We've burned 6 months on the wrong vendor.
Series B is in 90 days and the codebase isn't shippable. We run a 5-day audit and stand up a recovery plan with weekly milestones.
For digital health startups
Ship your MVP. Survive the next raise.
Series A founders don't need another agency — they need engineers who've taken 40+ products from prototype to Series B and beyond. We build HIPAA-ready MVPs in 12 weeks, augment your team when you need to ship faster, and don't disappear after launch.
Sprint board · 12-week MVP
shippingNow · Week 01
Architecture + auth
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Velocity ↑ on track8% · BAA + HIPAA
What we hear in every first call
The six things keeping you up.
If one of these is on fire, the 5-day audit usually finds the root cause and a fixed-price path out.
HIPAA is required and we don't know what we don't know.
BAA paperwork, audit logging, encryption-at-rest, access controls — we map your current state to the gap, then close it.
Can't hire 10 healthcare engineers in 90 days.
Plug in a fixed pod. You keep ownership, your CTO keeps control, we bring the bench.
We need clinical advisors — not just developers.
Our network of MDs, RNs, and former CIOs reviews clinical workflows before they hit code.
The clock is louder than the runway.
Fixed-price scopes after the audit. We commit to a deliverable date, not a vague Q3.
Founder-mode tech debt is slowing us down.
Strangler-fig refactor patterns. Keep shipping while we untangle what was rushed in the seed.
How we work with you
Four ways to engage.
Pick what your stage needs. Mix and match across an engagement — most startups start with an audit, then scope from there.
We've shipped 40+ digital health products from prototype to scale. We don't sell discovery for the sake of discovery — we design and build in parallel, with HIPAA baked into the SDLC from week one.
- 12-week sprint plan with weekly demos
- BAA-eligible cloud setup from day one (AWS, Azure, GCP)
- Live dashboard with velocity, defects, and burndown
$80K–$150K typical scope
Clinical
Rx
HIPAA
Audit
Bring a senior healthcare CTO into your weekly cadence — without a six-figure hire. Pair with a clinical-product PM who's shipped 10+ regulated apps.
- Architecture review under NDA
- Investor-grade technical due diligence packets
- Clinical advisory introductions when needed
$8K–$22K / month
When you need to ship faster, plug a dedicated pod into your existing team. Same engineers, same architect, same PM — fixed for the engagement, not rotated.
- 3–8 engineer pods, US business-hour overlap
- Direct Slack and repo access
- Cancel with 30 days notice — no platform lock-in
$25K–$90K / month
Pre-built integration paths to Epic, Cerner, Athenahealth, Redox, Health Gorilla, and 1upHealth. We've solved the FHIR write-back problem; we'll solve yours faster than your current team.
- SMART on FHIR launch flows
- HL7v2 ↔ FHIR translation
- EHR-embedded app deployment
Fixed-price per integration
Epic
Cerner
Redox
Health G.
Tools we work in
We bring senior expertise from day one.
EHRs
EpicCernerAthenahealtheClinicalWorksNextGen
Standards
HL7 FHIRHL7v2DICOMX12CDA
Integration
RedoxHealth GorillaMirth1upHealth
Cloud
AWSAzureGCP
Platforms
Salesforce Health CloudTwilio HealthMicrosoft Cloud for Healthcare
AI / ML
PyTorchTensorFlowHugging FaceOpenAIAnthropic Claude
Start with the audit
5 days. Written report. No commitment.
Send us a repo or a description of the project. We'll come back with a written audit and a fixed-price plan.