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Enterprise · Ship Fast

We help you ship High Quality Healthcare IT.

Three integrated offerings for teams that need enterprise-grade infrastructure, purpose-built AI, and AI-augmented product delivery.

🚀
01
Fossible Sprints
AI-Augmented Product Development with Enterprise Guardrails

A dedicated dev pod — BAs, PMs, and engineers — delivering product development with an AI-augmented workflow and enterprise-grade guardrails. From spec writing and test-driven implementation to automated static analysis, AI code review, and auto-deployed PRs. Model-optimized execution using Opus for planning and Sonnet/Haiku for implementation. Flat monthly fee, no surprises.

dev podAI-augmentedTDD workflowstatic analysisAI code reviewauto-deploy PRsflat monthly feeenterprise QA
☁️
02
Espresso Cloud
Private CI/CD & Managed Cloud Services

An enterprise-grade cloud infrastructure management. Fully automated CI/CD pipelines, stateless deployments with S3-native storage, and environment-based migrations. Enterprise SLAs, infrastructure scaling support, proactive monitoring, and disaster recovery included. Spin up dev, QA, and production sites in minutes — not days.

CI/CD pipelinesGitHub workflowsenv migrationsS3 storagemonitoringSLA guaranteessecuritydisaster recoveryscalingpen-testing
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03
Hydra AI
Purpose-Built Dev Agent for the ERPNext & Frappe Ecosystem

The world's most focused AI dev agent for ERPNext and Frappe — with deep ERP domain knowledge, MCP tool calling, and optimized token management. Hydra is guarded from AI slop, retains context across sessions, and is prompt-engineered with Frappe's architecture, doctype system, and business logic baked in. Built for rapid prototyping, feature development, code reviews, security checks, and OWASP validation — all within the ERPNext context.

MCP tool callingERPNext nativetoken optimizationcontext retentioncode reviewsOWASP validationrapid prototypingERP domain AI
Our Products

Purpose-built for
digital health teams

🏥Hospital Information System

Fossible HIS — CareOps Platform

End-to-end open-source HIS built on Frappe & ERPNext covering OPD, IPD, diagnostics, billing, insurance, and pharmacy — all in one unified system.

136 DocTypesHL7 FHIRZero License Fees
🔬Medplum FHIR CDR

Health Data Platform

Self-hosted clinical data repository built on Medplum — FHIR-native, interoperable, and ready for EHR integrations, patient apps, and analytics pipelines.

FHIR R4Self-HostedSOC 2 Ready
Enterprise Digital Health

Health Central

A composable architecture combining Fossible HIS CareOps + Medplum CDR + AI services — designed for hospitals that need both operational ERP and clinical interoperability.

Full StackAI-ReadyOpen Source
Healthcare IT Services

Everything healthcare teams need,
end-to-end

From FHIR clinical data platforms and hospital operations to AI agents, analytics, and compliance — one partner across the full healthcare IT stack.

🔬01

FHIR & Clinical Data Platform

Medplum implementation, FHIR resource modeling, SMART on FHIR apps, custom Bots, and access policies — a production-grade clinical data repository from day one.

medplumfhir r4smart on fhirbots
🔗02

Interoperability & Integration

Connect EHR, LIS/RIS, pharmacy, imaging, and HIE systems using HL7 v2, FHIR R4, CCDA, DICOM, and ADT — modern integration patterns, not brittle point-to-point glue.

hl7v2fhirdicomadt
🏥03

Hospital Information System (HIS/HIMS)

End-to-end hospital operations — registration, ADT, OPD/IPD, bed and ward management, billing, insurance, pharmacy, and practice management on an open-source ERP backbone.

opdipdadtrcmpms
📦04

Clinical Data Migration

ETL pipelines from legacy systems, CSV dumps, or HL7v2 feeds mapped to conformant FHIR R4 resources — clean, validated, and complete with provenance tracking.

etlhl7mappingfhir r4
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Healthcare AI Agents & Workers

Documentation copilots, RCM automation, prior authorization, denial management, eligibility checks, and care coordination — operating inside the same permissions and audit trail as your staff.

ai agentsrcmprior authmcp
📊06

Clinical & Financial Analytics

Dedicated clinical and financial data warehouse for population health, EHR outcomes analytics, and revenue insight — without loading your live clinical systems.

data warehouseanalyticspopulation healthtuva
🔐07

Compliance & Security

HIPAA, ABDM, NABH, SOC 2, and ONC readiness — access policies, audit trails, RBAC, encryption, and consent scoping built into the platform, not bolted on.

hipaaabdmnabhsoc 2onc
☁️08

Managed Hosting & DevOps

Self-hosted Medplum and HIS deployments on AWS, GCP, Azure, or on-prem — with CI/CD, monitoring, SLAs, disaster recovery, and pen-testing via Espresso Cloud.

self-hostedci/cdsladisaster recovery
Who We Serve

Built for every kind of
healthcare builder

🏥

Multi-Site Hospitals & Clinic Groups

Unified clinical and operational workflows in one platform — not five integrated products held together with pipelines.

🔬

Diagnostic & Imaging Chains

High-volume LIS/RIS with device integration, FHIR-standard reporting, and real-time operational visibility.

🩺

Specialty & Multi-Specialty Providers

Configurable, FHIR-native clinical workflows tailored per department — start with one specialty, expand as you grow.

🚀

Digital Health Startups

FHIR-native architecture from day one — skip months of plumbing and build features that matter to users and investors.

📡

Care Delivery Platforms

Telehealth, chronic care management, and remote patient monitoring on interoperable data that flows between providers, payers, and patients.

📱

Patient-Facing App Builders

Patient portals, medication trackers, and care plan dashboards powered by SMART on FHIR and portable clinical data.

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AI-Native Healthtech Companies

Agents and workers on a real, auditable system of record across both clinical and operational domains underneath your models.

Compliance-Driven Organizations

Pursuing ABDM, HIPAA, or NABH compliance with FHIR-native architecture and an audit trail spanning the whole action.

Enterprise Ready

Built for teams that need
production-grade guarantees

Cloud AgnosticAWS · GCP · Azure
Enterprise SLAs99.9% Uptime
Security-FirstPen-Testing · VPAT
AI-AugmentedOpus · Sonnet · Haiku
Flat PricingNo Surprises
24×7 MonitoringProactive Alerts
DR & BackupsAutomated Recovery
OWASPSecurity Validation
Get Started

Ready to scale your
engineering operations?

Talk to our team about the right offering for your stack. We'll scope infrastructure, delivery, or AI — or all three — and get you a proposal within 48 hours.