Services

What we do

Six possibilities.

Most engagements start in one of these buckets and draw on the others as the work develops. Cards flip on click.

Product Strategy & Innovation

Product strategy and innovation

We generate new product ideas, extensions, and fresh avenues of exploration. Creativity is the part most teams underrate, so we come at a problem from angles an internal roadmap rarely leaves room for, drawing on what we see across the wider market. We pressure-test which ones are worth the effort to build versus others that only look good on a slide.

We map how each idea ladders up to where the business is going, and connect product strategy back to the organization’s broader vision. As AI resets what is possible, we help you find the moves that keep you ahead rather than reacting to everyone else.

Research & Insight

Research and insight

We run primary research: interviews with industry leaders, synthesis of what they tell us, and qualitative insight combined with platform and data points to explain market impact in plain language.

We go straight to the people who shape a market, ask the questions others skip, and turn hours of conversation into a clear read on where things are heading. We package insights in a way that leaders can act on, whether that means a board-ready synthesis, a field guide, or a reference work entire teams leverage to enhance operations.

Messaging & Narrative Strategy

Messaging and narrative strategy

We take in a workflow, a team, a problem, or a situation, and find the right message, story, and framing to raise the level of trust an organization holds. Trust is the through-line of everything we do, so we start by understanding what an audience needs to hear and believe, then build the language, positioning, and narrative that gets them there.

We craft how an organization talks about itself and its work, turn complex situations into clear, human stories, and shape the marketing narratives that carry them to market, so your team can walk into any room and connect in conversation with confidence.

Workflow & Experience Design

Workflow and experience design

We study workflows end to end and redesign them for efficiency. We follow the real path a patient or an employee takes, not the one on the org chart, and map entire workflows in a given area, applying first-principles thinking, curiosity, critical thinking, and real-world prompt engineering.

Then we find where time, trust, and value leak out and close the gaps, sometimes with new technology, often by simply removing steps that never needed to be there.

Audience & Executive Outreach

Audience building and executive outreach

We build targeted lists of companies and executives by title and role, shape the messaging of what we bring to them, and reach out directly to sell or launch specific new products and programs.

We identify exactly who needs to hear about a new offering, craft outreach that earns a reply, and open doors with the right decision-makers. It is the difference between a launch that hopes to be noticed and one that lands in the right inboxes and gets a meeting.

Speaking & Thought Leadership

Speaking and thought leadership

We take speaking engagements: keynotes, fireside chats, panels, and podcast appearances. We also design and build panels from scratch. We show up prepared to say something worth remembering, and we use the stage to build relationships that matter long after the session ends.

We can walk into a conference, read the themes in the room, meet the right people, and bring a clear read back to leaders on what the market is talking about and how their messaging should evolve.

Who we serve

Organizations that are building toward extraordinary experiences and results.

We work with healthcare organizations and employers that want to improve the experience of patients, employees, and the people moving through the healthcare ecosystem. Every engagement starts in the same place: building trust. We help organizations earn it, deepen it, and keep it.

Healthcare technology companies
Healthcare practices and health systems
Healthcare practices
Health systems
Health plans
Self-insured employers
Other consulting firms

How we work

The method underneath every engagement.

We ask the hard questions

We ask the industry the challenging questions because we want a deep understanding of how things really work. That curiosity, and the courage to keep asking, is the engine of everything we produce.

We use first principles

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

We bridge the gap

Between where a company or product is today and where it needs to go. A Thunderbolt engagement is the move from one to the other.

Where we shine

We are product innovators, market surveyors, narrative builders, workflow designers, and trusted advisors, and we bring all of it to every engagement.

Client stories

Organizations that trust us.

Client logos and stories of our work coming early August 2026.

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Tell us where you are and where you need to go.

Start a conversation

Ways to work with us.