Fulcrum

Fulcrum builds software where technical excellence meets exceptional user experience, serving startups and midmarket companies across healthcare, eCommerce, social networking, and business services. Founded in 2019 and operating from Sheridan, Wyoming and Kyiv, Ukraine, the team of 6 to 9 specialists has earned a 4.9 rating across 38 Clutch reviews. Their AWS-certified backend developers combine AI expertise in computer vision and large language models with a deep commitment to compliance standards that Fortune 500 healthcare clients have vetted. The company's UX credentials extend beyond design awards to measurable business impact. One client saw a 400% revenue increase from their website following Fulcrum's redesign work. The team's internal UX manuals have been downloaded over 10,000 times by professionals worldwide, and their design work has earned two Awwwards Honorable Mentions plus regular features on Dribbble and Behance. This design strength pairs with proven technical scalability: Fulcrum has taken products from zero to 12 million users and beyond. Healthcare represents a core specialization where Fulcrum's expertise shows most clearly. The team speaks fluent HIPAA and GDPR, eliminating the need for clients to explain compliance requirements from scratch. With dozens of healthtech projects completed, they understand the regulatory landscape that makes healthcare software uniquely challenging. Fulcrum maintains transparency throughout each engagement using Confluence for documentation, Jira for project tracking, and direct team access with 24-hour response times. Their service mix spans custom software development (40%), AI development (20%), mobile and web development (15% each), and staff augmentation (10%), supporting clients from small businesses to enterprise organizations.