Our approach
Fifteen years designing and building software for hospitals, universities, retailers and development banks. Every project starts with the same question: what actually needs to exist for this to pay off?
Before anyone estimates anything, three questions. They’re the same ones we’d bring to a working session with you.
Not everything on the roadmap deserves to exist. We start by finding the two or three things that would move the business if they shipped this quarter.
The systems you run today, what they can and can't do, and what it would really cost to touch them. Sometimes the answer is a fix, not a rebuild.
A first estimate of scope, team and time. With what we'd leave out, and why.
That's one of four things that stay the same whether you bring in a full team, add a few people to yours, or hand us a project end to end.
Discovery and prototyping come first. That's where we find out what's worth building and, often, what isn't.
For mEMR, a physician-founded startup, we tested the product with doctors and patients before a line of code was written, and changed the plan because of what we heard. Read the case
Each workstream is led by a senior developer who defines how it gets built, reviews every piece, and signs it into your repository. When you ask why something was done a certain way, there is a person to ask.
At the Inter-American Development Bank, Smart Portfolio was handed to an internal team that still runs and evolves it today. Work only transfers that way when the decisions behind it are legible to someone who wasn’t there. Read the case
We use AI agents for the high-volume work: components from your design system, patterns repeated across similar features, tests written from acceptance criteria. Every output is reviewed by the lead before it moves on.
No case behind this one yet. It is a commitment rather than a track record, and it is written to be specific enough to hold us to: ask which decisions are reserved for a person, and ask where the agents are allowed to run.
When your product depends on systems that are already running, we start with what only reads from them; writes come once we've worked against your real APIs for weeks. Static analysis, dependency scanning and secret detection run on every push, so a critical finding stops a release before it reaches you.
At Keystone, the contract automation reads on a schedule from the document system the team already used, without disrupting how contracts got filed. On a Stanford Medicine-led research team, HIPAA was treated as a design constraint rather than a technical afterthought, so it shaped data handling, storage, user flows and access controls. Read the Keystone case
HIPAA-compliant since the first release.

Hundreds of thousands of companies across Latin America and the Caribbean, matched by intent instead of keywords.

A layered navigation model, Roadmap to Unit to Skill, that makes progress and next steps legible without adding cognitive load.

“Onetree takes accountability and ownership of their role.”
Brett Rasmussen
CEO, KURU Footwear
“They put so much time and effort into understanding our culture and mission.”
Priya Mehta
CEO, mEMR
“Whenever we had any urgent matter, we knew we could count on them.”
Emmanuel Romero
Head of Engineering
How a project gets delivered is the first decision. Four shapes; which one fits depends on how defined the scope is and how long the product has to live.
A standalone team that owns a product end to end, with its own lead, reporting to you.
Best when the product will live for years and needs a team that stays with it.
Senior people who join your team, your rituals and your repo, working your way and your hours.
Best when you have the direction and need depth in a specific area.
A defined scope, delivered in releases, with a fixed price and milestones you can verify.
Best when you want the whole thing priced up front and delivered as one project.
A small team working alongside AI agents, billed on delivered outcomes rather than hours. One person is accountable for everything that ships.
Best when the scope is clear and the date is not negotiable.
Most of our work handles patient, student or financial data. Security isn’t a phase at the end; it’s how the pipeline is set up on day one.