We build clinical operations platforms, telehealth services, EHR-integration layers, and patient-engagement products for healthcare SaaS companies that have outgrown the prototype stage and need software vendors who understand HIPAA, FHIR, and the procurement realities of selling into hospital systems.
Series A through public-equity healthcare SaaS companies — clinical operations, telehealth, RPM, RCM, patient engagement, medical-device data, life-sciences platforms — that need to ship at hospital pace while passing the audits hospital procurement requires.
Most healthcare SaaS slowdowns come from three things: HIPAA-driven architecture decisions made too late, EHR integration treated as an afterthought, and infrastructure that cannot meet enterprise-customer data-residency requirements. We design for all three from day one.
Healthcare software is not generic SaaS with extra paperwork. The procurement, the audit cycles, the data-residency requirements, and the integration surfaces (HL7 v2, FHIR, proprietary EHR APIs) are different enough that pretending otherwise costs you 6–12 months of selling cycle.
Regulatory and operational realities we design around. Most enterprise customers will not start a procurement conversation without seeing concrete answers to most of these.
Encryption at rest and in transit, audit logging by default, role-based access with separation of duties, BAA-aligned vendor relationships, and the documented controls that make a HIPAA risk assessment a quick read instead of a multi-week project.
EU data plane that EU customer PHI never leaves, data-subject-request automation, retention enforcement at the database level, and audit logs that survive both EU and US regulator review.
Modern FHIR-based integrations as the default; HL7 v2 interface engines (Mirth, Rhapsody) when the integration partner requires it. Bidirectional EHR integration, ADT feeds, results delivery, and order-entry flows.
Most enterprise hospital systems will not procure without one or both. We design infrastructure so the audit becomes a paperwork exercise — control evidence is generated automatically, not assembled from screenshots in a fire drill.
For SaMD (Software as a Medical Device) and digital therapeutics, we work with your regulatory consultant to design a development lifecycle (IEC 62304, ISO 14971) that survives FDA submission. We do not pretend to be regulatory experts — we collaborate with the ones you bring in.
Active-active multi-region architecture so US, EU, and APAC customers each get sub-100ms response times. Region-local writes for non-PHI shared data; PHI writes routed to the residency region by data classification.
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Workflow tools for hospital ops teams — bed management, OR scheduling, transfer coordination, staffing dashboards. Built to integrate with the existing EHR, not replace it.
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Video, messaging, RPM device-data ingestion, prescription workflows, and the back-office consoles clinical teams need to triage and respond at scale.
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FHIR-first integration platforms with HL7 v2 fallbacks, ADT/ORM/ORU/SIU/MDM message handling, and the audit infrastructure to prove every PHI exchange happened correctly.
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Web and mobile patient-facing experiences — appointments, results, messaging, billing — built with accessibility (WCAG AA) and language localization as defaults, not retrofits.
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Charge capture, claims generation, denial management, and analytics on payer behavior. Where applicable, X12 EDI handling (837/835/270/271) and clearinghouse integrations.
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Operational dashboards for clinical leadership, quality-measure reporting (HEDIS, MIPS), and the data-warehouse plumbing that makes those numbers reliable instead of approximate.
Healthcare integration
FHIR R4 as the default integration shape, HL7 v2 interface engines for partners that require them, and a track record of pulling clean data out of EHRs that do not want to give it up.
HIPAA-grade infrastructure
Multi-region Kubernetes with HIPAA controls in IaC. Audit logging by default. Encryption with customer-managed keys where required. Disaster recovery actually tested.
Patient-facing product
Accessible web and mobile experiences, language localization, and the design systems that scale across web, iOS, Android, and the embedded experiences that hospitals sometimes require.
faster median API responses globally
Migration from a single-region VM to three-region active-active EKS for a Series B clinical operations platform. 800ms → 40ms median response, 99.99% SLA, HIPAA + GDPR audits closed without findings.
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Infrastructure that doesn't keep you up at night. AWS, GCP, Azure. Kubernetes when it earns its place. CI/CD with rollback. Cost-aware from day one.
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Bespoke business systems built around the workflow you actually have, not the one a generic SaaS forces on you.
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End-to-end web applications — from API design to deployment pipelines. React, Next.js, Node.js, and the rest of the stack you'll actually run in production.
Learn morePayments, lending, KYC/AML, and treasury platforms built for PCI-DSS, PSD2, and GDPR realities. Production-grade engineering for systems that move money.
Greenfield SaaS, multi-tenant platforms, and post-PMF scale work. Production engineering plus the technical SEO and growth infrastructure that turns a product into a business.
Most engagements start with a 30-minute discovery call. No pitch deck, no NDAs on day one — just an honest conversation about your problem.
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