A
Selection
Requirements workshop, vendor comparison and a recommendation with the trade-offs written down — including when your current system is worth keeping.
Build it, connect it, or fix what was left behind.
Five practice areas that overlap more than they look. Most clients arrive with a single problem and stay because the next three problems are adjacent to it.
01 — Custom web applications
Scheduling systems, portals and the platforms around them
Off-the-shelf software asks you to change how you work. That is fine until the workflow is the thing that makes you good at your job. We build the system that matches the operation you already run — then make it faster than the one it replaced.
Every application ships with role-based access control, a complete audit trail, exportable reporting and an administrative console your team can run without calling us.
Typical builds
- Scheduling & workforce platformsShift bidding, coverage rules, credential expiry, overtime and compliance guardrails, self-service swaps.
- Intake & case managementApplications, eligibility, document collection, review queues, status notifications and SLA tracking.
- Client & partner portalsSecure self-service for patients, clients, vendors or partners with granular permissioning.
- Operations dashboardsReal-time status, exception alerting and the reports leadership currently rebuilds in a spreadsheet.
What we account for
- The connection will dropOffline-first storage with conflict-aware sync, so a shift in a basement or a rural route does not lose data.
- The device is not newTested against the hardware your staff actually carries, not just the current flagship.
- IT has rulesMDM distribution, managed app configuration, device-level encryption and remote wipe support.
- Hands are fullLarge targets, one-handed flows, scanner and camera input, and screens readable in daylight.
02 — Mobile applications
Apps for people who are not at a desk
Nurses, inspectors, field techs, drivers and case workers do not use software the way office staff do. They use it standing up, in a hurry, on a device that is three years old.
We build cross-platform iOS and Android applications from a single codebase, which keeps your cost and your release cycle sane, and we handle App Store, Play Store and enterprise MDM distribution as part of delivery.
03 — CRM & ERP implementation
The platform is the easy part. Adoption is the project.
Most failed CRM and ERP rollouts were not technical failures. The data was dirty, the process was never agreed on, and nobody was trained. We treat those three as the actual scope.
B
Configuration
Objects, pipelines, permissions, automation and the custom modules the platform does not ship. Built to be maintained by your admin, not only by us.
C
Migration
Extraction, cleansing, de-duplication, mapping and a reconciliation report that proves every record landed where it should.
D
Adoption
Role-based training, written documentation, a hypercare window after go-live, and usage reporting so you can see who actually switched.
Platforms we implement and extend
We are platform-agnostic. If your organization has already standardized on something, we work inside it. If it is an open decision, we will recommend based on your process and budget rather than a partner commission.
- Major commercial CRM suites and their APIs
- Mid-market and open-source ERP systems
- Custom-built CRM where licensing exceeds the value
- Integration of CRM/ERP with billing, HR and clinical systems
04 — Integration & interoperability
Making two systems behave like one
The value is rarely in a single application. It is in the seam between the scheduling system, the EHR, the finance platform and the identity provider — which is exactly where projects usually stall.
API & middleware
REST and GraphQL services, message queues, webhook infrastructure, retry and dead-letter handling, and the monitoring that tells you an interface broke before your users do.
Healthcare interoperability
HL7 v2 messaging, FHIR R4 resources, CCDA documents, interface-engine work, and read/write integration with major EHR platforms through their published APIs.
Identity & access
Single sign-on via SAML 2.0 and OpenID Connect, SCIM directory provisioning, MFA enforcement and role mapping against your existing identity provider.
Data pipelines & warehousing
ETL and ELT jobs, reporting databases, de-identified analytics environments, and scheduled extracts for the reports someone currently assembles by hand every Monday.
Legacy modernization
Wrapping, strangling or replacing systems that still work but cannot change. Incremental migration paths that do not require a big-bang cutover weekend.
Secure exchange
SFTP and managed file transfer, mutual TLS, field-level encryption, tokenization, and data-sharing agreements documented for your privacy officer.
05 — Systems consulting
An outside read, before you spend the budget
Sometimes the right deliverable is not code. It is a clear-eyed assessment of what you own, what it costs you, and what to do about it in what order.
These engagements are short, fixed-fee and end in a document you can hand to a board, a an investor or a lender — not a sales pitch for a bigger project.
| Engagement | Typical length |
|---|---|
| Architecture & security review Findings, risk ranking and a remediation roadmap | 2–3 weeks |
| Technical due diligence Code, infrastructure and team assessment for an acquisition or investment | 2–4 weeks |
| Accessibility audit WCAG 2.1 AA evaluation with remediation guidance | 1–3 weeks |
| Systems roadmap Current-state inventory, target state and a sequenced investment plan | 3–6 weeks |
| Fractional technical leadership Ongoing architecture and vendor oversight without a full-time hire | Retainer |
How it is built
Boring technology, chosen on purpose
We pick tools your next engineer will already know and your security team will already have approved. Novelty is a cost, and in regulated environments it is a liability.
Application
- TypeScript & Node.js
- React / Next.js
- Python
- .NET where the estate requires it
Data
- PostgreSQL & SQL Server
- Redis
- Managed warehousing
- Encrypted object storage
Infrastructure
- AWS & Azure
- Infrastructure as code
- Containerized deployments
- Automated CI/CD with approvals
Assurance
- Automated test suites
- Dependency & secret scanning
- Accessibility testing
- Centralized logging & alerting
Next step
Bring us the messy version.
You do not need a finished specification to talk to us. A description of the problem and a deadline is enough to start.