Senior US engineers who have already built in healthcare and healthtech, directing a suite of AI agents to ship your product up to 10x faster. HIPAA-aware, EHR-fluent. Pay by the outcome, or for their time by the month. You own everything we build.




Healthcare software touches clinical workflows, protected health information, and regulatory requirements that do not tolerate guesswork. You do not want a developer learning HIPAA on your dime.
Fraction is an AI-era software factory: senior US engineers directing AI agents to build software end to end. We place developers who have already shipped healthcare software, from EHR integrations and clinical AI to patient engagement platforms and claims automation, then accelerate them with AI so they move in a fraction of the usual time. The engineer directs the agents and reviews every line.
Hire a developer to augment your team, or have us build the whole product. Either way you own the code, there is no team to hire or manage, and you know the cost before work starts.
AI-powered medical scribes, clinical decision support, and documentation tools built by engineers who understand clinical workflows and the data infrastructure that connects care delivery to systems of record.
FHIR, HL7, and custom integrations with Epic, Cerner, athenahealth, and other EHR platforms, built by engineers who have shipped production health data pipelines.
Patient intake, virtual care, remote monitoring, engagement apps, and digital therapeutics, built to the security and usability standards healthcare demands and accelerated by AI.
Bring a feature, a backlog, or a full product idea. We scope it and give you a plan and a cost before any work begins.
US-based, 10+ years on average, vetted by an MIT engineer, and matched to your stack and your corner of the industry.
Your engineer runs a suite of AI agents to move up to 10x faster and reviews everything that ships. An included software architect guides the build and a project manager keeps it on track.
No subscriptions, no lock-in, no platform to stay on. The code is yours.
No junior candidates. Vetted by an MIT engineer and matched on both stack and domain experience in healthcare and healthtech.
Each engineer directs a suite of AI agents to ship up to 10x faster, and reviews everything the agents produce.
Real-time on your Slack or Teams, in your timezone, with no communication barrier.
We manage vetting, matching, and the day to day so you do not have to.
Ramp up, add expertise, or wind a project down as your needs change.
Everything we build is yours, with no lock-in.
We build healthcare software the way it should be built: with compliance baked in from the start, not bolted on at the end.
We sign BAAs as standard practice. Your compliance posture is covered from day one.
Engineers get only the access they need for the work at hand. No blanket permissions, no unnecessary exposure.
Encryption at rest and in transit, audit-ready logging, and secure data handling practices throughout the development lifecycle.
We can develop directly within your infrastructure so PHI never leaves your walls. Your data stays where you control it.
There are two ways to pay, and you choose the one that fits how you work. Every engagement starts at $6,000/month.
We scope the work, price it upfront, and you pay as features ship. No hourly billing and no surprises.
Best when you have a defined product or set of features to build, and pricing is set per project once we scope it.
Bring on a senior developer for a set amount of time each month and direct the work yourself. Best when you are augmenting an existing team.
Engagements start at $6,000/month and scale with the time commitment.
| In-house hire | Dev agency | Offshore team | Fraction | |
|---|---|---|---|---|
| Seniority | Varies by hire | Mixed teams | Varies | Senior only |
| Healthcare domain fit | Depends on candidate | Varies | Varies | Matched to your domain |
| Speed | Standard | Standard | Standard | AI-accelerated, up to 10x |
| Time to start | Months | Weeks | Weeks | Days |
| How you pay | Salary + overhead | Hourly or retainer | Hourly | By outcome or monthly |
| Oversight | You manage | You coordinate | You manage across timezones | Architect and PM included |
| HIPAA readiness | Depends on hire | Varies | Varies | BAA, least-privilege, PHI-safe |
| Code ownership | You | You | You | You |
175+ companies served across healthcare, fintech, and SaaS. 7 days risk-free to start.

Last updated: June 29, 2026