Founder-led engineering for healthcare and AI
Ship audit-ready healthcare software before your runway runs out.
Senior engineering leadership plus a dev pod that ships. We embed with your team and start building next Monday. No nine-month hunt for a healthcare CTO. No agency that goes quiet for three months.
Walk away with a clear path to a platform that's safe, scalable, and ready for production.
Clients & Partners
Trusted by healthcare teams
who can't afford to be wrong
The problem
The expertise you can't afford to wait for
You know exactly what's missing. Senior technical leadership that understands clinical reality, data privacy, and AI you can trust.
That kind of judgment is rare, and the slow path to get it eats the runway you're trying to protect. You need it now, not two quarters from now.
So you're stuck with two bad options.
You don't need another report. You don't need a year-long search. You need a senior engineer who's done this before and builds with you, starting now.
The alternatives
Where we fit
We close the gap between strategy and shipped software. We don't just tell you what's broken. We embed and fix it.
| Vantage IO | Vibe code | Slide-deck consultants | |
|---|---|---|---|
| Ships real code | Yes | Fragile | No |
| Understands clinical reality | Yes | No | Yes |
| Builds compliant infrastructure | Yes | No | No |
| Starts this week | Yes | Yes | Slowly |
| Costs less than a full-time hire | Yes | Yes | No |
Selected Work
Clinical AI we've built, validated, or kept alive.
A few of the systems we've worked on across healthcare AI, clinical decision support, and high-trust environments.
CLINICAL DECISION SUPPORT · FUNCTIONAL & LONGEVITY MEDICINE
Built and still help run the architecture, engineering, and infrastructure behind FunctionalMind, a clinical decision support platform that uses evidence retrieval, RAG, and lab data to give clinicians grounded AI answers. The system handles real lab files in all their messy variety, ranks evidence by quality, and traces every answer back to a source. HIPAA and GDPR from day one. Observability built in. Built for the messy reality of clinical data, not a clean demo environment.
- Evidence retrieval and RAG pipeline
- Clinical LLM integration
- Lab data ingestion under real-world variability
- HIPAA and GDPR infrastructure
- Telemetry, observability, audit logging
- Ongoing CTO-level technical leadership
WOMEN'S HEALTH · PREDICTIVE ANALYTICS FOR MENOPAUSE FORECASTING
Took this client from a PoC MVP to a production-ready women's health platform built around predictive ML models for menopause forecasting. Led technical direction, rebuilt the infrastructure for scale, and drove the compliance work needed to pass HIPAA audit checks — so the team could focus on growth, not firefighting.
- MVP to production infrastructure rebuild
- Predictive ML model integration
- HIPAA compliance audit and remediation
- Scalable backend architecture
- Technical direction and delivery support
HEALTH & LIFE INSURANCE · MOBILE + WEB PLATFORM
Four years and counting. Built and scaled the mobile and web applications that power Olé Life's agent and customer experience — including real-time health and life insurance quoting, policy management, and bilingual workflows across both platforms. Expanded into analytics, observability, and continuous process improvement as the business scaled.
- Real-time insurance quoting (mobile + web)
- Agent and member-facing application architecture
- Analytics, telemetry, and observability
- Bilingual platform support
- Ongoing delivery and process improvement
MARITIME HEALTHCARE · CASE MANAGEMENT + TELEMEDICINE PLATFORM
Built SeaCare's healthcare case management platform from the ground up for maritime operations — where connectivity is limited and getting care wrong has real consequences. Delivered onboard crew health workflows, telemedicine coordination, and peer-to-peer live video and audio for remote medical assist.
- Healthcare case management platform
- Onboard crew workflow design and build
- Peer-to-peer live video + audio (telemedicine)
- Remote tele-assist coordination
- Mobile + operational platform architecture
ADAPTIVE LEARNING PLATFORM · DYSLEXIA INTERVENTION
Architected and built Dysolve's interactive learning platform — a scalable, therapy-oriented system designed to support dyslexia intervention through AI-driven gamification and adaptive content. Built to grow with the program, not just demo well.
- Learning platform architecture and build
- AI gamification engine
- Adaptive, therapy-oriented user flows
- Scalable content and session infrastructure
- HTML5 interactive engine
What we build
From strategy to shipped,
compliant software
Five things we do over and over for healthcare teams. Each one ends in working software, not a slide.
Product leadership and direction
Direction before code
We turn clinical and business goals into a technical roadmap, set priorities, and steer the build so your team ships the right thing, not just more code.
Zero to one
Concept to platform
Early-stage healthcare concepts turned into real platforms, built right from day one.
Vibe code to stable code
Prototype to production
Messy AI-generated prototypes rebuilt into secure, modern architecture that scales.
AI your clinicians trust
Traceable, grounded outputs
Retrieval pipelines and testing that make your AI outputs accurate, traceable, and grounded.
And under all of it: compliance baked in.
HIPAA, GDPR, and healthcare security built into the infrastructure from the start, not bolted on later.
What clients say
Trusted by teams who needed someone
who'd actually been there.
The people we work with are building real systems for real patients and real clinicians. They didn't need another consulting deck. They needed someone who had already seen what breaks inside real healthcare systems and knew where to look first.
"A unique combination of skills and an amazing team. Throughout the project, they never missed a deadline."
"Sam and his team move fast, communicate clearly, and bring strong technical judgment to complex healthcare AI work."
How we engage
Two ways we work
Lead and build.
We own the technical strategy and roadmap, embed with your team or bring a specialized pod, and ship production-ready code in days, not months.
Audit and remediation.
We go deep into your codebase, find every compliance, safety, and scaling risk that's holding you back, and deploy the fixes that make your system solid.
Ready when you are
Let's look at your
actual tech.
If your velocity is behind your market window, every week of delay is wasted capital.
Skip the corporate sales dance. On a free 20-minute call we'll dig into your biggest technical hurdle, map the path to fix it, and show you how to get to safe and scalable.