Healthcare Software Development Company
Custom EMR, clinic management platforms, and AI-assisted clinical workflows — built by the team that developed and runs Garuda in production since 2018.
- Since 2018
- 8
- 1–2 wks
- 4×
What we build
From single-clinic systems to multi-tenant SaaS platforms — with AI where it adds clinical value, not for the sake of it.
EMR & Electronic Health Records
Patient history, clinical notes, prescriptions, vitals, allergies, and documents — built for daily reliability in clinical settings.
Clinic & Practice Management
Multi-doctor, multi-location scheduling, billing integration, and staff management. Available as Garuda or built to your exact workflows.
Patient Portals & Mobile Apps
Online appointment booking, lab results delivery, medication reminders, and secure patient communication via web and Flutter mobile.
AI-Assisted Clinical Workflows
Diagnosis suggestions, documentation summarisation, and triage automation — built with clinical guardrails, not generic AI applied blindly.
Lab & Pharmacy Management
Lab order management, results with reference ranges, pharmacy dispensing and inventory, and supplier integrations.
HealthTech Engineering Teams
Senior engineers with FHIR, HL7, and healthcare data experience embedded directly in your product team — available in 7 days.
We build and run healthcare software ourselves
Garuda — clinic management platform
Built from scratch in 2018, Garuda is Squash Apps' own multi-tenant clinic and hospital management platform. Eight integrated modules in production across multiple clinic deployments.
HealthTech SaaS Australia — 4× faster shipping
Australian clinic management SaaS with a 2-person team that couldn't keep up with demand. We added an engineering pod, rebuilt CI/CD, and quadrupled shipping velocity over 18 months.
Stack
We choose tools based on healthcare requirements — reliability, data isolation, and integration standards — not trend cycles.
What healthcare software development actually requires
Healthcare software isn't more complex than other enterprise software — it's complex in specific, predictable ways. These are the ones that matter.
Patient data isolation
In a multi-tenant clinic system, one clinic's patient records must be completely inaccessible to any other tenant. Row-level security, per-tenant encryption keys, and rigorous access scoping are not optional — they're the baseline.
Role-based access with clinical logic
A receptionist sees scheduling. A nurse sees vitals and notes. A doctor sees everything. A billing admin sees billing. Getting this wrong in a clinic setting doesn't just cause compliance issues — it creates real patient care risks.
Audit trails on all patient record access
Every view, every edit, every export — logged with timestamp and user identity. Healthcare software needs to be able to answer 'who accessed this patient record, and when' for any record, at any time, without gaps.
Integration reliability over speed
HL7/FHIR lab integrations, insurance APIs, payment gateways — healthcare integrations need to handle partial failures gracefully, retry safely, and never silently drop clinical data. We build integration layers with these constraints in mind from day one.
AI guardrails in clinical contexts
AI in healthcare is valuable — but clinical AI suggestions are not replacements for clinical judgment. We build AI features with explicit guardrails: suggestions clearly labelled as suggestions, uncertainty thresholds shown, and clear human override paths on every automated action.
Deployment and migration discipline
Clinics run on tight schedules. A 3-hour deployment window on a Wednesday afternoon is not acceptable. We plan deployments around clinic hours, test migrations against real data volumes, and treat go-live day as a joint operation, not a hand-off.
Recent healthcare software work
Garuda — what building a clinic management platform from scratch taught us
Our in-house EMR and clinic management platform. Built in 2018, in production since. Eight modules, multi-tenant, FHIR-aware. Here is what it took.
Scaling delivery velocity for a HealthTech SaaS platform
Clinic & patient records SaaS stuck at 2 engineers. We added a pod, rebuilt CI/CD, and quadrupled shipping speed.
20+ years shipping production software. Built Kuyil AI (our AI assistant platform) and Garuda (clinic management SaaS) — along with 500+ client projects across SaaS, HealthTech, FinTech, Logistics and eCommerce.
