Healthcare software development teams that understand HIPAA before they write a line.
Hire dedicated senior healthcare engineers from a healthcare software development company founded by a four-time founder. We have placed engineers in the Philippines who build EHR, telemedicine, medical device, and clinical-trial software, including the teams behind SOTA Cloud, NavMD, and AG Mednet. Pre-vetted, full-time, and ready in as little as 7 days.
- Inc. 5000 honoreefive years running
- 350+ senior engineerson staff, across every stack
- 200+ companies servedsince 2018
- 700+ engineer placementsinto US software teams
Not a dev shop building it for you. Your healthcare team, building with you.
Most medical software development companies quote you a six- or seven-figure fixed-bid project, build it behind a vendor wall, and hand it back. We embed dedicated senior engineers in your team. You own them, manage them, and keep them.
The turnkey vendor model
The big custom-software shops
- Fixed-bid project, scoped up front, priced in the hundreds of thousands
- Engineers walled off behind an account manager
- 30–40% overhead for layers you never meet
- Hand-off at the end, and the knowledge walks out the door
The Full Scale staff-augmentation model
Dedicated engineers, embedded in your team
- $35/hr fully loaded, scale up or down as the roadmap changes
- Engineers in your standups, Slack, repo, and roadmap
- No vendor wall and no PM tax, you manage them directly
- 93%+ retention means the engineers, and the knowledge, stay
Co-founded VinSolutions, the #1 CRM in the auto industry ($150M+ exit), and founded Stackify
Built by a founder who has shipped and sold real software
Full Scale was founded by Matt Watson, a four-time founder and CTO with 20+ years in software engineering. He co-founded VinSolutions, the #1 CRM platform in the auto industry, acquired for around $150 million, and founded Stackify, a developer-tools company he later sold. He also wrote Product Driven, the engineering-leadership method every Full Scale engineer is trained on.
Full Scale exists because Matt kept hitting the same wall as an operator: good products stall when you can't hire and keep good engineers. That is the problem we solve, and it is why we vet for the senior, product-minded engineers most staffing shops never find.
Engineers experienced across EHR, telemedicine, and the healthcare stack
We don't sell you a pre-built product. We staff engineers who have shipped in these domains before and know where the HIPAA and interoperability landmines are.
EHR & EMR systems
Electronic health record and electronic medical record platforms, clinical workflows, charting, and e-prescribing built to pass an audit.
Telemedicine & patient apps
Telemedicine and patient-facing apps, virtual visits, secure messaging, and remote patient monitoring. Healthcare app development that protects PHI.
Medical device software
Software as a medical device (SaMD), connected device firmware integration, and FDA-pathway software built for regulated environments.
Healthcare data & interoperability
HL7 and FHIR integrations, data exchange between systems, and clinical data pipelines that keep records moving cleanly.
Patient portals & scheduling
Patient portals, online scheduling, appointment reminders, and intake flows that connect back to the EHR.
Healthcare analytics
Reporting, population health dashboards, cost and claims analytics, and clinical decision support on top of your data.
Engineers who have built under HIPAA, not around it
Healthcare doesn't forgive “we'll add privacy later.” Our engineers have worked inside HIPAA-governed, audited environments and treat patient data protection as an architecture decision, not a checkbox at the end.
Healthcare teams we've staffed
Building FDA-cleared cloud dental imaging at scale
A dedicated team helped build SOTA Cloud's FDA-cleared cloud dental imaging platform, now used across 1,000+ dental locations, on a C#/.NET, Angular, and Azure stack. A Full Scale engineer used Claude to reverse-engineer a proprietary dental file format that the platform had to read.
Read the case study →Rescuing the build for an employee benefits platform
When NavMD's development team was dissolving, Full Scale engineers stepped in to rescue the employee benefits and healthcare cost platform and keep it moving without losing the in-flight work.
Read the case study →Offshore QA that felt fully in-house for a clinical-trial platform
AG Mednet had tried offshoring in India and nearshoring in Latin America before Full Scale. Two embedded QA engineers ran testing on their clinical-trial process-management platform for a year and a half, at roughly the cost of one nearshore developer, with zero handoff friction.
“Other than the fact that they're not physically here with us, you would think that they've always been working with us.”Jason Flowers, Head of Software Engineering and DevOps
Read the case study →The healthcare specialists on our bench
Backend engineers
.NET, Java, Python, Node
Interoperability engineers
HL7, FHIR, data exchange
Frontend engineers
React, Angular, TypeScript
Security engineers
AppSec, HIPAA audit readiness
Mobile (patient apps)
iOS, Android, Flutter
DevOps / SRE
Azure, AWS, IaC, uptime
QA automation
Test coverage for clinical flows
Solutions architects
System & data design
The healthcare stack our engineers work in
Backend
Frontend
Mobile
Data
Cloud & DevOps
Interoperability
Why most offshore healthcare teams fail, and how to not be one of them
The mistake isn't going offshore. It's hiring the cheapest developer you can find and hoping HIPAA sorts itself out. I call that cheapshoring, and in healthcare it's how you end up with a breach, a failed audit, and a rewrite.
Patient software is unforgiving. You need engineers who understand that exposed PHI is a violation and an unlogged record access is a finding. That's a hiring bar, not a rate, which is the whole reason we accept under 3% of applicants and train every engineer on the Product Driven method.
From call to coding in as little as 7 days
- 1Tell us the healthcare roles and stack you need
- 2We match pre-vetted engineers from our bench
- 3You interview and pick your team
- 4They start in your standups, repo, and roadmap
Healthcare Software Development Services, answered
- Do your engineers understand HIPAA and healthcare compliance?
- Yes. We staff engineers who have built inside HIPAA, HITECH, and SOC 2-governed environments and treat patient data protection as an architecture decision, not a checkbox.
- Can you build EHR, telemedicine, and medical device software?
- Yes. Our engineers have shipped EHR and EMR systems, telemedicine and patient apps, HL7 and FHIR interoperability, and software as a medical device on FDA pathways.
- Is this a fixed-bid project or a dedicated team?
- A dedicated team. We are a staff augmentation partner, so you get engineers embedded in your team at $35/hr, not a turnkey product quote.
- How fast can a healthcare team start?
- As little as seven days from the first call to engineers in your standups, drawing from a pre-vetted bench.
- Who owns the code and the IP?
- You do, from day one. Our engineers work in your repositories under your process.
Staffing engineering teams across every industry
Healthcare engineering guides
Telemedicine app development
How to build a compliant telemedicine app with an embedded team.
EHR / EMR software development
Building and integrating records systems with HL7 and FHIR.
Healthcare app development
The mobile and patient-app side of our healthcare work.
Cheapshoring: the healthcare version
Why the cheapest developer is the most expensive.