21 Solutions
- Company typePrivate
- Founded2022
- HeadquartersTulsa, United States
- Headcount1–10
- GTM typeB2B
- OfferingServices
21 Solutions firmographics
Firmographics- Name
- 21 Solutions
- Legal name
- 21 Solutions
- Website
- https://21solutions.io
- Company type
- Private
- Founded year
- 2022
- Operating status
- Operating
- Headcount range
- 1–10 employees
- Ownership category
- akta.pro rank
21 Solutions industry classification
Industry- Product category
- Custom Software Development
- NAICS
- Management Consulting Services (54161)
- SIC
- Services-Management Consulting Services (8742)
- akta.pro primary industry
- Value-Based Contracting Analytics (ACO/MSSP/MA, shared savings/risk) (HLACAHAA)
- akta.pro secondary industry
- Patient Financial Engagement (Estimates, Billing Presentment, Payments) (HLACAEAI)
Keywords
Where 21 Solutions is headquartered
LocationHeadquarters
- HQ city
- Tulsa
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
21 Solutions business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Technology or R&D, Operations, Marketing or Sales
Revenue model
- Monthly Retainer Engagements: The primary revenue stream consists of monthly retainer engagements ranging from $20K to $50K per month, depending on the level of ownership and responsibility. These are long-term, ongoing partnerships where 21 Solutions provides technical ownership, judgment, and execution. The company emphasizes they do not price based on hours but rather on ownership, responsibility, and business impact. 97% repeat client rate indicates strong client retention and recurring revenue characteristics.
- Technical Diagnostic (Fixed-Price): A 2-4 week deep dive into existing technology stacks, providing architecture roadmap and risk identification. Fixed-price offering at $5K-$10K, serving as a pre-engagement assessment and entry point for potential long-term retainer relationships.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | Execution + Guidance at $20K/month |
| Subscription | Monthly | Ownership + Direction at $30K/month (Default/Most Common) |
| Subscription | Monthly | Technology Partner at $50K/month |
| One time/ perpetual license | Pay-as-you-go | Technical Diagnostic at $5K-$10K (Fixed Price) |
Go-to-market motion1 record
Distribution channels1 record
Marketing channels6 records
21 Solutions product offering
Product offeringCore offering
21 Solutions provides senior technical ownership and embedded engineering services for post-revenue companies with mission-critical operational software needs. Engagements are structured as monthly retainers ($20K-$50K) where the firm owns outcomes including prioritization, system direction, internal platforms, workflow automation, AI systems, and EHR-adjacent integrations, rather than delivering scoped tickets. The firm also offers a fixed-price Technical Diagnostic assessment ($5K-$10K) and has demonstrated healthcare operations automation proof including clinical QA, coding, OASIS review, 485 completion, and physician order workflows.
Product overview
21 Solutions offers senior technical ownership services for post-revenue companies with mission-critical software needs, operating on a retainer model ($20K-$50K/month). The core offering is embedded technical leadership that owns outcomes rather than delivering tickets. For healthcare operations specifically, they offer custom workflow automation products including Walter (clinical QA, OASIS, coding, and 485 automation), Wilma (physician order workflow automation), and have rebuilt Rhythmm's prior authorization platform. These products are built around existing EHR systems rather than replacing them, with a focus on multi-site healthcare operators automating workflows stuck between EHRs, spreadsheets, and manual review.
Differentiator
Problem solved
Functional benefit
Products and services
- Execution + Guidance Engagement $20K/month retainer engagement tier providing execution and delivery of technical work with prioritization support, designed for smaller scope engagements where the client needs strong execution with reduced strategic ownership.
- Ownership + Direction Engagement $30K/month default retainer engagement tier where 21 Solutions owns what gets built and why, drives prioritization and system direction, and proactively identifies risks and opportunities for clients that do not want to manage technology internally.
- Technology Partner Engagement $50K/month fully embedded retainer engagement where 21 Solutions operates as part of the client's business, owning execution speed, system reliability, technical direction, internal platforms, workflows, and infrastructure across multiple initiatives.
- Technical Diagnostic Fixed-price 2-4 week deep dive into existing code, infrastructure, and processes to identify high-leverage wins, technical debt, security gaps, and create an architecture roadmap. Priced at $5K-$10K as a pre-engagement assessment.
