AFTER HOURS.
Physicians averaged 57.8 working hours a week in 2024. Nearly one in four spent more than eight hours a week in the EHR outside normal working hours, and the number increased.
FOR MEDICAL PRACTICES
The chart follows doctors home. The Node does not.
Draft notes, appeal denials, and summarize records on a machine inside the practice. The clinician reviews the work. No AI vendor holds the recording or chart.
01PHI STAYS INSIDE
02NO VENDOR HOLDS RECORDS
03$0 TO ADD A CLINICIAN
FROM $14,500 INSTALLEDFIRST YEAR OF MANAGED CARE INCLUDEDINSTALLED ON SITE ACROSS NORTHERN VIRGINIA AND WASHINGTON DC
01 / WHY LOCAL
THE WORK FOLLOWS YOU HOME.
PUBLIC CLOUD / EXTERNAL
PRIOR AUTH.
The AMA reports roughly 40 prior authorizations per physician every week and about 13 physician and staff hours spent completing them. Forty percent of practices assign staff to prior authorization alone.
THE BOUNDARY.
HIPAA allows cloud services with the right business associate agreement and safeguards. Consumer accounts without those controls are different. A Node keeps the AI workload inside the practice instead of adding another PHI-holding vendor.
PRIMARY SOURCESAMA / PHYSICIAN HOURS AMA / PRIOR AUTHORIZATION HHS / CLOUD GUIDANCE AMA / 2026 AI SURVEY
02 / EXAMPLES
TWO COMMON JOBS
Tuesday, 9:40 PM.
Clinic ended at five. The last two notes are still open on the kitchen table, where charting goes after the staff go home. In the AMA’s 2025 survey, 22.5 percent of physicians spend more than eight hours a week in the EHR outside working hours, and the number went up, not down.
With a Node in the office and a speech model installed, the visit recording becomes a draft note before the last patient leaves. The recording and chart stay on a machine the practice owns. The doctor edits, signs, and goes home. No vendor holds the recording.
Wednesday, 2:15 PM.
A prior authorization comes back denied, the fourth this week. The AMA’s 2025 survey reports 40 prior authorizations per physician per week, 13 staff hours spent completing them, and 40 percent of practices with a staff member working on nothing else.
The machine reads the denial and the chart excerpt and drafts the appeal letter while the front desk answers the phone.
In the AMA’s 2026 survey, 81 percent of physicians used AI professionally and 86 percent called data privacy critical to adoption. The demand already exists. The practice needs a tool it can govern.
03 / WHAT YOU GET
THE NODE
A sealed machine on your own network, configured and maintained by Splay inside your practice. Staff use it to draft visit notes from recordings, letters, and summaries, write the small tools nobody budgets for, and search every policy, chart, and record you could never upload.
It needs no cloud account and no internet connection, and nobody pays per seat. We maintain the machine without ever holding your files. The whole setup is written down, step by step; any competent IT shop could run it without us.
04 / WHAT IT DOES
DOCUMENTS, SOFTWARE, AND SEARCH.
A Node runs an AI model inside your building. Staff use it to draft documents, build small tools, and search files that cannot go to a public service.
WORKING SOFTWARE
Staff describe a small tool in plain English. The Node writes the code, and the tool runs on your network.
WEB PAGES
Intranet pages, forms, and working dashboards built from a plain description.
DOCUMENTS
Proposals, compliance matrices, SOPs, contract reviews, letters, and summaries in your templates.
DRAWINGS AND PHOTOS
A vision model can read scanned drawings and photos of parts.
Every Node supports the same types of work. Larger machines handle more users, larger models, or faster answers. The pilot lets you test one with your own work.
05 / THE MACHINES
THE MACHINES
Five standard machines and one custom build. Each runs on your network with no path to the internet. Hardware, capacity, and prices are listed on every card.
