Skip to content
Zowork
10+ yrsZero client churnHIPAA SOC2 experienced teams

A decade in behavioral health.Now building regulated AI.

We build the AI that runs inside clinical systems: scribes, ambient listening, and workflow infrastructure. Ten years of production healthcare engineering sit behind every release. Our teams have shipped inside HIPAA and SOC 2 environments their entire careers.

See the work
From idea to production

Everything you need to ship at AI speed, and keep it running.

Four capabilities, one accountable partner, from first commit to a system that survives the audit.

Build the product01

AI-native product engineering

End-to-end delivery across web, mobile, backend, and infra, with AI-native workflows from day one.

  • End-to-end product development
  • Feature delivery at agentic speed
  • Web · mobile · backend · cloud
  • Whatever stack the problem demands
Integrate & modernize02

Enterprise integration

Most software doesn’t live alone. We integrate into the systems and compliance you already run, with no big-bang rewrites.

  • Legacy modernization, incrementally
  • Healthcare integration (FHIR · HL7 · Epic · Cerner)
  • Frontend re-platforming (Angular → React)
  • API & data-pipeline integration
Scale with pods03

Embedded engineering pods

A senior, AI-native team inside your environment: same repo, same standups, same definition of done.

  • Dedicated cross-functional pods
  • Senior talent, not benched juniors
  • Async-first, time-zone-aware delivery
  • Flexible scale up / scale down
Govern & adopt04

AI governance & adoption

Ship agentic workflows with the controls regulated industries actually need, without failing an audit.

  • Custom agent workflows in your environment
  • Compliance-aware AI tooling (HIPAA · SOC 2)
  • Eval pipelines for production AI
  • Internal developer enablement
Work we've shipped · still running

A decade of behavioral health software that ran in production.

Ten years of receipts: the kind that hold up under audit, scale review, and a 2 am page. Not a portfolio. An operating record.

BH production record
10+ years in production
2016 → 2026
0+
years in behavioral health
20162026
cadence
0+
features shipped in production
steady shipping cadence
connected
0+
EHR & clinical integrations
Epic · Cerner · Athena · FHIR · 5 more
Long-tenured partnerships

Years, not sprints. That’s the real signal.

9 yr longest7 yr avg4 active
Anchor client · still shipping
09
yearssince 2017

Netsmart

Admin · EHR platform

current
0 incidents · 14-wk cutover
Activity 2017 → nowstill shipping
2017now
06y

The Change Companies

Curriculum platform
since 202026M+ reached
07y

eVisit

Telehealth · 50 states
since 201912M+ encounters
06y

RemarkableHealth

Bells.ai · ambient AI
since 2020Ambient AI scribe
What we ship on

Every modern stack. A decade of production work behind each.

Every project sets its own constraints: scale, latency, compliance surface, integration depth. We’ve shipped production code across every layer below, including the ones most teams avoid: in-VPC model deployment, clinical-grade eval pipelines, and HIPAA-audited data architecture.

Frontend
ReactReact NativeNext.jsTypeScriptTailwindWeb Components
Backend
Node.jsPythonGoJavaGraphQLRESTgRPC
Mobile
React NativeNative iOS / AndroidFlutter (when right)
Cloud & Infra
AWSGCPAzureKubernetesServerlessEdge
Data & AI
PostgreSQLInterSystems CachéSnowflakeVector DBsLangChainCustom agent infrastructureEval pipelines
Compliance
HIPAASOC 2audit-ready architecturein-VPC AI deployment
Compliance, evals and audit logging aren’t a final-phase checklist for us. They’re in the architecture from commit one.
Where we go deepest

The engineering team behind behavioral health software.

It’s the corner of healthcare where the data is most sensitive and the margin for error is smallest. So the bar it sets is the bar we hold on every project.

Production integrations15 systems

We speak every clinical stack you’ve built on.

