
MichaelGreenhalgh.com
Michael Greenhalgh · Founder, Health.AI · Palo Alto
The personal site of Health.AI's founder, plus the books we ghostwrite for him and his complete PR.
WebsiteGhostwritingPR
Taking on new projects
We build AI agents, apps and complete products for doctors, clinics, nurses and founders. A small, senior-led team works with a fleet of AI agents, so you get the output of a 20-person agency and talk directly to the people building your product.
Led by Nikhil Narayan, building for US clients since 2005 · We reply by email · Free 30-minute Zoom call, no obligation
Built for clients including
What we build
Strategy, design, engineering, AI, launch and growth. You don't juggle five vendors.

Why it works now
AI agents now write, test, review and document code, research markets and draft content. Directed by a team whose founder has 20 years of building, they compress months of agency work into weeks.
The usual agency
Generation AI How we work
Every role on a product team, covered by our engineers and AI agents, with senior review on everything that ships.
Precision
Fast is easy with AI. Right is not. That is why every project has a senior engineer accountable for it, weekly demos you can click, and documentation your next hire can read.
Selected work
Click through and use them. These are real businesses, most of them in the US.

Michael Greenhalgh · Founder, Health.AI · Palo Alto
The personal site of Health.AI's founder, plus the books we ghostwrite for him and his complete PR.
WebsiteGhostwritingPR

Physician-led HBOT clinics · California & Oregon
A multi-location website network for physician-led hyperbaric oxygen therapy clinics, from San Diego to Madras, Oregon.
Website networkSEO

Victoria Powell · Legal nurse consultant
Legal nurse consulting for employees, attorneys and individuals with complex medical concerns.
Website

Nancy L. Lasch · Founder & CEO · Ohio, USA
Designer window crowns, frames and cornices for the home. We helped shape the idea and built the brand, website and app, with SEO and social media marketing.
BrandWebsiteAppMarketing

Michael Greenhalgh · Founder, Health.AI · Palo Alto
"2 minutes could save you thousands." AI checks a medical bill for duplicate charges, upcoding and other errors in about two minutes.
AI productWeb app

Pacific Hyperbarics · Referral portal for doctors
Doctors refer a patient to the clinic network in under a minute: nearest clinic by ZIP code, AI form filling and the Letter of Medical Necessity generated automatically.
Clinic softwareAI
Live · sign-in required · demo on request
Michael Greenhalgh
Founder, Health.AI · Palo Alto, California
Healthcare
We are the technology team behind Health.AI in Palo Alto, where we have shipped dozens of health products: patient AI, clinic software, referral portals and a multi-location clinic network. A single practice gets the same team.
In a client's words
“Nikhil was instrumental in creating Shapely Royal. He helped me shape my idea and suggested substantial improvements, then helped me register the new company and secure investment. He designed the logo, built the website and the app, and handled our SEO and social media marketing.”
Read the full testimonial
I am very picky and not easy to work with, and I am impatient: I like things done fast. Many others could not keep up with my demands and my vision. Nikhil has been very patient. He listens until he truly understands me, and he has met my standards. And he keeps surprising me with how quickly he delivers.
He helped me launch two companies from scratch, at a fraction of what US firms had quoted. He puts in extra hours, gives honest advice, corrects my mistakes and always sees things from my point of view. Kudos to him. He is a lifelong business and technical partner for me.
Nancy L. LaschFounder & CEO, Shapely Royal / Top Banana LLC · Ohio, USA
How we work
You email us your idea. We reply, and meet on a free Zoom call if it helps.
We question, improve and write a clear plan with milestones and a quote.
Fast cycles with AI agents. You see working software every week.
Live product, real users, analytics and documentation.
New features, AI, SEO and marketing, for as long as you need.
Ways to work with us
No long lock-in. Start with a short scoping sprint, see the work, then move to a monthly engagement.
For building and launching products, yes. AI agents now do much of the coding, testing, documentation, research and content work. Our engineers direct them, and our founder reviews the work and makes the key decisions. For very large systems we also help you hire and lead your own team.
The engineers building your product, and our founder, Nikhil Narayan, who oversees every project. You talk to them directly, with no account managers in between.
We work remotely and arrange an overlap with your business hours for each engagement: Zoom calls, demos and urgent fixes happen in your day. You get regular progress updates and a working demo every week.
You do. The code, designs and IP you pay for are assigned to you, and everything lives in your own accounts: hosting, domains, app stores and repositories.
Yes. Generation AI is a registered company. We sign an NDA before you share anything sensitive, and every engagement has a written agreement covering scope, IP and confidentiality.
Email us a few lines about your idea, or use the form. We reply personally by email with honest thoughts and a suggested first step, often a small paid scoping sprint so you can judge our work before committing. If it helps, we meet on a free 30-minute Zoom call.
Next step
Email us and our founder replies personally, with a free 30-minute Zoom call if it helps. Honest advice, a rough plan and a quote, with no obligation.