TillerOS · The FQHC AI Operating System
Stop assembling.
Start deciding.
TillerOS gives community health leaders live command centers for cash, access, and the board, plus an assistant that answers from your own data and prepares the work. You approve. It never acts alone.
- Built by a 15-year FQHC operator
- No PHI exposure
- BAA-backed
Scroll to see it assemble
Good morning, Mike. 5 things today.
Cash on hand
Above target
Same-day access
On plan
Approve your reply to the board chair
Top priority · goes out Thursday
The reality
The CEO's morning is buried before it starts.
Cash lives in one system. Access in another. The board packet gets built by hand. The inbox has 200 emails and three that actually matter. Every leader is spending the first two hours assembling what a machine could have handed them at 6:40 AM.
01 · Scattered systems
The numbers live in different places
Cash sits in the ledger. Access sits in scheduling. The board item sits in a thread. Nothing knows about anything else.
02 · Manual assembly
So you rebuild the picture by hand
Every week, the same exports, the same copy and paste, the same reconciliation before anyone can say what is actually true.
03 · No time to lead
And the decision waits behind the work
By the time the picture is assembled, the morning is gone. The judgment call, the part only you can make, gets whatever is left.
What TillerOS is
One calm screen
that thinks with you.
Three things, working together: command centers that rank what matters, an assistant that answers from your own data, and a governance model that keeps a human in every loop.
Good morning, Mike. 5 things today.
Cash on hand
Above target
Same-day access
On plan
Approve your reply to the board chair
Top priority · goes out Thursday
01 · Command Centers
See everything that matters, already ranked.
Live command centers for the CEO, finance, and operations. Cash, access, the board, the grants, all in one place, ordered by what needs you first. No more hunting across tools.
- · CEO Command Center ranks the five things that need you today.
- · Finance and Operations centers watch cash, close, and access across every site.
- · Everything carries a source, so you always know where a number came from.
Needs your attention · 5
- SEND
Reply to the board chair
Top priority · Thursday
- DECIDE
Approve sliding-fee schedule
Compliance cleared
Rural transformation MOU
4 days waiting
CFHL renewal on track
Sign-off pending
0 days
Cash on hand
0%
Same-day access
02 · Meet Clyde
Ask Clyde anything.
Clyde is the assistant that sits in the portal and reaches your own files, calendar, and numbers. Ask where a policy is. Ask how cash looks. Ask Clyde to draft the email. It answers with a citation, or it prepares the work for you to approve.
- · Reads answer instantly, with the exact source cited.
- · Drafts an email or a meeting, in your voice, and waits for your yes.
- · Powered by Claude, under your signed BAA.
Source: IT Policies / Heritage_MDM_Policy_v3.pdf · p.2
03 · Governance
It prepares. You approve. Always.
This is healthcare, so the guardrails come first. TillerOS reads and drafts, but it never sends, posts, or acts on its own. No PHI in the early phases. Every answer shows its source. The human stays in every loop, by design.
- · No autonomous actions. Nothing leaves the building without a person.
- · Sealed data. Each client's information is walled off completely.
- Read
- Prepare
- Human approval
- Act
No PHI exposure
Reads are scoped and logged
No autonomous actions
Every send is a human click
Source on every answer
Traceable back to the file
BAA-backed
Anthropic and Microsoft
Built to scale
One health center, or thirty.
TillerOS is one platform with a sealed, branded space for every client. Each center connects its own Microsoft 365, keeps its own data behind its own walls, and sees its own logo on the door. You run one system. Everyone gets their own.
- CEO
- Finance
- Operations
- Board
Same sources, same governance, a different view for each role.
Main Street CHC
Their command centers, their inbox, their board. Live and branded to them.
Coeur d'Alene, ID
Riverbend CHC
Same platform, a different tenant. Its own M365, its own sealed data, its own look.
Your next client
Valley Health Network
Provisioned, not rebuilt. New clients go live in days, not months.
And the one after that
Why this is different
Built by someone who sat in your chair.
TillerOS was not designed by a software vendor guessing at what a health center needs. It was built by an operator who ran them, as COO, CEO, and CIO, across five FQHCs from $9M to $70M. It ranks what a CEO actually needs first thing, because the person who built it lived that morning for fifteen years.
15+
Years running FQHCs
5
Health centers led
$9-70M
Budgets operated
The proving ground
Being proven now at Main Street CHC.
- A multi-site FQHC in North Idaho.
- CEO Command Center and daily brief, live for the executive team.
- Signed BAAs, real M365 data, real governance in place.
Client testimonial lands here once Main Street is fully live. Real words, real results, from a CEO who ran his mornings on TillerOS.
MB, CEO · Main Street CHC
Getting started
Discovery first. No leap of faith.
Every engagement starts with a short, paid discovery, so you see exactly what TillerOS will do before you commit to a build. Then we stand it up, and we run it for you.
Discovery
Two weeks
Two weeks. We map your systems, sit with your leaders, and pick the first command center to prove. You get a clear plan and a recommendation.
Build
Scoped to you
We stand up your branded portal, connect your Microsoft 365, and deploy the agents behind each command center. Governed, sourced, and tested before anyone relies on it.
Managed
Monthly
We host it, keep it current, and add command centers as you grow. You get an operating system that improves every month, not a project that ends.
Good morning, Mike. 5 things today.
Cash on hand
Above target
Same-day access
On plan
Approve your reply to the board chair
Top priority · goes out Thursday
See your health center on TillerOS
Give your leaders
their mornings back.
Book a discovery and watch a live command center built around your health center, your data, your priorities.