// AI-native operating system for mental health, on top of your EMR

You need an EMR built for mental health. We both know you're not buying one.

Spine builds the mental health layer above your existing EMR - an AI-ready data foundation and the intelligence sits on - so you can manage a care system that was already overloaded before October 7. Not next decade, not migrating for 5 years, not at that price.

What's broken
Your EMR.But more specifically:
Nothing serious can be built on it.

Fragmented, unstructured, non-longitudinal. Every AI or data product you're pitched dies on that foundation - which is why you keep hearing pilots and never hearing scale.

It documents, but it doesn't triage and route.

So you end up using the scarce supply on the wrong cases.

It generates the paperwork instead of absorbing it.

Intake calls, eligibility checks, referral letters, callbacks, no-show chasing, handoff summaries. Your scarcest clinicians are doing clerical work at the worst possible moment to be doing it.

It stops at your walls.

NGOs, MoD, and other players are invisible to it, and they're treating your members right now.

Post-October 7, none of this is a quality-improvement project. It's a throughput emergency, and headcount isn't the lever available to you.

What Spine is

Your EMR holds the record. Spine runs the operation above it.

$_

EMR-agnostic. We sit on top of what you already run. Nothing to migrate, nothing to replace.

$_

The unglamorous part. Everyone else is building the AI therapist. We came for the plumbing - the referrals, the callbacks, the handoffs, the paperwork.

$_

Capacity without new headcount. Your case managers and clinicians, carrying more people, because the coordination load stops landing on them.

$_

Purpose-built for mental health. Not a module bolted onto a general-medicine system by people who've never routed a psychiatric case.

$_

Decision support needs a foundation. Every clinical AI you've been pitched assumes a structured, longitudinal record that doesn't exist in mental health.

The platform, in four parts
Patient Records
One record that follows the patient
A longitudinal clinical record that moves with the patient across every organization, level of care, and handoff - so no one ever has to start from scratch.
AI-Ready Data
A shared layer the whole ecosystem can build on
Our integration hub connects payers, providers, and community organizations through a unified API - enabling real-time data exchange without costly point-to-point integrations.
Agentic Layer
Automation that handles the connective work
Spine's agentic layer manages referrals, follow-ups, and handoff coordination autonomously - with human oversight at every clinically significant decision point.
Provider Matching
The right provider, not just the next available
Intelligent matching routes patients to the provider best suited to their clinical needs, location, payer, and availability - reducing mismatch and shrinking wait times.
Answers to the hard questions
? On Data & privacy
Self-hosted inside your perimeter. FHIR-native, standards-based, end-to-end encryption, role-based access, break-the-glass logging, full audit trails. Your team sets the terms, holds the keys, owns the environment. Integration effort measured in weeks, not multi-year migration.
? On the current EMR
It stays source of truth. We sit above and consume it.
? On clinical judgment
AI carries the coordination. A clinician stands behind every clinical decision.