Managed Services & Support
We don't just build it — we run it.
Software needs care after launch. We operate and evolve production systems — monitoring, incident response, updates, and continuous improvements — so your team can focus on care, not uptime. We run mission-critical healthcare operations every day.
Start a projectWhat we deliver
- ✓24/7 monitoring and alerting
- ✓Incident response and resolution
- ✓Maintenance, updates, and security patches
- ✓Feature enhancements and optimization
- ✓Operation of automations and integrations
- ✓SLA-based support
Who it's for
Organizations running mission-critical software in production.
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
Do you operate platforms, or just build them?+
Both. For clients like NPPN we run the platform in production — monitoring, automation, billing flows, and continuous improvements — not just a one-time build.
Can you support software you didn't build?+
Yes. We start with a short audit to understand the system and its risks, then take over maintenance and operation with confidence.
What's included in a managed-services engagement?+
Monitoring and alerting, maintenance and security patches, operating your automations and integrations, small enhancements, and incident response — scoped to an SLA that fits your needs.
What are your response times?+
We set tiered SLAs by severity — critical issues get immediate attention, routine requests are handled within agreed windows. The exact targets are defined with you up front.
How is it priced?+
A monthly retainer sized to the scope and SLA — predictable, and far cheaper than an outage or a stalled operation.
Have a project like this?
Tell us what you're building and we'll show you how we can help.
Start a project