We architect with you. We take organizations from no or partial connectivity to full round-trip data exchange that scales across your customers and partners, and stay for the architecture, compliance, and vendor decisions that come next.
Most integration shops write code per customer. By the tenth customer, your team is maintaining a forked codebase that grows linearly with every new deal. Onboarding slows. Operations harden. The leverage disappears.
We architect one platform from day one. One Epic connection serving every customer through configuration, not code. One FHIR gateway serving dozens of member portals from the same code path. The next customer onboards in days, not quarters.
Protocol knowledge is table stakes. Systems-design experience that architects for reuse is the rare skill, and it decides whether you scale or fork.
A healthtech startup signs its first hospital or payer customer. The customer wants HL7 feeds for ADT, orders, and results, plus a FHIR API for member access. The startup's engineering team has shipped product but never touched healthcare data at scale. We take the project from signed SOW to live production and stay for the architecture, monitoring, and operational decisions that come next.
A startup has been hand-rolling integrations per customer, and the model has hit a wall. None of them are large individually, but the architecture has no reuse: changes to common logic ripple across every customer's code, and onboarding scales linearly with the customer count. We help pick the integration engine, design the shared platform architecture, and migrate existing customer integrations onto the new platform.
A teleservices group receives orders from hospitals, primary care practices, or referral networks. They deliver care remotely, send documentation back into each referrer's EHR, and capture the clinical data feeding coding and billing. We architect the order routing, the documentation back-channel, and the revenue cycle pipeline, then continue as new referrers and service lines come online.
A startup approaching SOC 2 or HiTrust, a physician group facing a payer audit, or any organization preparing for clinical data scrutiny. We review the existing integration and data architecture, identify gaps in HIPAA Business Associate controls, design the remediation, and help the team prepare. The work usually extends into the cloud security architecture and vendor diligence that follows.
Junior pyramids. We don't staff engagements with juniors and a senior who shows up at kickoff. The breadth that makes our work valuable depends on senior people actually doing the work.
Vendor lock-in. The codebase, documentation, and runbooks belong to you. When the engagement ends, your team can run what we built.
Hourly billing. Fixed prices for project deliverables, retainers for the ongoing work that follows. You know what each phase costs before we start.
Every engagement starts with a fixed-price SOW: defined scope, named deliverables, a number you see before we start. A retainer for ongoing maintenance and advisory is part of the same SOW, so the architect who built the work stays available without a separate vendor relationship.
SOWs are written for the specific problem, not from a template. You'll see exactly which integrations, environments, and protocols are in scope, and the milestones tied to each payment.
We operate as a HIPAA Business Associate by default. ePHI handling is built into every engagement, encrypted in transit and at rest. HiTrust CSF controls are implemented across our work. Annual audits, internal and external.
This isn't a selling point. It's how the work gets done in healthcare.
Our HIPAA policies →Send us a paragraph about what you're trying to do. We respond within 48 hours.
Get in touch