer for health systems built on Tula and OpenClaw that enables live MyChart pull, visit prep, Lookout for me, and an audit trail around every model call for hospitals deploying patient-facing AI at scale.
Quantifiable outcome
- 100% data accuracy by the 15th of every month
- +5 more outcomes
Companies that use RealActivity
Customer profileNamed customers1 record
Segments5 records
Ideal customer profiles2 records
RealActivity technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration1 record
AI capability5 records
Feature6 records
RealActivity partnerships and signals
Strategic signalPartnerships
Four partnerships are on record, tiered flagship, core and minor.
- MicrosoftflagshipMicrosoft Solutions Partner, Microsoft for Startups member, and Azure infrastructure partner. OpenClaw runtime was spotlighted by Microsoft at Build conference. RealActivity is building on Azure cloud infrastructure with access to Microsoft go-to-market channels and sales support.
- AnthropiccoreIn-progress partnership with Anthropic to extend governed Claude Mythos Preview access for defensive review of hospital code and systems - on the same OpenClaw harness as Tula and Aria.
- HIMSSminorHealthcare Information and Management Systems Society membership providing industry association visibility, events, and healthcare IT community access.
- Azure (Microsoft)coreCloud infrastructure platform for hosting RealActivity's governed AI platform, OpenClaw runtime, and patient agent services.
Scale indicators8 records
Recent moves6 records
Expansion highlights6 records
RealActivity competitors and assessment
Company assessmentDirect peers
- LeanTaaS: AI-driven hospital operations and capacity optimization platform for health systems. Comparable to RealActivity on the academic medical center buyer, AI-for-healthcare positioning, and the thesis of using better operational data to redeploy scarce clinical capacity.
- Strata Decision Technology: Financial planning, decision support, and cost analytics platform for health systems. Comparable on the AMC buyer, use of physician activity data to drive financial planning, and integration with hospital ERP/EHR environments.
- symplr: Healthcare governance, compliance, and provider data management platform serving health systems. Directly comparable to RealActivity on the provider-side compliance, credentialing, and audit-defensibility thesis, though symplr is a much broader incumbent portfolio.
- Phreesia: Patient intake, registration, and engagement platform deployed across health systems. Comparable on the patient-facing workflow automation, EHR integration, and AMC/IDN buyer, with overlap on Tula/Aria patient engagement and prep-my-visit use cases.
- Cohere Health: AI-driven prior authorization and utilization management for payers and providers. Comparable on the AI-for-clinical-administration thesis and health system buyer, though Cohere focuses on prior auth rather than physician activity attestation.
Emerging players
- Notable: AI agents for healthcare workflows, including patient intake and administrative automation. Comparable on the healthcare AI agent layer and health system buyer; overlaps with RealActivity's Aria patient-agent capabilities.
- AKASA: AI platform for hospital revenue cycle and operational automation. Comparable on AI-driven healthcare workflow automation and AMC buyer; less direct overlap on CMS physician activity attestation.
- Commure: Healthcare AI infrastructure and agent platform serving health systems and providers. Comparable on the AI agent layer (provider/patient copilots), EHR integration thesis, and health-system buyer, though Commure focuses on ambient documentation and ambient AI rather than CMS attestation.
Broad incumbents
- Olive AI: Healthcare AI and automation platform targeting revenue cycle, utilization management, and administrative workflows. Comparable on AI-driven healthcare workflow automation for health systems, though broader in scope than RealActivity's attestation focus.
- Premier Inc. Healthcare performance improvement company serving AMCs and IDNs with analytics, supply chain, and compliance solutions. Comparable on the AMC buyer and on physician workforce/performance data use cases.
Market position
Strengths4 records
Weaknesses4 records
Competitive moat6 records
Key risks5 records
Key highlights6 records
Customer concentration
RealActivity social profiles
Digital presenceRealActivity compliance and trust
Trust signalCompliance2 records
RealActivity financial estimates
Financial estimateRevenue estimate
Valuation estimate
RealActivity leadership team
Management profileNumber of profiles
Profiles1 record
RealActivity funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
RealActivity M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about RealActivity
What does RealActivity do?
RealActivity sells a governed AI platform for academic medical centers that continuously captures physician activity across clinical, research, teaching, and administrative work via ERP/EHR integration, then has each provider attest to their own allocation in under 30 seconds using the Ava conversational assistant inside the Provider Activity Studio. On the patient side, the company distributes the open-source Tula skill set (Apache 2.0) and offers Aria, a governed patient-agent layer for health systems built on the proprietary OpenClaw runtime, delivering defensible CMS-compliant data, AI governance aligned with NIST AI RMF, and HIPAA-with-BAA operations.
Is RealActivity a public or private company?
RealActivity is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was RealActivity founded?
RealActivity was founded in 2014. It employs 11 to 50 people.
Where is RealActivity based?
RealActivity is headquartered in Gloucester, United States, in the North America region.
How does RealActivity make money?
Two revenue lines are on record. Provider Activity Platform Subscription is the primary driver. The others are professional Services - Implementation & Onboarding.
Who are RealActivity's main competitors?
Direct peers on record are LeanTaaS, Strata Decision Technology, symplr, Phreesia and Cohere Health. Emerging players are Notable, AKASA and Commure. Broad incumbents are Olive AI and Premier Inc..
Does RealActivity have an API?
No public API is recorded for RealActivity.
What industry is RealActivity in?
RealActivity's product category is Healthcare Compliance Software. Its primary akta.pro industry code is HLACAAAN, EHR Extensions, APIs, App Marketplaces & SMART-on-FHIR Apps, with a secondary code of HLALABAJ, Patient Engagement, Education & Messaging Platforms (portal/CRM integrated). Its NAICS code is 5132 and its SIC code is 7372.