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All case studies
Enterprise healthcare · 2015
Well-Being Index

A 10+ year clinician burnout measurement platform serving top-tier health systems.

Web, iOS, and Android applications built on a shared Rails backend. A long-running enterprise healthcare SaaS that has supported clinician well-being research and practice at scale.

Why this one is on the list

Most portfolios feature recent work. This one is here because longevity is the proof: a healthcare SaaS product that has run reliably for a decade, survived multiple platform rewrites, and earned the trust of major health systems.

Founder-led software is often accused of being short-term. The Well-Being Index platform family is a counter-example — the same operator has maintained, modernized, and extended the product for more than ten years.

What’s in the platform family

  • A Rails backend serving assessments, scoring, and institutional reporting.
  • iOS and Android companion apps for clinicians.
  • A burnout ROI calculator used in executive conversations at health systems.
  • Feedback analysis tooling and snapshot enhancement modules added over the years.

The takeaway for owner-operators

You do not need a 50-person engineering team to run a serious SaaS product. You need a clear product owner, a disciplined stack, and someone who stays in the codebase year over year. That is what fractional CTO work looks like at its best.