Private AI for medical practices
Your patients’ records never leave the office. That is the whole design. The machine lives in your practice, reads what you give it, and answers from it — the charts, the correspondence, the referrals, the billing — and none of it travels to anyone else’s computers, including ours, because the reading and answering happen inside the box. Not a vendor promising to be careful with your records somewhere else. A machine on which somewhere else does not exist.
This page is for physician-owners — the practices where the person responsible for the records and the person paying for the software are the same person.
The scribe math, honestly
Practices now rent cloud AI scribes and assistants at about $7,200 a year per provider — and the recordings and notes are processed on someone else’s computers, under someone else’s terms. Three providers is over $21,000 a year, every year, forever, and at the end of it the practice owns nothing and the records have spent years commuting out of the building.
This is one flat membership for the whole practice. Studio carries the physicians and staff together — no per-seat fees, ever. A solo or small practice of up to four people fits Home. Home’s founding year costs a little more than one rented scribe seat, its renewal costs a good deal less — and unlike the renting, the arrangement ends somewhere: stay a year, and the machine, with everything it has learned about your practice, is yours to keep. Cancel after that and it keeps working, in your office, without us.
What the practice hands it
Four visits this year, the cardiology letter from March, and the med list — one page, ready.
The chart story, before you walk in.
From the visit record, in your voice. You read it, fix one line, and it goes.
Correspondence off your evenings.
Six. Two have been waiting eleven days — the resubmission paperwork is drafted.
The paperwork that never sleeps, watched.
Thirty-one patients. The reminder letters are drafted, and it waits for your yes before sending.
Follow-up that follows through.
$62,400 across 310 visits. Eleven claims are still open — the oldest since the 4th.
Your numbers, without the spreadsheet.
Ninety days out on all four, and again at thirty. The forms are gathered.
Renewal dates that watch themselves.
A day at the practice
Five moments from a normal Tuesday.
- A brief before the first patient: today’s schedule, the two charts worth a second look, what’s expiring.
- Between patients, you ask for the Ellison history — it’s one page, with the March letter attached.
- The prior-auth resubmissions went out this morning, after the office manager’s approval.
- Three referral letters are drafted from today’s visits, waiting in your review queue.
- The open claims are summarized, the recall list is ready — and you leave at six.
“Your records stay here” — a sentence patients understand
Patients have learned to assume their information is somewhere, plural. A practice that can say — plainly, accurately — “our records system lives in this office, and your chart does not leave it” is saying something almost no practice can say anymore. It fits on a sign in the waiting room, it fits in the welcome letter, and unlike most reassuring sentences, it is a description of hardware. For the practices that compete on trust — and a physician-owned practice competes on nothing else — that sentence is marketing you cannot buy from an ad agency.
Behavioral health, especially
If yours is a therapy, psychiatry, or counseling practice, you already know your notes are different in kind — they are the conversation itself. Patients ask where their words go now; some ask before they sit down. Here the answer is short: the notes live on a machine in this office, they are read and searched on that machine, and they physically cannot leave the building. For the most sensitive records in medicine, we think that is the only architecture worth offering.
The compliance posture, in plain words
If your files include protected health information, tell us in your written application. We put in writing what we can accept, how it is handled, and how it is deleted — and we sign what your compliance requires before anything moves. The everyday shape of the service does most of the work: your records are processed in your office, the channel we use to care for the machine carries device health and never patient material, and any archive we load for you is handled under a written scope and erased from our systems afterward, confirmed in writing. And if we cannot meet your obligations for a particular scope, we say so rather than take the work.
The way in: the Founding Sixteen
We are opening this as a numbered founding cohort — sixteen memberships: twelve Home, four Studio. Home is $8,995 for the founding year (list $10,995 after the cohort), renewing at $4,995 a year; Studio is $19,995 for the founding year (list $24,995), renewing at $11,995 a year — founding rates locked for as long as membership is continuous. Annual only, everything included: the machine, onboarding done before it ships, your records loaded, integrations set up, updates, backups, monitoring, and human support. Nothing else to buy.
It is application-gated: you apply in writing, the application is reviewed, and if we can serve your practice exceptionally, an invitation follows with a ten-day window. A deposit — $500 for Home, $1,000 for Studio — reserves your number, refundable in full until you are accepted and credited to your founding year when you are. The number is engraved on the machine.
Your patients’ business stays the practice’s business. Nothing goes to an outside service until someone at the practice approves it — once, for a while, or always. You hold the valve. No training on your data, no ads, no selling information — ever. Every promise, in plain words, is on the Trust page.
Do patient records ever reach you?
No. The reading and answering happen on the machine in your office. The channel we use to care for the system carries device health only — which machine it is, whether it is healthy, whether the last backup verified — never charts, notes, or conversations. When we load an archive for you, the work runs under a written scope and our working copies are erased afterward, with a written deletion confirmation.
What about HIPAA?
The architecture does most of the work: protected health information is processed inside your practice and does not travel to us or anyone else in everyday use. For anything that does involve us — an archive load, a scoped support session — we put the handling in writing first and sign what your compliance requires. We state what we do plainly rather than making blanket claims, and if we cannot meet your obligations for a particular scope, we say so.
Weighing it against the cloud tools? Your own assistant vs the AI apps — including the honest part about what the big outside models still do better, and how the valve handles it.
Not sure it fits your practice? Write to us first — if it is not right for you, we will say so before any invitation.
Apply for a founding place How your records get loadedThe records stay. The renting stops.
One flat membership for the whole practice instead of $7,200 a year per provider — and after a year the machine is yours to keep.
Apply for a founding placeSixteen founding places — twelve Home, four Studio · deposit refundable until acceptance · ownership vests at twelve months