EfficiencyNext$1.5B
Payments processed each year
Designed for what’s Next.
Results, not hype.
We build systems that make hard, data-heavy work easier. For a decade, across healthcare, NGOs, and associations. AI is the newest tool; the real story is automation.
What has stayed constant
Listen deeply.
Design for the real goal.
Build for the client you are with.
Keep the same people involved.
Stay long enough for knowledge to compound.
4 min
Monthly reconciliation, down from 4 days
300+
Federal grant reports automated
0 → 89%
Member data coverage, no surveys
The larger story
AI isn’t a pivot.
We’ve freed trapped data for a decade — the kind stuck in spreadsheets, paper logs, and a few people’s heads.
Why it matters: the goal never changed. Get the right information to the right person at the right moment. AI just makes it faster.
What we build.
What we do →Applied AI and automation
AI that understands the process, shows its reasoning, and earns its place.
Explore →Custom software
Tools shaped around the part of your work no standard platform was built to handle.
Explore →Integration and data
Connected systems, reliable data flows, and a single version of reality.
Explore →
Our structural advantage
The same people, start to finish.
Most firms hand you off: sales to delivery to support. Every handoff drops what was learned.
We don’t. The people in your first meeting stay through build, support, and the next idea. Context compounds instead of resetting.
See why continuity matters →The numbers.
All case studies →$500M → $1.5B
The payment platform that tripled with the network
Volume tripled. The team didn’t. Ten FTEs moved to higher-value work.
Read the case →99%
Reconciliation rebuilt around analyst judgment
$100M+ in monthly transactions matched in minutes, with every decision traceable.
Read the case →0 → 89%
Advocacy intelligence, without the surveys
They asked for a better survey. The answer was to stop asking and start collecting.
Read the case →Where we go deep.
Healthcare revenue cycle
10+ years inside physician billing. Operations moving $1B+ a year. We know the work and the pressure behind it.
Associations and mission-driven organizations
Member data into advocacy impact. From the database to the congressional district.
If your work is complex and data-heavy, you’ll recognize yourself in ours. Our real specialty is learning yours.
The principle
Technology is an important piece of the puzzle. It is not the puzzle.
The puzzle is understanding your work well enough to know where to apply technology, and where you provide the key value.Field Notes
All notes →
On Craft
The tool is not the craft
The potter’s wheel completely changed how clay could be shaped. It didn’t change the eye that could see the bowl before it existed.
Christopher Proto On AISometimes the best gift is stability
Not every organization can sprint at the pace of AI innovation. A stable plateau to receive benefits from isn’t a bad thing.
Paul Katz On AIAI that fits the work
Adding AI to a messy process does not automatically make it better. It can just make the mess happen faster.
Grace BartonWhat’s not working?
The first conversation is just a conversation. We ask good questions, listen, and show you exactly how we’d help.
Start a conversation