41-Year-Old Entrepreneur Builds $400 Million AI-Driven Telemedicine Company, Drawing Sam Altman's Interest

Matthew Gallagher, a 41-year-old entrepreneur, has reportedly built a telemedicine company, Medvi, that achieved $400 million in annual revenue within its first year, primarily by leveraging artificial intelligence. This development has drawn attention from figures like Sam Altman, who previously predicted the emergence of billion-dollar companies with minimal human staff.

Digital interface of Medvi telemedicine platform on a tablet, showcasing AI features.

Medvi, which launched in September 2024 with an initial investment of $20,000, focuses on the GLP-1 weight loss drug market. Gallagher utilized AI for various operational aspects, including underlying code development, front-end web content, advertising visuals, promotional videos, business analysis systems, and 24/7 customer service.

AI-Driven Operations and Rapid Growth

Gallagher's strategy involved delegating all feasible tasks to AI. He reportedly used AI programmers such as ChatGPT, Claude, and Grok for code and development. Midjourney and Runway generated web pages, posters, and videos for marketing. ElevenLabs provided an AI voice assistant for customer service, while a dedicated AI system monitored business performance. Gallagher even cloned his own voice for personal errands to maximize his work focus.

Interconnected AI tools like ChatGPT, Midjourney, and ElevenLabs, symbolizing Medvi's operations.

By the end of 2025, Medvi's annual sales reached $401 million, serving 250,000 customers. The company's official staff initially comprised only Gallagher, who later hired his younger brother, Elliot, as his sole full-time employee. For 2026, the brothers have set a revenue target of $1.8 billion.

Medvi's financial data indicates daily revenue exceeding $3 million, with a net profit margin of 16.2% in 2025, totaling approximately $65 million. This contrasts with a listed competitor, Hims & Hers, which reported a 5.5% net profit margin with 2,442 employees in the same year. Following a report on Medvi, Sam Altman reportedly expressed a desire to meet Gallagher.

Man analyzing financial data on a computer, representing Medvi's impressive profit margins.

Entrepreneurial Journey and Challenges

Gallagher's background includes teaching himself programming and starting several small ventures, including selling web hosting services at 18. He later founded Watch Gang, a watch subscription box company that employed 60 people but struggled with profitability. After the release of ChatGPT in 2022, Gallagher began exploring AI tools.

Abstract bridge connecting AI digital landscape with medical symbols, representing telemedicine partnerships.

He identified an opportunity in telemedicine by partnering with platforms like CareValidate and OpenLoop Health, which provide infrastructure for online doctors, prescription systems, and pharmacy delivery. This allowed him to focus on using AI for branding, marketing, and customer service.

Despite Medvi's success, its reliance on AI presented challenges. AI customer service chatbots occasionally misquoted drug prices or "hallucinated" product offerings. A critical issue arose when the chatbot was configured to transfer calls directly to Gallagher if a customer insisted on speaking to a human, leading him to handle over 1,000 customer service calls personally. An instance of a website update breaking functionality while he was hiking also highlighted the operational risks of a minimal human team.

Frustrated entrepreneur on a phone call, with digital error overlays, symbolizing AI operational challenges.

Strategic Expansion and Future Outlook

Learning from his previous venture, Gallagher maintains a lean team at Medvi, consisting of two contract engineers and his brother. Elliot's role primarily involves managing communications to allow Matthew to focus on core tasks. Gallagher also uses his voice clone for appointment calls to save time.

While core operations remain AI-driven, Medvi has transitioned some professional services, such as legal and financial matters, from AI tools to human firms. In February 2026, Medvi launched a men's health product line, including ED treatments, which acquired 50,000 customers in its first month. Plans for future expansion include women's health, hormone therapy, hair loss prevention, supplements, and skincare products. Gallagher has considered expanding through acquisitions but believes he can build new services just as quickly with AI.

Glowing 'M' for Medvi with branching product lines, symbolizing strategic expansion.

Medvi's total profit is estimated between $70 million and $80 million. Gallagher has established a foundation with $1 million, donating to a cat rescue organization and planning to support non-profits for homeless youth, with an eventual goal of channeling most of Medvi's profits through the foundation.

Gallagher acknowledged that the lean team structure has led to feelings of loneliness. To address this, Medvi has begun assigning human customer managers to some clients, who use AI to manage numerous client relationships and recall personal details.

Human hand touching a holographic AI network that transforms into faces, symbolizing human-AI customer management.

Medvi's model has garnered attention for demonstrating how AI can enable a single individual to build a company with substantial annual revenue. The case suggests that AI effectively replaces the intermediate layers of traditional companies that typically require a large workforce, such as development, design, customer service, data analysis, and content production.