Custom software for Cleveland — built the AI-native way.
We pair senior engineers with an AI-accelerated delivery model to ship custom software for Cleveland's healthcare, advanced-manufacturing, and B2B operators — without the fragile output that gives AI a bad name.
AI changed the economics of custom software. We rebuilt our process around it.
Cleveland hosts one of the country's leading healthcare-tech markets — anchored by Cleveland Clinic, University Hospitals, and the broader Northeast Ohio life-sciences cluster — alongside deep advanced-manufacturing and B2B SaaS engineering demand. Senior hires are six figures, months out, and picked over by hospital systems, manufacturing employers, and the venture-backed challengers around them. AI changes the math, but only when senior people own the parts AI gets wrong.
On a Cleveland healthcare or manufacturing build, AI handles the repetitive 70% — schemas, scaffolding, CRUD, dashboards, glue. The 30% AI gets wrong is the part Cleveland Clinic engineers, validation teams, or shop-floor operators will catch: PHI access without audit logging, EHR integration shortcuts that fail at scale, race conditions on a shop-floor write, and integration with legacy MES or ERP AI invents instead of reads. Raw AI output ships those silently.
We build for Northeast Ohio operators — provider-side platforms shipping into Cleveland Clinic-scale ecosystems, shop-floor and MES apps for tier-one and tier-two manufacturers, biotech and life-sciences tools, B2B SaaS shipping into mid-market buyers, and modernization of decades-old enterprise stacks. Our model: AI handles scaffolding and the repetitive 70%; a senior engineer owns architecture, security review, and signs off on every change.
AI writes the first draft. A senior engineer signs off.
Every change runs through review for security, tests, and architecture before it ships — that review is the product.
const draft = await ai.generate(spec) // minutes, not daysreview(draft, { security: true, tests: true, architecture: true })// ✗ rejected: PHI access without reason captured on a provider tool → reason + audit-log + parameterized access test// ✓ merged: atomic shop-floor write with CAS + retry, ordered-event reconstruction for late MES messagesOn a Cleveland healthcare or manufacturing build, the failure modes are missing PHI audit trails, shop-floor race conditions, and out-of-order MES events. Senior review catches them before a HIPAA review or a line stoppage does.
What we build for Cleveland companies.
Healthcare & HIPAA-ready apps
Patient-facing portals, clinician tools, and care-coordination platforms built to HIPAA from day one.
MES, IIoT & production software
Shop-floor systems, plant analytics, and supplier portals that connect old machines to new tools.
Biotech & lab software
LIMS extensions, trial-management tools, and AI for research pipelines, validated for regulated environments.
Modernization
Move legacy systems onto a modern, maintainable stack — incrementally, no big-bang.
SaaS platforms
Multi-tenant products with auth, billing, and dashboards — MVP to scale.
AI applications
Copilots, RAG, search, and agents grounded in your data, with guardrails and evals.
A senior team that moves at AI speed.
You work with senior engineers in Eastern Time who own architecture, regulated-environment quality, and integration with EHR and MES — fitting into a University Circle health-IT rhythm, a Solon manufacturing-tech standup, or a downtown Cleveland SaaS PR review — not a junior pool with raw AI output bolted on.
Cleveland's senior engineering pool is concentrated around Cleveland Clinic, University Hospitals, and the Northeast Ohio manufacturing bench — three-to-six months to hire and quietly poached by remote coastal roles. An AI-native team gets you shipping this week, flexes monthly, and doesn't need a downtown office.
Talk to an engineerTraditional Cleveland dev shop vs. AI-native.
| Traditional Agency | DEV.co (AI-native) | |
|---|---|---|
| Time to working software | Months | Days to weeks |
| Cost | Full senior rates, all hours | Lower — AI removes the rote work |
| Code quality | Good (if senior) | Same bar — every change reviewed |
| AI risk | — | Contained by senior review + tests |
| You own the code | Usually | Always — full repo on day one |
| Scales with you | Slow to staff up | Flex up or down monthly |
Common questions from Cleveland teams.
Do you work with Cleveland companies?
Do you build for HIPAA-scoped provider and Cleveland Clinic-adjacent systems?
Can you integrate with shop-floor MES, ERP, and PLM systems?
Is AI-built software production-ready?
Will we own the code?
How fast can we start?
Can you work with our existing team?
Let's build it — Cleveland.
Tell us what you're shipping. We'll give you a senior engineer's read, an honest timeline, a fixed quote, and tell you whether AI-native is the right fit for your build.