Nick Gerner

Engineering leader, founder, and builder.

I build products, platforms, and teams that turn technically hard ideas into useful things. Right now that's AI at Aledade, where I'm VP of Engineering.

now
vp engineering · aledade
prev
curia.ai · foundry.ai · ghost creative
edu
johns hopkins · bs ee, ms cs
loc
washington, dc
~/njgernerls

› ls

javascript is off, so the terminal is just links.

The path so far

  1. 2013AccentureLearned the craft on enterprise software.
  2. 2015Ghost CreativeCo-founded a studio building healthcare practice software.

One thread: a venture studio, the company it built, and the company that acquired it

2016 – now
  1. 2016Foundry.ai Helped build AI companies inside a venture studio.story →: Foundry.ai
  2. spun out2022Curia.ai Led engineering for its healthcare ML platform.story →: Curia.ai
  3. acquired2023Aledade Brought AI into EHR workflows for primary care.story →: Aledade
  4. 2025 –AI at Aledade nowLeading AI research, platforms, and enablement.what I do now ↓

alongside · Gerner Ventures: independent experiments on my own time

Now

At Aledade, I lead teams across applied AI research, AI platform engineering, and AI enablement. We work on turning advances in AI into things people can rely on: the shared foundations teams use to build and run AI applications, the evaluation and controls that make them measurable, and the tools that help our own people put AI to work. Some of that lands inside the systems primary care practices already use every day.

How I think

Building is fun, but impact is the point.

Chase interesting problems and good people. The rest tends to follow.

latest writing · jan 2026 · 7 min

Notes From the Messy Middle

A 2025→2026 reflection on why value-based care is becoming inevitable, interoperability is turning operational, and AI is moving into workflow — making governance and infrastructure the real differentiators.