Senior practitioners · Engineers · AI · Proprietary technology

Technology-enabled advisory for complex enterprises.

EXOS combines senior practitioners, engineers, AI, and proprietary technology to solve high-consequence operational and technology problems across healthcare, government, manufacturing, higher education, and other complex enterprises.

EXOS
Illustrative · An engagement in progress
Evidence linked to open recommendations
284 sources
Decisions awaiting human review
6 queued
Assumptions under monitoring
23 tracked
Estate changes since last reconciliation
11 flagged
Illustrative interface. Not client data.
Built for
Healthcare systems
Manufacturing operations
Private equity & portfolio ops
Regulated government programs

A firm that brings the expertise and the system.

Definition

EXOS is a technology-enabled advisory firm that combines senior practitioners, engineers, AI, and proprietary technology to solve complex operational and technology problems.

Who we serve. Knowledge-intensive organizations where expert judgment is the scarce resource: healthcare systems, manufacturing operations, government programmes, universities, and private equity portfolio teams.

How we are different. Every artifact carries provenance showing what informed it, who reviewed it, and what was AI-assisted versus human-approved. Read the full account of what EXOS is.

What brings us in.

Different enterprises use different language. The problems tend to resolve into four patterns.

01 / 04
Simplify the technology estate
You are carrying more systems, contracts and integrations than anyone can describe, and every change costs more than it should.
02 / 04
Put AI to work
The models are not the constraint. Deciding where AI belongs, what context it can trust, and what authority it should have is.
03 / 04
Improve how the enterprise operates
The decisions that drive your results are made at the point of work, and their quality depends on who is on shift.
04 / 04
Connect investment to value
You have spent the money. Nobody can evidence what it produced.

fdX | Forward-Deployed Expertise

Productizing access to expertise that historically had to be assembled person by person.

Complex problems rarely fit a software product or a predefined workplan. EXOS deploys experienced practitioners, engineers, AI and its own technology around the problem — rather than scaling expertise by adding layers of people.

The expertise changes. The model doesn't.
Explore how EXOS works →

What actually changed.

Three of five engagements. All five, in full.

Government Audit Provenance

Research funding survives federal fiscal review

Audit-ready provenance on every research decision, and scientific impact stated in the accountability language federal evaluators required.

ContextGovernment · NIH-funded biomedical research program
Read the case →
Manufacturing Governed AI

20+ years of operator judgment kept after retirement

Human-in-the-loop production AI bounded by safety protocols, union agreements and equipment limits, with provenance from sensor data through supervisor approval.

ContextManufacturing · West Coast manufacturer, plant floor operations
Read the case →

The engagement ends.
The capability doesn't.

EXOS captures the context, evidence, reasoning, decisions and approvals as the work happens. Tacit OS is the proprietary technology that makes that possible. It runs inside EXOS engagements rather than being implemented as standalone software.

A year later, your team can still ask why a decision was made, what assumptions drove it, and what changes when those assumptions move. What you keep is a governed, queryable system your team owns. Why the capability persists →

Engagement memory · Illustrative, not client data
Recommendation: Consolidate OR scheduling
evidence
Informed by: 3 prior engagements
cross-linked
Assumption: 23% block-time utilization
editable
Source: Q3 OR utilization report
authoritative
Reviewed by: named reviewer
human-approved

Built for where
judgment is the work.

The pattern is consistent across every knowledge-intensive sector: expert judgment is the scarce resource, knowledge loss is the structural failure, and coordination is the unsolved problem. See all industries we work in.

01 · Healthcare
COO · CMO · VP Quality
"Our clinical expertise doesn't survive team transitions."
Protocol development, regulatory submissions, quality improvement, and clinical decision support.
02 · Manufacturing
COO · VP Operations · Chief Engineer
"Engineering knowledge walks out when our experts retire."
Operational excellence, process design, and quality systems across facilities and teams.
03 · Private Equity / VC
Operating Partners · Portfolio Ops
"Every due diligence starts from scratch."
M&A readiness, portfolio operations, and investment strategy across the portfolio.
04 · Government
Program Directors · CDO · Agency CIO
"Institutional memory disappears with every administration."
Policy analysis, program evaluation, and inter-agency coordination, with audit trails by default.
For technical buyers · AI governance

AI that operates inside your governance model — not around it.

If you're the person who has to sign off on how AI touches your data, this is the part of the page written for you. EXOS was architected from the start for buyers in healthcare, financial services, regulated industries, and government — where AI governance and compliance are the adoption gate, not the afterthought.

Get Started

Your best people's judgment
should outlast them.

Tell us the problem. We will come back with a scoped engagement, the senior practitioners who would do the work, and what you keep at the end. Most engagements start with a real workstream on your real estate rather than a demonstration.