Distilling Tabular Foundation Models for Structured Health Data

Fuente: arXiv
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Main Authors: Tanna, Aditya, Bouarour, Nassim, Bouadi, Mohamed, Sankarapu, Vinay Kumar, Seth, Pratinav
Format: Preprint
Published: 2026
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author Tanna, Aditya
Bouarour, Nassim
Bouadi, Mohamed
Sankarapu, Vinay Kumar
Seth, Pratinav
author_facet Tanna, Aditya
Bouarour, Nassim
Bouadi, Mohamed
Sankarapu, Vinay Kumar
Seth, Pratinav
contents Tabular foundation models (TFMs) achieve strong performance on health datasets, but their inference cost and infrastructure requirements limit practical use. We study whether their predictive behavior can be transferred to lightweight tabular models through knowledge distillation. Since in-context TFMs condition on the training set at inference time, naive distillation can introduce context leakage; we address this with stratified out-of-fold teacher labeling. Across $19$ healthcare datasets, $6$ TFM teachers, $4$ student families, and several multi-teacher ensembles, we find that distilled students retain at least $90\%$ of teacher AUC, outperforming teachers in some cases, while running at least $26\times$ faster on CPU and preserving calibration and fairness critical for health applications. Moreover, multi-teacher averaging does not consistently improve over the best single teacher. Leakage-aware distillation is thus a viable route for bringing TFM-quality predictions into inference-constrained health settings.
format Preprint
id arxiv_https___arxiv_org_abs_2605_18702
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle Distilling Tabular Foundation Models for Structured Health Data
Tanna, Aditya
Bouarour, Nassim
Bouadi, Mohamed
Sankarapu, Vinay Kumar
Seth, Pratinav
Machine Learning
Artificial Intelligence
Tabular foundation models (TFMs) achieve strong performance on health datasets, but their inference cost and infrastructure requirements limit practical use. We study whether their predictive behavior can be transferred to lightweight tabular models through knowledge distillation. Since in-context TFMs condition on the training set at inference time, naive distillation can introduce context leakage; we address this with stratified out-of-fold teacher labeling. Across $19$ healthcare datasets, $6$ TFM teachers, $4$ student families, and several multi-teacher ensembles, we find that distilled students retain at least $90\%$ of teacher AUC, outperforming teachers in some cases, while running at least $26\times$ faster on CPU and preserving calibration and fairness critical for health applications. Moreover, multi-teacher averaging does not consistently improve over the best single teacher. Leakage-aware distillation is thus a viable route for bringing TFM-quality predictions into inference-constrained health settings.
title Distilling Tabular Foundation Models for Structured Health Data
topic Machine Learning
Artificial Intelligence
url https://arxiv.org/abs/2605.18702