Xealth embeds digital health ordering directly into provider workflows via Epic and Cerner integrations, using TypeScript, Node.js, FHIR, and AWS infrastructure. The tech stack reveals a company scaling integrations across fragmented health IT environments—heavy Kubernetes and ECS automation, real-time data pipelines, and security tooling (Lacework, CrowdStrike, Semgrep) signal infrastructure maturity and HIPAA-grade operational discipline. Pain points around EHR integration scaling and multi-year deal cycles are typical of B2B healthcare, but the senior-skewed hiring mix (mostly director and senior IC roles) suggests a focus on deepening platform depth rather than rapid headcount expansion.
Xealth is a Seattle-based digital care platform that allows clinical teams to prescribe digital health services and content as part of normal EHR workflows. Patients then access these prescriptions through their provider portal for self-directed health management. The company operates across three concurrent challenges: integrating with major EHR systems (Epic, Cerner) in diverse healthcare environments, maintaining HIPAA compliance at scale, and automating cloud infrastructure to reduce operational toil. Founded in 2017 and currently 51–200 employees, Xealth serves healthcare systems and their patients.
Xealth integrates with Epic Systems and Cerner. The tech stack includes HL7 v2 and FHIR standards for interoperability across healthcare IT platforms.
TypeScript, Node.js, Python, AWS (ECS, EKS, SQS, VPC, IAM), Kubernetes, Docker, Terraform, Databricks/PySpark for data, and security tools (Lacework, CrowdStrike, Semgrep).
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