Ship compliant healthcare software — without betting your runway on a full-time CTO.

It is executive engineering leadership on a fractional basis — the judgment, architecture, AI governance, hiring, and delivery systems a team would get from a Head of Engineering or CTO, without the cost or commitment of a full-time hire. Anova owns the important technical decisions and the systems that make a team effective, not a fixed list of tasks.

Anova is an engineering-leadership firm, so the work is judgment, architecture, governance, and delivery systems first. We go hands-on where it has the most leverage — proving out an architecture, setting patterns, or unblocking a critical path — but the engagement is not sold as build hours or headcount.

By the decisions and systems that multiply a team rather than the hours logged. The right architecture choice, a governed AI rollout, a hire that raises the bar, or a delivery system that removes recurring friction is worth far more than any single feature. Leverage over effort is the operating principle.

Yes — regulated and healthcare teams are the core focus. Anova treats PHI boundaries, provenance, auditability, and human-in-the-loop review as design inputs, especially when adopting AI inside regulated workflows. Please do not send PHI or patient details through the contact form; we will set up an appropriate channel during the engagement.

The Architecture & Sequencing Sprint is a fixed fee for two weeks. The Fractional Head of Engineering retainer is monthly, with reserved hours and a three-month minimum. Technical Due Diligence is scoped per engagement, and Regulated AI Engineering & Governance is delivered inside a retainer rather than priced separately. Figures are shared in a fit review, once the scope is clear enough for the number to mean something.

Most engagements start with the sprint. It is a standalone engagement rather than a deposit, so the fee is not credited against a later retainer — you leave with a roadmap you own whether or not we continue.

Anova works with a small number of teams at a time so each gets real executive attention. We are deliberate about conflicts and will flag any concern before an engagement begins. The fit review is where we confirm there is no conflict and that the capacity is there to do the work well.

Founder-led healthcare and regulated software teams entering the phase where architecture, compliance, interoperability, and AI governance start to matter more than raw build speed — teams that need executive engineering judgment but are not ready for, or do not need, a full-time CTO.

You share the business context, the technical situation, and what is at stake. In 30 minutes, Anova gives you a clear read on the top architecture and compliance risks, confirms fit and conflicts, then recommends the right next step.

When there is fit, that next step is usually a 2-week fixed-fee sprint: Architecture & Sequencing Sprint. When there is not, you still leave with an honest recommendation.