Black Door LLC
Trusted AI Transformation Partner

Trusted AI Transformation
for Private-Pay Practices Ready to Scale.

You built a practice around your expertise. You are scaling. AI can help, if it is implemented safely. Black Door brings the strategy, the technical work, and the bandwidth your team does not have. Start with the Audit. Decide from there.

Three things most AI shops cannot say.

We occupy the gap between the Big Four and the pure-play AI shops. Fixed-fee audits, security-first architecture, pricing built for an actively scaling practice.

Security-First Design

Every recommendation, platform, and integration assumes a threat-aware posture. Security is a foundation, not a phase. We design for HIPAA, SOC 2, NYDFS, and comparable regimes from day one.

Compliance Depth

Most AI agencies run from compliance because it is expensive and slow. We run toward it. Active HIPAA Business Associate Agreements. SOC 2 posture in flight. Governance embedded in every platform we build.

Pricing Built to Scale

The Big Four price you out. Pure AI shops do not understand your practice. We are priced for actively scaling private-pay practices: fixed-fee audits, transparent platform pricing, fractional-executive retainers that scale without proportional headcount.

Trusted in practice.

Live in production with regulated clients.

HIPAA. Active Business Associate Agreements with covered-entity clients. Production AI agent platform live in healthcare.

SOC 2. Design expertise across Type I and Type II. Internal Black Door SOC 2 posture program active.

Practice operations. Capability across clinical, wellness, mental health, and aesthetic practice models. Patient privacy, consent, and data handling built into how AI runs inside the day-to-day workflow.

The I3 Model.

Three tiers. Choose what you need. Start small, scale with confidence. Every engagement begins with the Audit.

Start Here

The Black Door AI Audit

Two to three weeks. Fixed fee. You get a risk-adjusted roadmap your counsel will sign off on. The audit fee credits toward any follow-on engagement within 60 days.

Learn about the Audit
Infrastructure

The Vault

Black Door's secure, fully managed AI agent platform. Dedicated isolated infrastructure, per-client secrets, mesh VPN, Cloudflare tunnels behind Access policies.

  • Secured Platform on Black Door infrastructure (fast to value)
  • Secured Platform on your cloud (AWS, GCP, Azure)
  • Hardening configured for HIPAA, SOC 2, NYDFS
  • 24/7 monitoring, patching, version management
Explore The Vault
Integration

The Exchange

Integration services that wire The Vault into the rest of your business. Identity provider, data sources, policy controls, audit logs. Every connection documented.

  • SSO (Okta, Azure AD, Google Workspace)
  • Secure data-source wiring, least privilege
  • Policy and compliance gates, audit logging
  • 90-day tech-strategy arc included
Explore The Exchange
Instruction

The Board

Fractional CTO, CIO, or CISO for organizations that need seasoned strategic judgment without a full-time hire. Architecture, vendors, compliance, continuity.

  • Fractional CTO / CIO / CISO leadership
  • Quarterly strategy reviews, architecture counsel
  • Vendor evaluation, TCO modeling
  • Compliance posture, regulator-ready evidence
Explore The Board

Questions we get from practice owners.

What does Black Door do?
Black Door provides trusted AI transformation for private-pay practices ready to scale. We bring the strategy, the technical work, and the bandwidth your team does not have in-house. Every engagement begins with a fixed-fee AI Audit. From there, clients can engage us for platform infrastructure (The Vault), integration services (The Exchange), or fractional executive advisory (The Board).
Who is Black Door for?
Private-pay practices built around a practitioner's expertise that are actively scaling and want to implement AI safely. Common practice types include concierge / DPC, fertility, plastic surgery, cosmetic dermatology, orthodontics, sports medicine, chiropractic, regenerative medicine, Pilates and boutique fitness, IV hydration, nutrition coaching, cash-pay physical therapy, private-pay therapy, executive coaching, marriage and family therapy, med spas, hair restoration, and cosmetic dentistry.
How does pricing work?
Every engagement gets a tailored proposal right-sized to the scope of work. The AI Audit is fixed-fee. Platform, integration, and advisory engagements are scoped and priced per engagement. Book a Discovery Call for a pricing conversation tied to your situation.
What makes Black Door different from other AI consultancies?
Most AI agencies either do not understand regulatory obligations or ask clients to accept risks their counsel will not sign off on. Black Door holds active HIPAA Business Associate Agreements and is building its own SOC 2 posture. Security is a foundation, not a phase.

Let's talk first.

A free 20-minute Discovery Call is the simplest next step. We will listen, understand your situation, and if an Audit is the right move, scope it together. No pitch deck. No pressure.