A conversation with Alan cofounder and CTO Charles Gorintin
TL;DR
Charles Gorintin, CTO of Alan, recounts the company's decade-long journey from Silicon Valley roots to becoming a European healthtech leader with 4 million members, detailing their strategy of aggressive early internationalization, AI transformation through the medical agent MO, and the strategic imperative of building European technological sovereignty via Mistral.
🏥 From Big Tech to Healthcare Impact 2 insights
Silicon Valley training, French mission
After acquiring technological skills at Facebook, Instagram, and Twitter, Gorintin returned to France to build Alan, driven by a desire to create meaningful societal impact and personal family experiences with healthcare.
Scaling against structural odds
Launched in 2016 when France lacked experienced tech leaders to mentor startups, Alan grew to 4 million members, €800 million ARR, and 35,000 business clients by combining Silicon Valley engineering with reinvented organizational culture.
🇫🇷 Evolving the French Tech Ecosystem 3 insights
From zero to global ambition
The French tech scene has evolved from having practically no scaled leaders in 2016 to hosting billion-dollar companies capable of building global ecosystems, though still behind US and Chinese scale.
Building government trust through delivery
Alan broke the "nobody gets fired for buying IBM" barrier by winning major government contracts (Ministries of Ecology and Finance, Prime Minister's office) through proven operational competence, not just innovation.
Sovereignty through private excellence
Gorintin argues that creating large, successful tech players is essential for economic and geopolitical sovereignty, requiring startups to earn public sector trust by delivering reliably at scale.
🌍 Internationalization Strategy 3 insights
Go early, accept initial failure
Against advice that 2020 was "too early," Alan expanded internationally immediately, recognizing that replicating success abroad takes years; competitors who stayed domestic risk being trapped in single markets for decades.
Rebuilding from first principles
The team rebuilt operations from scratch in each of four countries due to healthcare system differences, then globalized the platform by identifying common themes while preserving localized experiences.
Universal biology as advantage
While regulations differ, the human body remains constant across borders, allowing Alan to build globally compatible health products that address universal needs.
🤖 AI Transformation and Sovereignty 4 insights
Three-pillar AI adoption framework
Alan adopted AI in 2022 with clear objectives: boosting team productivity, improving process efficiency and quality, and creating previously impossible new products like their medical agent MO.
MO medical agent performance
Built from first principles by engineer Antoine Lisé, MO now handles consultations where 80% of users prefer it over waiting 30 minutes for a doctor, with 95% of AI answers rated good or excellent by reviewing physicians.
The shift to agentic AI
Gorintin distinguishes between the chatbot revolution and the current agentic revolution, where AI performs tasks autonomously, fundamentally changing how healthcare and other industries operate.
European autonomy through Mistral
As an operational co-founder of Mistral, he emphasizes that dependence on American AI providers like OpenAI creates geopolitical vulnerability; building European champions ensures strategic insurance against decoupling while driving demand for local infrastructure.
Bottom Line
European startups must internationalize early despite the difficulty, prove operational excellence to win government trust, and aggressively adopt AI agents to build the demand necessary for true technological sovereignty.
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