Healthcare advisory — the flagship vertical, the one we know best.
Hospital procurement, regulated billing, multi-entity reporting, integration with national health systems and private payers. The vertical we have been running in production for years across Spanish hospital networks. Engagements span advisory, transformation and managed services.
Production-proven heritage
In production at Quirónsalud — Europe's largest private hospital network — and across additional Spanish hospital groups. Years of continuous operation across procurement, pharmacy, patient billing and payer settlement.
Engagement window
Advisory 8–16 weeks ; transformation programmes 12–24 months ; managed services ongoing. Customers typically buy advisory first, then move to transformation, then transition to managed services.
Team profile
Healthcare-domain principal (twenty-plus years in hospital operations), functional architect (procurement / billing / multi-entity), integration engineer (HL7 / FHIR / payer interfaces).
Deliverable depth
Clinical-administrative integration audit, billing-compliance review, procurement-governance design, multi-entity consolidation programmes, fiscal-update release programmes.
What we deliver
Hospital networks have an operating complexity most enterprise software was not engineered for. Our practice is built specifically for it.
Clinical–administrative integration audit
Audit of the interfaces between clinical systems (HL7 / FHIR feeds, clinical results, electronic-health-records), administrative systems (admissions, billing) and the back-office ledgers. Where the integration is fragile, where the reconciliation is missing, where the audit trail breaks.
Billing-compliance review
Patient billing, episode-based billing, copayment mechanics, multi-payer settlement, real-time invoicing under the fiscal regime (SII, TicketBAI, Verifactu for Spain ; SUNAT for Peru ; DIAN for Colombia). Compliance posture documented across the full audit chain.
Procurement-governance design
Hospital procurement at scale — multi-supplier, multi-category, multi-warehouse, with regulated controls : sustancia controlada handling, regulated tender, supplier qualification, contract life-cycle, supplier compliance.
Multi-entity consolidation
Hospital groups, foundations, public-private partnerships, intercompany flows. Statutory and management views of the same ledger, side-by-side. The auditor opens a quarter by clicking on a line.
National health system integration
Interfaces with national health systems (Spain : CMBD / DRG submissions), private-payer settlement portals, laboratory and pharmacy interfaces. Pre-built where common, methodically delivered where bespoke.
Fiscal-update release programmes
Real-time billing compliance over the fiscal calendar — Spain's SII, TicketBAI and Verifactu releases ship on the engine's cadence, not as a partner-supplied bolt-on. The release programme is a contractually committed deliverable.
Why healthcare is our complexity proof
Healthcare is where every cliché about enterprise software dies. Regulated. Multi-entity. Real-time. Procurement-heavy. Billing-deep. Integrated at every workflow with national health systems and private payers. Audited every quarter. The operational day cannot be interrupted, and every record has to be reconstructable years later.
We have been running this in production for years. Same platform, same engineering team, same accountability. Every other vertical we serve — distribution, retail, logistics, industrial operations, public sector — is a subset of that complexity, not a superset of it. Customers in those verticals get the engineering rigour healthcare demanded, applied to their own operational reality.