About East Branch Software
A small studio shipping SaaS products for healthcare and other regulated industries, plus the occasional custom build. Based in the hills of Western Massachusetts.
The Team
Andrew Ettenger is the founder and principal engineer at East Branch Software. He has over 10 years of experience leading software teams across healthcare, telecom, and e-commerce. Connect on LinkedIn.
That work made one thing obvious: in regulated industries, the gap between what teams think compliance means and what an actual audit finds is enormous. Expensive off-the-shelf platforms get bought while the team papers over the real workflow gaps in spreadsheets. We ship SaaS products that close those gaps for real. We take on custom builds when the right tool doesn't exist yet.
We've worked with everything from Rails monoliths to microservices, React SPAs to Phoenix LiveView. We also know the audit logging, role-based access controls, and PHI-handling patterns regulated environments actually need. We're particularly interested in AI integration, but only with the guardrails compliance demands. The tech stack matters less than understanding what you're trying to build and what rules govern it.
How We Work
Every project starts with understanding the real problem. Not the policy document. Not the compliance checklist as written. The actual workflow that's broken. Or the audit gap. Or the PHI exposure. Once we identify that, we build the simplest thing that fixes it. Then we ship it. Then we iterate based on real usage and real audit feedback.
This approach comes from years of watching overcomplicated systems fail review while simple, well-instrumented tools sail through. Your organization doesn't need another bloated platform. It needs software that solves specific problems, generates the evidence you need, and gets out of the way.
Based in Chesterfield, Massachusetts
We work out of Chesterfield, a small town in the hills of Western Massachusetts. Remote-first by design, with clients and collaborators across the country.