Healthcare software has a short list of things that can't go wrong: patient data leaking, a clinician seeing the wrong record, a protocol that won't load when the signal drops. Every firm on this list says it builds for HIPAA. Far fewer tell you, on their own pages, whether they'll sign a business associate agreement, which certifications they actually hold, or what a project costs.
We read each firm's own site (checked in October 2026) and compared what they build, what they claim and what they publish. Our pick for clinics, practice groups, EMS agencies and health founders who want a focused app built and run by one senior team is Digital Mundo, which built Speech Therapy Magic and an EMS protocols app that has been on the App Store since 2023.
Here's the TLDR (checked in October 2026):
- Digital Mundo (our pick): Best for clinics, practice groups and health startups that want a carefully designed app or tool, with compliance scoped before anything is built, from a senior team that keeps running it. Prices not published.
- ScienceSoft: Best for regulated and medical-device work that needs ISO 13485 and ISO 27001 certification and a signed BAA. From $60,000.
- Kanda Software: Best for Epic integration with a clear BAA policy. $15,000 to $500,000+.
- Topflight Apps: Best for digital health startups building an MVP with EHR or AI features. $60,000 to $450,000+.
- Mindbowser: Best for EHR integration on a SOC 2 Type II audited vendor. Telehealth MVPs from about $50,000.
- Itransition: Best for enterprise, pharma and medical-device programs. Telehealth from about $50,000.
- Chetu: Best for large, ongoing outsourced builds across EHR, billing and telehealth. Prices not published.
Quick comparison
| Company | Based | Says it signs a BAA? | Certifications (as worded) | Published price range |
|---|---|---|---|---|
| Digital Mundo | Miami and New York | Designs for vendors that sign BAAs; scopes compliance first | None published | Not published |
| ScienceSoft | McKinney, TX, plus 7 offices | Yes | ISO 13485, 9001, 27001 certified | $60K to $2M+ by project type |
| Kanda Software | Newton, MA; offices in Kyrgyzstan, Costa Rica | Yes | ISO 27001:2022 certified; "SOC 2 compliance" | $15K to $500K+ |
| Topflight Apps | Irvine, CA | Not stated for clients | "Align to" ISO 27001, SOC 2 Type 2 | $60K to $450K+ |
| Mindbowser | Jersey City, NJ; Pune, India | Stated in one blog post | "SOC 2 Type II audited" | Telehealth MVP $50K to $100K |
| Itransition | 12 countries | Not stated | ISO 27001, 9001 (2018 news post) | Telehealth $50K to $100K+ |
| Chetu | Sunrise, FL; US and India centers | Not stated for development | None stated | Not published |
1. Digital Mundo
Digital Mundo is a US software design and development studio based in Miami and New York. It partners with companies long term: it learns how the business runs, then designs, builds and runs their internal tools, new products and the AI in their workflows. Its healthcare software page lists protocol and reference apps that work without signal, patient booking and reminders, home practice tools between sessions, intake forms patients finish before they arrive, clinic dashboards, and connections to your EHR "where it offers an API or FHIR."
Two healthcare products are on its work page. Speech Therapy Magic is a practice app for speech therapists and the families they work with: games, stories and pronunciation practice with more than 9,000 practice words (we've covered it in our AI speech therapy apps roundup and our guide to apps for practicing speech at home). The other is Mercy Health's EMS protocols app, which puts medical protocols, medications and procedures on fire and EMS crews' phones and has been on the App Store since 2023. It keeps everything on the phone, so crews can open it without signal.
On HIPAA, the studio says it designs "for the safeguards HIPAA requires, such as access controls, encryption, audit logs and vendors that sign business associate agreements," and scopes compliance with your team before building anything that stores patient information. Its dental software page says the same for practices and DSOs, with one view across locations where each practice sees only its own patients.
Pricing: not published. Per how it works, terms are an ongoing arrangement, a fixed price for a defined project, or a revenue or equity share with the right partner; the code, hosting and accounts are always yours.
Limits: Digital Mundo publishes no HIPAA, SOC 2 or HITRUST attestation, and no ISO certifications. Its site doesn't say whether it signs a BAA itself; ask, and get it in writing before any patient data is involved. It's a senior team rather than a large agency, so pick a large firm instead for a hospital-wide EHR replacement or a 50-engineer program. Much of its client work is under NDA, so there are few public case studies and no third-party reviews we could find.
Pick it if: you need a specific app or tool (a patient app, a protocol reference, a home-practice tool, intake or dashboards) and want the same people to design it, build it, test every release and keep it current.
2. ScienceSoft
ScienceSoft is a large IT firm headquartered in McKinney, Texas, "in healthcare IT since 2005." Its healthcare practice covers EHR and EMR, HIE portals, telemedicine, remote patient monitoring, patient portals, LIS/LIMS, clinical trial and medical device software, and works with "HL7, FHIR, DICOM, X12" and more. It says it is "certified under ISO 13485, ISO 9001, and ISO 27001." Its HIPAA page says it "signs a Business Associate Agreement with the clients." Published clients include UNM Health Sciences Center, MindCare Solutions and bioAffinity Technologies.
Pricing: its healthcare pricing page gives samples: $60,000 to $100,000 for a simple patient or staff app, $150,000 to $250,000 for an EHR-integrated app, and $120,000 to $2,000,000+ for a custom EHR. Limits: a generalist firm with offices in seven countries, and the site doesn't say which office staffs a project. Pick it if: you need certified quality and security systems, or you're building regulated device software.