63MODEL SCORE / BEST CLOSED MODEL = 100
- MODEL
- MINIMAX-M2.7
- HARDWARE
- DGX SPARK, 128GB
- SERVES
- 1-15 STAFF
$14,500 INSTALLEDYEAR 1 CARE INCLUDED, THEN $600/MO
ASK ABOUT 01 67MODEL SCORE / BEST CLOSED MODEL = 100
- MODEL
- DEEPSEEK V4 FLASH
- HARDWARE
- 2X SPARK, LINKED, 256GB
- SERVES
- 16-30 STAFF, TWO MACHINES
$32,500 INSTALLEDYEAR 1 CARE INCLUDED, THEN $900/MO
ASK ABOUT 02 85MODEL SCORE / BEST CLOSED MODEL = 100
- MODEL
- GLM-5.2
- HARDWARE
- 4X SPARK, LINKED, 512GB
- SERVES
- 1-10 STAFF ON GLM-5.2, OR 60 SPLIT
$59,500 INSTALLEDYEAR 1 CARE INCLUDED, THEN $1,200/MO
ASK ABOUT 03 73MODEL SCORE / BEST CLOSED MODEL = 100
- MODEL
- MINIMAX-M3
- HARDWARE
- 4X RTX PRO 6000, 384GB
- SERVES
- 15-75 STAFF, FAST
FROM $129,500 INSTALLEDYEAR 1 CARE INCLUDED, THEN $1,500/MO
ASK ABOUT 04 85MODEL SCORE / BEST CLOSED MODEL = 100
- MODEL
- GLM-5.2, BEST OPEN MODEL
- HARDWARE
- DGX STATION GB300, 748GB
- SERVES
- 15-75 STAFF
FROM $195,000 INSTALLEDYEAR 1 CARE INCLUDED, THEN $2,500/MO
ASK ABOUT 09 If the listed machines do not fit your workload, Splay can build one to order. Memory, speed, and models are set after a call and quoted in writing.
BY INQUIRYSIZED TO YOUR WORK / SCOPED ON A CALL
ASK ABOUT NODE X 01START
NODE 01 serves 1-15 staff.
02JOIN
A second Spark and one cable turn NODE 01 into NODE 02.
03GROW
Two more make NODE 03. Nothing is replaced or migrated.
04CREDIT
What you paid counts in full from NODE 01 through NODE 03.
NODE 03 is built for more users. NODE 04 is built for faster answers. NODE 04 uses four RTX PRO 6000 cards, each with 1,792 GB/s of memory bandwidth. One Spark has 273 GB/s. Both can run GLM-5.2.
The practice places one order. There are no usage charges or per-seat fees. Spark machines upgrade by joining, and what you paid credits in full from NODE 01 through 03. Credits toward NODE 04 and 09 are set by quote.
MODEL LEDGER / JULY 2026
Pick a model. See where it lands.
Published open models against the machines. The verdict is arithmetic over each model's published size and each machine's installed memory, nothing else. The flag is the developer's home country.
NODE 01 / 128GBNO FIT
NODE 02 / 256GBNO FIT
NODE 03 / 512GBQ4
NODE 04 / 384GBQ3
NODE 09 / 748GBQ4
The estimate covers the model itself plus 5% overhead; working memory is extra. Sizes are the published figures.
Model score: best closed model = 100 on the Artificial Analysis index, July 2026. Raw scores 38, 40, 51, 44, 51 against the best closed model's 60. Model fit includes 5% overhead; working memory is extra. NODE 04 and 09 are built to order: 50% deposit, quotes hold 30 days. Prices subject to change.
06 / COST
COST COMPARISON
THE QUESTIONSPLAY NODECLOUD CLINICAL AIPUBLIC AI TOOLS
PHI LEAVES YOUR BUILDINGNOYES, TO VENDOR CLOUDYES, TO VENDOR SERVERS
SETUPFROM $14,500NONENONE
RUNNING COST$0 YR 1, THEN $600/MOFROM $39/CLINICIAN/MO$25-30/SEAT/MO
COST TO ADD A CLINICIAN$0ANOTHER SUBSCRIPTIONANOTHER SEAT
Public tools remain fine for work with no PHI in it. Cloud clinical AI pricing is Freed's published plans, $39 to $119 a clinician a month; the larger scribe vendors quote. Hardware alone does not make you HIPAA compliant.
CLINICIANS / 5$28,900 / NODE 01 / 3 YEARS
FREED / 3 YEARS$7,020-$21,420
LARGER SCRIBE VENDORSBY QUOTE
07 / PRICING
FULL PRICE LIST
These are Splay's current published prices.
THE CLEAN ROOM
A sealed enclave built inside your practice: its own walled-off network, a bay for your Node, screens that can view but never copy, and a documentation pack for your risk analysis.
