AI · Clinical AI · Security

I build AI that keeps your most sensitive data out of someone else's cloud.

Sovereign AI for healthcare and other regulated environments: local, on-prem, or in your own cloud. 15+ years of engineering leadership across healthcare, fintech, security, and defense.

Antonio Bologna

Antonio Bologna
Austin, TX

About

I build AI solutions for healthcare, the kind that keep control of the data with the people who own it.

Fifteen years across healthcare, fintech, security, and defense taught me the same lesson everywhere: the harder the data, the more it matters where it lives and who can touch it. In healthcare that is non-negotiable. Patient data cannot casually leave the owner's control, and most AI still assumes it can.

So I build the other way. Sensitive data stays local (on-device, on-prem, or in the client's own cloud), and only what is safe to share ever leaves. Frontier models in the cloud still have their place; they just work on de-identified data, never the raw record. Privacy by architecture, not by policy.

Right now that means an ambient clinical scribe that captures and de-identifies on the device before anything moves, built for clinics in Mexico and other markets that cloud-first, English-first tools ignore. The same instincts carry across everything I have built: securing sensitive systems, financial infrastructure, and cleared defense work. Healthcare is where it matters most, and where I spend my time.

I founded Arca Vision Labs in Austin, a small engineering studio focused on AI, healthcare, security, and governance.

What I do

01 Sovereign AI

Local, on-prem, and open-weight models that run where your data already lives (on-device, on-prem, or in your own cloud), so patient records, code, and IP never leave the owner's control. Frontier models still have a place; they just work on de-identified data. Privacy by architecture, not by policy.


02 Clinical & healthcare AI

HIPAA, EHR, claims, and clinical workflows, plus multilingual local clinical AI for markets that English-first tools ignore.


03 AI security & governance

Making AI both powerful and containable: controlling what models can access and keeping sensitive data from crossing the wrong boundary. Patent holder in AI governance.

Selected work

Currently2026 to now

ARCA

arca.vision

A local secrets manager. One encrypted file you own. No account, no cloud, no subscription. Duress unlock, shared-custody recovery, and a full CLI.

White paper
ARCA secrets manager title card
#ARCAsecuritysecretslocal
Currently2026 to now

Oye

oye.is

An on-device clinical scribe. Captures, transcribes, and de-identifies patient data entirely on the phone before anything leaves.

Oye recording a clinical conversation on-device
Oye transcribing speech with live playback
Oye's de-identified clinical note with assessment and plan
#Oyehealthcareprivacyon-device
PatentGranted

AI governance

Real-time prevention of sensitive-data exfiltration, keeping AI systems from moving data they shouldn't.

aigovernancesecurity

I write about AI sovereignty, local LLMs, and healthcare infrastructure. Recent pieces on local clinical AI and why rented intelligence you can't audit is a liability.