Building Trust
Through
Transparency^™

As a professional healthcare services consulting firm, we help organizations align incentives around the people they serve. We ask the questions others skip, dig into where value hides, and turn insight into action.

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What we do

Healthcare is complicated by design.
We help you see it clearly.

We partner with you as consultants across the full arc of the work, from research and discovery to strategy and product exploration to development and delivery, turning insight into what gets built next.

Ways to engage

How we work

We ask the hard questions, use first principles thinking,
and bridge the gap.

We ask the hard questions

We ask the industry the challenging questions most people skip, because we want a deep understanding of how things really work.

We use first principles thinking

We strip a problem down to what is true, not what is assumed or inherited, and rebuild from there. It is how we find where the value sits.

We bridge the gap

Between where your company or product is today and where it needs to go. That is what an engagement with us moves you from and to.

The energy

This work happens with people.

Around tables, at whiteboards, and in the hard conversations in between. The thinking is collective, and so is the momentum.

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Healthcare needs a jolt

A slow, opaque system does not fix itself. We help it move, and help the people inside it see clearly.

How we operate

A trust-first framework.

Trust is built before, during, and after the work. We work with healthcare organizations and employers that want to improve the experience of patients, employees, and the people moving through the healthcare ecosystem, so that experience drives real value. Every engagement starts in the same place: earning trust, deepening it, and keeping it.

Ways to work with us

The Williamsburg Bridge over the East River at golden hour

Why “Thunderbolt”

The greatest chess move of all time.

Looking for a company name, we looked through the best chess moves ever played. Chess fit because business is competitive and strategic in the same way: both reward thinking several moves ahead, and both require continuous innovative execution. Vladimirov’s Thunderbolt was among the greatest chess moves of all time, a single move that won a game on the spot after the queen was gone. The name carries what the work is meant to have: power, speed, and the vision to see what others miss.

Read the origin of the name

Our approach

Chess strategy at
checkers speed.^™

We think several moves ahead, then move the instant the opening appears. Thoughtful enough to anticipate what most people miss, fast enough to act while the opportunity is still there.

See how we think

Grounded in research

Our founding research was conducted through the National Science Foundation’s I-Corps program at both the regional and national levels, and shaped by faculty from Princeton University and Cornell University, informed by hundreds of conversations across the healthcare system.