Listening is the qualification.
I'm Mark Kargela. I listen first. Then I build the thing, test it on real work, and hand it over.
I'm a physical therapist and a university faculty member. I'm also the person who builds what Work, Understood. delivers. There's no team behind a curtain.
Clinical work teaches you one thing quickly. The chart never tells the whole story. What someone says in the first five minutes rarely matches what you learn on the second visit, once they trust you enough to say the true thing. I built a career on that gap.
Workflows are the same. The process diagram never matches the Tuesday afternoon reality. The person who actually holds the system together is rarely in the meeting about replacing it.
So I listen first, map what I find, and build the smallest thing that actually helps. Sometimes that's an AI workflow. Sometimes it isn't. Then I stay while real work hits it.
Work, Understood. is deliberately small. You work with me, from the first conversation through the last refinement.
What I've built.
Working systems, for clients and for my own practice. Each one started with a conversation about how the work actually moves.
For clients
Talus Home Team
A new website that feeds his CRM and alerts him when a lead comes back, and a text assistant for reminders and team communication. Now building deal tracking for his team’s KPI dashboards.
Tony Tramontozzi, real estate, Phoenix DeliveredCrush the Pain
A rebuilt website she edits herself, follow-up emails behind every download, and redesigned patient handouts.
Ann Adams, RN, Arizona In progressNew Pace Health and Wellness
A new coaching practice launched with its site built and its backend wired, handed over for Charlie to run himself.
Charlie Wilson, occupational therapist, ArizonaFor my own practice
A morning brief
Every morning at 8, a short list of posts worth replying to lands in my Slack, with a drafted comment for each.
A night watch for client systems
A monitor checks every client's assistant around the clock. It restarts what's safe to restart and messages me about everything else.
My own books
I'm replacing my bookkeeping software with an app I built. It runs beside the old system until the numbers match to the cent.