Healthcare

Mostly, yes. Synthetic and de-identified datasets cover the build; where real PHI is unavoidable, access is least-privilege, fully logged, and stays inside your environment. Nothing lands on a laptop.

That is the starting point, not an accommodation. HIPAA, HITRUST, SOC 2 and state privacy rules are folded into definition, so your compliance team signs off the controls before the build — not after it.

You do. Trails, logs and evidence exports live in your systems under your keys. We never become a dependency for proving your own history to an auditor.

Yes. Most healthcare engagements run entirely inside the client’s own cloud accounts or data centre — often right alongside the EHR. We adapt to your network boundary rather than asking you to open it.

We arrive with the paperwork ready — a signed BAA, insurance certificates, subprocessor list and pen-test summaries. Most reviews close in days rather than months.

It is inside the first three weeks, not after them. Controls ship with the first deploy — which is exactly why the first deploy can go to production.

That is most of the job. We have wired into the major EHRs and a dozen regional systems over HL7v2 and FHIR — always behind versioned contracts your team can hold onto.

Every cutover runs dark first — old and new in parallel, differences reconciled — and every step has a tested rollback. “Wrong” means falling back cleanly, not going down.

Fixed price for the framing phase, then a flat monthly rate for the build. We don’t bill hourly — it pays us to be slow, and you shouldn’t have to audit a timesheet to trust the work.

As long as it is useful. Most healthcare clients keep us on for the systems we run; the full handover — runbooks, dashboards, paired sessions — is always on the table.