Gina Siddiqui, MD
Founder · Managing Physician
Yale, UPenn, NYC Health + Hospitals. Previously Chief Clinical Officer at a venture-backed AI care platform covering 100 million lives. Founded Carte in 2023.
For wealth advisors and family offices
Markets recover. Clinical errors don’t.
You are your principals’ financial architect. Carte is the architect for their health.
What Carte offers.
Three engagement tiers, all built on the same methodology.
One decision
Forensic Review
A deep-dive analysis on an unresolved medical question, with recommendation, named next steps, and, where warranted, the specific specialist we would introduce your principal to. Advisors often use it as a firm-sponsored diligence audit to get a client out of limbo.
$10,000 / once
Ongoing
Stewardship
A dedicated Carte physician leads across all the principal’s (or a loved one’s) specialist needs, audits all interpretations, manages the open items, and holds the whole plan to a standard of actual forward motion. Where many partner-referred engagements end up.
$36,000 / year
Real time
MD Directorate
Carte functions as your principal’s 24/7/365 chief medical officer and research team — direct access, the full weight of the Carte network, and the ability to be in the room for the most consequential decisions. Capped at two clients per lead physician.
$180,000 / year
When you bring us a client.
Four scenarios account for most of the referrals we receive from partner firms.
01
The principal has an unresolved medical question.
A specific health question is on their mind. They may be getting contradictory advice for what to do next, while the unresolved symptom or abnormal result lingers. The typical engagement is a Forensic Review, continuing into an execution engagement afterward when the case calls for it.
02
The principal wants ongoing diligence on their own health.
Your client can’t afford health decisions running on the wrong track in the background. They want someone whose entire job is making sure the right questions are asked, the right specialists are involved, and the day-to-day work happens. The typical engagement is Stewardship.
03
A parent, spouse, adult child, or other loved one needs coordination.
A partner or parent whose care has become unmanageable, a child with a complex chronic condition, a family member post-hospitalization. The typical engagement is Stewardship, or Intensive/MD Directorate when a busy period needs to be weathered first.
04
The principal or family member is at the highest complexity.
Major diagnoses, high acuity, irreversible decisions that will materially alter the arc of the client’s life and will need ongoing attention. The typical engagement is MD Directorate — capped highest-intensity roster and Carte functioning as the client’s chief medical officer and in-house research team.
The Forensic Review — the first step value-add for partner firms.
Wealth managers frequently offer Carte’s $10,000 Forensic Review as clinical diligence audit for a principal in limbo with a health question.
What your firm offers clients: A firm-sponsored, self-contained forensic clinical audit.
The result: Immediate status by sourcing high-caliber clinical expertise, and trust that you can solve their biggest problems.
For partners running multiple engagements per year, we offer co-branded Forensic Review deliverables and quarterly briefings exclusive to advisor partners.
What every Carte engagement has in common is that we don’t stop at analysis. Whatever tier we engage at, we make sure the next steps actually happen — introductions to specialists, briefings before visits, follow-ups scheduled, records sent, loops closed. Most virtual second-opinion services stop at analysis; the recommendation arrives and the family doesn’t know what to do with it. For the advisor, the implementation layer is the difference between the principal getting advice and the principal’s care actually changing.
A case study: standard concierge vs. clinical alpha.
Case study[Name redacted] · CEO · thyroid CA
The case
A high-performing CEO in DC needed thyroid treatment. Their concierge team deferred to the Johns Hopkins initial advice: a surgery with significant risks.
The failure
Standard medicine is consensus-based and often not aligned with individual factors. No one was duly respecting his unique situation and disproportionate risk. Risk: tracheostomy
Carte’s intervention
We found the leading specialist in Boston with extensive case experience in a safer non-surgical alternative and discussed the nuances of the case personally.
The result
We convened the Boston specialist with the Hopkins team, leading them to change course. The principal avoided surgery and had an excellent outcome.
Published detailed case files
Full case files, with client consent and clinical details redacted — the whole arc of an engagement, from investigation to outcome.
What working with us looks like, for you.
Not a paid referral fee model. We pay back in clinical alpha for your clients and trust capital for your firm.
01
Introductory conversation.
A 30-minute call between Gina and your team. We learn how you work and what your principals need that would distinguish your practice from all the others.
02
First referred engagement.
When you have a principal who fits, you make the warm introduction. We handle the conversation from there with the discretion and care you’d expect.
03
Ongoing partnership.
Quarterly briefings, co-branded materials, complimentary audits to your clients, access to seminars for Carte members, and a direct line to the founder.
Who you’d be working with.
Ashley Alwood, MD
Physician Lead · Clinical Investigation
University of Chicago, University of Washington. Previously led emergency systems at Cleveland Clinic Abu Dhabi and at The View Hospital, a Cedars-Sinai affiliate in Doha.
Full physician profiles at /about.
Become a referral partner.
Online partner form temporarily unavailableWe are completing the secure submission workflow. No information entered on this page is sent or stored. Please return shortly before sharing client or firm information.
Online partner submissions are currently unavailable.
Or talk first.
Thirty minutes. We’ll explain what we do, how partnerships have worked with other firms, and whether your principals fit. No pitch deck.
Request a partnership callAdvisors are often themselves in the population Carte serves. If your first question is about your own situation rather than your firm’s, speak with a physician →