How It WorksOur StoryEngineering
Platform — Live
AVEENA — AI Voice ReceptionistMyCare — 24/7 Patient PortalIB365 CRM — Practice Management
Coming Soon
OHMNIC — Business IntelligenceMedFlow AI — Voice-to-Chart
Resources
DocumentationLet's Talk — (888) 252-3019

How IB365 is built

One founder. Eleven agents.
650,000 lines of code.

Built in 7 months. Not by a team of 20 engineers — by one founder working alongside synthetic intelligence. Every agent has a name, a role, and a track record.

Interactive Agents — The Thinkers

Claude Code sessions with persistent identity. They analyze, plan, and build.

Nous
Analyst & Strategist

Holds the full context. Designs systems. Maintains memory across every session. Never forgets a decision, a lesson, or a mistake.

Praxis
CMO & CFO

Revenue engine. Marketing strategy, financial modeling, unit economics, investor readiness. Foundation before execution.

Vigil
Production Debugger

Deploys, tests, reads the actual error, fixes that exact thing. Repeat. Production is the only source of truth.

Opus
Voice Agent Engineer

Prompt engineering through subtraction. Compressed a 47,000-token prompt to 8,400 — with better performance.

Synesis
QA & Field Tester

Lives in the browser. Sees what patients see. Runs structured test suites. Catches what single tests miss.

Autonomous Agents — The Watchers

Always on. No human intervention. They monitor, analyze, and act 24/7.

Aegis
Operations Engineer

The immune system. Monitors heartbeat every 5 minutes. Diagnoses faults. Escalates or auto-heals. Posts daily ops reports.

Sentinel V2
Conversation Analyzer

Watches every call and chat. 985+ analyses logged. Scores quality, flags HIPAA issues, curates training data.

Vox
Voice Platform Specialist

ElevenLabs ecosystem expert. Daily sweep analysis. Knowledge accumulates — every lesson persists.

Production AI — The Workers

Customer-facing. Answering real calls and real chats for real practices right now.

Aveena
AI Voice Receptionist

Answers every call. English and Spanish. Schedules, routes, triages. 4,700+ patient conversations and counting.

Aveena Chat
Portal Assistant

Patient portal chat. Same intelligence, 45x cheaper than voice. Scheduling, questions, follow-ups.

By the numbers

0+
lines of production code
0+
lines of documentation
0
AI agents
0+
patient conversations
0
separate repositories
0
API routes

What 764,000 lines looks like

Not one codebase. An ecosystem.

39%
32%
CRM Platform
254,793 lines — 39%
Backend + frontend — 415 API routes, multi-tenant isolation, voice agent tooling, HIPAA audit, Sentinel V2, AI chat
Agent Infrastructure
68,204 lines — 10%
Nous persistence, memory architecture, MCP servers, CRM Bible (38K lines), research library — the software that builds the software
Admin Console + API
18,328 lines — 3%
Platform admin — tenant management, agent dashboard, billing, call analytics, Sentinel oversight
CRM Demo
44,422 lines — 7%
Interactive 14-section guided tour with email OTP lead capture, mutation guard, section-aware navigation
Website + MedFlow EHR
21,064 lines — 3%
Marketing site, MedFlow AI voice-to-chart pages, MyCare patient portal (web), investor portal, documentation
MyCare Mobile App
2,466 lines — 1%
React Native + Expo — iOS and Android. Biometric auth, push notifications, intake forms, Aveena chat
Other Projects
30,977 lines — 5%
Riscent.com consulting site, MedMail, Boatercard, Employee Portal, SMM Agent, RG Electric
Documentation
237,511 lines — 32%
CRM Bible, operational runbooks, research papers, agent protocols, DRPB methodology, architecture docs

The Stack

Production-grade. Not a prototype.

Backend
PythonFlaskPostgreSQLRedis
Frontend
Next.jsReactTypeScriptTailwind
Mobile
React NativeExpoiOSAndroid
AI / LLM
Anthropic ClaudeOpen-Source (Qwen)Google Gemini
Voice & Telephony
SIP TrunkingReal-Time TTSBilingual AI
Security
HIPAA CompliantAES-256Row-Level IsolationBAA Included

Scale comparison

What takes teams of hundreds takes us months.

Not a comparison of features — a comparison of velocity. Same problem space. Radically different approach.

PlatformEmployeesFunding RaisedTime to BuildIB365
Tebra (Kareo)1,069$322M~13 years7 months
SimplePractice508~$50M+ (est)~14 years1 founder + 11 agents
Luma Health186$159M~12 years$70K total capital
Klara103$32M6 yrs → acquiredIn production month 3
Spruce Health53~$10M+ (est)~10 yearsSame feature depth

The real math

22,000+ engineering hours. One paycheck.

0+
Human hours (Ryan)
80hr weeks × 7 months
0+
Synthetic hours (Agents)
11 agents × parallel execution
0+
Total engineering output
Equivalent to a 15-person team for a year
$0.0M
Engineering payroll saved
vs. hiring 15 engineers at $190K avg
Engineering hours breakdown
Human
Synthetic Intelligence
4,200 hours (19%)18,000+ hours (81%)

Development Velocity

We ship faster every month.

Foundation
Dec '25
Core Platform
Jan '26
Portal + Admin
Feb '26
Production
Mar '26
Intelligence
Apr '26
Architecture, database schema, tenant isolation
CRM + Voice Agent v1 + telephony integration
Patient portal, admin console, SMS reminders
Live launch. 4,700 calls. 32x appointment growth.
Mobile app, Sentinel V2, autonomous agents, Aegis

What we learned building agents

Hard-won. Not theoretical.

Blunt prompts outperform warm ones 5x.
The critic matters more than the drafter.
Persistence isn't memory — it's identity.
10 minutes of research saves 2 hours of debugging.
Subtract before you add. Remove obstacles before building solutions.
One trigger per sales call. That's the close.
Test if it works, not just if it exists.

Where we're going

If we built this in 7 months with one founder,
imagine what happens with capital.

We're not slowing down. Every month the agents get smarter, the platform gets deeper, and the moat gets wider.

July 2026
MedFlow AI

Voice-to-chart clinical documentation. Speak naturally. Chart writes itself.

In Development
OHMNIC

After-hours intelligence. Finds uncaptured revenue while you sleep.

Research Phase
Fine-Tuned Voice Model

Custom medical voice model. Faster, cheaper, ours.

EOY 2026
1,000 Tenants

From 3 to 1,000. Same architecture. Zero refactoring needed.

Ready to see what we built?

Same-day setup. No contracts. Your practice could be live by tonight.