FortyAU

What FortyAU does

FortyAU is a Nashville-headquartered digital engineering and AI solutions firm founded in 2010 by engineers, delivering custom software, AI/ML, cloud, and product design services to enterprise clients. The company is privately held, operates as FortyAU, LLC (Tennessee), and employs 101-250 people, with offices in Nashville (HQ), Dallas, Denver, and Asunción, Paraguay. Approximately 90% of its project work is concentrated in healthcare, financial services, and other regulated industries, and the firm emphasizes a 90%+ technical workforce including senior leadership over delivery, with a stated practice of hiring the top 1% of tech talent in its key markets.

The company's core offerings span four service lines — Data & AI, Software Engineering, Cloud & DevOps, and Product & Design — built on multi-cloud (Azure, AWS, Google Cloud), full-stack web and mobile, PostgreSQL/MySQL/MongoDB, Kubernetes-based container orchestration, Kafka/Kinesis event streaming, and LLM/RAG-based AI. Notable healthcare AI solutions include an AI-powered nurse handoff system with RAG, an ambient call transcription service for clinical documentation, an AI voice-enabled patient scheduling platform with EMR integration, and Azure-based healthcare cloud architecture using Microsoft Entra ID and OpenID Connect. The company has named enterprise and mid-market clients including HCA Healthcare, Dollar General, Optum, Thomson Reuters, Delta Dental, Healthstream, and Asurion, with reported client outcomes such as 600,000 users supported, 3x client revenue growth, 80% documentation time reduction, and 100% nurse satisfaction.

FortyAU generates revenue through professional services engagements — custom, quote-based, project-based work with multi-year contracts — and distributes exclusively through direct technical-led engagement with no marketplace or self-serve channels. In May 2026, FortyAU acquired Ronin Consulting, a Nashville-based software engineering and AI firm serving healthcare, financial services, and defense, with Ronin's leadership retained to expand AI/data capabilities and engineering capacity. The firm relies on case-study-led content marketing, enterprise client logos, and executive testimonials for demand generation, positioning engineering credibility as its primary sales vehicle.

Name

FortyAU

Legal name

FortyAU, LLC

Website

https://fortyau.com

Company type

Private

Founded year

2010

Operating status

Operating

Headcount range

101–250 employees

Short description

FortyAU is a Nashville-based digital engineering and AI solutions firm providing custom software, AI/ML, cloud, and product design services to enterprise and mid-market clients, with 90% of projects in healthcare and financial services.

Ownership category

akta.pro rank

Product category

Custom Software Engineering Services

NAICS

Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (5182)

SIC

Services-Prepackaged Software (7372), Services-Health Services (8000)

akta.pro primary industry

Virtual Nursing, Telemonitoring & Command Center Platforms (HLACAFAH)

Keywords

• Custom software development
• AI engineering services
• Healthcare software solutions
• Cloud architecture services
• Digital engineering consulting

Headquarters

HQ city

Nashville

HQ country

United States

HQ region

North America

Offices5 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Technology or R&D, Operations, Marketing or Sales, Infrastructure

Revenue model

1. Professional Services - Custom Software Development: Bespoke software engineering and consulting services delivered by technical teams. Revenue derived from project-based engagements with enterprise clients in healthcare and financial services. Engagements typically involve full-service teams across the entire SDLC from strategy through delivery.

Pricing tiers

Go-to-market motion2 records

Distribution channels2 records

Marketing channels4 records

Core offering

FortyAU is a digital engineering and AI professional services firm that designs, builds, and maintains custom software solutions for enterprise clients. Its core offerings span four service lines — Data & AI, Software Engineering, Cloud & DevOps, and Product & Design — delivered by in-house engineering teams from strategy through deployment. The firm specializes in healthcare and highly regulated industries, with deep expertise in AI-powered clinical applications, HIPAA-compliant cloud architectures, and full-lifecycle enterprise software development.

