I believe there is no good notion of homotopy groups for an arbitrary simplicial set $S$. However, when $S$ is fibrant - meaning that $S\to *$ is a fibration - there is a definition. The singular realization of a topological space is fibrant, and one recovers the homotopy groups this way. Given a small category $\mathcal{C}$, its nerve $N\mathcal{C}$ is a simplicial set which is almost never fibrant; it is, though, whenever $\mathcal{C}$ is a groupoid.
Given an exact category $\mathcal{E}$, Quillen defines another category $Q(\mathcal{E})$ whose objects are the same as $\mathcal{E}$ but morphisms are given by "roofs" $\bullet \twoheadleftarrow \bullet \hookrightarrow \bullet$ where the epi and the mono are parts of exact sequences in $\mathcal{E}$. Composition is given by pullbacks, and is well-defined due to the axioms of exact categories.
Then, Quillen defines the $K$-group $K_i(\mathcal{E})$ as the $(i+1)$th homotopy group of the topological realization of the simplicial set given by the nerve $N\mathcal{E}$ of $\mathcal{E}$.
I am curious: since one can already define homotopy groups of simplicial sets, is there a way to bypass the topological realization of $N\mathcal{E}$?
Since the category $\mathcal{E}$ is almost never a groupoid (although all morphisms are mono), I believe that the simplicial set $N\mathcal{E}$ is not fibrant. Yet, can one replace $Q(\mathcal{E})$ by some groupoid $G(\mathcal{E})$ functorially attached to $\mathcal{E}$ and define $K_{i}(\mathcal{E})$ directly as $\pi_{i+1}(NG(\mathcal{E}))$?
Sorry if this all well-known. Many thanks!