Build with precision
Senior engineers embedded with your team. AI-powered tools. Built for the regulated industries where shipping is hard and stakes are real.
Engineering with precision
Four service areas. One delivery model: senior engineers, embedded with your team, shipping production code from day one.
Custom Software
Ship what your team can't build alone.
Full-stack engineering for greenfield products and legacy modernization. We embed with your team and leave clean code behind.
Explore the serviceData & AI
AI that works in production, not just demos.
NLP pipelines, clinical AI, document intelligence. Built for regulated environments where accuracy isn't optional.
Explore the serviceCloud & DevOps
Scale without fear.
Azure, AWS, GCP. Terraform, Kubernetes, CI/CD. Compliance baked into the infrastructure from day one.
Explore the serviceStrategy
Architecture that lasts past the engagement.
Technical roadmaps for regulated enterprises. We help you decide what to build, what to buy, and what to retire.
Explore the serviceThe work is hard. Most teams aren't built for it.
You don't need another vendor. You need engineers who understand what's at stake when the work is regulated, the timeline is real, and the codebase has to live past the engagement.
Your greenfield project stalled before it shipped
You hired a team. Built a backlog. Six months later, compliance killed the architecture and you're back to square one.
The agency delivered code nobody can maintain
They shipped on time, declared victory, and vanished. Your internal team inherited a codebase they didn't build and can't extend.
AI demos look great. Production never happens.
The pilot worked. The proof of concept impressed leadership. Then HIPAA, SOC 2, and integration reality killed it.
Proof, not promises
Production work in healthcare, finance, and enterprise. Real metrics, real outcomes, real codebases still running today.
AI-Powered Nurse Handoff System
Built an AI system that generates clinical summaries from EHR data, reducing documentation burden while improving care continuity.
Read case studyScaling Azure for High-Performance Healthcare
Re-architected a chronic care platform on Azure to support rapid growth and compliance.
Read case studyDocument Intelligence for Compliance Workflows
Automated intake, classification, and extraction pipeline that turned a 3-day manual review into a 90-minute audit trail.
Read case studyA model that holds up
A proven engagement shape: assess, design, build, hand off. No surprises. No black boxes. Your team learns the system as we build it.
Discovery
Embedded assessment of your codebase, team, and constraints.
Architecture
Technical design aligned to your compliance and scale requirements.
Build
Co-delivery sprints. Your team ships alongside ours.
Handoff
Knowledge transfer. Your velocity stays after we leave.
AI in production
Where we go deepest: clinical NLP, document intelligence, and voice AI for regulated workflows.
Clinical NLP
Language models that understand clinical context.
Extract structured data from unstructured clinical notes. HIPAA-compliant pipelines with human-in-the-loop validation.
Document Intelligence
Turn documents into decisions.
Automated intake, classification, and extraction for insurance, legal, and compliance workflows.
Voice AI
Conversational AI for scheduling and triage.
Automated phone scheduling with natural voice interaction. Reduces call center volume while maintaining patient satisfaction.
40AU is a standout team of technologists, engineer's engineers, with creative problem-solving abilities.Edmund Jackson, Chief Data Officer
Ready to ship?
A real conversation with the engineers who'll do the work.