EHR platforms7
EpicCernerAllscriptsAthenaMEDITECHNextGeneClinicalWorks
Behavioral-health systems5
NetSmartWelligentQualifactsKipuBestNotes
Interop standards3
FHIR R4HL7 v2CCD/CDA
Production-tested, every one
Compliance by design7/7

From line one of code, not a final-phase checklist.

  • HIPAA-aware architectureBAA scope · enforced
  • Encryption-at-restAES-256 · KMS-managed
  • Encryption-in-transitTLS 1.3 · mTLS internal
  • Fine-grained RBACattribute-based
  • BAA-ready infrastructurecloud-native · audited
  • Audit trailqueryable · immutable
  • SOC 2 controlstype II coverage
HIPAA-awareSOC 2 Type IIBAA-ready
Beyond behavioral health

The same discipline. Other domains where the stakes are real.

Behavioral health is where we go deepest, but the pattern repeats anywhere software has to be reliable, scalable, and accountable. We’ve shipped in:

Broader healthcare & telehealth
Patient portals, virtual care, EHR-adjacent apps
10+ years
Enterprise SaaS
Multi-tenant infra, RBAC, audit-ready logging
Multi-tenant
Fintech & Regtech
PII security, KYC pipelines, compliance automation
Audit-ready
AI-native startups
Inference pipelines, RAG, eval infrastructure
Agentic
B2B platforms
API design, webhooks, partner integrations
Production

If your domain has compliance, scale, or production-uptime constraints, we’ve seen something like it before.

Engagement models

Pick the shape that fits the work.

Three ways to engage. All senior. All accountable.

01 · Outcome-based

Outcome-based

A shipped result. Not a body count.

Fixed scope, fixed timeline. We commit to a defined outcome and ship it on a clock you can plan around.

CommitmentFixed price
Duration4-12 wk
TeamSenior pair
Best for
Integrations, migrations, defined scopes
Start with this
02 · Embedded podMost chosen

Embedded pod

Capacity by the sprint.

A dedicated senior pod that embeds in your workflow and flexes up or down as the roadmap moves.

CommitmentMonthly
Duration3 + months
Team3-5 seniors
Best for
Ongoing product engineering, scale-ups
Start with this
03 · Advisory

Advisory

Architecture & AI-adoption guidance.

Senior architects available to your engineering org: design reviews, AI-adoption strategy, async on tap.

CommitmentRetainer
DurationBy engagement
Team1 : 1 architect
Best for
Leadership teams adopting agentic workflows
Start with this
Built Together · Since 2016

A decade. Thank you, team.

Ten years of late nights, last-minute saves, and wins worth celebrating, every one of them powered by the people in these frames. To everyone who showed up, stayed, and believed: thank you. This decade is yours.

The team gathered around a desk
Day One Energy
Teammates unwinding together
Off the Clock
Night football with the team
Night Match
Celebrating together
Here’s to Us
A meetup in the lounge
Good Company
Two teammates deep in a board game
Game On
A team group photo with cake
Another Year
A teammate sharing a laugh
Game Night
The team watching a match together
The Squad
A carrom game in full swing
Heads Down
A decade in healthcarenow in your AI stack

Choose the AI-native team with the foundation to back it.

Bring us the product, the integration, or the rollout under audit pressure. We’ll show you the fastest safe path to production.

See the work
Global presence

Our locations.

Headquartered in India, building a strong global presence while staying connected to the communities we serve. With offices in Bangalore, Ahmedabad, Wilmington, and Yokohama.

Bangalore skyline

Bangalore, India

No. 190, 17th Main Rd, HSR Layout, Bengaluru 560102

Wilmington skyline

Wilmington, USA

1207 Delaware Ave, Suite 2520, Wilmington, DE 19806

Ahmedabad skyline

Ahmedabad, India

Shreeya Atlanta, Sindhu Bhavan Rd, Ahmedabad 380054

Yokohama skyline

Yokohama, Japan

204 Nihon-Odori St, Yokohama 231-0021