About — SenterME

Founder & CEO

Charlotte C. Louis

Founder & CEO

Charlotte C. Louis is the Founder and CEO of SenterME — the first real-time Structural Health Intelligence platform for healthcare. She built SenterME to solve a problem she observed across health systems: the leaders most responsible for workforce stability are structurally the last to know when that stability is under threat.

A former financial advisor, corporate trainer, and entrepreneur with more than 20 years of experience, Charlotte has built her career at the intersection of business precision and human systems. Her work is grounded in a foundational insight: organizational dysfunction is not random — it is structural, measurable, and preventable when you have the right sensing layer in place.

Charlotte leads SenterME's mission to make Structural Health Intelligence standard infrastructure for health systems — giving CNOs, CNIOs, and operational leaders the visibility to act before turnover, care disruption, or modernization failure occurs. She was the first to frame this as a category, and she intends to define it.

The Origin

Two years of listening before a single line of code.

"If it reaches my office, it's already too late."

System Chief Nursing Officer · Lifepoint Health

That statement — heard in one of more than 160 conversations with people leaders, healthcare executives, and frontline workers across U.S. health systems — became the design brief for everything SenterME built.

Two disciplined pivots and 24 months of research later, we built Santi: a Signal-to-Strategy engine that detects coordination strain before it becomes visible in HR data, tracks the intervention window in real time, and confirms recovery as it emerges.

160+

Executive & frontline conversations across U.S. health systems before the first build

24mo

Studying & stress-testing the problem — two pivots, no shortcuts

$5.6B+

Annual middle-layer cost exposure across U.S. hospitals — the problem we exist to address

Santi shipped March 2026 — detecting structural strain, stabilization, and early recovery in real time

Our Approach

Mission and vision.

Mission

Our Mission

To give health system leaders the structural visibility to act before strain becomes loss — by making real-time Structural Health Intelligence standard operational infrastructure across healthcare.

Vision

Our Vision

To establish Structural Health Intelligence as critical infrastructure for the modern health system — ensuring that the leaders who hold workforce stability bear that weight with real-time sensing, not lagging reports.

How We Build

The principles that govern every decision.

We didn't build SenterME by moving fast. We built it by being more willing to be incomplete than falsely certain.

Evidence before narrative

Every claim Santi surfaces is governed by what the data actually supports. We build claim-permission rules into the architecture — not as a policy, but as a constraint. And we co-define that evidence standard openly with our diagnostic partners, because the category we're building only holds if it's built together.

Privacy is structural, not a policy

Aggregate-only signal collection means individual exposure is architecturally impossible — not just prohibited. Every person in a health system deserves that protection by design, not by policy. No PHI. No individual scoring. Built in, not bolted on — because respect and inclusion aren't values we layer on top. They're structural commitments.

Governance before expansion

We won't expand sensing capabilities until we've governed what we already have. The roadmap is sequenced around trust, not features.

Fully reversible by design

SenterME is a layer alongside existing systems — not a replacement. Health systems can exit at any time. We earn the relationship through proof, not lock-in.

Recovery is a first-class signal

Most systems stop at detection. We track all three phases — strain forming, stabilization beginning, and recovery emerging — because the window can close in either direction.

Human signals stay primary

Santi is human-signal-led. Structural context deepens interpretation. Operational data is introduced through a trust-based access ladder — not forced into score math prematurely.

How We Got Here

Pilot-ready is not the same as category-complete.

2024

Year One

160+ conversations, zero code

Direct validation with people leaders, healthcare executives, and frontline workers across U.S. health systems. Two disciplined pivots before a single line of code.

2025

Architecture & Governance

Built the governed sensing engine

Signal architecture, reliability gating, privacy model, and intervention logic designed governance-first — more willing to be incomplete than falsely certain.

March 2026

Live

Santi v1 shipped

System CNO approval secured. Signal-to-Strategy engine live in production. Detecting structural strain, stabilization, and early recovery in real time.

Now

Diagnostic partner cohort forming

Selectively partnering with health systems ready to build Structural Health Intelligence into their operational infrastructure — while the category is still forming.

SenterME was not built by moving fast. It was built by being disciplined about what we didn't yet know — and honest about the difference between a working prototype and a system a CNO can trust.

The roadmap is sequenced around pilot trustworthiness first, then system expansion. Santi can be pilot-ready as a governed structural diagnostic engine before it becomes a fully multi-class sensing system. That sequencing is intentional.

The organizations we partner with in the diagnostic cohort are not just early customers. They are the institutions that will shape how Structural Health Intelligence is defined, measured, and governed across healthcare.

Built to see what healthcare couldn't see before.