mastOS · AI Operating Platform

Five engines. One control plane. Production ready.

mastOS is the AI operating platform for regulated healthcare. Built for hospital systems, payers, and multi-location provider groups that need clinical-grade infrastructure, not a pilot.

No shared infrastructure.
Every deployment runs in its own sealed Azure environment. Separate database, separate Key Vault, separate VNet. Your data never touches another customer's stack.
No commingled data.
Patient records, audit logs, and comms identities are isolated at the environment level. There is no shared layer where data can cross.
A new Harbor provisions in minutes.
Full environment provisioning is automated. Adding a new location, entity, or practice group does not require a migration or a re-architecture.
5
Specialized Engines
1
Control Plane
H001
Live in Production
HIPAA
BAA Ready

Built for outcomes that matter in regulated care.

mastOS handles the coordination, compliance, and continuity that clinical environments require before care begins.

Patient Experience

Patients arrive informed, not waiting.

Pre-populated intake. Insurance verified before the visit. Patient Passport carries the record forward across providers and networks. No re-entry of information the patient already provided.

Clinical Operations

Providers work, not coordinate.

AI-assisted scheduling, adaptive capacity management, and real-time operational visibility. Referral loops closed. Handoff packets generated automatically.

Governance

Compliance is architecture, not a checkbox.

Immutable audit trail. Role-based access enforced at the environment level. HIPAA BAA ready. Every AI action is logged, explainable, and attributable.

Harbor isolation.

Each deployment is a Harbor. Sealed. Tenant-owned. Independently provisionable.

Most healthcare AI platforms share infrastructure across customers. A single breach, misconfiguration, or compliance finding touches every tenant. mastOS does not work that way.

A Harbor is a complete, sealed single-tenant Azure environment. It contains its own database, Key Vault, VNet, and comms identity. Nothing from one Harbor can reach another. The control plane sits above, orchestrating without creating a shared data layer.

Adding a new entity, location, or practice group does not require re-engineering the environment that already exists. Compliance scope is contained, data risks are isolated, and the platform scales horizontally.

CONTROL PLANE orchestrates · no shared data layer HARBOR 001 · H001 Database Key Vault VNet Comms ID TheraLoop · Live Five engines active Patient Passport running HARBOR 003 · H003 Database Key Vault VNet Comms ID Multi-location · In dev Separate per entity no path
The control plane orchestrates both Harbors. No data path exists between them.

Five specialized AI engines. One control plane.

Each engine is purpose-built for a specific domain. They do not overlap. They coordinate through the control plane.

Acquisition
Access & Continuity

Every patient gets in. No one falls through.

Scheduling, intake, verification, and referral coordination. Adaptive capacity management. Referral loop closure.

Operations
Operations

Providers see what is happening, in real time.

Operational intelligence layer. Real-time visibility into patient flow, provider capacity, and clinical throughput.

Clinical
Clinical Systems

Clinical data is structured, not scattered.

Clinical note structuring, documentation automation, and discharge summary generation. PCP handoff packets.

Analytics
Data & Analytics

Decisions are informed by what has already happened.

Unified data layer with longitudinal analytics. Natural-language analytics surfaces patterns across the patient population.

Governance & Compliance
Governance

Every AI action is logged, attributed, and explainable.

Immutable audit trail. Role-based access enforcement. HIPAA audit-readiness baked in at the architecture level.

The record travels with the patient.

Portable longitudinal record. Follows the patient across providers, networks, and care settings. Available at every tier. Free.

Patient Passport — 360 View
Identity
Demographics
Insurance & ID
Emergency contacts
Preferred language
Clinical
Active diagnoses
Medications
Allergies
Labs & imaging
Procedure history
Continuity
Visit notes
Discharge summaries
Referral records
Billing history
PCP handoff packets
Patient Controls

Who sees the record. When access is granted. When it is revoked. Free at every tier. Works outside the Mast Health network.

Provider Reads

Pre-populated intake. Clinical notes with audit trail. Full history on first visit. No re-entry of information the patient already provided elsewhere.

System Maintains

Normalized across providers and networks. Insurance and ID captured. Billing history. Discharge summaries. PCP handoff packets.

Audit readiness is built in, not bolted on.

Compliance is not a report you run at the end. In mastOS, every AI action is logged, every access decision is enforced at the architecture level, and audit scope is contained by design.

Most platforms treat compliance as a reporting layer on top of the system. You get a dashboard that queries the database and produces a PDF. That model means the audit is only as good as the query, and the data can be changed before the query runs.

In mastOS, the Governance engine is not a reporting layer. It is the enforcement layer. Every clinical action, every AI-assisted decision, every access event writes to an immutable log before the action completes. There is no path around it.

Because each Harbor is a sealed environment with its own audit store, a compliance investigation at one tenant cannot touch another. Scope is architectural, not configured.

Immutable Audit Trail

Every AI action and access event is logged before it completes. The log cannot be modified after write.

Role-Based Access at Environment Level

Access rules are enforced at the Harbor boundary. No configuration drift. No role escalation across tenants.

Contained Audit Scope

Each Harbor has its own audit store. A finding at one tenant does not expand the investigation to others.

Explainability by Default

Every AI-assisted clinical decision is attributable. The model, the input, and the output are all logged.

Audit Trail: How an action is recorded
CLINICAL ACTION triggers ENGINE processes logs first GOVERNANCE writes immutable log write AUDIT STORE append-only ACTION CONFIRMED only after log write
The action is confirmed only after the Governance engine has written the log. There is no path that bypasses this step.
Audit Scope: Shared vs. Harbor model
SHARED PLATFORM Shared Database Tenant A Tenant B Tenant C finding scope expands to all tenants HARBOR MODEL H001 DB Audit Store finding H003 DB Audit Store unaffected no path scope stays inside H001
A compliance finding at H001 cannot expand its scope to H003. Each Harbor has its own audit store and no cross-tenant data path.

Not a pilot. Not a proof of concept.

mastOS is live. Harbor 001 is in production. The architecture is deployed, not proposed.

H001
Live in Production
5
Engines Active
H003
In Development
BAA
HIPAA Ready
Harbor 001 · Live in production

TheraLoop

Single-location behavioral health practice. All five engines deployed. Patient Passport active. Clinical documentation, scheduling, and governance running in production under the mastOS control plane.

Harbor 003 · In development

Multi-location Provider Groups

Multi-location specialty care deployment. Separate Harbor per entity. Shared governance layer. Cross-location referral and handoff coordination. Designed for urgent care, specialty networks, and regional clinical groups.

The next Harbor provisions in minutes.

We will tell you whether mastOS is the right architecture for what you are building, and what it takes to deploy. We work with hospital systems, payers, and multi-location provider groups ready to move past pilots.

info@mastlabs.ai