United States
Fractional CTO for US startups — proven leadership, proven results.
Senior technology leadership for US-based companies in healthcare, fintech, and SaaS. We've scaled products to $140M+ combined ARR, guided IPO preparation, and shipped 75+ products for American companies.
$140M+
Combined ARR built
$1M+
Saved for Fortune 500
75+
Products shipped
IPO
Guided to public listing
US clients, proven track record
We've helped US companies scale to 4,000+ clinics, guided IPO preparation, and saved Fortune 500 companies $1M+ on technology investments. Our team works in US time zones and understands US market expectations.
Cost-effective without compromise
A full-time CTO in the US costs $300-500K per year plus equity. Our fractional model delivers the same strategic impact at 30-50% of the cost — with the flexibility to scale engagement up or down.
Compliance and security expertise
We build HIPAA-compliant healthcare platforms, PCI DSS payment systems, and SOC 2-certified infrastructure. We've navigated US regulatory frameworks across healthcare, fintech, and enterprise.
Distributed team leadership
Many US companies build with distributed teams. We've managed engineering teams across US, India, and Southeast Asia for 15+ years — shipping weekly regardless of geography.
Healthcare & Digital Health
EMR platforms, telehealth, AI diagnostics, and clinical workflows — all HIPAA compliant. Scaled Aesthetic Record to 4,000+ clinics and 50,000+ users.
Fintech & Financial Services
Payment infrastructure, lending platforms, investment tools, and compliance automation. PCI DSS, SEC, and state-level regulatory expertise.
SaaS & Enterprise
Multi-tenant architecture, usage-based billing, API-first design, and infrastructure that scales from hundreds to thousands of customers.
AI & Deep Tech
LLM integration, RAG systems, AI-powered features, and automation workflows. We build AI that creates genuine product differentiation — not just chatbot wrappers.
How much does a fractional CTO cost in the US?
Fractional CTO services in the US typically range from $8,000-25,000 per month, depending on time commitment and complexity. This is 30-50% of a full-time CTO's total compensation ($300-500K/year plus equity). See our full pricing guide.
Are you based in the United States?
We're headquartered in Hyderabad, India, with extensive US client experience including Mercer, Aesthetic Record, and other US-based companies. We work in US time zones (EST/PST overlap) and travel for key milestones. See our US case studies.
Do you have experience with US compliance frameworks?
Yes. We've built HIPAA-compliant healthcare platforms, PCI DSS payment systems, SOC 2-certified infrastructure, and navigated SEC requirements for fintech. We bring compliance expertise from 15+ years of building for US markets. Learn about our healthcare expertise.
Ready to accelerate your US startup?
Book a 30-minute strategy call. Tell us about your product, technology, and growth challenges — we'll share what we'd do differently.
Book a Strategy Call