10decodersWe've already built 10+ HIPAA-grade US healthcare product from Chennai. We'll build yours.
A Global Capability Center for US mid-market healthcare — built, run, and handed to you. Prove it with a 90-day pilot, scale it with a managed pod, own it through Build-Operate-Transfer. You decide how far up the ladder to go.
Trusted by leading enterprises and healthcare teams
Enter anywhere. Own it when you're ready.
Most India-center decisions stall because the only options on offer are "hire a staff-aug vendor" or "commit to a multi-year captive build." We give you a reversible path with three rungs — and earlier fees credit forward as you climb.
Prove it works
A live, compliant, fully-staffed pod in 90 days and a clean go/no-go. The lowest-risk way to test an offshore healthcare team.
- Foundation → Activation → Proof in one quarter
- Security & compliance from day one
- Conversion credit toward a Pod
Scale the team
A dedicated, led team where you own the roadmap and we own the people, delivery, and retention risk. The durable, recurring core.
- You own the what, we own the how
- Six pod archetypes — product, RCM, data & AI, ops
- Backfill SLA & retention guarantee
Own the captive
The flagship path. We build a US-grade org, run it to steady state, then transfer the entity, people, and IP to you on your trigger.
- Build → Operate → Transfer, on your timeline
- Entity & legal structuring options
- Retention carried through transfer
A safe, reversible path with earlier fees that credit forward.
The three rungs aren't separate products — they're a connected ladder. You can enter on Rung 01, move to Rung 02 when the evidence is there, and trigger a transfer to full ownership when you choose. At every step, the risk sits with us until you decide to take it.
Committing later never means paying twice. Whatever you spend on a Prove engagement credits into your Scale or Own engagement. The path is designed so that staying cautious is always the rational choice.
Full model explained →Start on the Prove rung
A 90-day fixed engagement. We staff a fully-compliant, HIPAA-ready pod working on real deliverables. At the end: a clean go/no-go, not a commitment to continue.
Scale when the evidence is there
Move to a Managed Pod when output justifies it. You direct the roadmap; we own hiring, retention, and delivery. The Prove fee credits forward.
Own it when you're ready
Trigger a BOT when you want a permanent captive. We hand over the entity, people, and IP on a timeline you set — with the compliance posture intact.
Credit-forward structure. Fees paid at any rung credit toward the next. Committing later never means paying twice. You're not punished for being cautious.
Built for US mid-market health-tech.
We don't fight Accenture or ANSR on 500-seat builds. We own the 10–40 seat healthcare niche — where founder access, real product proof, and HIPAA depth actually win the deal.
Healthcare SaaS
Product companies serving providers, payers, or patients that need to scale engineering without losing velocity or compliance posture.
RCM & workflow
Revenue-cycle and clinical-workflow firms under margin and timeline pressure who need durable offshore delivery capacity.
Medtech & devices
Regulated medtech firms that need R&D and data engineering depth with audit-ready security controls baked in.
Transparent cost.
One model per rung.
Capability and control lead; cost is the closer. Once you're evaluating seriously, here's how each rung is priced and how earlier fees credit forward.
90-Day GCC Accelerator
Fixed fee, fixed 90-day window. All-In tier ($65–95k) includes pod staffing, tooling, and compliance setup. Credits forward into a Managed Pod.
- Fixed fee, no hidden staffing cost
- HIPAA & BAA from day one
- Full fee credits into a Pod
Managed Capability Pod
Tiered by seniority — Associate, Senior, Lead/Architect. One number covers salary, benefits, facilities, tooling, management, and retention. No hidden line items.
- One fully-loaded seat rate
- Backfill SLA included
- Six pod archetypes to choose from
Build-Operate-Transfer
Three-part structure with a transfer trigger you set. Tailored term sheet provided at scoping — pricing is designed around your entity, timeline, and transfer conditions.
- Build fee for org standup
- Recurring operate fee
- Transfer fee on your trigger
Credit-forward guarantee. Every rupee spent on a Prove engagement credits directly into your Scale or Own engagement. Committing later never means paying twice.
Full pricing details →Proof, not promises.
The hardest question a GCC buyer asks is "can this partner actually run a US-grade org before I own it?" We've already answered it — by building and commercializing one ourselves.
A real product, not a pitch
DocuFindr was conceived, built, secured, and commercialized from Chennai — with paying US clients. That's the credential.
Compliance we actually run
HIPAA controls, BAA before access, SOC 2 underway — not a checklist we read, an operating posture we live.
Healthcare depth
EMR, RCM, HIPAA, and clinical-workflow fluency in the team — not a generic dev shop learning your domain on your dime.
Founder access
You compare notes founder-to-founder. No account-management layer between you and the people who run delivery.
Retention culture
The make-or-break of any captive. Our retention culture transfers with the team — so continuity survives the handover.
AI-ready by default
An AI practice behind the team — your center is built for where healthcare is going.
The hard part of any healthcare GCC — already solved.
For procurement and security reviewers: this is how we handle HIPAA, BAAs, data, identity, and audit. Not a posture we promise to build — one we already run for a live US healthcare product.
HIPAA Controls in Production
Administrative, physical, and technical safeguards implemented and maintained — the same controls behind DocuFindr, our live US healthcare product.
BAA Before Any Access
A Business Associate Agreement is executed before any team member touches protected health information. No exceptions, no workarounds.
SOC 2 Underway
A formal SOC 2 program is in progress, building on the controls already operating in production. Audit-ready posture from day one of your engagement.
Zero-Trust & Identity Governance
Least-privilege access, role-based controls, and access governance auditable end to end. Data-handling SOPs applied across every engagement.
ISO 27001 certified · ISO 9001 certified · NVIDIA Inception member
The window for a mid-market healthcare GCC is open — and narrowing.
India's capability-center wave has moved well past the Fortune 500. The mid-market is now the fastest-growing cohort, and healthcare is one of the deepest verticals — but the standard entry path still takes 18–36 months. Starting on a pilot rung compresses that.
DocuFindr: a HIPAA-grade US product, built from Chennai.
The strongest credential we have — a product 10decoders conceived, built, secured, and commercialized with paying US healthcare clients. It answers the one question every GCC buyer asks: "Can this partner actually run a US-grade healthcare org?" The answer is documented, audited, and live in production.
GCC, answered.
Straight answers about capability centers, compliance, timelines, and the Build-Operate-Transfer path.
What’s the difference between a GCC, staff augmentation, and a Build-Operate-Transfer model?
How long does it take to stand up a compliant healthcare GCC in India?
How is HIPAA compliance ensured in an offshore healthcare delivery center?
Why would a mid-market healthcare company build a GCC instead of hiring a development agency?
What happens to our team and IP under a Build-Operate-Transfer path?
How mature is the GCC market in India right now?
Practical writing for US healthcare firms building in India.
Founder-to-founder perspective on entry strategy, compliance, and the mid-market GCC playbook. No fluff, no demo bait.
BOT vs Managed Pod vs staff-aug: How US healthcare firms should enter India
The three entry models aren't sizes of the same thing — they carry risk differently and leave you owning different things. A clear-eyed framework for choosing your starting rung.
What "HIPAA-grade" really means for an offshore team
Beyond the badge: the controls, the BAA timing, and the operating habits that separate real healthcare compliance from a checklist. Written for decision-makers, not lawyers.
The mid-market GCC playbook — and why the giants under-serve it
The 10–40 seat healthcare wedge the large integrators can't economically attend to, and how mid-market firms can move faster as a result.
