The agentic operating system for community health centers

Not dashboards.
Action.

Every metric gets an owner, a threshold, a playbook and an AI agent bound to fix it.

FQHC OS connects your EHR, clearinghouse, accounting system and Microsoft 365—then turns the numbers your team already sees into governed work you can measure.

Live in 90 daysNo per-seat feesHuman approval built in
Command Center
FQHC OS Command Center showing governed health center metrics, owners, status and bound agents
Five domains need attention · Demo environment

Built with founding health centers

CommuniCare Health CentersCorporación SANOSFinger Lakes Community Health
Texas · Puerto Rico · New York
The operating gap

Your health center does not have a data problem. It has an action problem.

You have reports. The EHR has one. The clearinghouse has one. The UDS vendor has one. What is missing is the step after the report: someone accountable, a defined fix, and proof that the fix worked.

SystemShows the dataAssigns an ownerStarts the fixVerifies the result
EHR YesNot includedNot includedNot included
Clearinghouse YesNot includedNot includedNot included
Accounting YesNot includedNot includedNot included
UDS reporting vendor YesNot includedNot includedNot included
FQHC OS Yes Yes Yes Yes
How the OS works

Every metric runs on the same five parts.

Days in A/RACTION
52 days

$2.50M aged 90+ days

Owner · Revenue Cycle LeadA/R Follow-up Agent
01Owner

One accountable person.

02Threshold

The number that triggers action.

03Playbook

The defined steps to fix it.

04Agent

The AI worker bound to the playbook.

05Verification

Proof the number moved.

1

Detect

A governed metric crosses its threshold.

2

Route

The owner gets the context and playbook.

3

Act

The bound agent works the backlog.

4

Verify

The OS confirms the result and records the value.

One operating system. Every domain.

Run the health center from one control plane.

Every view rolls up across sites. Select one location and the entire OS rescopes to it.

01

Command Center

Executive triage, governed domains and ROI Ledger.

02

UDS + Quality

Measures against target, care gaps and accountable owners.

03

Revenue Cycle

Denials, A/R, net collection and agents bound to the backlog.

04

Productivity

Provider and staff performance across every site.

05

Finance + 340B

Cash, payer mix and program economics in one view.

06

Security + Compliance

HRSA readiness, Microsoft 365, Entra and agent posture.

Revenue Cycle
FQHC OS revenue cycle dashboard with collections, claims and accounts receivable metrics
From report to work queue

See the number. See who owns it. See the agent working it.

Revenue cycle, quality, productivity, compliance and security all use the same operating model—so leaders stop chasing disconnected reports.

Show me my first domain
FQHC OS + MediBOT

Agents do the work. The OS shows you what they did.

FQHC OS plans, routes, verifies and governs. MediBOT agents execute specialized tasks underneath—with clear guardrails and human approval.

FQHC OS · Orchestration layerOwners · thresholds · playbooks · verification
  • Plan Break work into tasks
  • Route Assign the right agent
  • Verify Check the outcome
  • Show Record action and ROI
MediBOT · Specialized agentsAvailable with FQHC OS or independently
DenialsEligibilityPrior AuthorizationRecall + Care GapsSchedulingDocument ManagementProblem List + Coding
Agent Fleet
FQHC OS Agent Fleet showing agents, actions, guardrails and verified outcomes

People stay in control.

Nothing touches the EHR, a payer or a patient without a person approving it. Agents never hold long-lived credentials.

Built for the people who run the health center

Each leader opens to the work they own.

CEO

See every domain, rank risk by dollars, and walk into the board meeting with the ROI Ledger.

CFO

Watch A/R, denials, net collection, payer mix and 340B—and see what moved.

CMO

Track quality measures and care gaps against targets, owners and patient outcomes.

Operations

Compare sites, productivity, access and staffing from one operating view.

Compliance

Keep HRSA requirements, policies, evidence and audit readiness current.

Security + IT

Monitor Microsoft 365, Entra, endpoints, vulnerabilities and the agent fleet.

Ask the OS · Teams + Open WebUI

“What needs my attention across the portfolio?”

Cross-domain priorities ranked by dollars, risk and accountable owner—answered from your own data and scoped to your role.

Executive triage · 9:50 AM3 items need action today

Days in A/R · Diabetes control · Phishing simulation gap

$1.42M ROI attributed this quarter
Security by architecture

Your data stays yours.

A dedicated AWS environment hosted by Millennial Networks—or deployed inside your own AWS account.

AI inside the boundary

Claude through AWS Bedrock over a private connection, covered by a BAA.

Nothing sent to public AI

No document text is sent to public AI services.

Agents hold no credentials

Scoped data brokers provide least-privilege, audited access.

Human approval

Every external action waits for a person to approve it.

Full audit trail

Every query, access and action is logged and reviewable.

Role-based access

Each person sees only what their role allows.

Security
FQHC OS security posture dashboard covering Microsoft 365, Entra and agent fleet security
90-Day Go-Live Guarantee

From data access to a live operating system.

If we are not live by day 90 for reasons on our side, you do not pay again until we are.

01Days 1–30

Connect

Your numbers in the OS.

02Days 31–60

Configure + validate

Numbers leadership trusts.

03Days 61–90

Train + go live

A live operating system.

04Monthly

Manage + expand

Compounding results.

The investment

One operating system.
No per-seat tax.

Public engagements start at:

$15K/month
Final investment reflects selected domains, automation volume, data access and deployment model.

Built into every engagement

Command Center and Enterprise Intelligence Framework
UDS reporting, quality, data management and productivity
Ask the OS in Microsoft Teams and Open WebUI
Unlimited advisory and role-based training
Monthly Management Review with leadership
90-Day Go-Live Guarantee

AWS infrastructure and AI inference are scoped to your deployment and shown clearly in your proposal.

See it on your numbers

Bring us one metric your team cannot move.

We will show you how FQHC OS assigns the owner, applies the playbook, dispatches the agent and proves the result.

30-minute working sessionNo generic AI pitch. No commitment.