Backend Development for Healthcare Companies
Your backend crashes during peak patient hours. Your API can't handle real-time vitals. HIPAA compliance is killing your development speed. Pi Tech builds healthcare backends that scale, secure, and ship fast.



At Pi Tech, We Build Healthcare Backends That Don't Break When Lives Depend on Them
Healthcare software fails when the backend can't handle the pressure. We architect server infrastructure that processes patient data at scale while keeping regulators happy.
How We Build Bulletproof Healthcare Backend Systems
HIPAA-Compliant Data Architecture
Your patient data needs bulletproof security and lightning-fast access. We build encrypted data lakes with automated compliance monitoring that keeps PHI protected while enabling real-time analytics. No security theater - just systems that pass audits.
• Encrypted data lakes with automated backup systems
• Real-time compliance monitoring and audit trails
• Zero-downtime patient data migration strategies
• PHI de-identification pipelines for analytics teams
Scalable API Development
Your mobile app crashes when 1,000 patients check vitals simultaneously. We design APIs that handle healthcare's unpredictable traffic spikes without dropping connections. Load balancing that works when it matters most.
• Auto-scaling infrastructure for patient traffic surges
• Rate limiting that protects against system overload
• Real-time error monitoring with instant alert systems
• API versioning strategies for continuous medical device updates
Medical Device Integration
Your devices generate data faster than your servers can process it. We build integration layers that handle streaming vitals, lab results, and diagnostic data from any manufacturer. Data flows, engineers sleep.
• Real-time streaming data processing from IoT devices
• Multi-vendor device protocol translation and normalization
• Edge computing solutions for offline medical environments
• Custom middleware for legacy hospital system integration
Clinical Workflow Automation
Your backend should automate the boring stuff so clinicians focus on patients. We build workflow engines that trigger alerts, update records, and coordinate care teams based on patient data changes.
• Automated patient alert systems based on vitals thresholds
• Care team notification workflows for critical events
• Electronic health record synchronization across departments
• Custom business logic engines for clinical decision support

Pi Tech Advantage for Healthcare Backend Development
Specless Engineering Approach
We build backends through rapid prototyping and weekly demos, not endless specification documents. See working patient data flows within days, not months.
Senior-Only Healthcare Developers
No junior developers learning HIPAA on your dime. Our team has built backends for medical devices, EHR systems, and telehealth platforms that serve millions of patients.
Regulatory Expertise Built In
FDA submission requirements and HIPAA compliance aren't afterthoughts - they're baked into our development process from day one. We speak regulator.
Real-Time Performance Focus
Healthcare backends can't have downtime. We architect systems with 99.99% uptime guarantees and sub-second response times for critical patient data queries.

Case Study: Scaling Healthcare Data Infrastructure for Rapid Growth

Vytalize had just raised $50M Series B funding and faced a critical challenge. Their data architecture was drowning in Medicare claims, EHR feeds, and third-party health data. Manual SQL jobs were failing. Data processing that should take minutes took hours.
With new ACO contracts pending, they needed infrastructure that could handle 10x data volume without breaking HIPAA compliance. Their existing system? A patchwork of scripts held together by hope.
Our Solution
Pi Tech didn't just fix their backend. We rebuilt it for scale.
- Implemented serverless architecture in AWS that automatically scales with data volume - no more 3am server crashes
- Automated the entire data pipeline - Medicare claims, EMR feeds, and third-party data now flow seamlessly without manual intervention
- Built HIPAA-compliant data processing with encrypted pipelines, access controls, and audit trails that make compliance officers smile
What used to require manual SQL scripts now runs automatically. Data that took hours to process now completes in minutes. Vytalize can onboard new data sources in days, not months.
The infrastructure now handles millions of patient records daily. Zero data breaches. Zero compliance violations. 100% uptime during critical reporting periods.
Technologies: AWS Lambda (serverless compute), Python (ETL automation), PostgreSQL (data warehouse), HIPAA-compliant security tools, automated CI/CD pipelines.
When to Outsource Backend Development
Your Current Backend Can't Scale Past 1,000 Users
Patient adoption is growing faster than your infrastructure can handle. Peak usage crashes your servers, and your engineering team is fighting fires instead of building features.
HIPAA Compliance is Slowing Development to a Crawl
Every backend change requires weeks of security reviews. Your developers are drowning in compliance documentation while competitors ship faster. You need infrastructure that's compliant by design.
Device Integration is Breaking Your System
Each new device manufacturer requires custom integration work. Your API can't handle the variety of data formats and connection protocols modern healthcare demands.
Your Team Lacks Healthcare Backend Experience
Generic web developers don't understand the unique challenges of patient data processing, real-time vitals monitoring, or clinical workflow automation. Healthcare backends need specialized expertise.

Our Healthcare Backend Development Services
Pi Tech builds the server-side infrastructure that powers modern healthcare software, from patient portals to medical device platforms.
Custom Healthcare API Development
We design RESTful and GraphQL APIs that handle patient data securely while integrating seamlessly with EHR systems, medical devices, and third-party healthcare services.
Cloud Infrastructure Architecture
Scalable AWS and Azure deployments optimized for healthcare workloads, with automated scaling, disaster recovery, and HIPAA-compliant security configurations built in.
Database Design and Optimization
Patient data architecture that balances query performance with regulatory compliance, using encrypted databases with automated backup and audit trail generation.
Real-Time Data Processing Systems
Stream processing infrastructure for live patient monitoring, vitals analysis, and clinical alert systems that operate with sub-second latency requirements.
Legacy System Integration
Bridge modern healthcare applications with existing hospital systems through secure API gateways and data transformation layers that maintain compliance standards.

What Our Clients Say


"We’re impressed with their ability to exceed our expectations and go beyond the scope of the project. In addition, they’re very flexible and highly capable of delivering quality work."


“In my 20 years of working at technology companies such as Amazon, Groupon, Opendoor, and Jawbone, if I had to pick one person to solve a complicated technology challenge in the shortest time possible, Michael [CTO @ Pi Tech] would be at the top of my list. He is resourceful, scrappy, and has focus, unlike anyone I have ever seen.”


"Working with Pi Tech was very easy. They streamlined and managed their engineering time to avoid a large bill, and I was pleasantly surprised with their delivery."


"Michael [Pi Tech CTO] relishes tackling and solving the toughest technical problems. He has the ability to almost intuitively find the core of a solution to a difficult problem, but understands and practices the principle that the core idea to solving a difficult problem is often the first step in a long process to achieve a fully workable solution. He has an extraordinary work ethic, and focuses until the job is completely done."


"For anyone who is looking to get the job done, Michael [Pi Tech CTO] has never let me down. He’s a 24/7 soldier, from experimentation to design to hard-crafted one-offs. Michael is a jack-of-all-trades in addition to being a great manager and leader. You would be lucky to have his hands and mind in translating your vision into a tangible device or solution."
Ready to Build Healthcare Backend Infrastructure That Scales?
Your patients deserve software that works when they need it most. Generic backend developers don't understand healthcare's unique challenges - real-time vitals processing, HIPAA compliance, and zero-downtime requirements.
Pi Tech architects healthcare backends that handle millions of patient records while keeping regulators happy.
