Fractional CTO · Philadelphia
Architecture decisions, engineering hires, vendor and AI calls, and a technology story your board and investors will back. Embedded with Philadelphia founders and leadership teams. We operate, not just advise.
Trusted by teams across Australia, North America and beyond
Sound familiar?
Philadelphia is health systems and pharma — CTO-level work here is regulated and large-scale.
Philly teams call us when a health, pharma or finance organisation needs senior leadership for HIPAA-aware modernisation, when hiring needs judgement, or when a vendor/AI decision needs an independent voice.
We operate as well as advise, with a bias to incremental modernisation of regulated systems.
Philadelphia is health systems and pharma — large, regulated organisations modernising data and clinical workflows under HIPAA.
1"We are raising, and our technology story will not survive a serious investor's diligence."
2"We have engineers, but nobody senior enough to own architecture, hiring and the hard trade-offs."
3"Our last CTO left, or we cannot justify a full-time one yet. The decisions will not wait."
4"Every vendor is selling us AI and we have no independent voice in the room."
5"The build is slipping and we cannot tell if it is the team, the scope or the architecture."
What we do
Every engagement starts with a 30-minute call. If we cannot tell you something useful in that window, we do not take the work on.
The calls that are expensive to reverse: build or buy, platforms, data model, AI strategy and the order you do it in.
We write the specs, sit on the panel, design the org and onboard senior hires, so the team gets better, not just bigger.
An independent voice across the table. We run the bake-offs, read contracts for lock-in, and tell you when not to buy.
The architecture narrative, roadmap and risk register that hold up in diligence, raise or sale.
Why the build is slipping, and the plain fixes: scope discipline, process and the right seniority in the right seats.
Security, data and AI risk framed for your board and your regulators, not buried in an engineering wiki.
Outcomes
We measure ourselves on what your team does differently afterwards, not on hours billed.
A technology story and risk register that hold up when an investor or acquirer digs in.
Senior engineering hires made on a real spec, with us on the panel. No six-month mis-hire to unwind.
No vendor kickbacks. We tell you when to buy, when to build and when to wait.
Embedded leadership at a fraction of a full-time CTO, dialled up or down as you need it.
How we engage
A two-week diagnostic of architecture, team, delivery risk and AI readiness, for a raise, an acquisition or your own board. Fixed fee.
from US$10K
Get a proposalTwo to four days a week, embedded. We own architecture, hiring and vendor calls and carry the technical story. Quarterly outcomes.
from US$12K/mo
Get a proposalA senior sounding board for your founder, CEO and lead engineers. Architecture reviews, hiring calls and the hard decisions, on tap.
from US$6K/mo
Get a proposalCompliance and data
We design for HIPAA where health data is in scope, the NIST AI Risk Management Framework, and state privacy law such as CCPA and CPRA.
We are headquartered in Sydney and work with Philadelphia teams remote-first, in your timezone, with on-site visits for kickoff and key milestones when needed.
Also in Philadelphia
Questions
Straight answers to what Philadelphia teams ask before they book.
We are headquartered in Sydney and work with Philadelphia teams remote-first, in your timezone, with on-site visits for kickoff and key milestones when needed. We work with teams across Center City, University City and the Navy Yard.
A two-week Technical Due Diligence can start the Monday after the scoping call. Larger engagements usually begin one to two weeks out.
Yes. We contract and price in USD. We design for HIPAA where health data is in scope, the NIST AI Risk Management Framework, and state privacy law such as CCPA and CPRA.
We operate. We have built and run production systems and our own products, so the architecture and hiring calls come from people who have lived the consequences.
Yes. Diligence prep, the architecture narrative, data-room materials and sitting in the technical session are core to the work.
Yes — the primary lens, delivered incrementally so a regulated system keeps running.
Yes — no kickbacks, evidence-led.
Both, and we never advise without being willing to build. If the answer is Apache Superset, we stand it up. If it is a senior hire, we write the spec and sit on the panel.
Start a conversation
Tell us what you are weighing up. We reply within one business day, in Philadelphia time.
We reply within one business day.