Healthcare technology engineering for organizations building the future of care
Observance Solutions is a healthcare technology consulting and software development company. We work exclusively with healthcare organizations — healthtech startups, providers, and digital health companies — building the software their patients and clinicians depend on.
Who we are
Built around a single focus: healthcare
Observance Solutions exists to solve a specific problem: healthcare organizations need software partners who understand clinical and operational workflows as well as they understand code. Generic software teams can build a CRUD app; they struggle with tenant isolation for PHI, HL7 interfaces, or RPM billing documentation.
We built our team and our engagement model entirely around healthcare — so every architecture decision, every integration, and every workflow we design starts from real clinical and operational context.
See our full domain expertiseOur engineering approach
From healthcare idea to production
Every engagement moves through the same disciplined lifecycle — product discovery, UX/architecture design, iterative development, standards-based integration, security and QA validation, production launch, and ongoing optimization.
How we work
What we value
Healthcare-only focus
We work exclusively with healthcare and digital health organizations, so every engagement builds on real domain experience.
Security by default
PHI-handling, access control, and audit logging are part of our default architecture, not an afterthought.
One accountable team
The team that designs your product is the team that builds and integrates it — no handoffs, no lost context.
Outcomes over output
We measure success by the clinical and business outcomes our software enables, not just shipped features.
Security & Compliance
Healthcare software security & compliance engineering
We're not a certification body — we're engineers who build systems in line with the safeguards healthcare organizations and their auditors expect.
HIPAA & HITECH-ready engineering
Encryption, access controls, audit logging, and secure SDLC practices built into every project.
PHI / ePHI protection
Encryption at rest and in transit, data minimization, and field-level protection for sensitive clinical data.
Identity, access & consent management
OAuth 2.0 and OpenID Connect-based access control, plus structured consent capture and management workflows.
Audit & compliance logging
Queryable audit trails for every PHI access event — built to hold up under a real security review, not just a demo.
SOC 2 & HITRUST readiness support
We help architect systems in line with SOC 2 and HITRUST control expectations as you pursue certification with a qualified assessor.
Application & API security
Secure coding practices, dependency management, and security testing throughout the build.
Healthcare cloud security & DevOps
Hardened, HIPAA-eligible cloud architecture with security built into CI/CD, not bolted on after launch.
Data privacy by design
Data minimization, encryption, and access controls aligned with HIPAA, and adaptable to GDPR/CCPA where relevant.
Our team
Engineers, product strategists, and healthcare technologists
Our team combines full-stack engineering depth with hands-on healthcare interoperability and compliance experience. We're remote-first and work as an extension of your team.
Want to work with a healthcare-only team?
Tell us what you're building. A senior healthcare technologist — not a salesperson — will get back to you within one business day.