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Nerve

S24Pivot 1 of 2
3 people|Active|Website
Artificial Intelligence
134°Near Reinvention
Before

Globally replicated and sharded Postgres

After

Healthcare integrations for developers

Full description — before

Fortress is a Postgres developer platform that makes it simple to globally distribute data (replication and sharding) in a cost-effective manner. Developers use Fortress to reduce network latency for their global users, comply with data sovereignty regulations, and for the peace of mind of a platform that manages horizontal scalability.

Full description — after

Nerve is a unified API that connects developers building in healthcare to health data stored in electronic health records (Epic, eClinicalWorks, Cerner, etc.). Instead of building custom integration solutions for each of their customers, developers use Nerve as the single entry point to access and maintain connections to all EHRs.

Category shift
AI Compute InfrastructureDigital Health & Telehealth
Summary

The company pivoted from a globally distributed Postgres platform to a unified API for healthcare EHR integrations. This is a full pivot, as the product, customer, and problem all completely changed.

Detected 1 year ago · 2025-03-13
Company journey — 2 pivots
116.6°Near Reinvention2025-10-09

Healthcare integrations for developers(viewing)

133.7°Near Reinvention2025-03-13
Started as

Globally replicated and sharded Postgres