Two people icon.
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In the AI era, a lot has changed. The face of business will never be the same. And one of the phenomena that might seem most intriguing to people is the shrinking of the business organization by org chart reduction. In other words, in the age of AI, people are often redundant.
Now, some have raised the specter of an all-AI company, where all humans, from the CEO on down, are replaced by AI agents and bots. That’s doable, and it presents a chilling picture of an empty building with monitors and servers humming along, doing everything with no oversight, but there’s a slightly different model right now that’s very interesting, from a business standpoint, through a social lens, and in terms of American tax filing, etc.
That’s the concept of the one-person business, the “unicorn,” the one-man band.
Here, we have the example of Matthew Gallagher, who started and runs his company, Medvi, by himself, with only his brother assisting.
According to reporting by Erin Griffith at NYT, who calls the solo operation “super-efficient and a little bit lonely,” it only took around $20,000 and a couple of months to get Medvi running.
“Medvi got 300 customers in its first month,” Griffith writes. “In its second month, it gained 1,000 more. In 2025, Medvi’s first full year in business, the company generated $401 million in sales.”
All of that, without human employees. Just Gallagher and his brother Elliot, dancing in the fray like a pair of one-armed paper hangers, to use an old and probably jettisoned idiom.
“Gallagher works on Medvi from his house basically anytime he’s not showering, sleeping or spending time with his two children, he said during a two-hour conversation,” Griffith reports. “He even made an A.I. clone of his voice to help manage his personal life, using it to call and schedule appointments so he would have more time to work.”
Apparently, it shakes out this way: Elliot handles a lot of the incoming customer service communications, while Matthew tinkers with ads and online infrastructure.
By his tweens, Gallagher was making things like a Weird Al Yankovic fan page online. He also has a track record of starting companies like CareValidate, which Griffith describes as “telehealth-in-a-box.”
Now, he supervises a company made of bots that has driven revenue of $70 million to $80 million, to date, and here is what I thought was Gallagher’s best, most targeted quote, on that:
“I mean, it’s crazy, right?” he said. “It’s crazy.”
One of the most interesting things about this, to me, is the idea that Gallagher’s shop is technically a sole proprietorship for the purposes of taxation, in the eyes of the IRS.
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