Records, visits, memberships, billing, messages, mail, the website and a private AI, on computers in your own office. Built by a family physician, inside a working practice, for any clinician who holds protected health information.
Your day, your patients, and the work waiting for you.
Video visits use your private visit service. The existing join window and clinical access checks still apply.
Identifiers and membership only. Clinical history stays inside the chart; chart access is audit-logged.
A made-up patient, the real software. Click anything; what it does appears here.
The health record →Every piece works on its own. Together they write to one chart, one ledger and one calendar, on computers you own.
Direct care first, because that is what our clinic is. The clinician who holds the license owns the systems, solo or a group. Every practice type, and how well it fits →
Answered the way we would answer them on the phone.
Yes, and more. A self-hosted record at the center, and around it the memberships, billing, scheduling, video, messaging, mail, website, portal and AI a practice needs. We do not sell a subscription. We build it on computers you own and run it with you.
Yes, on every build, on a computer in your own office. No AI tier, no per-note bill. A person approves anything that matters.
Hardware you own, in the office, or a cloud you already use. The system is vendor-agnostic: it runs the same on Google Cloud or AWS, with the business agreements a practice needs in place.
No. Pick what you need and add the rest when you want it. Each piece works on its own; together they write to one chart, one ledger and one calendar.
Yes, all of it, in the format the system keeps it in, with its full history. No export fee.
No software is a HIPAA certificate. We build the controls, keep the evidence and hand you the documentation: encryption, access control, audit trail, signed business associate agreements, and a network that only lets traffic out by name. The obligations stay yours, and you will know exactly what they are.
Yes. Excelsior Medicine, a direct primary care practice in Reston, Virginia, runs on it every day.
Yes. Behavioral health, physical therapy and rehab, specialty and virtual clinics run the same record, visits, messaging and portal. Insurance claims are the one lane we have not built.
A sentence or two is plenty. We read everything and reply ourselves.
This lands in our own CRM, on our own hardware. No form service, no pixels.
Prefer email? excelsior@excelsiorframework.com
Everything below runs on machines we own. Real work stays private, so each project is drawn rather than photographed, and any screen we show holds made-up data.
A direct-care practice stack: charting with a per-patient vault, a patient portal with an assistant that interviews before the visit, self-hosted video visits, membership billing and the practice's own mail. The proof behind every other page here.
A general contractor dashboard: jobs, estimates, schedules and the floor plans behind them on one board, with the same records, calendar and documents the practice uses. Different trade, same framework.
Modeling, rendering and interactive 3D: floor plans, sites and products modeled and rendered on premises, then delivered as stills or as interactive scenes for the browser. The pipeline behind the mark on the front page.
An agent conference room: software assistants with on-premise voices and text-mode portraits. One leads and hands out the work, one looks things up, the rest speak only when they add something. Speech in, speech out, nothing leaves.
The board, and everything under it: one live picture of every system, its health and what talks to what. Underneath, the pieces a client rarely sees: workspace, documents, notebook, calendar, a compliance scanner and mail.
On-premise infrastructure: self-hosted services on your hardware with certificates, private DNS and an encrypted network between sites. Private AI and data containment: open models on machines you own, with outbound traffic denied by default and allowed by name. Identity and access: single sign-on everywhere, staff, client and public logins kept apart.
Also in the fleet, each a real service with its own place on the board and none of them phoning home: Workspace, Documents, Notebook, Calendar, Launch board, Assurance, Speech, Wearables. Paused: the ambient scribe. Parked: agent labs.
Want the same pattern for your work? Clients, documents, deadlines and confidentiality already fit.
We answer them ourselves, on the phone or by email.