The case for Synexar
We're building the documentation infrastructure for procedural medicine — starting with GI endoscopy, expanding to every specialty that documents at the point of care.
Documentation is the bottleneck
GI physicians lose 1–2 hours daily to documentation. Legacy systems — Provation, gMed, EndoSoft — were built for data capture, not for clinical flow. They add steps instead of removing them.
A generational technology transition
The endoscopy suite is undergoing a generational technology transition. ASCs are growing 15% annually. Procedure volumes are rising. Documentation burden is the bottleneck — and the incumbents haven't innovated in a decade.
Built at the point of care
Synexar Pulse is built by a practicing gastroenterologist and a full-stack architect. The system captures documentation at the point of care — immediately after the procedure, while context is still fresh. Not hours later from fragmented notes.
This is not a wrapper around GPT
370K+ lines of production code. 47 API controllers. 142 database migrations. 3-stage LLM pipeline with domain-specific extractors. GIQuIC quality registry integration. Deep clinical domain knowledge encoded into every component.
Predictable, scalable, aligned
Per-facility (ASC) and per-room (health system) pricing. No per-physician or per-report fees. Revenue grows with customer adoption, not customer anxiety. Pricing is aligned with how healthcare organizations actually grow.
Maximum output. Minimal burn.
Two-person founding team. No external funding consumed. Production-ready platform with enterprise-grade infrastructure. Azure-hosted, HIPAA-compliant, SOC 2 ready. Every dollar of investment goes directly into product and distribution.
Domain expertise meets engineering depth
Dr. Ashutosh Gupta, CMO — practicing gastroenterologist who lives the problem every day. Performs colonoscopies, EGDs, and ERCPs. Designed the clinical workflow from firsthand experience.
Technical Co-founder, CTO — full-stack architect with enterprise healthcare experience. Designed and built the entire Synexar Pulse platform — 601 backend files, 581 frontend files, from database schema to deployment pipeline.
Restraint is our competitive advantage
We don't chase features. We don't promise what we can't deliver. We don't use opaque AI. We build what physicians actually need, validate it against real clinical workflows, and ship production-grade code. Every feature earns its place.
Deploy in weeks, not months
Azure-hosted. HIPAA/SOC 2 compliant. Microsoft Entra ID SSO. Standard EMR integration via HL7/FHIR. No hardware requirements. No custom installations. A healthcare IT team can evaluate, approve, and deploy Synexar Pulse within a single budget cycle.
Interested in what we're building?
We'd welcome the opportunity to share our full pitch deck, product demo, and growth thesis.