Healthcare Technology Consulting
Where Four Boots started, and the standard everything else is held to. FHIR platform architecture, clinical AI, mental-health digital therapeutics, and HIPAA/SOC 2-compliant systems.
Who this is for
Digital health startups and provider organizations building mental-health digital therapeutics, EHR-integrated platforms, clinical AI features, or HIPAA-compliant mobile apps.
Compliance we build for
- HIPAA
- SOC 2
- UK GDPR
- NHS Connect
FHIR platforms we've built now process more than 900 patients a week. Clients and ventures include MedSeal, Kuma Health, and MYNDY.
What we do
Mental Health & Psychiatry Platforms
Digital therapeutics and remote patient monitoring, end to end.
- Remote patient monitoring systems
- Digital therapeutics platforms
- Mood tracking and analytics
- Medication adherence tools
- Provider dashboard interfaces
FHIR Platform Architecture
Integration with Epic, Cerner, NHS Connect, and other major EHR systems.
- Epic and Cerner integration
- NHS Connect interoperability
- SMART on FHIR applications
- Real-time clinical data pipelines
- Secure API design
Clinical AI Systems
Medical LLM applications built with the guardrails patient data demands.
- RAG-powered clinical tools
- Symptom assessment workflows
- Clinical decision support
- Predictive analytics models
- Human approval on every consequential output
Security & Compliance
Security architecture and compliance management, designed in from day one.
- Zero-trust architecture
- End-to-end encryption
- BAA management
- Data anonymization
- SOC 2 compliance monitoring
Healthcare Mobile Apps
HIPAA-compliant native applications for iOS and Android.
- Native iOS and Android development
- HealthKit integration
- Biometric authentication
- Offline data synchronization
- Wearable device connectivity
UX for Clinical Workflows
Patient-centered design and provider dashboards, accessible by default.
- Patient-centered design
- Provider workflow optimization
- Accessibility-first interfaces
- Clinical usability testing
Engagements
Compliance & Architecture Audit — 1–2 weeks, from $5,000
HIPAA/SOC 2 readiness, FHIR integration review, security architecture assessment. Written findings and a remediation plan.
Build engagements — from $25,000, fixed-scope
FHIR platform architecture, clinical AI systems, HIPAA-compliant mobile apps. Priced up front, scoped in writing.
Fractional healthtech CTO — from $5,000/month
Architecture ownership, vendor and BAA review, compliance stewardship. Limited slots — this is senior time, not a ticket queue.
Why healthcare buyers pick us for AI work
Because the discipline transfers. Human approval on every side effect, append-only audit logs, deterministic logic where correctness matters — we built those habits in clinical software, and they're the default in every agentic system we ship. If you need AI and HIPAA rigor in the same conversation, that's our home turf.
Start with a Strategy Session
Platform decision, compliance question, or a clinical AI feature you're weighing — bring it. Written recommendations within 2 business days. Organizations that need invoicing and procurement can email us instead.