A representative slice of recent engagements — healthcare, finance, government, and the occasional ambitious startup. Names are redacted; outcomes are real.
This selection represents a cross-section of our work, not a traditional portfolio. All engagements have been intentionally anonymized to preserve client confidentiality. Outcomes, technical environments, and engagement structures remain accurate. Detailed case studies are available upon request under NDA.
Replaced a 12-year-old HL7 integration broker with a strangler-pattern FHIR layer across three campuses.
Pager-replacement clinical messaging app for nursing, medical, and on-call staff — HIPAA-compliant from day one.
Took over a stalled RPM platform from a previous studio. Hardened device ingestion, fixed BAA posture, shipped to enrolled patients.
Replaced overnight Excel reconciliations with a streaming pipeline that surfaces breaks before the open.
Replaced a 2009 PHP constituent portal with a procurement-friendly stack cleared for full accessibility mandates.
Long-running engagement on the EHR-adjacent integration mesh — interface engine, dashboards, and on-call coverage for clinical messaging.
Detailed case studies are available on request, under NDA.
No discovery deck. No 47-page proposal. Tell us what you're building and we'll come back within 48 hours with a real technical read.