# Fulcrum > AI consulting firm that builds custom production systems for operations teams in regulated industries. Based in Miami, FL. ## About Fulcrum builds custom AI systems for mid-market companies (50-500 employees) in healthcare, insurance, legal, real estate, and construction. Unlike traditional consultancies that deliver strategy decks, Fulcrum's senior engineers build and deploy production systems in 6-8 weeks. Average client ROI: 12x in year one. HIPAA/SOC2 compliant by default. No vendor lock-in - clients own all code and documentation. ## Services - [AI Consulting](https://askfulcrum.com/ai-consulting): Full-service AI consulting - assessment, architecture, build, deploy - [AI Implementation](https://askfulcrum.com/ai-implementation): End-to-end system build for operations teams - [Healthcare AI](https://askfulcrum.com/ai-consulting-healthcare): Patient intake automation, EHR integration, HIPAA-compliant systems - [Insurance AI](https://askfulcrum.com/ai-consulting-insurance): Claims processing automation, underwriting systems, fraud detection - [Legal AI](https://askfulcrum.com/ai-consulting-legal): Document review, contract analysis, case research automation - [Real Estate AI](https://askfulcrum.com/ai-consulting-real-estate): Property management automation, tenant screening, maintenance systems - [Workflow Automation](https://askfulcrum.com/workflow-automation): Custom workflow systems replacing off-the-shelf tool sprawl - [Free AI Diagnostic](https://askfulcrum.com/diagnose): Interactive assessment tool that identifies automation opportunities in 5 minutes - [Research Platform](https://askfulcrum.com/research): Original research on AI implementation in regulated industries ## Key Facts - Founded by Daniel Bron - Focus: AI for regulated industries (healthcare, insurance, legal, real estate, construction) - Delivery: 6-8 weeks from kickoff to production system - Team: Senior engineers only (no junior consultants) - Compliance: HIPAA, SOC2, government-grade security built into every project - Pricing: Assessments $10K-$30K, Full builds $50K-$250K, Enterprise partnerships from $250K - Average ROI: 12x return in the first year - No vendor lock-in: clients own all code and documentation ## Research Articles - [Why Universities Still Run on 15 Disconnected Systems](https://askfulcrum.com/research/university-disconnected-systems): Universities run 15+ disconnected platforms that create data silos and waste staff time. Learn how unified AI systems eliminate workarounds and cut admin costs by 40%. - [Why Construction Estimates Miss by 20-28% on $5M+ Projects](https://askfulcrum.com/research/estimating-gap): Construction estimates miss by 20-28% on projects over $5M. Learn how AI-assisted estimating closes the gap and wins more bids at better margins. - [AI Dispatch Optimization: How to Get 35% More Jobs Per Technician](https://askfulcrum.com/research/dispatch-problem): Field service companies lose 23% of productive capacity to scheduling chaos. Learn how AI dispatch optimization increases jobs per tech by 35%. - [The 10x Operations Myth: Why Incremental AI Wins Beat Moonshots](https://askfulcrum.com/research/10x-operations-myth): The 10x improvement myth kills more automation projects than bad technology. Learn why incremental 2x gains compound faster than moonshot rewrites. - [Why 70% of Automation Projects Fail and How to Avoid It](https://askfulcrum.com/research/automation-paradox): Companies spend $1.3 trillion on automation that fails 70% of the time. The problem is not the technology. Learn why most automation projects fail and how to avoid it. - [Why Off-the-Shelf Software Fails Operations Teams](https://askfulcrum.com/research/software-eats-operations): Software ate the world but left operations half-digested. Learn why off-the-shelf tools create more problems than they solve for operations teams. - [Why Adding Units Kills Property Management Profits](https://askfulcrum.com/research/property-management-paradox): Property managers add units but profits flatten. Learn how the management overhead paradox traps growing portfolios and how automation breaks the cycle. - [How AI Cuts Insurance Claims Processing from 14 Days to 3](https://askfulcrum.com/research/claims-processing-bottleneck): Insurance adjusters spend 60% of their time on admin, not claims. Learn how AI automation cuts processing time from 14 days to 3 while reducing errors. - [Why Patient Intake Costs Healthcare 34 Cents of Every Dollar](https://askfulcrum.com/research/patient-intake-problem): Healthcare spends 34 cents of every dollar on administration. Learn how AI-powered patient intake cuts front desk costs by 60% while improving patient satisfaction. - [Why Your Dashboards Lie to You and What to Build Instead](https://askfulcrum.com/research/the-reporting-problem): Your dashboards say everything is fine while operations burn. Learn why most business intelligence fails and how to build reports that reveal the truth. - [The Founder Bottleneck: When the CEO Becomes the System](https://askfulcrum.com/research/the-founder-bottleneck): Between $2M and $15M revenue, founder-led operations break. Learn the 3 systems that let founders scale without becoming the bottleneck. - [The Operators Dilemma: What Happens When Your Key Person Leaves](https://askfulcrum.com/research/the-operators-dilemma): Every company has one person whose departure would break everything. Learn how to identify single points of failure and build resilient operations systems. - [5 Reasons Your Digital Transformation Failed](https://askfulcrum.com/research/why-your-digital-transformation-failed): $1.3 trillion wasted on failed digital transformations annually. Learn the 5 reasons enterprise transformations fail and the lean alternative that works. - [Hire vs. Automate: The $50K Decision Framework for Operations Teams](https://askfulcrum.com/research/hire-vs-automate): Hiring costs $50K+. Automation costs less and scales infinitely. Use this framework to decide when to hire another person vs. automate the workflow. - [The AI Literacy Gap: Why Law Firms Lose $180K Per Attorney Annually](https://askfulcrum.com/research/ai-literacy-gap-law-firms): Law firms lose $180K+ per attorney annually to manual workflows AI could handle. Learn why the AI literacy gap is the biggest threat to firm profitability. - [The Compliance Paradox: How to Deploy AI in Regulated Industries](https://askfulcrum.com/research/compliance-paradox-regulated-ai): Regulated industries need automation most but adopt it last. Learn how to deploy AI in healthcare, legal, and finance without compliance risk. - [Build vs. Buy AI: When Custom Systems Beat Off-the-Shelf Software](https://askfulcrum.com/research/build-vs-buy-framework): Build or buy? The wrong answer costs 6-18 months. Use this decision framework to determine when custom AI systems beat off-the-shelf software for your operations. - [The Workaround Tax: The Hidden 23% Drain on Your Operations](https://askfulcrum.com/research/the-workaround-tax): Your P&L hides a silent cost: the workaround tax. Discover how manual processes, duct-tape integrations, and tribal knowledge drain 23% of operations capacity. ## Contact - Website: https://askfulcrum.com - Book a Call: https://askfulcrum.com/book - Free Diagnostic: https://askfulcrum.com/diagnose