Your business has outgrown
its operating model.
Revenue is growing. Margins are flat. Every dollar of new business requires another body to process it. Your best people are trapped in administrative work instead of the strategic work that drives growth. The systems that got you here won't get you there.
The systematic process of identifying every core business process where human time is consumed by work that machines should be doing — data entry between disconnected systems, manual approvals, spreadsheet reconciliation, status reporting — and replacing that hidden labor with automation, system integration, and AI. It is not a technology project. It is an operational discipline that connects automation investments directly to the financial metrics that matter: revenue per employee, cost per transaction, gross margin, and EBITDA.
Five phases. Measurable at every stage.
We don't sell technology. We diagnose operational bottlenecks, design solutions that eliminate them, and implement those solutions with measurable accountability. Every recommendation is tied to a business case with clear payback period calculations.
Not every process should be automated first. We score each opportunity on two dimensions: how easily can it be automated, and how much financial impact will automation deliver. High-return, lowest-risk initiatives go first.
Discovery & Baseline
Map every core process. Count human touchpoints, measure cycle times, calculate error rates, determine fully loaded cost per transaction. 3–6 weeks.
Strategy & Prioritization
Score each opportunity on automation ease and financial impact. Define target-state workflows, technology requirements, and rigorous business cases. 3–4 weeks.
Implementation
Build and deploy in focused 2–4 week sprints. Automation, AI integration, system connection. Measurable results at each sprint. 16–36 weeks.
Optimization & Scaling
Quarterly performance reviews. Actual results versus baseline. Metric trends, new opportunities, next-quarter priorities. Improvements compound.
Maintenance & Evolution
Digital transformation is not a project — it's a permanent operational capability. Ownership models, technology monitoring, annual strategic reassessment.
The cost of catching up increases every quarter.
Organizations collecting structured operational data now will have years of insight competitors cannot backfill. Better data → better decisions → better outcomes → more data.
Employees freed from tactical work develop strategic capabilities — better analysts, better strategists, better innovators. Competitors are still hiring people to do data entry.
Low-friction operations respond to market changes in hours instead of weeks. In volatile markets — reimbursement shifts, commodity prices, regulatory changes — speed is survival.
Fixed technology costs replace variable labor costs. Lower marginal cost per dollar of revenue growth. Profitably serve segments unprofitable for higher-cost competitors.
AI systems trained on your operational data make predictions specific to your business. Pricing, demand, staffing, risk — calibrated to your patterns, not industry averages.
Operationally complex businesses where growth has outpaced infrastructure.
Strong revenue. Capable teams. Systems that are no longer keeping up. The processes that worked at ten million are breaking at fifty million.
Healthcare
Insurance alignment, RPM, capital raises, PE operational due diligence, medical real estate, management consulting.
Oil & Gas
Process digitization, field operations automation, compliance workflows, reporting modernization, safety system integration.
Financial Services
Workflow automation, regulatory reporting, AI integration, client delivery optimization, risk analytics.
Professional Services
Utilization analytics, knowledge management, proposal automation, project delivery systems.
Manufacturing
Supply chain digitization, quality management systems, ERP optimization, production analytics.
Construction & Real Estate
Project tracking automation, bid management, tenant analytics, property operations, compliance documentation.
Energy & Utilities
Grid operations, asset management, regulatory compliance automation, predictive maintenance, meter data analytics.
Transportation & Logistics
Fleet management, route optimization, warehouse automation, shipment tracking, vendor portal integration.
Six integrated service lines for healthcare organizations.
Our deepest vertical. Proprietary data stacking across CMS, NPI, Census, lease comparables, and payer mix — powered by our subsidiary, Digi-Health Tech Solutions.
Insurance Alignment
Panel intelligence that identifies payer gaps relative to local market share. Revenue quantification, carrier scoring, contracting execution.
Remote Patient Monitoring
Full turn-key RPM through Digi-Health Tech Solutions. Enrollment, devices, daily monitoring, billing. AI-augmented care coordination.
Capital Raises
Growth capital sourcing for practice expansion, acquisitions, equipment. Structured transactions, investor-ready materials.
PE Due Diligence
Operational diligence for PE healthcare acquisitions. Physician value intelligence, value creation thesis, post-acquisition roadmaps.
Medical Real Estate
Tenant representation and gap analysis for medical office properties. Undersupplied specialty identification and multi-clinic recruitment.
Management Consulting
Operational assessment, process redesign, organizational effectiveness. Business-first, technology-enabled.
We build,
not just advise.
Operator Mindset
Our team has managed P&Ls, run operations, and made the decisions your team makes every day. We understand business first — then we ensure the technology actually gets used because it's designed around your workflows, not the other way around.
Full-Stack Implementation
Most consultants hand you a report and leave. We implement — from diagnostic assessment through workflow automation, AI agent development, and system integration. One partner, one methodology, complete accountability.
Financial Language
Every recommendation is framed in ROI, payback period, and EBITDA impact. We do not present technology proposals. We present financial business cases with measurable returns. If we cannot measure the improvement, we do not recommend the investment.
What clients ask
before they engage.
What is digital transformation?
The systematic process of identifying every core business process where human time is consumed by automatable work — and replacing that hidden labor with automation, integration, and AI. It connects technology investments directly to financial outcomes: revenue per employee, cost per transaction, gross margin, and EBITDA. Phase 1 typically reveals that 20–35% of total labor cost is consumed by work that should be automated.
What is the Friction Coefficient?
Ratio of headcount growth to revenue growth. Above 0.8 means you're in the Linear Scaling Trap. Our target is below 0.5 — revenue grows at twice the rate of headcount through automation and process design.
What industries do you serve?
Any operationally complex business where growth has outpaced infrastructure — healthcare, oil and gas, banking, professional services, manufacturing. Middle-market companies with revenues between ten million and one billion dollars.
How does this apply to PE value creation?
During diligence, the Friction Coefficient assesses a target's operational efficiency and quantifies the transformation opportunity. Post-acquisition, the five-phase roadmap provides the execution plan. It reframes digital transformation from cost center to EBITDA driver that compounds through the hold period.
How does Axiom differ from traditional consultants?
We are operators, not just advisors. We deliver from diagnostic assessment through implementation — workflow automation, AI development, system integration. Every recommendation is framed in ROI, payback period, and EBITDA impact. We build what the assessment identifies and stay until it works.
What does a typical engagement look like?
Five phases: Discovery maps processes and quantifies hidden costs (3–6 weeks). Strategy scores opportunities and builds business cases (3–4 weeks). Implementation builds in 2–4 week sprints (16–36 weeks). Optimization establishes quarterly reviews. Maintenance ensures sustained advantage.
Every engagement starts with a conversation.
Where your organization is today, where you want it to be, and what stands in the way. We scope a discovery assessment tailored to your industry, complexity, and priorities.
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