Independent healthcare operations & AI advisory

We take the weight out of healthcare operations.

An independent advisor for Canadian healthcare. We find where automation, AI, and better process save time and cut cost, then guide the strategy or build the fix.

Where a clinic usually leaks

Empty slots

$50K–$270K a year in unfilled appointments.

Fax & inbox

1–3 MOA hours lost to manual triage, daily.

Charting

Evenings and Sundays spent finishing charts.

Billing

LFP and MSP codes earned but never billed.

How we work.

A short, honest path from where the waste is to what is worth fixing.

01

See

We find where time, cost, and data leak. Most of it is hiding in plain sight.

02

Decide

We tell you what is worth doing, and what to leave alone, with the savings attached.

03

Move

We advise the roadmap, or build the fix. Often both.

Follow one clinic day.

Four moments where time and revenue quietly leave the building — and what we install to stop each one.

The leak

The gap the waitlist can't see

A cancellation opens a slot. The waitlist has patients who want it. Nothing connects the two, so the slot expires — billable time gone for good, a little of it every single day.

Cost: $50K–$270K a year

What we install

SMS reminders plus a gap-filler that spots openings and fills them from your own waitlist, automatically.

The Setup · 1–2 weeks

Figures are typical ranges for BC family practices; your numbers get measured, not assumed — that is what the free assessment is for.

Advise, or build. Usually both.

Advise

Where AI and automation actually pay off.

Strategy, roadmaps, and the cost case. For health systems, authorities, and networks deciding where to invest and what it will return. Independent of any vendor.

Build

When you want it done, not just decided.

The workflows and automation, built alongside your systems and handed over. The everyday admin, taken off the desk, without touching your clinical records.

An operator, not a vendor.

Independent

No software to push and no vendor kickbacks. The only agenda is your result.

We build, not just advise

Most advisors stop at the slide deck. We deliver the workflows and automation we recommend.

Run by an operator

Years inside BC healthcare operations and informatics, from primary care networks to regional health programs.

Co-led BC’s provincial AI documentation rollout — four health authorities, roughly 4,000 clinicians.

Has operated across

Deloitte  ·  IQVIA  ·  Gates Foundation  ·  The Global Fund  ·  PHSA  ·  Fraser Health  ·  Providence Health Care

Himanshu Khetarpal, founder of TOSC

Led by Himanshu Khetarpal.

Clinician turned operator: global consulting with Deloitte and IQVIA, a $1.5B health-system transformation, and BC’s provincial AI rollout. One person accountable to you, end to end.

Meet Himanshu

Find out where the weight is.

Book a call, or start with the free assessment. You will leave with a clear read on the moves worth making first.

Paid engagements carry a measurement plan agreed at signing — if the metric doesn’t move, you don’t pay.