James Green

Cognome is a healthcare AI governance and security company purpose-built to help health systems discover, govern, and secure every AI model across their enterprise, Founded through 15 years of R&D inside leading academic health systems, Cognome was built by clinical, data science, and security experts who experienced first-hand what happens when AI proliferates faster than governance can keep up. That origin shapes everything about how we build; clinical workflow context, PHI protections and healthcare compliance frameworks are native to our platform, not retrofitted from enterprise IT tools designed for other industries. Our control plane addresses the two most urgent AI risk challenges facing health systems today. AI Sniffer is a Zero Trust AI discovery engine that continuously scans networks, endpoints and edge environments to find every AI model and instance of AI usage (sanctioned or otherwise) automatically building a real-time AI asset inventory and feeding risk telemetry to a centralized governance layer. ExplainerAI then provides continuous governance and risk management for all AI models approved for production: transparency into model decision-making, monitoring for drift, detection of hallucinations, PHI leaks, bias detection and audit-ready evidence. Everything is aligned to the NIST AI RMF, NIH's Responsible AI Framework for Healthcare and HIPAA. Together they create a single, unified AI Governance control plane that spans the entire AI lifecycle from discovery through production. Cognome is the first Healthcare AI Governance platform aligned with Zero Trust pillars, meaning nothing is trusted by default regardless of who deployed a model or how. With 10 patents, live deployments across 20 hospitals and a growing partner ecosystem, Cognome gives health system CIOs, CISOs and AI Officers the visibility, control and evidence they need to govern AI with confidence. Smarter. Safer. Secure AI for Healthcare.