Chapter 03 · AboutEst. 2025 · Phoenix, AZ

A team of builders and clinicians, writing software at the bedside.

Sarthi is the operating layer of the modern medical practice — primary care and specialty alike. Intake, charting, coding, prior auth, follow-up — run end-to-end, so the practice operates at a different gear. That's the product. It's also the company.

MissionWhy Sarthi exists

We want medical practices to feel staffed again.

Independent medical practices — primary care and specialty alike — are drowning in administrative work. A single clinic touches 5–10 fragmented software tools, spends six figures a year on coding and billing staff, and still sends its physicians home with pajama time on the EHR.

We're building the operating layer that absorbs the administrative tax, so clinicians can practice medicine at the top of their license — and their practices can stay independent.

The problemTwo columns, plainly stated
What practices live with today

An administrative tax that has crept up, year after year.

  • Six-figure annual spend on coding, billing, and administrative labor — even for mid-sized practices.
  • 62% of physicians name administrative tasks as the single biggest driver of burnout.
  • 5–10 disjointed point solutions, each with its own inbox, SSO story, and pricing model.
  • Billions lost industry-wide to manual work that modern AI can absorb without compromising safety.
What we're building

One operating layer, priced like infrastructure.

  • A unified platform that absorbs 5–10 point tools into one clinician-facing workflow.
  • Modules scoped to real workflows — intake, scribe, coder, prior auth — not a generic dashboard.
  • Practice-tuned models — primary care, cardiology, pulmonology — built with practicing physicians at the table.
  • HIPAA-compliant by design, on dedicated cloud infrastructure in the United States.
Founding teamBuilt by four
Chief Executive OfficerCo-Founder

Rajiv ShahMBA

Serial operator with a financial-discipline spine.

  • Founded Softshores, Brentwoods Inc., Route K Storage, Heart & Rhythm Solutions, Integrated Medical Management, and Chandler Surgical Center.
  • MBA — financial discipline paired with entrepreneurial pace.
  • Hands-on with LLMs, OCR/Vision-LLM, and cloud microservices.
  • Advises healthtech startups on go-to-market and unit economics.
Chief Clinical Strategy OfficerCo-Founder

Dr. Rajan GaurMD · CHCQM

Executive physician who has spent 20+ years closing the gap between clinical reality and health-system technology.

  • Board-certified in Internal Medicine and Healthcare Quality Management.
  • Deep expertise in clinical documentation improvement and utilization management.
  • Led EMR data integrations into actionable dashboards across large health systems.
  • Trained at Mount Sinai (NY) and RUSH University (Chicago).
Chief Technology OfficerCo-Founder

Yashmeet KhopkarMS · MBA

Chief architect of the Sarthi operating layer — where infrastructure reliability meets clinical safety.

  • Architected large-scale hybrid-cloud platforms for mission-critical workloads.
  • Shipped HIPAA-compliant systems with enterprise-grade security posture.
  • MBA in Leadership + MS in Computer Science.
  • Partnerships with hyperscale cloud providers and infrastructure vendors.
Chief Marketing OfficerCo-Founder

Neeraj BansalMS

Customer-success leader who built multi-year enterprise relationships at the hardest edges of the semiconductor industry.

  • 20+ years in engineering, field architecture, and strategic account management.
  • Drove long-horizon enterprise agreements with hyperscale and foundry customers.
  • Led global teams delivering PPA-optimized EDA solutions.
  • Co-founded Smile Donor, a U.S. 501(c)(3) nonprofit.
Impact pillarsWhy the work matters
Pillar · 01

Clinician wellbeing

The single most reliable way to retain clinicians is to take the administrative tax off their plate. We measure our product in minutes given back.

  • Reduce time spent in the EHR after clinic hours
  • Address the #1 cited driver of burnout
  • Restore room for the human parts of care
Pillar · 02

Patient experience

When clinicians aren't documenting over the shoulder, patients are heard. When billing is clean, care decisions stop being about what insurance will accept.

  • More face-to-face visit time
  • Cleaner coding, fewer billing disputes
  • Shorter loops between referral and treatment
Pillar · 03

Independent practices

Enterprise-grade AI has been available to the largest health systems for years. We are building it at a price that keeps independent medical practices — primary care and specialty — viable.

  • Software that makes small groups competitive
  • Lower cost of administrative operations
  • A path to stay independent, not get acquired
What we're building towardTargets · 2027
Target · clinicians

500k+

Hours returned

Aspirational target for hours of administrative work lifted off clinical teams annually.

Target · burnout

50%

Lower burnout

Reduction in self-reported burnout among physicians using Sarthi day-to-day.

Target · practices

100+

Practices served

Independent and small medical practices supported on the platform.

Target · savings

$15m+

Reinvested in care

Administrative cost our customers reallocate toward clinical capacity.

These are the numbers we're working toward, not claims we've already made.

If you run a medical practice

Let us walk you through a Tuesday at your practice — handled.

Book a walkthroughEstimate your ROI