3. Kanda Software
Kanda Software is a custom development firm headquartered in Newton, Massachusetts, with offices in New York and Alameda, and engineering offices in Bishkek, Kyrgyzstan and San Jose, Costa Rica. Its healthcare page covers EHR integrations, portals, telehealth, LIMS and RPM, says "Kanda Software is an Epic Vendor Services Partner," and names clients including Dana-Farber Cancer Institute, City of Hope and Brigham and Women's Hospital.
It's the clearest on BAAs of anyone here: "Yes. We sign a BAA whenever teams will create, receive, or maintain protected health information for your project." It states ISO/IEC 27001:2022 certification and "SOC 2 and ISO 9001 compliance" (compliance, not an audit report). Pricing: "$15,000 to $500,000+," with telehealth platforms at $100,000 to $300,000. Pick it if: you're on Epic and want written BAA terms from day one.
4. Topflight Apps
Topflight Apps is a healthcare app and AI studio in Irvine, California, building telehealth and RPM apps, EHR integrations with Epic, Cerner and Athena over HL7 and FHIR, and AI for clinical documentation and revenue cycle. Published work includes GaleAI (medical coding) and a clinical trials app for Stanford Medicine and Merck.
Pricing: its cost guide says healthcare apps run "$60,000 to $450,000+," with a "HIPAA baseline" adding $10,000 to $25,000. Limits: it says it aligns to "ISO 27001, SOC 2 Type 2" for what it builds, which isn't a claim that it holds them, and we found no statement that it signs BAAs with clients. Pick it if: you're a funded health startup that wants an MVP with EHR or AI features.
5. Mindbowser
Mindbowser calls itself "a HealthTech Consulting company," with a Jersey City address, other US offices and an office in Pune, India. It claims "200+ HIPAA- and FHIR-trained professionals," an EHR integration engine (ConnectHealth) for Epic, Cerner, Athena and "20+ EHRs," and is "SOC 2 Type II audited," the only firm here to claim an audited SOC 2 on its homepage. Its telemedicine page puts an MVP at "$50K–$100K."
Limits: case studies are mostly anonymized, and its BAA statement appears in one product blog post rather than a general policy. Pick it if: EHR integration is the hard part and your buyer wants SOC 2 paperwork.
6. Itransition
Itransition is a global engineering firm ("3000+ engineers," offices in about a dozen countries) with a healthcare practice covering EHR, SaMD, pharmacy, telehealth, RPM and LIMS, with experience in "FDA classes II and III and IEC 62304." It claims "HIPAA- and HITECH-compliant software solutions delivery" and announced ISO 27001 and ISO 9001 certificates in 2018. Its telemedicine page puts telehealth apps at "around $50,000" to "$100,000+." Limits: no BAA statement, and most healthcare case studies are anonymized. Pick it if: you're a pharma or device company running a multi-team program.
7. Chetu
Chetu is a large outsourcer headquartered in Sunrise, Florida, with "over 2,800 skilled software developers" and delivery centers in several US states, Noida (India) and Birmingham (UK). Its healthcare page covers EHR modernization, revenue cycle, telehealth, RPM, patient portals and imaging, built "to HL7/FHIR standards." Pricing: not published. Limits: it uses "HIPAA-compliant" and "HIPAA-Aligned" but claims no SOC 2, ISO 27001 or HITRUST on the pages we read, and its BAA mention is on an Azure managed-services page. Pick it if: you need a lot of development capacity for a long time.
How to choose
- Ask for the BAA up front. If a vendor will touch patient data, it needs to sign one. ScienceSoft and Kanda say so on their sites; everyone else, ask.
- Separate the claim from the document. "HIPAA-compliant," "aligned with SOC 2" and "SOC 2 Type II audited" are different statements. There's no government HIPAA certification, so ask for the risk analysis approach, the hosting setup and any audit reports.
- Check the hosting. Patient data should live on cloud services covered by the provider's BAA, under your company's accounts.
- Match size to scope. A practice app or protocol reference doesn't need a 3,000-engineer firm. An EHR replacement does. Our mobile app development roundup and custom software roundup cover more general builders.
- Confirm the EHR route. Ask which EHR APIs or FHIR endpoints the vendor has actually connected to.
FAQ
How much does healthcare app development cost?
Published ranges start around $50,000 to $60,000 for a simple app or telehealth MVP (Mindbowser, Itransition, ScienceSoft, Topflight) and run past $500,000 for EHR-integrated platforms and device software. Digital Mundo and Chetu quote per project.
Does my app developer need to sign a BAA?
If the developer creates, receives, maintains or transmits patient health information on behalf of a provider or health plan, generally yes. If you're unsure whether your app is covered by HIPAA at all, talk to a healthcare lawyer.
Can a healthcare app work offline?
Yes, if it's built that way. Digital Mundo's EMS protocols app keeps its content on the phone so crews can open it anywhere, and updates ship as new app releases.
Which firms can integrate with Epic?
Kanda says it is an Epic Vendor Services Partner, and Topflight, Mindbowser and ScienceSoft list Epic or FHIR integration work. Digital Mundo connects to EHRs where they offer an API or FHIR access. Ask each for an integration it has shipped.
Get the BAA question answered on the first call, and ask every vendor to show you a healthcare product it actually runs.
Disclosure: Digital Mundo LLC and Gold Penguin LLC have the same owner.
