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Build your career on work that matters.

Engineers, designers, product and operations people building enterprise software.

Healthcare software that respects clinicians.

We build healthcare platforms with the documentation, audit trails, and HIPAA practices your compliance team will sign off on, and workflows your clinicians will actually use.

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What we do in healthcare.

In healthcare, compliance and usability pull against each other harder than anywhere else. We build for both: HIPAA-aligned data flows, FHIR-native integrations, and clinical UX that fits how clinicians actually work. Our team has built EHR integrations, clinical decision support, patient-facing portals, and AI-assisted documentation systems. We’re prepared to sign a Business Associate Agreement whenever an engagement involves protected health information.

Where it helps most

  • Digital health startups

    Series A-C companies building consumer or B2B health products. We’re experienced with the ladder from MVP to first audit.

  • Health systems & ACOs

    Large IDNs and ACO networks needing custom workflow apps, analytics platforms, or care coordination tools.

  • Provider operations

    Group practices and specialty networks modernizing scheduling, billing, and patient engagement.

  • Pharma & life sciences IT

    Clinical operations, real-world evidence platforms, and patient services applications.

What we deliver.

Each item below is a concrete deliverable that we scope, build, and stay accountable for.

  • EHR & FHIR integrations

    Epic, Cerner/Oracle Health, Athena, eClinicalWorks. SMART on FHIR apps, HL7 v2 ingestion, FHIR R4 servers.

  • Clinical AI

    Ambient documentation, clinical decision support, and clinical reasoning systems, built with rigorous evaluation and clinician validation.

  • HIPAA & compliance

    BAA-covered architecture, audit logging, access controls, and the documentation your compliance team needs.

  • Patient engagement

    Portals, scheduling, telehealth, and secure messaging, designed to be usable across ages and abilities.

  • Healthcare analytics

    Population health, quality measure reporting, clinical dashboards, and operational analytics.

  • Custom workflow apps

    When the EHR can’t fit your workflow, we build an app that does and integrate it cleanly.

How an engagement runs.

Five phases, each with outcomes we can measure.

1

Discovery & risk assessment

We map the data flows, the PHI surfaces, and the integration points. We meet with your security and compliance teams.

2

BAA & security foundation

A BAA in place where PHI is involved, encryption, access controls, audit logging, and a HIPAA-aligned cloud foundation.

3

Iterative build

Two-week sprints with clinical stakeholder demos. We build the highest-risk integrations first.

4

Clinical validation

Clinician-led UAT with real workflows. We adjust on the feedback that matters, not just the feedback that’s loudest.

5

Launch & sustained operation

Phased rollout, on-call coverage, and a documented operational handoff.

Why work with us.

  1. Real healthcare experience

    Our team has shipped EHR integrations and clinical AI in production. We’ve sat through the audits.

  2. Clinician-led UX

    We design with clinicians in the room. EHR-fatigue is real, and we won’t add to it.

  3. BAA before PHI

    If the work touches protected health information, the Business Associate Agreement is signed before it starts.

Frequently asked questions.

Still unsure? A 30-minute call with a tech lead answers the rest.

Ask us directly
Are you a HIPAA business associate?

Yes. We’re prepared to sign a Business Associate Agreement when an engagement involves protected health information, and we design the architecture and processes around it.

Can you help with HITRUST?

We build the security controls and documentation that support clients pursuing HIPAA, HITRUST or SOC 2 programs, working alongside your assessor. We’re not a HITRUST assessor ourselves.

Can you integrate with Epic?

Yes. We’ve built SMART on FHIR apps, HL7 v2 listeners, and Hyperdrive Web Services integrations. We work with your Epic team or an Epic-certified consulting partner where useful.

Do you do FDA-regulated software?

We’ve supported teams building Software as a Medical Device (SaMD), but the QMS and regulatory submission are led by your in-house regulatory team or a regulatory CRO. We’re the engineering partner.

How do you handle PHI in development?

PHI never sits in development environments. We use synthetic FHIR data (Synthea) or de-identified datasets approved by your compliance team.

Let’s talk about your project.

Tell us about your team, your stack and the problem you want solved. We’ll come back with how we would approach it.

Response time

Within one business day

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Headquarters

Charlotte, North Carolina

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