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Adapt Health: Fractional CTO & AI Integration
Adapt Health needed senior technical leadership to guide new product development and integrate AI and automation into their health technology platform. Marshall Tech provided fractional CTO services, architecting new features, building custom AI workflows, and establishing technical processes that allowed the team to scale efficiently.
Technical leadership
Strategic direction
AI integration
40% admin time saved
Automation coverage
60% faster operations
Team capability
Reduced dependency
01 — Challenge
The problem
Adapt Health was growing rapidly but lacked senior technical leadership. They had ambitious product roadmap goals including AI-powered patient workflows and automated administrative processes, but no clear technical strategy or architecture. The development team needed direction, and the business needed someone who could translate product vision into technical execution.
02 — Approach
The decision
Marshall Tech embedded as fractional CTO on a 2-day per week basis. We provided strategic technical direction, reviewed architecture decisions, mentored the development team, and hands-on built the AI and automation features. This gave the business senior technical leadership at a fraction of the cost of a full-time hire, with immediate delivery of high-value features.
03 — Results
Measured outcomes
| Metric | Before | After | Impact |
|---|---|---|---|
| Technical leadership | None | Fractional CTO embedded | Strategic direction |
| AI integration | Not started | 3 AI workflows live | 40% admin time saved |
| Automation coverage | Manual processes | 5 workflows automated | 60% faster operations |
| Team capability | Junior developers | Mentored, upskilled | Reduced dependency |
| Product velocity | Unclear roadmap | Prioritised, delivered | 3 features/month |
05 — Stack
Technology used
“Having Nick as our fractional CTO transformed how we build product. The AI features he built saved our team hours every day, and his guidance gave us confidence in our technical decisions.”
CEO
Adapt Health, Adapt Health
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