Healthcare Software Development — HIPAA-Ready

A patient portal or intake app starts around $40K-$60K. A full platform with telehealth, EHR integrations, and a provider dashboard runs $100K-$200K. The biggest cost driver is integration scope — connecting to one EHR via FHIR is straightforward, but wiring into three systems with HL7v2 feeds adds 3-4 weeks of engineering. We'll give you a fixed-price estimate after the Week 1 architecture audit so there aren't surprises.

We sign a BAA before any PHI touches our infrastructure. Supabase Postgres encrypts data at rest with AES-256 and in transit with TLS 1.3. Row-level security policies restrict data access at the database layer — not just the UI. Every PHI read/write gets logged to an append-only audit table. We run a third-party pen test before launch and provide a compliance checklist your legal team can hand directly to auditors. We've done this across 40+ healthcare projects.

Healthcare SaaS platforms lock you in. You can't customize the UX, you pay per-seat fees that scale painfully, and you're stuck when they deprecate features. With Next.js + Supabase you own the code, control the data, and can deploy anywhere. The stack gives you server rendering for speed, Postgres for relational integrity, and real-time subscriptions for live dashboards — all without vendor lock-in. You'll also pass Lighthouse audits that most SaaS tools fail.

A typical squad is 3-4 people: a senior full-stack engineer who owns the Next.js/Supabase architecture, a frontend engineer for component work, a part-time DevOps engineer handling Vercel config and security hardening, and a project lead who runs standups and stakeholder updates. For projects with EHR integrations, we add a dedicated integration engineer. You'll have direct Slack access to everyone — no account managers relaying messages.

Yes. We've built against Epic FHIR R4, Athenahealth, DrChrono, and raw HL7v2 interfaces. We create a typed middleware layer that normalizes data from any EHR into a consistent schema your app consumes. That way, if you switch EHR vendors later, only the adapter changes — not your entire frontend. We'll need API credentials and a sandbox environment from your EHR vendor, which we can help you request.

We target sub-2-second Time to First Byte and a Lighthouse performance score above 90 on mobile. Next.js server components mean we ship less JavaScript to the browser. Vercel's edge network caches static assets globally, so your app loads fast even on rural clinic Wi-Fi. We test against throttled 3G connections during QA — not just our fiber office network.

We offer monthly retainers starting at $3K/month for ongoing maintenance, security patches, dependency updates, and feature work. You also get Sentry error monitoring, uptime checks, and a runbook so your internal team can handle day-to-day changes. If you don't want a retainer, we do a full knowledge transfer with documentation and recorded walkthroughs. Either way, you own all the code — it's in your GitHub org from day one.

We do this a lot. About 30% of our healthcare work is rescuing projects that stalled or failed compliance review. We'll audit the existing codebase in Week 1, identify what's salvageable, and give you an honest assessment. Sometimes we can refactor the auth and security layers without rebuilding everything. Other times a rebuild is genuinely faster and cheaper. You'll get a written recommendation with cost estimates for both paths so you can make an informed call.