Your agents.
Private models.
Inside your walls.
Secure, private AI in your hands and off-cloud.
No API fees. No data leaks. No compromises.
AI that keeps PHI inside the firewall
PHI can't go to a cloud API, so it never does. Models run on your own network, scoped to minimum-necessary access, with a HIPAA-shaped audit trail of every query for your privacy and security reviews.
Clinical-note summarization
Run open-source models against your EHR to summarize encounters, distill long charts, and draft notes. Real clinician time back, no PHI leaving the network.
- Prior-auth drafting
- Chart Q&A
- Coding & billing assist
- Discharge instructions
- Referral letters
- Patient-message triage
Own the controls
A control plane that runs your models and agents on your own network. Isolated, observable, and access-controlled.
Isolated by design
PHI never leaves your network. Models run fully offline, with no phone-home or telemetry, behind a firewall locked to the hosts you authorize, on least-privilege accounts. The cloud is never in the loop.
IsolateOne pane of control
Run and route your models and agents from a single dashboard. See what's live, swap models, and manage capabilities, without exposing the backend.
HIPAA-shaped audit trail
Every query and data touch is logged: who accessed what, when, and which records. The access record your privacy and security reviews actually ask for.
GovernMinimum-necessary access
Per-user and per-dataset permissions. Decide exactly which clinicians and which agents can touch a given record set, and revoke it in one place.
Run it your way
Runs on the hardware you already own, or on-prem gear we spec, source, configure, and customize to your needs. No per-token bill.
OperateStart small. Scale on your terms.
Three steps, each standalone. Begin with an assessment. No commitment required.
Needs assessment
We map your PHI flows and environment, then deliver a reference architecture for air-gapped AI, a risk report, and a clear go/no-go. Fixed scope, ~1-2 weeks.
Start hereControl-plane install
We deploy the full control plane on your hardware, with model and agent orchestration, the management dashboard, and minimum-necessary isolation enforced end-to-end.
One-timeManaged governance
Optional and ongoing: we keep the control plane patched and monitored, review the access logs, and manage minimum-necessary permissions, so you stay compliant without adding headcount.
Optional / OngoingEstimated Monthly Cost
~1B tokens / month inference
Your models.
Your patients.
Your data stays put.
Every prompt to a cloud API is PHI leaving your network. The math doesn't get better at scale. It gets worse, and so does the exposure.
We right-size the NthGear control plane to the servers you already have. Need more capacity? We'll spec and build out on-prem hardware sized to your patient volume. After setup, inference runs at the cost of electricity.
NthGear custom-builds an AI architecture that fits your organization and hands you the reins. No subscriptions on inference. No vendor lock-in.
Let's build
Tell us about your environment and what you want to run. We'll map the path to reclaiming data sovereignty.