Personally reviews every engagement’s first sprint: architecture, code quality, delivery discipline. Not a sales handoff. The CTO stays in the room.
Demonstrating Kuyil AI · Dubai Tech Summit
Tell us about your project
Whether you need a clinic management platform, a custom EMR, or engineers embedded in your HealthTech team — we can help. Response within one business day.
- 1Share what you needWhat you're building, what market you serve, and where your current blockers are.
- 2We propose a pathGaruda deployment, custom build, or team augmentation — whichever fits, with a timeline and cost estimate.
- 3CTO-led scoping callSrijith joins the first call. You speak to the person responsible for delivery, not a sales team.
- ✓ No sales pressure✓ Reply in 24h✓ NDA available
Other services
Deploy Garuda or commission a custom build. Multi-clinic, FHIR-ready.
Clinical AI: triage bots, documentation summarisation, workflow automation.
Senior healthcare engineers embedded in your team within 7 days.
Frequently asked questions
What types of healthcare software does Squash Apps build?
We build EMR and EHR systems, clinic and hospital management platforms, patient portals, mobile health apps (iOS and Android via Flutter), lab and pharmacy management systems, AI-assisted clinical workflow tools, and HealthTech SaaS products. We also provide dedicated engineering teams for HealthTech companies that need to scale their own development.
What is Garuda, and how does it fit into a healthcare project?
Garuda is Squash Apps' own clinic and hospital management platform — built from scratch in 2018 and in production across multiple clinic deployments. It covers eight modules: EMR, appointment scheduling, pharmacy, lab management, billing, AI-assisted workflows, analytics, and patient portal. If your requirements align with Garuda, we can deploy it for you. If you need something custom, we build on top of the domain knowledge Garuda gave us.
Can you integrate with HL7/FHIR systems?
Yes. We have production experience implementing HL7/FHIR integration — including a FHIR R4 adapter layer built for an Australian HealthTech SaaS client as part of a hospital network integration. We understand the difference between building a standards-compliant interface and building one that actually works reliably in production.
How do you handle patient data security?
Healthcare data handling is built into how we architect, not added after the fact. That includes role-based access control with per-role data scoping, full audit trails on all patient record access and modification, data encryption at rest and in transit, and multi-tenant isolation (each clinic's data is fully separated from other tenants). We have experience with SOC 2 readiness assessments and work with clients navigating regulatory requirements in their specific market.
Do you build software for both the India and UAE healthcare markets?
Yes. We have an engineering hub in Coimbatore, India, and a Dubai Silicon Oasis office serving UAE and GCC clients. We build healthcare software for Indian clinics and hospital groups familiar with ABDM integration requirements, and for UAE healthcare providers navigating their regulatory environment. Each market has specific requirements — we work with you to understand them for your deployment context.
What does a healthcare software development project typically cost?
It depends on scope. A custom EMR for a single-specialty clinic is a different project from a multi-tenant SaaS platform serving hundreds of clinics. Our HealthTech clients typically invest from $50,000 for a focused initial build through to $200,000+ for comprehensive multi-module platforms. If Garuda fits your needs, the deployment cost is significantly lower. We give you a transparent scoping estimate — usually within 24 hours of a conversation.
How long does healthcare software development take?
An MVP with core functionality — appointment scheduling, basic EMR, billing — typically takes 10–16 weeks from a locked scope. A full-featured multi-module platform is 6–12 months. If you deploy Garuda, a single clinic can go live in 1–2 weeks; multi-facility rollouts take 4–8 weeks. Timeline is driven by integration complexity, data migration scope, and how much custom workflow logic you need.
Can you augment our existing HealthTech engineering team?
Yes — and this is one of our most common engagements. We embedded a pod with an Australian HealthTech SaaS company that had two engineers and a backlogged roadmap. Within 18 months, the team had grown to twelve, shipping velocity had quadrupled, and the product secured a major hospital network contract. We provide senior engineers who understand healthcare data requirements, integrate with your existing workflows, and are accountable to the same sprint cadence as your in-house team.