#277 Shiv Rao: Abridge’s CEO on Skateboarding, “Languishing” Founder Pressure & Reinventing How Doctors Work

This episode is supported by Xero, helping businesses use AI with more control through JAX, its in-platform AI finance partner. Get 90% off your plan for your first 6 months at xero.com/highflyers. ________Dr. Shiv Rao is the Co-Founder and CEO of Abridge, one of the world’s leading healthcare AI companies, turning clinician-patient conversations into clinical intelligence across 300+ health systems and 100M+ conversations annually. A practising cardiologist, Shiv previously worked across healthcare technology and investing at UPMC before founding Abridge in 2018.In this rare in-depth conversation, Shiv joins Vidit to unpack his unconventional path: moving from Pittsburgh to India at nine, skateboarding, programming synthesizers, selling records in Japan and nearly quitting medical school before becoming a cardiologist.He shares how a seemingly perfect career across medicine, technology and investing left him “incredibly restless”, eventually leading to Abridge. But success was far from immediate: Shiv spent nearly four years as a “languishing founder” before generative AI arrived, “the sky just opened up”, and Abridge made its pivotal move into enterprise healthcare.They also explore why “pressure makes diamonds”, the family sacrifices behind building when “every minute matters”, what changes when a company passes 500 people, why Shiv still practises medicine, and what he’s learned from unlikely influences including Jensen Huang and Rick Rubin.Please enjoy exploring your curiosity.________Get in touch with us via email at [email protected] our stable of commercial partners including the Australian Government, Google, KPMG,, Allens, Macquarie Capital, Xero, JP Morgan and more. Show notes and more episodes hereFollow us on LinkedIn, Twitter and InstagramGet in touch with our Founder and Host, Vidit Agarwal directly hereContact us via our websiteThis episode is supported by Xero, helping businesses use AI with more control through JAX, its in-platform AI finance partner. Get 90% off your plan for your first 6 months at xero.com/highflyers. ________TIMESTAMPS00:00 Meet Shiv Rao02:00 Living on planes 04:55 Xero07:00 Pittsburgh and India12:00 Identity, India & belonging17:00 Skateboarding, music & creativity19:00 The moment that led Shiv to medicine23:00 Selling records in Japan25:00 Nearly quitting medical school28:00 Medicine’s complicated relationship with technology30:00 Teaching himself to code & early product-market fit35:00 Why “pressure makes diamonds”39:00 Medicine → healthcare investing44:00 Leaving the “dream job” to build Abridge48:00 Family sacrifice & the reality of building50:00 Why “every minute matters” in AI54:00 Abridge’s years as a “languishing” startup59:00 When “the sky just opened up”1:01:00 Abridge’s YOLO move into enterprise1:03:00 The first customer “Love Stories”1:10:00 Why enterprise healthcare is so defensible1:15:00 Building AI that enterprises can’t replicate1:21:00 Hiring, loyalty & scaling the team1:23:00 Leading 500+ people1:26:00 Lessons from Jensen Huang & Rick Rubin1:30:00 What everyone is missing about AI1:32:00 Rapid fire________The High Flyers Podcast features in-depth interviews with the world’s most influential figures in business, tech, finance, government and sport. Launched in 2020, it has ranked in the global top ten for past three years, with listeners in 27 countries and over 200+ episodes released, and featured in Forbes, Daily Telegraph, and at SXSW.Our guests include -- Malcolm Turnbull (Prime Minister of Australia), Keith Rabois (Managing Director, Khosla Ventures), Jason Collins (Head of BlackRock, Asia Pacific), Brad Banducci (CEO, Woolworths), Michael Schneider (CEO, Bunnings), David Eckstein (CFO, Legora), Kevin Hartz (Partner, A*; Founder, Eventbrite), Jesse Zhang (CEO, Decagon), Vandita Pant (CFO, BHP), Elena Verna (Head of Growth, Lovable), David Haber (a16z Partner), Jodie Auster (Uber's Global Head of Travel), Rob Giglio (CCO, Canva), Jean-Michel Limieux (CTO, Shopify and Atlassian), Stevie Case (CRO, Vanta), Cristina Cordova (COO, Linear), Gautam Chari (Head of Capital Commitments, Bank of America), John Haddock (CBO, Harvey), Mark Suster (Partner, Upfront Ventures), Niki Scevak (Partner, Blackbird), Craig Tiley (CEO, USA Tennis), Jeanne DeWitt Grosser (COO, Vercel), Paul Bassat (Partner, Square Peg), Bowen Pan (Creator, Facebook Marketplace), Peter Varghese (Secretary of Foreign Affairs, Australian Government), Sam Sicilia (CIO, Hostplus), Jack Zhang (CEO, Airwallex), Tim Doyle (CEO, Eucalyptus), Sukhinder Singh Cassidy (CEO, Xero), Sanjeev Gandhi (CEO, Orica) and Philip Green (Australia's Ambassador/High Commissioner to India).