Senior engineers for healthcare, fintech, and production AI.

Technical diligenceProduction buildsFractional platform
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[ 01 ]AI-first engineering studio · Austin × SF

We build production AI for founders who cannot afford to get it wrong.

Senior engineers only. No juniors on your codebase. / Healthcare and fintech since 2020. Average tenure on the team is 9.4 years. The person you meet on the first call is the person who writes your code.

Founders we've built with
Vox HealthCodeMinderorbital/LedgerwiseParallel.fi
02 / The studio

A small shop that writes code the way lawyers write contracts, carefully, and on the hook for every line.

14 engineers. Six years. Every project led by someone with a decade of production experience in the domain you are shipping into. We do not staff a team of juniors learning on your MVP, and we do not broker out the work. The engineers in the kickoff call are the engineers in the merge requests.

Case / 01Healthcare

Clinical LLM copilot for a 180-clinic network

Ambient scribing, HIPAA-scoped retrieval, and a judge model that flags hallucinations before notes hit the EHR. Pilot to production in 11 weeks with Epic integration.

41%Reduction in charting time
11wkPilot → prod
Case / 02Fintech

Real-time fraud risk engine at 9,200 TPS

Replaced a legacy rules engine with a hybrid gradient-boosted plus LLM reasoning layer. Sub-80ms P99 on payment auth, with audit trails regulators can read.

78msP99 latency
2.3xFraud catch rate
Case / 03Insurtech

Underwriting agent platform, zero to launch

Agent orchestration, document extraction, and a human-in-the-loop review UI built alongside the founding team. Closed a $14M Series A off the production deployment.

$14MSeries A raised
6mo0 → 1 to launch
03 / How we work

Four phases. No discovery decks.

01
Technical diligence

A paid, two-week audit of your architecture, data, and team. You get a written report we would show a board. If we think you should not hire us, we say so in writing.

2 weeks · $18k
02
Architecture & plan

A specific build plan: stack, model choices, eval strategy, deployment topology, and the team shape on both sides. Not a slide deck. A document an engineer can execute from.

1 week · fixed fee
03
Build

Two to four senior engineers embedded with your team. Weekly demos to paying users or a design partner. Code in your repo, owned by you, from week one.

12–26 weeks
04
Handoff or stay

We help hire your first two engineers, or we stay on as a fractional platform team. Either way: written runbooks, on-call docs, and a six-month warranty on what we shipped.

Ongoing
04 / Word from
The TSH team shipped our first production model in seven weeks. Our in-house attempt took ten months and never left staging.
— Vahid Kowsari · CEO, Vox Health (Series A, NYC)
Engagement22wk embed
StackPy · vLLM · Postgres
ComplianceHIPAA · BAA
OutcomeClosed Series A, Q1 ’26
05 / Start a conversation

Tell us what you're actually trying to ship.

We reply within 24 hours, or we tell you why we cannot take the work. Either way, you get a real engineer on the email.
IDX 00 / HomeREV 2026.04.17LOC Austin, TX · 30.26°N, 97.74°W
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