SONNY SAGGAR, MBBS (London) 918 Olive Street, Apt 704, St. Louis, MO 63101 saggarsonny@gmail.com | Phone: 314-704-1979 (Text preferred) U.S. & UK Dual Citizen | Available: August 1, 2026 Portfolio & Technical Hub: https://newphysician.org ================================================================================ PROFESSIONAL SUMMARY ================================================================================ Clinical Systems Forensic Analyst, Healthcare Architect, and Compliance Consultant with 31 years of clinical and operational leadership experience. Specializing at the intersection of clinical workflows, database integrity, and statutory compliance. Expert in medical documentation forensics, EHR/EMR audit trail analysis, and standard of care litigation. Retained by legal counsel and healthcare organizations to evaluate complex clinical data structures, defend against federal billing audits (ZPIC/RAC), and build local document automation pipelines. ================================================================================ CONSULTING & ADVISORY SERVICES ================================================================================ * Medico-Legal & Expert Witness Services: Retained by legal counsel for standard of care evaluations (Emergency/Urgent Care/Trauma), EMR/EHR audit trail forensics, and federal sentencing mitigation (using the Emotional Stability Index). * EU MDR/IVDR Clinical Evaluation Reports (CER): Reviewing clinical literature, conducting safety audits, and drafting compliant CERs for Notified Body review. * Healthcare Billing Risk Audits & Compliance Prep: Identifying documentation and billing workflow gaps to prepare medical practices for ZPIC and RAC audits. * Private Clinical AI & Document Automation: Designing local LLM pipelines and Next.js APIs to extract structured, semantic data from unstructured PDFs. ================================================================================ CORE COMPETENCIES ================================================================================ * Medical-Legal Forensic Analysis & Expert Witness Testimony * EHR/EMR Audit Trail Metadata Auditing & Digital Forensics * Clinical Standard of Care Analysis (Emergency/Urgent Care/Trauma) * Healthcare Compliance Auditing & Regulatory Frameworks (CIAs, ZPIC, RAC) * Federal Sentencing & Supervised Release Mitigation (ESI Framework) * Systems Architecture & AI Engineering (Local LLM work, Next.js, APIs) * Clinical Workflow Design & Safety Risk Mitigation (SBAR Protocols) ================================================================================ EXPERIENCE ================================================================================ Clinical Systems Forensics & Systems Architect (Independent Consultant) 2020 to Present * Serve as a retained expert witness and forensic consultant for litigation involving clinical standard of care, EMR metadata audit trails, and billing compliance. * Develop custom local LLM pipelines running on a 128GB RAM workstation (using llama.cpp and custom tokenizers) to parse, structure, and audit unstructured medical records. * Design and build database architectures and API integrations for clinical data validation platforms. * Advise digital health startups on aligning clinical workflows with backend database structures to prevent billing anomalies and documentation failures. * Consult on clinical data integrity and the "Substrate Problem" in healthcare AI integrations (converting positioned PDF glyphs into semantic data structures). Independent Scholar (Administrative Law & Statutory Interpretation) July 2023 to Present * Conduct deep-dive research into federal healthcare regulations, compliance frameworks, and corporate integrity agreements (CIAs). * Integrate clinical diagnostic reasoning with administrative and statutory compliance analysis to evaluate systemic legal risks in medical practice. * Publish detailed analyses on institutional ambiguity, billing audit standards, sentencing mitigation, and compliance defense strategies (SSRN series). The Hive Ecosystem & Universal Document Project Advisory Board Member & Systems Consultant April 2026 to Present * Advise on clinical safety, governance, and architectural standards for open-source healthcare data systems. * Oversee design requirements for local, privacy-first software engines. Downtown Urgent Care (St. Louis, MO) Founder & Board Member April 2008 to August 2023 * Pioneered and established the first 24/7 urgent care center in Downtown St. Louis, introducing the round-the-clock urgent care model to the region. * Scaled operations to manage a multi-physician clinic, directing clinical documentation workflows, medical staffing, and quality assurance audits. * Coordinated primary care walk-in partnerships to enable low-cost acute medical treatments. Emergency Medicine & Clinical Administration (US & UK) Emergency Physician / Hospital CEO / Clinical Director June 1995 to August 2023 * Managed emergency department workflows, clinical documentation compliance, and quality assurance audits. * Served as Hospital CEO, leading institutional governance, budget allocation, and policy audits. * Advanced Trauma Life Support (ATLS) Instructor, training physicians in emergency care systems. ================================================================================ SCHOLARLY PUBLICATIONS (SSRN) ================================================================================ 1. Ethical Triage: A Physician's Analysis of Legal Risk in Ambiguous Systems SSRN, 2026 | Abstract: https://ssrn.com/abstract=6367441 2. Reading ยง 3583(E): How Judicial Gloss Displaced the Statutory Standard for Supervised Release Modification and Termination SSRN, 2026 | Abstract: https://ssrn.com/abstract=6363438 3. When Intent Disappears: How Federal Health Care Enforcement Criminalizes Administrative Conduct SSRN, 2026 | Abstract: https://ssrn.com/abstract=6364435 4. Knowingly and Willfully: How Federal Healthcare Fraud Enforcement Abandoned Its Own Statutory Standard, and Why a Presidential Executive Order Cannot Fix It Alone SSRN, 2026 | Abstract: https://ssrn.com/abstract=6561881 5. Supervised Release and the Clarity Principle: Statutory Authority, Probation Officer Roles, and the Supervision Relationship after Loper Bright SSRN, 2026 | Abstract: https://ssrn.com/abstract=6364979 6. RESTORING THE QUESTION: A Framework for Fairness, Proportionality, and Individualized Review in Private Professional Certification After Loper Bright SSRN, 2026 | Abstract: https://ssrn.com/abstract=6491251 7. Automaticity: When Legal Systems Fire Without Thinking SSRN, 2026 | Abstract: https://ssrn.com/abstract=6590289 ================================================================================ EDUCATION & CREDENTIALS ================================================================================ * MBBS (Medical Degree): University of London, UK (St Bartholomew's Hospital Medical College and Oxford University) - U.S. Doctor of Medicine (M.D.) Equivalent * Medical Registration: General Medical Council (GMC), UK (Active registration, clean standing) * Technical Portfolio: Prototyping Next.js, Next/Clerk, API endpoints, and local LLM workflows (viewable at https://newphysician.org).