Quantifiable outcome
- Reduced coding and OASIS review staffing by 50%
- +5 more outcomes
Companies that use 21 Solutions
Customer profileNamed customers1 record
Segments3 records
Ideal customer profiles2 records
21 Solutions technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration5 records
AI capability5 records
Feature3 records
21 Solutions partnerships and signals
Strategic signalScale indicators7 records
Recent moves6 records
Expansion highlights5 records
21 Solutions competitors and assessment
Company assessmentDirect peers
- Divurgent: Healthcare IT consulting firm specializing in EHR optimization, clinical applications, and advisory services for hospitals and health systems. Comparable senior-consulting delivery model with healthcare operations focus.
- Pivot Point Consulting: Healthcare IT consulting and advisory firm serving providers, payers, and life sciences with EHR, data analytics, and operational improvement services. Direct comparable for embedded technical ownership across healthcare verticals.
- Optimum Healthcare IT: Healthcare IT services firm providing EHR implementation, advisory, and managed services with deep clinical application expertise. Operates a similar senior-consultant delivery model in healthcare operations.
- Avaap: Healthcare IT consulting firm focused on EHR, ERP, and workforce management implementations with proprietary software assets. Comparable as a healthcare-focused technical consulting firm building and deploying custom solutions.
- HCTec: Healthcare IT services and staffing firm providing EHR support, application management, and clinical help desk services. Comparable senior-resource model serving healthcare operators with mission-critical software needs.
- The HCI Group: Healthcare IT consulting firm specializing in EHR implementation, optimization, and managed services for hospitals and health systems. Comparable senior-consulting delivery model with healthcare domain focus.
- Prominence Advisors: Healthcare analytics and IT consulting firm helping providers with data strategy, BI, and operational technology. Comparable boutique scale with senior technical delivery into healthcare operators.
- Nordic Consulting Partners: Large healthcare IT consulting firm providing Epic and clinical application services to health systems. Comparable as a healthcare-focused senior technical consulting model, though at much larger scale and EHR-vendor-aligned rather than EHR-adjacent.
Emerging players
- Tennr: AI startup automating healthcare administrative workflows including prior authorization, referral intake, and patient communications. Closest emerging competitor to Walter/Wilma/Rhythmm on AI-driven clinical ops automation, though Tennr is venture-backed and productized vs. 21 Solutions' bespoke model.
Broad incumbents
- Tegria: Healthcare technology and services company (Providence spinoff) offering consulting, managed services, and digital health solutions across providers, payers, and life sciences. Comparable at portfolio level but with broader, more commoditized offerings.
Market position
Strengths3 records
Weaknesses5 records
Competitive moat4 records
Key risks5 records
Key highlights6 records
Customer concentration
21 Solutions social profiles
Digital presence21 Solutions financial estimates
Financial estimateRevenue estimate
Valuation estimate
21 Solutions leadership team
Management profileNumber of profiles
Profiles6 records
21 Solutions funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
21 Solutions M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about 21 Solutions
What does 21 Solutions do?
21 Solutions provides senior technical ownership and embedded engineering services for post-revenue companies with mission-critical operational software needs. Engagements are structured as monthly retainers ($20K-$50K) where the firm owns outcomes including prioritization, system direction, internal platforms, workflow automation, AI systems, and EHR-adjacent integrations, rather than delivering scoped tickets. The firm also offers a fixed-price Technical Diagnostic assessment ($5K-$10K) and has demonstrated healthcare operations automation proof including clinical QA, coding, OASIS review, 485 completion, and physician order workflows.
Is 21 Solutions a public or private company?
21 Solutions is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was 21 Solutions founded?
21 Solutions was founded in 2022. It employs 1 to 10 people.
Where is 21 Solutions based?
21 Solutions is headquartered in Tulsa, United States, in the North America region.
How does 21 Solutions make money?
Two revenue lines are on record. Monthly Retainer Engagements are the primary driver. The others are technical Diagnostic (Fixed-Price).
Who are 21 Solutions's main competitors?
Direct peers on record are Divurgent, Pivot Point Consulting, Optimum Healthcare IT, Avaap, HCTec, The HCI Group, Prominence Advisors and Nordic Consulting Partners. Tennr is listed as an emerging player. Tegria is listed as a broad incumbent.
Does 21 Solutions have an API?
No public API is recorded for 21 Solutions.
What industry is 21 Solutions in?
21 Solutions's product category is Custom Software Development. Its primary akta.pro industry code is HLACAHAA, Value-Based Contracting Analytics (ACO/MSSP/MA, shared savings/risk), with a secondary code of HLACAEAI, Patient Financial Engagement (Estimates, Billing Presentment, Payments). Its NAICS code is 54161 and its SIC code is 8742.