About AST

We build the software that healthcare runs on.

For 17 years AST has engineered the EMR/EHR systems, clinical integrations and compliant platforms that run inside real care networks — owned end to end, by people who do only this.

Talk to our team Our story
The AST engineering team at work
Our mission
We exist to help healthcare organizations turn ambition into working software — engineering and consultancy that make our clients more competitive, more compliant, and genuinely able to innovate.
Saram SiddiquiChief Executive Officer, AST
What drives us

The three things this company is built on.

Strip away the services and the certifications and you are left with a mission, a set of values and the people who hold to them.

1

Make healthcare software as dependable as the infrastructure it runs on — built for real clinical workflows and owned end to end.

See what we build Our mission
2

Healthcare-only, owned in-house, compliant by design, and honest about trade-offs — the standard every line of code is held to.

What sets us apart Our values
3

Engineers who go deep in healthcare — they have shipped clinical software, read a HIPAA rule and debugged an HL7 feed at 2am.

Who we work with Our people
Global delivery

Four regions, one engineering standard.

We deliver from centres across four countries — close enough to your timezone to collaborate in real time, deep enough to staff fast and sustain it. Every region runs to the same standard, and every engagement is owned in-house from first commit to go-live.

  • Real timezone overlap — not an overnight hand-off.
  • 100% owned in-house — no subcontracted layer.
  • One delivery standard, wherever the work happens.
United States
Client-facing delivery & program leadership
United Arab Emirates
DHA / NABIDH platforms for the Gulf
Portugal
Nearshore engineering for Europe & US
Pakistan
Deep engineering bench at scale
The bench

A credentialed team that stays.

99%
hold a BS, MSc or PhD
A credentialed engineering bench — not a body shop.
86%
senior to mid-level
Weighted toward people who have shipped before.
70%
have been with AST 3+ years
Low churn means your context doesn't keep walking out the door.
Why AST

Four reasons teams stay with us.

Scale

From a two-person interface team to a multi-pod program, we flex to the size of the problem. Delivery centres across four regions mean we staff fast and sustain it — no single-location bottleneck, no hiring freeze derailing your roadmap.

Expertise

Healthcare is the only thing we do. Every engineer has shipped clinical software, read a HIPAA Security Rule and debugged an HL7 feed in production. You are not paying us to learn your domain on the job.

Transparency

You see the same board, the same velocity and the same risks we do. No status-theatre, no surprise change orders — if a decision touches cost or timeline, you hear it from us first, in plain language.

Flexibility

Staff-augment one pod or hand us a platform end to end. Fixed scope or evolving roadmap, your tools or ours — we shape the engagement around how you actually work, not a rigid delivery template.

Recognition & partnerships

Certified, audited and built on the platforms care teams run.

SOC 2 Type IIHITRUST CSFISO 27001ISO 9001HIPAACMMI Dev 3
We build on
EpicOracle Health (Cerner)PointClickCareathenahealthAWSAzureGoogle Cloud
Our history

Seventeen years, one focus.

  1. 2008

    Founded

    AST starts with a single conviction: build healthcare software like infrastructure, and build only healthcare.

  2. 2013

    Interoperability practice

    HL7 v2 and, later, FHIR R4 interface engineering becomes a core discipline — built and certified in-house.

  3. 2017

    Compliance by design

    HIPAA, SOC 2 and HITRUST architecture move from afterthought to the first thing we design.

  4. 2020

    Global delivery

    Teams across the US, Portugal and Pakistan deliver to one standard, fully owned end to end.

  5. 2023

    Into the Gulf

    DHA / NABIDH-compliant platforms for UAE operators, with in-country data residency.

  6. 2025

    The AI layer

    Ambient AI clinical documentation and regulatory intelligence join the platform — drafted by AI, signed by clinicians.

Work with us

Build healthcare software with people who only build healthcare software.

Whether you need a partner or you want to join the team, the conversation starts the same way.

Talk to our team See open roles
An AST engineer