If you are game — we can help your business transform sustainably and reliably.
Open Source
is what 60-90% of internet & big tech runs on.
Applied AI
is the force multiplier.
Full stack
we have you covered to build, deploy & scale.
Open source first, AI-native platforms for ERP Implementations & Hosting, Healthcare IT, and Agentic Software Development Sprints.
Complete tooling to describe, build, and ship open-source ERPNext — a reliable foundation for any business to scale its operations.
HydraAIEspresso
Functional consultants run the project end to end — no developer hand-offs, no implementation bottlenecks.
FHIR-native clinical workflows seamlessly integrated with ERP that is built for agents and humans alike — the most comprehensive agent-native healthcare IT surface, under one login.
Fossible Sprints
A dedicated dev pod. Enterprise guardrails. You own everything we ship.
Human domain
The why & what
Plan · Specs · Review
Machine domain
The how
TDD · CI/CD · Auto-deploy
Convergence
The blessing
AI + human review
Fossible Sprints is FossibleWorks' AI-augmented product development service. You get a dedicated dev pod that uses AI coding agents inside an engineered workflow with enterprise guardrails — to take products from MVP to production for a flat monthly fee, with full ownership of the code.
Dedicated pod · AI-augmented workflow · Outcomes, not billable hours
Ship healthcare IT you own — from Medplum and hospital ops to compliance and scale.
Healthcare IT
Agent harnesses and fine-tuned models on infrastructure with permissions and audit trails.
Applied AIFHIR CDR, interoperability, and managed hosting from a Medplum-focused partner.
MedplumAgentic ERPNext implementation plus private CI/CD for self-hosted open source.
ERPNext & DevOpsDedicated dev pods that use AI coding agents inside an engineered workflow with enterprise guardrails — on a flat monthly engagement.
Fossible SprintWhy structured clinical data and AI agents belong together.
PerspectiveFAQ
FossibleWorks is a Healthcare IT and Applied AI implementation partner. We implement self-hosted Medplum and FHIR platforms, open-source hospital information systems and production AI agents — and also deliver enterprise ERPNext, DevOps for self-hosted open-source stacks and AI-coding-agent product teams. We help digital health builders and enterprises build, deploy and scale with full tech ownership.
Digital health builders and healthcare IT teams implementing FHIR and Medplum, hospitals and health programs that need an open-source HIS, and teams with Applied AI projects that need harnesses, RAG and production guardrails on infrastructure they control. We also partner with enterprises on ERPNext, organisations self-hosting open-source stacks, and product teams that want AI coding agents in the delivery loop.
Yes. FossibleWorks provides self-hosted Medplum deployment, FHIR R4 interoperability, SMART on FHIR apps, clinical data migration, and managed hosting on AWS, GCP, Azure, or on-premise — with agent-native MCP and REST surfaces for developers and AI agents.
Yes. Our Applied AI practice covers agent harnesses, context engineering, RAG, fine-tuned open-weight models, and work sold as a service — on permissions, audit trails, and infrastructure you own, not demo-only happy paths.
Yes. We implement and customize ERPNext and Frappe with Hydra AI for agentic configuration and Espresso Cloud for private CI/CD and managed self-hosting — so functional consultants can ship ERP without implementation bottlenecks.
Yes. Espresso Cloud delivers private CI/CD and managed cloud for Frappe, ERPNext, Medplum, and Node-based stacks. Fossible HIS, Medplum, and supporting services can run on your infrastructure with optional managed operations.
The only open foundation you need to bring about reliable and rapid digital transformations. Talk to us — or start building on Espresso.
