At daycare pickup, Aarti Vaishnav met another parent with a problem. The parent was trying to place students in clinics. Vaishnav knew how to build databases for clinical trials and cancer research. Could she help? In her later account, she expected a weekend project. The calendar had other ideas.
- Prism keeps academic programs, placements and evidence organized.
- One connects schools with clinical sites and their available placements.
- Approve supplies people to review the documents students need before starting.
Founded in 2011, Exxat grew from a product for one client into a business built around a strangely consequential task: getting a student from an academic program into supervised practice. We tend to picture healthcare education as a lecture, a lab or a clinician teaching at a bedside. Someone also has to arrange the bedside. That person’s work is the subject of this company.
A weekend project with a very long afterlife
Vaishnav’s background helps explain why she recognized the problem. Her Exxat biography describes experience in healthcare and higher education, with training in computer science, applied biostatistics and epidemiology, and business. Here was a setting where organizing data could change how people spent their day.
She did more than build a database and wait for applause. In a 2022 interview, Vaishnav recalled spending 150 nights visiting universities during the company’s first year, watching their administrative work. The number is her account, but the method is instructive. A workflow diagram tells you where a process should go. Sitting beside its owner reveals where it actually gets stuck.
The current leadership team includes co-founders Vaibhav Bora, chief innovation officer, and Kunal Vaishnav, chief operating officer. Together, the company’s products address a problem that crosses institutional boundaries. A school controls its curriculum. A clinic controls its placement availability. A student must satisfy requirements that arrive from both directions. No single participant can settle everything alone.
Three products, one handoff
Exxat Prism is the academic program’s workspace. It collects placement availability, student preferences, evaluations, patient logs and accreditation data. Curriculum mapping sits alongside compliance tracking and contract management. The purpose is to keep the evidence connected to the person, course or clinical experience it describes.
Exxat One handles the network between organizations. Sites publish opportunities and manage school requests. Schools search for placements, submit requests and coordinate onboarding. Students track their placements and outstanding tasks. Think of the distinction this way: a program needs to organize its own house, then arrange a visit to somebody else’s.
Approve adds a service to the software. Students upload records such as immunizations, certifications and screenings. Reviewers check them against the program’s criteria and explain corrections. Its product page describes a review window of 24 to 48 hours. For an administrator, the purchase therefore includes someone doing the verification work, as well as a place to see its status.
This is a useful distinction in a market crowded with dashboards. A beautifully displayed queue remains a queue until somebody processes it. Exxat sells both the queue and, through Approve, the review service. Schools still need to define the requirements correctly; outsourcing the check does not outsource responsibility for deciding what to check.
Eleven courses and a spreadsheet’s limit
Jefferson College of Nursing supplies a concrete example of why the academic side matters. Its faculty needed to map the BSN curriculum to the 2023 NCLEX-RN Blueprint. Exxat’s case study describes an existing spreadsheet process that consumed time and invited errors. The problem was determining whether courses covered the new examination guidelines in sufficient detail.
“We mapped 11 courses in 1 day; it was great!”Dr. Hannah Smith · Jefferson College of Nursing
Smith, an assistant dean and assistant professor, led the initiative. The reported result is specific enough to be useful: eleven courses mapped in a day, with reporting that helped faculty examine the curriculum. It is a customer account published by the vendor, rather than a controlled comparison. Read it as an example of a workable process, not a promise about your own Tuesday.
Curriculum mapping makes a subtle distinction visible. Teaching a topic and being able to demonstrate where it appears are separate jobs. A program preparing for review needs evidence of coverage, gaps and repetition. Exxat’s curriculum tools organize course objectives and standards so that faculty can inspect those relationships instead of repeatedly reconstructing them.
A network has to earn its participants
Exxat now reports more than 1,600 academic programs, 10,000 clinical affiliates and 400,000 learners. Those are company figures spanning its ecosystem. They are not counts of additional clinicians produced, nor proof that every participant uses every module. Their significance is the amount of coordination a connected system can potentially support.
The network’s value depends on who is willing to participate. Exxat’s FAQ says schools that do not use Prism can still work with One through a secure school portal. That is a meaningful design choice. A clinic’s partner list should not have to shrink to the vendor’s customer list before its placement process can function.
There is also a practical seam between the products. Exxat’s integration guide requires schools to link site and location records between One and Prism. Approved schedules enter a queue and can be imported as slots or placements. Changes can trigger alerts. Even a connected platform needs someone to establish that two records describe the same place.
Schools shopping in this market can also consider CORE ELMS and Typhon. CORE publishes scheduling, evaluations, contract management and matching capabilities; Typhon offers clinical tracking, scheduling, curriculum mapping and competency tools. Exxat’s case rests on how its academic suite, site network and review service work together. A buyer should make that connection the subject of the demonstration.
Who pays before the first day?
Exxat is a business selling cloud software to institutions and clinical partners, with services layered around it. Its public FAQ provides an unusually useful detail about One: schools can search for placements and request them for free. The cost question changes once a placement is confirmed.
$20 per individual placement
$40 covers placements under the parent site
Approve can be paid for by the student or covered by the program. Exxat’s FAQ says review is not charged by document count. These details matter because a purchase decision made by one organization can create a bill for another person. Administrators should establish who pays, what the fee covers and how that arrangement is communicated before inviting a cohort.
The company’s own financing has changed too. In the 2022 interview, Vaishnav described Exxat as revenue-funded. On January 22, 2026, Exxat announced a minority growth investment from Accel-KKR. The announcement presented faster product innovation and broader reach in education and workforce development as the purpose of the partnership.
The work behind the workflow
Exxat’s stated values spell ROAR: Relationships, Opportunity, Advancement and Responsibility. Its teams work across the United States and India. The careers page displays Great Place to Work certification. More revealing than any slogan is the service work visible in its products: onboarding, training, document review and technical support all sit around the software.
Its AI assistant, Ask Leo, offers in-context guidance. But the student dashboard documentation advises contacting the support team for important questions because Leo is still learning. The same guide says profiles are not synchronized across multiple programs. Those small details deserve attention: convenient access and complete data portability are different capabilities.
A program evaluating Exxat should bring an actual placement scenario to the demo: its requirements, partner locations, approvals and expected changes. Follow that scenario through all three products. Ask which steps staff must configure and which still require judgment. A dashboard is most persuasive when it can survive contact with a messy, ordinary case.
Copy the observation, then the software
The lesson travels beyond health sciences. Watch a recurring task. Identify who owns each handoff. Give the next person enough context to act without asking the previous person to repeat the story. Exxat’s origin and product structure make that sequence unusually easy to see.
The conditions matter. Shared software helps when partners participate, requirements are defined and records are maintained. It cannot manufacture a willing supervisor or an available clinical place. A small program with simple arrangements may need less machinery; a busy program with inconsistent records may need substantial setup before the benefits arrive.
For healthcare education, that leaves a valuable, bounded job. Exxat helps the people arranging practical learning keep the arrangement intelligible. The student still has to learn. The clinician still has to teach. Perhaps the administrator can stop explaining, for the fifth time, which version of the spreadsheet everyone should open.