Training Large Language Models to Predict Clinical Events

Longitudinal clinical notes contain rich evidence of how patients evolve over time, but converting this signal into training supervision for clinical prediction remains challenging. We extend Foresight Learning to clinical prediction by converting time-ordered MIMIC-III notes into examples consisting of past patient context, a natural-language question about a possible future event, and a label resolved from later documentation. This process yields 6,900 prediction examples from 702 admissions across medications, procedures, organ support, microbiology, and mortality. A small LoRA adapter trained on these examples improves over the prompted base model, reducing expected calibration error from 0.1269 to 0.0398 and Brier score from 0.199 to 0.145, while slightly outperforming GPT-5 point estimates on held-out questions. The approach enables reusable clinical prediction supervision from longitudinal notes without hand-engineered structured features or endpoint-specific classifiers.

Forecasting Supply Chain Disruptions with Foresight Learning

Anticipating supply chain disruptions before they materialize is a core challenge for firms and policymakers alike. A key difficulty is learning to reason reliably about infrequent, high-impact events from noisy and unstructured inputs - a setting where general-purpose models struggle without task-specific adaptation. We introduce an end-to-end framework that trains LLMs to produce calibrated probabilistic forecasts using realized disruption outcomes as supervision. The resulting model substantially outperforms strong baselines - including GPT-5 - on accuracy, calibration, and precision. We also show that training induces more structured and reliable probabilistic reasoning without explicit prompting. These results suggest a general pathway for training domain-specific forecasting models that produce decision-ready signals. To support transparency we open-source the evaluation dataset used in this study. Dataset: https://huggingface.co/datasets/LightningRodLabs/supply-chain-predictions

Foresight Learning for SEC Risk Prediction

Risk disclosures in SEC filings describe potential adverse events but rarely quantify their likelihood, limiting their usefulness for probabilistic analysis. A central obstacle is the absence of large-scale, risk-level supervision linking disclosed risks to realized outcomes. We introduce a fully automated data generation pipeline that converts qualitative SEC risk disclosures into temporally grounded supervision using only public data. For each filing, the pipeline generates firm-specific, time-bounded risk queries from the Risk Factors section and labels them by automatically resolving outcomes against subsequent disclosures. Using this dataset of risk queries and outcomes grounded in SEC filings, we train a compact large language model to estimate the probability that a disclosed risk will materialize within a specified horizon. Despite its modest size, the resulting model substantially improves over pretrained and heuristic baselines, and outperforms frontier general-purpose models, including GPT-5, on probabilistic accuracy and calibration. More broadly, this work demonstrates that Foresight Learning enables scalable and fully automated training of domain-specific expert models using only raw, chronological, in-domain text -- without proprietary data, external corpora, or manual annotation. The resulting models achieve frontier-level performance while remaining deployable on a single GPU. This result suggests a general pathway for learning calibrated, decision-relevant signals from naturally occurring enterprise documents. To support transparency and reproducibility, we open-source the evaluation dataset used in this study. Evaluation Data: https://huggingface.co/datasets/LightningRodLabs/sec_risk_questions_test_set Data Generation Platform: https://lightningrod.ai/ SDK: https://github.com/lightning-rod-labs/lightningrod-python-sdk

Future-as-Label: Scalable Supervision from Real-World Outcomes

Many real-world prediction problems lack labels observable at prediction time, creating a temporal gap between prediction and outcome that yields supervision only after events resolve. To address this setting, we extend reinforcement learning with verifiable rewards to temporally resolved real-world prediction, and use it to train language models to make probabilistic forecasts under causally masked information with retrospective evaluation using proper scoring rules. Supervision is derived solely from post-resolution outcomes, preserving delayed-reward semantics. On real-world forecasting benchmarks, Qwen3-32B trained using Foresight Learning improves Brier score by 27% and halves calibration error relative to its pretrained baseline, and outperforms Qwen3-235B on both constructed future-event prediction tasks and the Metaculus benchmark despite a 7x parameter disadvantage.