Product overview

FortyAU is a Nashville-based digital engineering and AI solutions firm offering a comprehensive suite of professional services. The core offerings include four main service categories: Data & AI (encompassing Data Engineering, Artificial Intelligence, and Advanced Analytics), Software Engineering (including Full Stack Development, Systems Integration, and Mobile Development), Cloud & DevOps (covering Cloud Architecture and DevOps & Automation), and Product & Design (including Product Strategy, UX Design, and Product Management). FortyAU specializes in serving healthcare and highly-regulated industries, with demonstrated expertise in building AI-powered solutions such as nurse handoff systems, AI-assisted documentation, and intelligent scheduling platforms. The company also offers specialized services like System Reliability, Infrastructure Deployment, and comprehensive Systems Integration for regulated environments.

Differentiator

Problem solved

Functional benefit

Products and services

• Data & AI Comprehensive data and AI professional services including data engineering, analytics, business intelligence, and AI-powered solutions for healthcare and regulated industries. Delivered to enterprise and mid-market clients as a standalone service line.
• Software Engineering
• Cloud & DevOps
• Product & Design

Quantifiable outcome

• Nurse documentation time reduced by 80%
• +7 more outcomes

Named customers18 records

Segments5 records

Ideal customer profiles4 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration6 records

AI capability13 records

Feature4 records

Partnerships

One partnership is on record.

• Ronin ConsultingcoreStrategic or Co-development Partner · 18 May 2026FortyAU acquired Ronin Consulting, a Nashville-based software engineering and AI development firm serving enterprise clients in healthcare, financial services, and defense. The transaction combines two engineer-founded companies with complementary client portfolios. Ronin's leadership team remains with the combined organization, bringing expanded AI and data capabilities, technical talent, and mature account management.

Scale indicators17 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Thoughtworks: Custom software engineering firm focused on digital transformation with strong healthcare and financial services practices. Comparable in offering bespoke engineering, domain specialization, and emphasis on technical excellence.
• Slalom: Technology consulting firm specializing in healthcare, financial services, and regulated industries with a regional delivery model and strong enterprise sales motion. Directly comparable in target verticals, project-based services model, and engineer-led positioning.
• Endava: IT services firm providing custom software development across financial services, healthcare, and other regulated industries. Comparable in regulated-industry focus, multi-region delivery, and project-based services model.
• Globant: Digital engineering firm delivering AI, cloud, and custom software for enterprise clients including healthcare and financial services. Comparable in AI/digital engineering focus and enterprise healthcare customer base.
• Nordic Consulting: Healthcare IT consulting firm specializing in EHR implementation, optimization, and custom clinical software. Comparable in narrow healthcare focus and advisory-plus-engineering delivery model.
• Tegria: Healthcare-focused IT services and consulting firm spun out of Providence Health. Directly comparable in deep healthcare specialization, clinical workflow expertise, and enterprise provider customer base.

Broad incumbents

• Accenture: Largest global IT services and consulting firm with deep healthcare practice and significant AI engineering capability. Overlaps as a competitor for enterprise healthcare digital transformation deals but operates at vastly greater scale.
• Cognizant: Global IT services firm with major healthcare and financial services verticals providing digital engineering and consulting at scale. Comparable in healthcare client focus but with substantially larger delivery footprint.
• Deloitte Digital: Big Four consulting arm offering technology transformation services with strong healthcare and financial services practices. Comparable in serving regulated enterprise buyers, though as part of a much broader portfolio.
• Infosys: Global system integrator with established healthcare and financial services digital engineering practices. Competes for enterprise custom development deals but operates global delivery model at much larger scale.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights7 records

Customer concentration

• Xx.com/fortyau
• Facebookfacebook.com/fortyau
• LinkedInlinkedin.com/company/fortyau

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Subsidiaries1 record

Funding overview

Funding rounds1 record

Investors1 record

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A1 record

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about FortyAU