Platform Modernization * For PE Portfolio Companies

You've tried offshore. It didn't work. Here's the alternative.

Your healthcare platform has technical debt. You need to modernize without disrupting operations. You tried offshore development-and experienced the timezone gaps, quality issues, and HIPAA concerns firsthand.

We're the nearshore alternative: US architecture and leadership with Dominican Republic delivery at scale. Same timezone. Full HIPAA compliance. Healthcare expertise throughout the stack.

Start Platform Assessment $25K | 4 weeks | Clear modernization roadmap

The Problem

The offshore reckoning in healthcare IT.

PE operating partners have learned the hard way: offshore development creates more problems than it solves when you're dealing with healthcare platforms.

HIPAA Compliance Suspect

Data handling practices don't meet US healthcare standards. Audit risk. Legal exposure.

No Legal Redress

When things go wrong, you have no recourse. Different jurisdiction. Unenforceable contracts.

IP Ownership Unclear

Work-for-hire assumptions don't hold overseas. Your code, your problem.

Quality Variability

High turnover, knowledge loss, inconsistent standards. "Throw bodies at it" mentality.

10-12 Hour Timezone Gap

Questions take 24 hours to resolve. Decisions delayed. Projects slip.

Communication Barriers

Language gaps, cultural differences, requirements lost in translation.

The Solution

The nearshore advantage: US quality, competitive economics.

We're a 75-person healthcare technology firm-not a 15-person shop with a mysterious offshore partner. 15 US (architecture, R&D, client leadership) + 60 nearshore Dominican Republic (delivery at scale). One integrated team.

Full HIPAA Compliance

BAAs in place. US-compliant data handling. Audit-ready documentation. Healthcare expertise built in.

US Legal Jurisdiction

Enforceable contracts. US courts. Real recourse when it matters.

Clear IP Assignment

Work-for-hire agreements that hold. Your code is your code. Full transfer.

Same Timezone (EST)

Real-time collaboration. Same working hours. Questions answered in minutes, not days.

English Fluency, Cultural Alignment

No translation layer. Requirements understood. Nuance preserved.

Stable Teams, Low Turnover

Continuity + domain expertise. Your team knows your platform. Institutional knowledge preserved.

Our Model

75-person integrated healthcare technology firm.

Not a small shop with a mysterious partner. One team, two locations, healthcare expertise throughout.

US Team (15)

Architecture & Technical Leadership

System design, code review, technical direction. Healthcare domain expertise at the architecture level.

R&D & Innovation

New capability development, AI/ML research, emerging technology evaluation.

Client Relationships

Project leadership, stakeholder communication, strategic planning.

Quality Assurance

US-led QA standards. Healthcare compliance verification. Security review.

Nearshore Team (60) - Dominican Republic

Full-Stack Development

Production-grade implementation under US technical leadership.

Mobile Development

iOS, Android, cross-platform. Healthcare-grade mobile applications.

DevOps & Infrastructure

Cloud architecture, CI/CD, monitoring, HIPAA-compliant infrastructure.

QA & Testing

Comprehensive testing, automation, regression, performance.

The Assessment

Platform Modernization Assessment: $25K, 4 weeks.

Before committing to a full modernization, understand exactly what you're dealing with and what it will take to fix it.

What You Get

Architecture Review

Deep dive into current codebase, infrastructure, technical debt. Identify risks, bottlenecks, and modernization opportunities.

Solution Architecture

Recommended target state. Technology stack. Migration approach. Integration strategy. Security and compliance architecture.

Modernization Roadmap

Phased implementation plan. Priority sequencing. Risk mitigation. Timeline and milestones.

Budget Range

Realistic investment estimate. Team composition. Duration. Options at different scope levels.

Assessment Deliverables

Executive summary (2-3 pages)

Technical assessment report (20-30 pages)

Architecture diagrams (current and target state)

Technical debt inventory with priority ranking

Phased modernization roadmap

Budget range and team composition

Risk assessment and mitigation plan

Executive presentation

Assessment Investment $25,000

Duration 4 weeks

Assessment fee credited toward full engagement if you proceed.

For PE Operating Partners

We understand your investment thesis.

EBITDA Improvement

Platform modernization enables operational efficiency. Reduce manual processes, improve automation, scale without linear headcount growth.

Exit Multiple Enhancement

Modern tech stack increases acquisition attractiveness. Technical due diligence becomes a strength, not a liability.

M&A Integration

Scalable platform enables roll-up strategy. Integrate acquisitions onto common infrastructure. Accelerate synergy capture.

Risk Reduction

Address technical debt before it becomes a crisis. Compliance. Security. Scalability. Remove execution risk from the equation.

Timeline Alignment

We understand hold periods. Phased roadmaps that deliver value within your investment timeline.

Portfolio Leverage

Established partnership model. Consistent quality across multiple portfolio companies. Volume economics.

Healthcare Expertise

We only do healthcare.

HIPAA compliance, EHR integrations, clinical workflows-these aren't new problems for us. We've built production healthcare platforms serving 26,000+ patients across 7 states.

Your portfolio company won't be our learning experience. We already understand the regulatory landscape, the integration challenges, and what it takes to ship healthcare software.

$20M+

Verified Healthcare ROI

100%

Production Rate

26K+

Patients Served

Healthcare Platforms