i‑Script Inc.
In 2004 I was at a cardiology practice in Florida implementing an EHR and medical billing system. I spent more than a year inside the clinic and watched the documentation workflow up close. Most medical records were on paper at the time, and clinical records came back from transcription as paper that wasn’t searchable, retrievable, or portable.
To solve this, I built a small web app for audio upload and document delivery, with transcription handled through a couple of vendor contracts. Harbor Cardiology and a handful of nearby practices were the first customers.
I started the company without raising capital. Customers paid us on 30-day terms while we paid our transcription vendors on 60-day terms, and the gap between the two covered our operating costs. We ran on that model for nine years. I sold the company in 2014, to go back for an MBA.
See the full i‑Script chapter.