Vol. I · Spring 2026Issue No. 01

Built with practicing physicians

Clinical operations,
quietly handled.

Sarthi is the operating layer for medical practices. Secure by architecture. Scalable by design. Natively agentic. Measurable in hours given back to the clinician.

One shared patient intelligence. Not five tools stitched together.

Workflow journeys

HIPAA · SOC 2 Type II · FHIR R4 · Row-level encryption · BAA-ready · Transient PHI

Currently working with

Heart & Rhythm Solutions

Cardiology & Cardiac Electrophysiology

Chandler & Queen Creek, AZ

Integrity Pulmonary Specialists

Pulmonary Disease & Critical Care

Phoenix, AZ

§ 01Four converging forces

Healthcare got harder.
AI just got good enough.

Four forces from four independent sources. None were designed to land on the same chart. They all point to the same moment — and to one conclusion: medical practices need an operating layer, not another tool.

Administrative waste, annually
$950B

US healthcare reached $5.3T in 2024 — 18% of GDP. Nearly a fifth of that is administrative overhead: paperwork, prior auth, coding, fax.

CMS NHE 2024 · Sahni et al., Health Affairs, Oct 2023

Fewer physicians by 2036
86,000

Forty percent of active US physicians will be 65+ within a decade. The training pipeline cannot close the gap.

AAMC, Physician Supply & Demand Projections, Mar 2024

Burnout, 13 years on
45%

Complete EHR adoption. Billions in optimization. The number-one driver remains bureaucratic tasks — cited by 62% of physicians.

Shanafelt et al., Mayo Clin Proc 2025

AI cost decline, 18 months
>95%

GPT-4-class inference: ~$60 to under $1 per million tokens. For the first time, clinical-grade AI is viable at the price point of an independent practice.

Epoch AI / a16z, LLM Inference Cost Analysis, 2024

Final note

The practice doesn’t need
another tool.
It needs an operating layer.

We take on one or two new launch partners per quarter. Expect a real conversation about your day, your EHR, and what you wish would just do itself.

sarthi@sarthi.ioEmail →