
Custom Software Development
Production-grade web platforms, built to last.
We build custom web software end to end — patient and provider portals, internal platforms, dashboards, and APIs — on a modern, maintainable stack. From database to UI, with security and compliance designed in, not bolted on.
Start a projectWhat we deliver
- ✓Web applications, portals, and dashboards
- ✓REST APIs and backend services
- ✓Database design and data modeling
- ✓Responsive, accessible front-end UI
- ✓Automated testing and CI/CD deployment
- ✓Documentation and handover
Who it's for
Organizations that need software tailored to their workflow — not off-the-shelf.
Technologies we work with
Our working toolkit across projects. We're not tied to one stack — we choose the right tools for each engagement, including whatever your team already runs.
Languages
- TypeScript
- JavaScript
- Python
- PHP
- SQL
Frontend
- React
- Next.js
- Vue 3
- Vite
- Tailwind CSS
- Sass
- Material UI
- Chakra UI
- IBM Carbon
- Bootstrap
- Framer Motion
Backend & APIs
- Node.js
- Express
- FastAPI
- Django
- OpenEMR (PHP)
- Vercel Functions
- REST
Data & Storage
- PostgreSQL
- MySQL
- MongoDB
- Redis
- Supabase
- SQLite
- AWS S3
AI & Vector Search
- OpenAI
- Anthropic Claude
- RAG
- pgvector
- Pinecone
- Qdrant
- ChromaDB
- sentence-transformers
- Vercel AI Gateway
Healthcare Standards
- FHIR R4
- HL7v2
- CDS Hooks
- OpenEMR
- OpenEHR
- MLLP
Cloud & DevOps
- AWS
- Vercel
- Docker
- GitHub Actions
- Jenkins
- nginx
- Caddy
- HashiCorp Vault
- Tailscale
Automation & Integrations
- n8n
- Make
- Zapier
- Twilio
- Epic
- Salesforce
- BlueFolder
- QuickBooks
- Acuity
- Google Maps
Auth, Payments & Comms
- Clerk
- Azure AD
- Auth0
- Authentik
- JWT
- Stripe
- Brevo
- Resend
- 8x8
- PostHog
Frequently asked questions
Which stacks do you work in?+
Primarily Next.js/React and Vue on the front end; Node.js, FastAPI, Django, and PHP on the back end, with PostgreSQL or MongoDB for data. We pick the right tool for your needs and team rather than forcing one stack.
Can you take over an existing codebase?+
Yes. We regularly inherit, stabilize, and extend existing systems — including legacy PHP and WordPress — without a full rewrite. We start with a short audit, document what's there, and improve it incrementally.
Who owns the code and IP?+
You do — all source code and intellectual property are yours, delivered in your own repositories. There's no lock-in to us as a vendor.
How do you scope and price a build?+
We start with a paid discovery to define scope and architecture, then deliver in fixed-scope phases (or time-and-materials for evolving work). You see a working build early and often, so budget tracks real progress.
How do you handle HIPAA and patient data in custom apps?+
Security is built in from the start: encryption at rest and in transit, role-based access control, audit logging, and PHI-aware data flows. We can sign a BAA and architect on HIPAA-eligible infrastructure.
Have a project like this?
Tell us what you're building and we'll show you how we can help.
Start a project