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.
PE operating partners have learned the hard way: offshore development creates more problems than it solves when you're dealing with healthcare platforms.
Data handling practices don't meet US healthcare standards. Audit risk. Legal exposure.
When things go wrong, you have no recourse. Different jurisdiction. Unenforceable contracts.
Work-for-hire assumptions don't hold overseas. Your code, your problem.
High turnover, knowledge loss, inconsistent standards. "Throw bodies at it" mentality.
Questions take 24 hours to resolve. Decisions delayed. Projects slip.
Language gaps, cultural differences, requirements lost in translation.
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.
BAAs in place. US-compliant data handling. Audit-ready documentation. Healthcare expertise built in.
Enforceable contracts. US courts. Real recourse when it matters.
Work-for-hire agreements that hold. Your code is your code. Full transfer.
Real-time collaboration. Same working hours. Questions answered in minutes, not days.
No translation layer. Requirements understood. Nuance preserved.
Continuity + domain expertise. Your team knows your platform. Institutional knowledge preserved.
Not a small shop with a mysterious partner. One team, two locations, healthcare expertise throughout.
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.
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.
Before committing to a full modernization, understand exactly what you're dealing with and what it will take to fix it.
Deep dive into current codebase, infrastructure, technical debt. Identify risks, bottlenecks, and modernization opportunities.
Recommended target state. Technology stack. Migration approach. Integration strategy. Security and compliance architecture.
Phased implementation plan. Priority sequencing. Risk mitigation. Timeline and milestones.
Realistic investment estimate. Team composition. Duration. Options at different scope levels.
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 fee credited toward full engagement if you proceed.
Platform modernization enables operational efficiency. Reduce manual processes, improve automation, scale without linear headcount growth.
Modern tech stack increases acquisition attractiveness. Technical due diligence becomes a strength, not a liability.
Scalable platform enables roll-up strategy. Integrate acquisitions onto common infrastructure. Accelerate synergy capture.
Address technical debt before it becomes a crisis. Compliance. Security. Scalability. Remove execution risk from the equation.
We understand hold periods. Phased roadmaps that deliver value within your investment timeline.
Established partnership model. Consistent quality across multiple portfolio companies. Volume economics.
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.
Verified Healthcare ROI
Production Rate
Patients Served
Healthcare Platforms
Production integrations-not demos, not sandboxes. Real deployments serving real patients.
PointClickCare
Production certified partner. Bidirectional data flows.
Epic
FHIR R4 integration. CDS Hooks. Patient records.
Gehrimed
Production deployed. Clinical documentation integration.
Custom EHRs
HL7, FHIR, proprietary APIs. We've seen it all.
30-minute call to understand your situation. If there's fit, we'll scope the 4-week assessment. No pressure. Honest evaluation.
Y Understand your platform's current state
Y Discuss modernization priorities
Y Determine if assessment makes sense
Or call: 404.654.3855
