Senior engineers for healthcare, fintech, and production AI.

Technical diligenceProduction buildsFractional platform
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[ 01 ]Senior engineering studio · Austin × SF

We treat business technology as critical infrastructure.

Senior engineers only. No juniors on your codebase. / Bridging the gap between high-level enterprise AI and the practical needs of local businesses. We deliver deployments, not slide decks. Every line of code is built to be a long-term business asset.

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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