$25,000 TO 10 SEATS$45,000 TO 25 SEATSFixed price; the machine is priced separately. You own it, and your IT runs it with our manual.
SERVICES
- PILOT, 30 DAYS
- $2,000*
- READINESS SURVEY
- $2,400*
- EXEC BRIEFING
- $1,500
- COURSE, HALF DAY
- $2,400
- COURSE, FULL DAY
- $5,500
- ONBOARDING
- FROM $4,500
- CUSTOM MODEL
- FROM $12,500
* Credited in full against any machine. Courses use your own examples. Custom models are tuned on your hardware. Extra on-site work is $2,400 a day.
ON RETAINER
- MANAGED CARE
- FROM $600/MO
- MODEL DROP
- $250/QTR
- AI OFFICER
- FROM $2,500/MO
Model drop: each quarter's best open model, installed and briefed on-site. Included with NODE 04/09 care. AI officer: a standing operator for prompts, workflows, and small tools.
08 / FROM CALL TO INSTALL
HOW IT WORKS
THE CALL
A 20-minute call about your network, staff, and work.
THE SURVEY
A readiness survey at your facility. $2,400, credited in full against any machine.
THE PILOT
A pilot machine on your bench for 30 days. $2,000, credited in full. Then you decide.
A fleet of four pilot machines exists. Every machine is a copy of one documented setup, with a step-by-step manual; any competent IT shop could run it without us.
09 / FAQ
QUESTIONS
Does it connect to our EHR?
No. Staff work with exports, scans, and recordings. There is no vendor connection into your EHR. If you want an AI tool built into the EHR, that is a different product. A Node handles work outside it: notes, letters, appeals, summaries, and searches.
Is this an ambient scribe?
With a speech model installed, it drafts a visit note from a recording, and the recording never leaves the machine. Dedicated scribe services are more polished at that single job. A Node keeps the work inside your practice and also handles the other tasks listed on this page.
Does it make us HIPAA compliant?
No, and no machine does. What changes: this work stops leaving the building, so there is no new vendor holding PHI and no new business associate agreement behind it. The clean room engagement includes a documentation pack for your risk analysis.
What about the new HIPAA security rules?
HHS proposed a stricter Security Rule in January 2025: mandatory risk analysis, encryption, MFA, and asset inventories. It is not final. The rules in force today already require a risk analysis, and recent OCR settlements cite that requirement. Your documentation can state that the AI machine runs inside the practice and sends no data out.
Can it write software?
Yes. Staff describe a tool in plain English and the machine writes the code. It works best for small internal tools and scripts. Large production systems still need a software team. The pilot lets you test it with your own work.
Who runs it after the install?
Your IT does, with our manual. Every machine is a copy of one documented setup. If you would rather we watch it, managed care starts at $600 a month and year one is included with every machine.
What happens if Splay disappears?
You own the machine outright, and the whole setup is written down, step by step. Any competent IT shop could run it without us.
Can we try it before we buy it?
A pilot machine sits on your bench for 30 days for $2,000, credited in full against any machine. So is the $2,400 readiness survey.
What does it cost to add a seat?
$0. The machine is the cost. NODE 01 serves 1 to 15 staff; when you outgrow a machine you buy the next machine, not the next license.
How many people can use it at once?
Each person uses the Node over your network. What limits a machine is how many answers it writes at the same time. NODE 01 is bench-measured at ten simultaneous conversations. Larger machines serve more people, and Splay sets the working memory during installation so the machine stays responsive.
What happens when we outgrow it?
You add machines. A second Spark turns NODE 01 into NODE 02; four Sparks make NODE 03. What you paid is credited in full from NODE 01 through NODE 03. Credits toward NODE 04 and NODE 09 are set by quote.
Do you see our data?
No. The machine has no path out to the internet, and your files stay in your building. Custom models are tuned and tested on your hardware, and support visits happen on-site, at the rate on the card.
Why are your prices public?
So buyers can compare the machines before a call. Model scores come from a public index, and the raw scores are printed on the page. Every price carries its edition date: July 22, 2026.
10 / CONTACT
TALK TO SPLAY
Splay is based in Stafford, Virginia, and installs on site across Northern Virginia—including Arlington, Alexandria, Fairfax, Loudoun, and Prince William—and Washington, DC. Start with a 20-minute call.