Technical services
Senior technical leadership for teams where the software is the risk.
PresentCare places experienced technical leadership inside healthcare organizations and companies beyond them. Fractional CTO engagements, development, and training, run by people who have built and shipped the systems themselves.
- Primary
- Fractional CTO
- Build
- Development & integration
- Enable
- Training & curriculum
Services
Fractional CTO
Lead service
Most organizations that need a CTO do not need one full time. They need someone accountable for the technical decisions that are expensive to reverse, present enough to make them properly, and senior enough that the board and the engineers both listen.
PresentCare embeds at that level. The work is judgment applied to real constraints, not a slide deck delivered at the end of a quarter.
- System architecture and data model review, including where an existing design will stop scaling
- Build, buy, and partner decisions, with the vendor evaluation to support them
- Engineering team structure, hiring, and the question of who should be doing what
- Roadmap sequencing and honest delivery estimates
- Security and compliance posture: HIPAA, SOC 2 readiness, PHI handling and access control
- Interoperability strategy where HL7, FHIR, and EHR integration are involved
- Where AI and ML genuinely fit, what to build against what to buy, and whether the result can be run in production
- Technical due diligence for investors assessing a company or a portfolio
Development
Implementation
Teams and systems that ship. PresentCare builds where a client has no engineering capacity, extends an existing team that is short on specific skills, and takes on the integration work that stalls in the gap between two vendors.
- Application and platform development, from greenfield through production
- Integration work: EHR and clinical systems, payer and billing interfaces, third-party APIs
- Modernization of systems that still work but can no longer be changed safely
- Data pipelines, reporting infrastructure, and the plumbing underneath analytics
Training & curriculum
Capability transfer
Capability that stays after the engagement ends. PresentCare designs and delivers training for engineering teams and for the non-technical staff who have to work alongside the technology.
- Curriculum design for internal upskilling programs
- Workshops on architecture, engineering practice, and AI adoption
- Onboarding material for teams inheriting an unfamiliar system
- Executive and board-level technical briefings
Engagement
Where a fractional CTO sits
The role exists to connect three groups that otherwise talk past each other. Leadership sets direction and controls budget. Engineering knows what the system will actually tolerate. Vendors, auditors, and regulators impose constraints that neither side fully owns.
Sectors
Who PresentCare works with
Healthcare is where the constraints are hardest, which is why the practice is built around it. The same work applies anywhere the technology carries real consequence.
Healthcare startups
Seed through growth stage, needing technical leadership before a full-time CTO is justified or findable.
Hospitals & health systems
Integration, modernization, and vendor decisions inside environments where downtime and compliance are not abstractions.
Investors
Technical due diligence on targets, and ongoing technical support across a portfolio.
Non-profits
Mission-driven organizations with real technical needs and budgets that leave no room for a wrong decision.
Beyond healthcare
Companies in other sectors who want the same rigor applied to their own systems.
AI and ML adoption
Established companies working out where AI genuinely helps, what to build versus buy, and which ideas won't survive contact with production data.
Background
Experience behind the work
PresentCare is a technical services practice. The work is delivered by practitioners with operating experience, not by generalist consultants reading from a framework.
The background runs along both sides of the table. Years building software and leading engineering teams, with roots in interface and product engineering. Years on the investor side as well, assessing other companies' technology under time pressure and with money on the outcome. That second vantage is where the diligence practice comes from.
Company types the practice has worked with
- Early-stage health technology and medical device companies
- Diagnostics and therapeutics ventures
- AI-first companies, where the model is the product rather than a feature
- Defense and national-security ventures
- Federally funded research programs
- Logistics and marketplace platforms
- Education technology and curriculum platforms
- Eldercare and patient-facing care platforms
- Non-profit data and analytics programs
- Venture funds and the companies in their portfolios
Contact
Start a conversation
Engagements begin with a direct conversation about the problem, not a form. Email reaches the practice directly.