Thu 2:15 · ConsultDeposit held
Expires in 40 min
$50 unpaid · text sent twice
Intake & scheduling
A held slot shows its real expiry, not a hopeful one.
Healthcare & Med Spa
We find where your clinic is losing bookings — and build the software that recovers them.
Missed calls, slow replies, no-shows, patients who never rebook. We measure each leak, put a monthly number on it, and build the system that catches it.
- HIPAA-grade controls
- GDPR & UK GDPR tooling
- Append-only audit spine
- Your accounts, your region
ClinicOS · SynaCare — 3 live demosThe leak
Four leaks. None of them on a report.
A booking that never happened leaves no row behind. Flip the switch to see the same day with the system in place.
- Missed call12:40 pm
New patient calling
Rang out
Front desk is checking in two patients
Books with the next clinic
- Slow reply7:52 pm
Any consult openings this week?
7:52 pm
No reply until 9:10 the next morning
No answer comes back
- No-show2:15 pm
1:30 · Ava T. · Checked in
2:15No-show
No deposit held · empty waitlist
3:00 · Noor K. · Confirmed
The room sits empty
- No rebookWeek 14
Last visit
Due at 12 weeks
Week 14
Nobody noticed
A repeat visit that never happens
Before anything is built, we measure each leak and put a monthly number on it.
An illustrative day, not client data.How the audit works
What we build
One record behind the booking, the chart, the till and the claim.
A fifth tool does not fix four that disagree. Everything writes to one record, so the book, the chart and the ledger cannot drift apart.
Four tools
Booking widget
Knows the slot. Not the deposit or the chart.
Spreadsheet
Knows whatever somebody remembered to type.
Card terminal
Knows the money. Not what it was for.
Paper consents
Knows the signature. Lives in a folder.
One record
The booking a patient makes at midnight and the chart a clinician signs the next morning are the same record.
- BookingHeld honestly, with its real expiry
- ChartImmutable once signed
- TillGapless and tamper-evident
- ClaimScrubbed before it is submitted
Every write lands in one audit trail: who, when, and under which permission.
Treatment noteSigned
sha-256 · 9f2c…e41a10:42 am
Charting & consent
Immutable the moment it is signed, with a hash that proves it.
- #10410Deposit$50.00
- #10411Treatment$320.00
- #10412Refund−$50.00
Drawer balanced · no gaps
Front desk & money
A gapless, tamper-evident till: a drawer you can defend.
Denial risk12%
ICD-10 I20.9 · CPT 99214
2 coding gaps fixed before submission
Coding, claims & recall
Claims scrubbed and scored for denial risk before they leave.
Compliance
Compliance is structure, not a badge.
We enable compliance; the clinic operates it. Six controls, stated plainly, and three things we will not claim.
The clinic is the covered entity
Your accounts, your data. We enable compliance; you operate it.
Access is least-privilege by default
Roles start from minimum-necessary. Break-glass access is logged.
The record is append-only
Every booking, refund and AI call: who, when, under which permission.
Residency is structural, not a setting
You pick the region at provisioning. No cross-region replication.
Subject rights are tooling, not a promise
Export, rectification and erasure ship as tools, retention law included.
Vendor agreements are gated, not assumed
A BAA and DPA checklist gates every US deployment handling PHI.
What we will not claim
- Not shipped
Multi-factor authentication is not shipped yet
- By design
It is not a medical device, and it does not diagnose
- Backlog
Field-level column encryption is on the backlog
Case studies
Healthcare & Med Spa software we built, and still run.
2 products we designed, built and still run. Each one is live, and each has a demo you can open without talking to anybody.
ClinicOS
Clinic Management Software
Run the whole clinic from one calm place.
An operating system for a single clinic. The booking a patient makes at midnight and the chart a clinician signs the next morning run on one record — front desk, treatment room and books included. Deployed as a fresh instance on the clinic's own Vercel and Supabase accounts, so the clinic owns its data, its accounts and its bills rather than renting a seat in someone else's cloud.
- workspaces
- 5workspaces
- instance per clinic
- 1instance per clinic
- attachable modules
- 13attachable modules
SynaCare
Hospital Management Software
The hospital OS where AI moves first.
Hospital scale rather than clinic scale: registration through discharge, lab bench through general ledger. Built on the premise that AI is the operating layer rather than a module bolted on, so every workflow asks what can be handled before a human has to act.
- API modules
- 82API modules
- frontend modules
- 61frontend modules
- AI engines
- 14AI engines
- database tables
- 200+database tables
The same engineering, pointed at your numbers. That's the work.
Book an Opportunity CallHow to start
Start with a number, not a platform.
We charge for the diagnosis the way a clinic charges for a consult: $3,000, fixed, and credited in full to the build. The roadmap is yours either way.
01 · First
Opportunity Call
30 min
With an engineer, not a salesperson
We name the processes worth fixing and the ones that are not. If it is not worth it yet, we tell you plainly.
02 · Then
The audit
$3,000
14 days · credited to the build
Every process scored by payback, and a roadmap with a monthly number on each line.
03 · After the audit
The first build
~4 weeks
Highest payback first
Wired into the calendar, phone line and systems you already run.
Answers
Asked on the first call
Is your software HIPAA compliant?
No software is compliant on its own; a clinic is. What we build is designed for HIPAA-compliant operation: encrypted in transit and at rest, least-privilege roles, an append-only audit trail, and a BAA and DPA checklist that gates any US deployment handling PHI. The clinic stays the covered entity, and a shared-responsibility matrix says whose duty each control is.
Do we have to replace our EMR or booking system?
No. The first build plugs into the calendar, phone line and systems you already run. Replacing one of them is a separate decision, made later and with numbers.
Where does patient data live?
On the clinic's own accounts, in the region the clinic picks at provisioning. An EU clinic runs in an EU region with no cross-region replication. The accounts, the backups and the exit all belong to the clinic.
Will the AI make clinical decisions?
No. It drafts, codes, transcribes and flags. A clinician signs, and the audit trail records which person stood behind each decision. It is not a medical device and it does not diagnose.
How long until something is live?
The audit takes 14 days. The first build ships in about four weeks. We build the highest-payback system first rather than everything at once.
Can we see it working before we commit?
Yes. ClinicOS and SynaCare both have live demos linked on this page, and before a build we show a working demo on your own scenarios.
Book a call
Find out exactly where AI pays for itself in your business.
Start with a 30-minute call. If the numbers say AI isn't worth it for you yet, we'll tell you that too.
- 30 minutes with an engineer, not a salesperson
- We name the processes worth automating, and the ones that aren't
- If AI isn't worth it for you yet, we tell you plainly
We onboard a few companies at a time. Naveed Sarwar, founder, sits in on every audit — because the map is the product.