Jane runs your schedule. Owl writes your notes.
While you run your business manually with spreadsheets.
TiOS changes that.
TiOS (Therapist Intelligence Operating System) is a complete EHR — scheduling, clinical documentation, billing, and telehealth — built to also run the business around the care.
Payout automation, financial reconciliation, owner-level intelligence, and client conversion and retention.
One platform. No spreadsheets. No stitching tools together.
Every EHR before TiOS
Clinical workflow only
Scheduling, documentation, billing, telehealth. The EHR solved care delivery — and stopped there.
The business of running a multi-clinician practice — payout, financial reconciliation, owner intelligence — was left to the owner. That meant spreadsheets.
TiOS — the next generation EHR
Clinical workflow + business operating system
Everything your EHR does today — plus the business layer it was never designed to include. Payout automation, accounting bridge, owner dashboard, signal intelligence, and client conversion and retention. One system. Built natively for Canadian group practices.
The operating layer is V1. The AI-augmented care layer & cross-clinic network intelligence are built into the architecture — and already in the roadmap.
Why the next generation EHR is overdue
Every EHR records what happens in the clinic.
None of them run the business around it.
As a group practice scales past five or six clinicians, an entirely new set of operational demands appears — none of which any EHR was ever designed to address. TiOS was built specifically to solve that.
Every two weeks — indefinitely
Payout Night
You export sessions, build the spreadsheet, apply the split rates, check the math, and send it individually to every clinician. Someone always has a question. You start over. Your EHR watched every session happen — but it has no payout engine. That gap became your problem.
Owner + admin time • every pay cycle
Every month — your bookkeeper’s long day
Month-End Close
Revenue lives in your EHR. Expenses live in QBO. Payout lives in the spreadsheet. Your bookkeeper reconciles three systems that have never spoken to each other. Your EHR records every transaction — but it has no accounting bridge. You built one from Excel formulas.
Owner + bookkeeper time • every month
Every Monday — your strategic window
Practice Visibility
You pull three reports, build context manually, and do the math before you can understand last week. Your EHR holds all the data — but it has no business intelligence layer. Knowing how your practice is actually performing has always been entirely up to you.
Owner time · every week • no end date
TiOS gives practice owners back the hours they have been spending on work that should be automated — and redirects that time to the practice, the clinicians, and the clients that actually need it.
What it looks like
Five decision packs. One view.
Practice intelligence at a glance.
"Every month I export reports from my EHR, paste them into spreadsheets, and build my own picture of how the practice is doing. Nine clinicians, a real payroll, real growth decisions. My EHR has no idea. It was built to book appointments — not to run a business."
— Dr. Mitch Colp, R.Psych. • CEO, Hexagon Psychology
An EHR designed for the owner, not just the clinician.
The first EHR designed for Canadian group practices.
TiOS was created by Canadian healthcare leaders with lived experience running multi-clinician practices. It is a complete EHR — scheduling, clinical documentation, billing, telehealth — built to also automate payout, close the books, and give the owner a real picture of their business. T4A, HST, and QBO for Canadian entities are native. Not ported. Not retrofitted.
Hexagon Psychology — one of Canada’s few truly national, multi-jurisdictional group practices — is the lead co-design practice. Every feature has been shaped by real operational decisions made inside a live group practice, not assembled from user research or assumed pain points.
Dr. Mitch Colp, R.Psych.
Psychology Lead • Co-founder & CEO, Hexagon Psychology
Dr. Mitch is a national leader in Canadian psychology. He is the Co-founder and CEO of Hexagon Psychology, one of Canada’s few truly national, multi-jurisdictional group practices and a recent recipient of a Chamber of Commerce Innovation Award for technology-enabled care.
A recognized voice on AI, ethics, and the business of professional practice — and past Director of Practice with the Canadian Psychological Association — he built TiOS because he needed it. The gaps this page describes are the gaps he lives with every payout night and every month-end close. TiOS is the system he wished he had. Now he is building it.
Reverdi Darda, BScN, RN
Founding Practice Program • 10 practices only
Still running your business
manually with spreadsheets?
Let's change that.
Pricing
FTE-based founding pricing — locked for 36 months from go-live. Set at one time founding cohort preferred pricing.
Design partner
Sandbox