Multidisciplinary bench
50 States
Physicians licensed across all 50 states, plus Canada and the United Kingdom — alongside attorneys, CPAs, enterprise architects, and applied-AI leads.
Detroit · Toronto · London · Kuala Lumpur
Healthcare safety layer
236,000+
drug-interaction pairs
inside deterministic safety checks
< 24h
Avg review
26+
Specialties
10K+
Patients
99.9%
Uptime
50 States
Physician coverage
Plus Canada and the United Kingdom
25+ Years
Principal experience
Architecture, medicine, and finance
236,000+
Drug-interaction pairs
Inside a six-layer clinical safety model
4 Cities
Multinational presence
Detroit · Toronto · London · Kuala Lumpur
The Founding Partners
Three disciplines at the founding table.
Consultanist was founded by a technology architect, a physician, and a CPA — because the hardest problems in regulated industries live exactly where technology, medicine, and finance meet.
The principals are anonymized by role here because the point is operating discipline: senior architecture, clinical judgment, and finance controls at the same table.
Founded 2017. Principal-led by design.
Senior technology architect
Enterprise architecture, infrastructure, software, and industrial systems.
Decades at the high end of technology work, spanning Silicon Valley, Detroit automotive, Canadian technology firms, and the software layer over industrial hardware.
Physician
Clinical practice, telehealth operations, and healthcare technology.
Clinical workflows are designed with the judgment of people who have carried them. AI assists, deterministic safety rules and clinicians decide.
CPA
Finance, cross-border tax, company formation, and operating controls.
Finance and entity-structuring judgment sits beside the engineering work when systems cross jurisdictions, currencies, and legal regimes.
Disciplines
The principals who lead your engagement.
All 50 US states, Canada, and the UK
Physicians
Consultant physicians support clinical workflow, safety review, telehealth operations, and specialty-specific system design.
Multiple jurisdictions
Attorneys
Privacy, cross-border, technology, and IP counsel for work where architecture and legal exposure cannot be separated.
Multi-jurisdiction finance
CPAs
Cross-border tax, company formation, finance systems, and controls with a CPA in the loop.
Software, infrastructure, hardware
Engineers & Architects
Enterprise architects, software leads, and industrial deployment specialists for regulated operating environments.
Retrieval, computer vision, decision support
Applied-AI Leads
Private retrieval systems, computer vision, and decision support, engineered privacy-first and safety-first.
Industries
Regulated work across five industries.
Primary practice
Healthcare
Telehealth and EMR platforms, clinical safety systems, audit pipelines, and computer-vision support for point-of-care precedents.
Representative engagement
Built and operated healthcare platforms with 236,000+ interaction pairs, a 6-layer safety model, 294 audit rules, 65 red flags, 8,000+ prescriber cases, and DINOv2 visual-similarity workflows.
Industrial systems
Automotive
Enterprise architecture and software around complex manufacturing and hardware deployments.
Representative engagement
Supported work for a Detroit Big Three automaker involving industrial hardware/equipment deployment and the software and enterprise-architecture layer built on top of it.
Sensitive documents
Legal
Private, in-environment knowledge systems for law firms handling privileged material.
Representative engagement
Built a private retrieval-augmented-generation system over client files for an international law firm, preserving privilege, data residency, and client-system boundaries.
Cross-border
Finance
Tax, entity formation, and finance-system automation where accounting, law, and technology intersect.
Representative engagement
Advised a multi-jurisdiction firm on cross-border tax, company formation, and the technology/legal issues that connect those workflows.
Regulated operations
Enterprise IT
Infrastructure, hardware deployments, and enterprise architecture for complex organizations.
Representative engagement
Led architecture work across infrastructure, hardware deployment, and software operations where reliability and governance matter.
How We Apply AI
AI assists. Principals and rules decide.
The work is not a generic model wrapper. Sensitive systems run in the client environment when required, deterministic controls override model output, and credentialed judgment stays in the loop.
Operating rule
Private by default. Deterministic where safety matters.
The architecture changes by vertical. A legal retrieval system, a clinical decision-support flow, and a tax automation pipeline should not share the same risk model.
Start a conversationLegal
Private in-environment RAG
Retrieval over sensitive client files that runs inside the client environment. Documents do not leave the client system boundary.
Healthcare
Deterministic clinical override
Clinical decision support where deterministic rules and clinician review override model output. AI assists; it does not decide.
Healthcare
Computer-vision similarity
DINOv2 visual-similarity workflows surface point-of-care precedents from anonymized clinical records.
