Press & fact sheet

What Gale is

Gale is an end-to-end practice operating system for independent clinicians — EHR, an ambient AI scribe, telehealth, billing and RCM, credentialing, and payouts — built for the practice that works for no one. It exists because private practice is vanishing: only 42.2% of physicians were in wholly physician-owned practice in 2024, down 18 points since 2012 1Ref 1Kane CK (American Medical Association) (2025).Policy Research Perspectives — Physician Practice Characteristics in 2024: Private Practices Account for Less Than Half of Physicians in Most Specialties.In 2024 only 42.2% of physicians were in private practice (wholly physician-owned), down 18 percentage points from 60.1% in 2012 (~80,000 fewer physicians); only 35.4% held an ownership stake in their practice vs 53.2% in 2012 and ~76% in the early 1980s; the AMA names inadequate payment rates, costly resources, and burdensome regulatory/administrative requirements as the drivers.AMA survey report (Physician Practice Benchmark Survey, 2024 wave), not peer-reviewed., while 82.0% now work for a hospital, health system, or corporate entity as of January 2026 2Ref 2Physicians Advocacy Institute / Avalere Health (2026).PAI-Avalere Health Report on Physician Employment Trends and Practice Acquisitions: 2018-2026.As of January 1, 2026, 82.0% of US physicians (550,494) are employed by hospitals/health systems (59.7%) or other corporate entities such as private equity firms and insurers (22.3%); 63.9% of physician practices are owned by hospitals (30.6%) or corporate entities (33.2%); employed physicians up 85% (+253,000) since 2018.Industry report (PAI-commissioned Avalere analysis), not peer-reviewed; newest edition, released April 2026. The widely cited 77.6% figure is the prior (April 2024) edition, as of Jan 1, 2024..

The business model

The software is free. Gale earns the cost of billing a claim plus 15%, charged only on claims that actually pay — no subscription, no per-seat fee, no setup fee, and nothing on a claim that never collects. The wager is that aligning the platform's revenue with the practice's is worth more than the administrative tax it replaces — practices spend an average of $68,274 per physician per year just interacting with health plans 3Ref 3Casalino LP, Nicholson S, Gans DN, Hammons T, Morra D, Karrison T, Levinson W (2009).What Does It Cost Physician Practices To Interact With Health Insurance Plans?.National survey of ~900 physicians and practice administrators: practices spent an average of $68,274 per physician per year interacting with health plans (physicians themselves ~142 hours/year), totaling $23-31 billion nationally — the $31 billion figure equals 6.9% of all US spending on physician and clinical services..

Synthetic demonstration

Gale is pre-commercial. Everything you can see runs on synthetic data — no real patient, no real clinician, no live money. Any clinician name, patient story, or figure labeled a scenario is illustrative, generated for demonstration, and never a real person or a promise.

Compliance posture

Asked whether Gale is “secure enough for HIPAA/FERPA,” the honest answer, verbatim from our security posture, is:“Not yet — it runs on synthetic data with no BAA. It is designed for compliance and has a clear, cited path (the /org/hipaa runbook). Do not place real PHI on it until the BAA + subprocessor BAAs are signed and the go-live gate passes.”

Press contact

Press and media inquiries: press@gale.care.Founder contact is a placeholder — a named spokesperson will be listed here before any real launch. We will not attribute a quote to a person who has not given it.