BUILDERS podcast

How UnityAI ran 5 simultaneous market experiments to find its ICP after abandoning health systems | Edmund, CEO of UnityAI

11/6/2026
0:00
22:13
Retroceder 15 segundos
Avanzar 15 segundos

Edmund spent years as Chief Data Officer at HCA Healthcare — 200 hospitals across America — watching a parade of vendors pitch solutions to problems that didn't exist in his environment. He saw the pattern clearly: founders who had never been inside a complex healthcare system, selling point capabilities with no understanding of how clinical workflows actually interconnect. When the AI moment arrived, he left with a PhD in AI and enough operational scar tissue to know exactly what not to build.

In this episode of BUILDERS, Edmund Jackson, CEO of UnityAI, breaks down why healthcare AI keeps producing expensive failures, how UnityAI found its ICP after abandoning health systems entirely, and the specific go-to-market sequencing that lets them sell finished solutions into slow-moving enterprise accounts without dying in a co-development process.

Topics Discussed:

  • What vendors consistently get wrong pitching into complex healthcare environments — and why ignorance of operational detail is the core failure

  • The three structural reasons clinical scheduling is far harder than any outside analogy suggests

  • Why IBM Watson, Babylon AI, and Olive AI all failed the same way — and what the pattern reveals

  • How UnityAI ran five simultaneous market experiments to find its ICP after health systems proved unsustainable

  • Why PE-backed ambulatory roll-ups became the beachhead: 70–150 sites, national scale, PE efficiency mandates, and real capital

  • The hospital delamination macro trend and why it makes UnityAI's addressable market structurally larger over time

  • How UnityAI enters on voice AI demand and expands into full orchestration — and why the voice is just the edge

  • Why co-developing with health systems kills startups, and the right sequencing to eventually sell into them

GTM Lessons For B2B Founders:

  • Sell workflows, not capabilities — and map every prerequisite before you pitch. Edmund identified this as the single common thread running through healthcare AI's most expensive failures: IBM Watson, Babylon AI, Olive AI. "The common failure mode is selling a capability, not a workflow." A voice AI, an RPA tool, a scheduling API — none of these land in a clinical environment without being integrated end-to-end into the actual task. Edmund's framework for what that means: What task am I going to achieve? What are all the prerequisites for that task? Who's doing it? How are they doing it? How does it all interconnect? Founders selling into operationally complex environments need to answer all of those questions before they pitch — not after.

  • VC incentives and healthcare complexity are structurally misaligned — and that's your moat. Edmund is pointed about why well-funded companies keep failing: "In Silicon Valley you want to solve this huge giant TAM issue because that's how you raise money. In healthcare you can't actually fully do that... You can make a big promise, but you can't deliver on it in reality." The companies that raised $900M–$1B and sold for parts made the same mistake: they pitched the maximum addressable outcome to get funded, then couldn't execute against the operational complexity underneath. The founder who correctly sizes what is tractable, proves it, and expands from there has a structural advantage that over-capitalized competitors cannot easily replicate.

//

Sponsors: Front Lines — We help B2B tech companies launch, manage, and grow podcasts that drive demand, awareness, and thought leadership. www.FrontLines.io

The Global Talent Co. — We help tech startups find, vet, hire, pay, and retain amazing marketing talent that costs 50-70% less than the US & Europe. www.GlobalTalent.co

//

Don't Miss: New Podcast Series — How I Hire Senior GTM leaders share the tactical hiring frameworks they use to build winning revenue teams. Hosted by Andy Mowat, who scaled 4 unicorns from $10M to $100M+ ARR and launched Whispered to help executives find their next role. Subscribe here: https://open.spotify.com/show/53yCHlPfLSMFimtv0riPy


Otros episodios de "BUILDERS"