◆Enterprise
When the workflow is
too important for a platform.
Enterprise is for the work that nothing off-the-shelf can handle. Senior engineers embed with your team, build against your data, inside your compliance envelope. And hand the system over when it’s done.
The engagement
The Enablement Sprint.
A defined engagement. Six to twelve weeks. Senior engineering from the first day. A working system at the end, not a pilot.
We sit with your team. Workflow mapped in situ.
We ship on your data, inside your compliance envelope.
Your team takes ownership. Continued retainer is optional — and many partners keep us on.
Weeks 1-2
Embed
Our engineers and clinical informaticists sit with your team. We map the workflow in situ. Inside your EHR, your claims system, your chart reviews. Observation before slides.
- On-site or embedded-remote, at your preference
- Full access to the workflow, not just the stakeholders
- Daily written notes shared with your leadership
Weeks 2-6
Build
We deploy a working system against your real data. EHR-integrated, HIPAA-audited, measurable. Every pull request is reviewed by both teams. Your engineers hold merge rights.
- Inside your compliance envelope from commit one
- Weekly demos to clinical and executive stakeholders
- Instrumented for before-and-after measurement
Weeks 6-12
Transfer
We hand over the codebase, the documentation, the runbook, and the model weights where relevant. More importantly, we hand over the ability to run the system without us.
- Full source transfer under your chosen license
- Named engineering lead on your team, trained to own it
- Open-ended retainer if you want one. Not required.
“A Sprint is scoped to a workflow, not to a vendor deliverable. We build what the partner actually needs, and measure it the way they measure it.”
What makes it different
A consultancy that ships code.
We embed. We don't pitch.
Our senior engineers sit inside your workflow for the duration. We write code against your data, in your environment, with your people.
We leave something that keeps running.
The engagement produces production software, not a pilot with a ninety-day shelf life. Your team owns it when we go.
Senior from day one.
Founders and principal engineers are in the room. The first call is never with a junior AE. The last call is never with a handoff.
Honest about fit.
We only take engagements where the work will genuinely move clinical or operational outcomes. If it won't, we say so. Often we refer elsewhere.
“We are the team you would build if you could hire perfectly. For exactly as long as you need us.”
Who it’s for
Health systems, payers, pharma, and scaled digital health companies with workflows no platform can fit. Five verticals, one standard of rigor.
Common questions
What people ask before
they get on the call.
- How long is an Enterprise engagement?
- An Enablement Sprint runs six to twelve weeks. Roughly two weeks of embedded observation, four to eight weeks of build against your real data, and a transfer phase that hands the system, source code, runbook, and a trained engineering lead to your team.
- What do we have at the end?
- A production AI system running inside your compliance envelope, with full source transfer under your chosen license. Documentation, runbooks, model evaluation reports, before-and-after measurement, and a named engineering lead on your team trained to operate it. Not a pilot. Not a slide deck.
- Who staffs the engagement?
- Founders and principal engineers, in the room from the first call. The first conversation is never with a junior AE, and the last is never with a handoff. The team that scopes the work is the team that ships it.
- Do you require us to send PHI outside our environment?
- No. The system is built and run inside your compliance envelope from commit one. Cara operates to SOC 2 Type II controls, with BAA included. PHI handling, audit trails, and access controls are designed in — not configured after.
- Is there ongoing support after transfer?
- Optional. Many partners ask for an open-ended retainer for continuing co-development; many run the system entirely on their own afterwards. Either is fine. There is no platform fee that survives the engagement.
- How is this different from a traditional consulting firm or systems integrator?
- We embed and ship code — we do not produce decks or hand off to offshore teams. The engagement is scoped to a workflow, not to a vendor deliverable. We measure the work the way you measure it. And we leave behind production software that your team owns, not a license you keep paying.