Finance
Cross-border tax automation
Entity-structuring and tax workflow automation with a CPA in the loop for jurisdictional judgment.
Healthcare practice depth
The healthcare practice has built real products.
Healthcare remains the primary practice. VitalNoor, LongevitAge, EMRGENIUS, and Clinical Modality show the depth: patient-facing telehealth, longevity medicine, EMR infrastructure, and regional clinical marketplaces.
vitalnoor.com
VitalNoor
AI-powered dermatology consultations
Prescription-strength skincare delivered to your door
longevitage.com
LongevitAge
Evidence-based longevity medicine platform
Science-backed health optimization, personalized
emrgenius.com
EMRGENIUS
Multi-tenant EMR SaaS — built for scale
The EMR that thinks like a clinician
clinicalmodality.com
Clinical Modality
Condition-based telehealth marketplace
The right clinician for every condition, in every region
Selected Engagements
Representative engagements, described without client names.
Healthcare platform safety layer
Telehealth + EMR infrastructure
Challenge
Clinical workflows needed safety gates, auditability, and AI assistance without letting the model become the decision-maker.
Approach
Combined 236,000+ drug-interaction pairs, 6-layer safety, 294 clinical rules, 65 red flags, and clinician-controlled workflows.
Outcome
A reusable healthcare operating layer for telehealth, EMR, prescriber review, and visual-similarity support across product lines.
Work surface
Clinical safety · Audit rules · DINOv2 · EMR · Telehealth
Automotive industrial systems layer
Detroit Big Three environment
Challenge
Industrial hardware deployments required enterprise architecture and software coordination around physical operations.
Approach
Mapped the equipment deployment into the surrounding infrastructure, governance, and software layer rather than treating it as isolated hardware.
Outcome
A governed technology layer around industrial deployment work, suitable for a large automotive operating environment.
Work surface
Industrial hardware · Enterprise architecture · Software layer
Private legal retrieval system
International law firm
Challenge
The firm needed retrieval over sensitive client files without moving privileged material into an external SaaS workflow.
Approach
Built private, in-environment RAG over client files with data-residency and privilege boundaries preserved.
Outcome
Search and synthesis over legal material while keeping the system boundary aligned with client confidentiality requirements.
Work surface
Private RAG · Document retrieval · Data residency
Cross-border finance operations
Multi-jurisdiction firm
Challenge
Tax, entity formation, and technology workflows crossed jurisdictions and needed accounting judgment embedded in the process.
Approach
Designed technology support around cross-border tax, company formation, and the legal issues that attach to those decisions.
Outcome
A more disciplined operating model for finance workflows where automation remains supervised by credentialed judgment.
Work surface
Cross-border tax · Entity structuring · CPA-in-loop automation
The Firm
Principals who lead teams.
Consultanist is not a staffing shop. The principals who shape the engagement are the people you meet, and they lead the teams that execute.
Multinational presence
Detroit
Michigan, USA
Toronto
Ontario, Canada
London
England, United Kingdom
Kuala Lumpur
WP, Malaysia
Common Questions
Questions worth answering up front.
Honest Fit
Principal-led, multi-disciplinary, and accountable from the first call.
We would rather answer the important questions plainly, before you send a brief.
Are you a consulting firm or a product company?
Both, deliberately. Consultanist is a principal-led consulting firm, and the healthcare practice also builds and operates products. Those products are proof of operating depth, not the boundary of the firm.
Do you only work in healthcare?
No. Healthcare is the primary practice, but the firm also works across automotive, legal, finance, and enterprise IT where regulated systems need senior architecture, privacy, finance, and applied-AI judgment.
Who leads an engagement?
A principal leads the engagement. The point is not staff augmentation; the people who shape the work are the people you meet, and they assemble the bench required for the problem.
How do you use AI in sensitive environments?
We keep the risk model specific to the vertical. Legal RAG can run inside the client environment. Clinical support is overridden by deterministic safety rules. Finance automation keeps a CPA in the loop.
Which regulations do you build around?
The healthcare product layer is designed around HIPAA, PIPEDA, and GDPR-aligned architectures with regional data-residency concerns. Other verticals are mapped to the client jurisdiction and operating risk.
How does an engagement start?
Email [email protected] or use the form. A principal reads the note first and replies if there is a clear fit.
Work Together
Start a conversation.
If you are building or repairing a serious system in a regulated environment, tell us what you are working on. A principal reads every note before any next step.
Engagements we take
We don't do
[email protected] — email us directly, or use the form to get in touch.