Subscribe to our newsletter for the latest customer stories, product updates, and insights!
We look forward to keeping you informed about all our upcoming events. Keep an eye on your inbox!
Oops! Something went wrong while submitting the form.

Preventing Illness Through Root Cause Medicine: James Keppel's Journey Building Sarana Health

Founder 101
Lisa Shmulyan
November 25th, 2025
Share article

We call it the healthcare system. But for many, it’s more of a “sick care” system. Despite decades of medical advances, providers are focused on treating symptoms rather than solving root causes, and patients often get lost in clunky, impersonal systems. 

After facing his own health crisis, entrepreneur and designer James Keppel found himself struggling to get the answers and treatment he needed. He decided to take the situation into his own hands and was able to improve his health drastically. 

Realizing that many others were also looking for a new approach to medical care, James set out to launch Sarana Health and revolutionize healthcare delivery.

Introducing Sarana Health: Integrated Wellness Through Root Cause Medicine

Many doctors see 20-40 patients daily, and are advised by some insurance companies to spend 10.6 minutes with each patient, James shares. Diagnoses are swift, and patients are often left lost and confused. 

Sarana Health is taking a different approach, offering an integrated wellness program focused on understanding patients’ holistic health and preventing illness rather than just treating symptoms. "What integrated wellness means is really looking at how everything works together,” explains James. “For example, your liver participates in somewhere around 500 of your body functions. If you start to think about the issues you're trying to avoid or solve, you have to go back to where it starts to really understand what the problem is."

Patients begin with a comprehensive four-step health assessment, including proprietary lab testing and analysis, to create a personalized treatment plan. They’re then matched with a team including a physician, a certified nutrition specialist, and a board-certified health coach to assist them as they progress through their plan, ensuring consistent support throughout the experience. As James describes, it's “concierge medicine without the concierge prices.”

James’s journey to Sarana

When James moved to Colorado after 23 years running a design firm in San Francisco, he knew it would be the beginning of a new chapter. He had sold the business and was moving to support the new ownership over 18 months. But it wasn’t the transition he was expecting. 

Soon after, James received a scary health diagnosis and was told he could need an organ transplant. Worse than the diagnosis, the healthcare system offered James little clarity or support, making it difficult to understand how best to move forward. 

James decided to design his own treatment approach and began seeing remarkable results. Before long, he’d gained a 40% improvement in organ function and was able to transition off most medications. He soon realized that many others felt similarly disenfranchised from the healthcare system and would benefit from the same treatment philosophy that saved his health. 

Several years later, Sarana is serving hundreds of patients nationwide and has built an in-house team of certified medical professionals. As he looks to the future, James is aiming to scale Sarana’s offering and support more patients throughout the country. 

To learn more about James’s journey, you can follow him on LinkedIn and visit sarana.health.

Founder Exclusive DeaL

Up to 3,500 bonus and 3% cash-back on all card spend [3], 6 months off payroll, and 50% off bookkeeping for 6 months, free R&D credit.

Get started

Frequently Asked Questions

Startup grants are crucial in helping new businesses in West Virginia grow and succeed. They provide financial support without the need for repayment, offering startups a unique opportunity to access resources that can drive innovation and development.

  • How do I sign up for Every?

    You can get started right away—just click “Get Started” and follow a short onboarding flow. Prefer a little help? One of our specialists can walk you through incorporation, banking, payroll, accounting, or whatever you need.

  • What features does Every offer?

    Every gives startups a complete back office in one platform. From incorporation and banking to payroll, bookkeeping, and tax filings, we take care of the operational heavy lifting—so you can spend more time building, less time managing.

  • How is Every different from other tools?

    Most competitors give you software. Every gives you a full-stack finance and HR team—plus smart financial tools that actually benefit founders. Earn up to 4.3% interest on idle cash and get cash back on every purchase made with your Every debit cards, routed straight back to you.

    Every is not a bank. Banking services provided by Thread Bank, Member FDIC. Your deposits qualify for up to $3,000,000 in FDIC insurance coverage when Thread Bank places them at program banks in its deposit sweep program. Pass-through insurance coverage is subject to conditions. The Every Visa Business Debit Card is issued by Thread Bank, Member FDIC, pursuant to a license from Visa U.S.A. Inc. and may be used anywhere Visa cards are accepted.

  •  Is my data secure with Every?

    We use end-to-end encryption, SOC 2-compliant infrastructure, and rigorous access controls to ensure your data is safe. Security isn’t a feature—it’s foundational.


  • Can I switch to Every if my company is already set up?

    Yes—you can switch to Every at any time, even if your company is already incorporated and running. Whether you're using separate tools for banking, payroll, bookkeeping, or taxes, we’ll help you bring everything into one place. Our onboarding specialists will guide you through the process, make sure your data is transferred cleanly, and get you set up quickly—without disrupting your operations. Most founders are fully transitioned within a week.

  • What stage of startup is Every best for?

    Every is designed for startups from day zero through Series A and beyond. Whether you're just incorporating or already running payroll and managing expenses, we meet you where you are. Early-stage founders use Every to get up and running fast—with banking, payroll, bookkeeping, and taxes all handled from day one. Growing teams love how Every scales with them, replacing patchwork tools and manual work with a clean, unified system.

    We’re especially valuable for teams who want to move fast without hiring a full finance or HR team—giving founders more time to build, and fewer distractions from admin and compliance

  • How long does onboarding take?

    Onboarding with Every is fast and efficient. For most startups, the process typically takes between 3 to 7 days, depending on your specific needs and how much setup you already have in place.

    If you're a new company, you'll be up and running quickly—getting your banking, payroll, and bookkeeping set up without hassle. If you’re transitioning from another system, our specialists will help you migrate your data, ensuring a smooth switch with no gaps or errors in your operations.

    We guide you every step of the way, from incorporation to setting up automated payroll to handling your taxes—so you can focus on growing your business. Our goal is to make sure you're fully operational and confident in your back office in under a week.

Practical Questions to Ask to Ensure Your Bank is Well Managed

  • How much liquidity does the bank have on hand to cover unexpected withdrawals or shortfalls?

  • What percentage of the bank's deposits are invested in longer-term securities and loans, and what percentage is kept as cash reserves?

  • How does the bank diversify its investment portfolio to minimize potential losses and reduce risks?

Lisa Shmulyan
Lisa Shmulyan
Contributing Writer and Editor
Share article
Subscribe to get founder advice delivered directly to your email.
Subscribe
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.