About Clockwork

A product studio for applied intelligence.

Clockwork Innovations builds AI systems, healthcare tooling, and developer frameworks as one operating layer: precise, responsive, and engineered to ship.

Mission

Software that earns its place in the workflow.

Clockwork Innovations, LLC builds AI products for healthcare and developer tooling. We design around the task, ship under our own use first, and keep the surface area honest. No benchmarks chased for the headline.

What we do

Three practices, one stack.

AI engineering

Models with a purpose

We design AI systems around the task they actually have to do, not around a benchmark. Tool calls, planning loops, evaluation harnesses, and the boring orchestration that makes them reliable in production.

  • Multi-agent loops with deterministic evaluation
  • Type-safe tool surfaces with end-to-end inference
  • Prompt cache + context budgets baked in from day one

Healthcare technology

Clinical tools that earn the click

A decade of MD-built workflow obsession applied to the screens physicians actually live in. We cut documentation time, surface signal, and stay out of the way during the patient encounter.

  • EKG signal models with auditable evidence trails
  • HIPAA-aligned data plumbing & RBAC
  • Burnout-aware UX: defaults that respect physician time

Developer platforms

Frameworks we dogfood ourselves

Simply MCP, the agent-loop runtime, the type bridge. Every framework here survives daily use on real workloads. If we wouldn't pick it up on a Friday night, it doesn't leave the repo.

  • Tier 1 MCP-compliant TypeScript servers: write once, run anywhere
  • Drop-in browser automation that respects rate-limits
  • Monorepo tooling: turbo, mise, and kotlin coexist
Behind the studio

Physician-led, builder-first.

Nicholas Marinkovich, MD

Nicholas Marinkovich, MD

Founder & CEO · Internal Medicine

“Tools that respect the speed of clinical work, and the people doing it, change what good care can look like. That’s the bar I build to.”

I’m a practicing internist who started writing software because the tools I was using on shift didn’t respect the speed of clinical work. Clockwork is where that work lives now: AI systems with real evaluation harnesses, MCP frameworks I dogfood daily, and clinical tools shaped by the friction they’re built to remove.

We’re a small studio — open to product partnerships, consulting on AI / healthcare integrations, and contract work where the problem is well-shaped. The contact form is the fastest path in.

Applied AI
Healthcare workflows
Developer tools
Open source
Clinical decision support
Type-safe systems
How we work

Four operating principles.

Quality & security

Type-safe by default, security headers shipped on day one, no half-finished surfaces left exposed.

Purposeful innovation

Every feature traces back to a real workflow we ran ourselves, not a roadmap card invented in a slide.

Human-centered design

Doctors, developers, operators: the screens we ship respect the time and attention of the people on them.

Have a workflow in mind?

Product collab, consulting, or a clinical tool you wish existed. Drop us a note, we read every message.