About
Anthony Comito leads Foundry 41.
Foundry 41 is a small, senior engineering boutique led by Anthony Comito. He is CTO at a healthcare technology company and works as a fractional CTO for healthcare and AI SaaS companies. The work is senior-led and AI-assisted, and you work directly with the people building it.
Elsewhere: LinkedIn · Upwork profile
Last updated
Roles
What does Anthony do?
He runs engineering in two places: as CTO at a healthcare technology company, and as the lead engineer of Foundry 41, where he takes fractional CTO engagements for healthcare and AI SaaS companies and leads the firm's governed AI workflow engineering.
His focus is the work that decides whether software holds up in production: EHR integrations, AWS environments with narrow access, and compliance-minded architecture with human approval where it matters.
- Current role
- CTO at a healthcare technology company
- Fractional CTO
- Healthcare and AI SaaS companies
- Integrations
- EHR integrations over FHIR and EHR vendor APIs
- Cloud
- AWS
- Architecture
- Compliance-minded: least-privilege access, audit records, PHI kept in the client's environment
- Foundry 41
- Leads the firm; builds and runs Sky, its internal company brain
Track record
What is Anthony's independent track record?
Anthony is Expert-Vetted on Upwork, with more than $200K earned across 31 jobs and 3,545 hours.
- Earned on Upwork
- $200K+
- Jobs
- 31
- Hours
- 3,545
- Status
- Expert-Vetted
What he runs
What is Sky?
Sky is Foundry 41's internal company brain, which Anthony builds and runs. It works in Slack, runs in its own AWS account, opens pull requests in Foundry 41's repositories, runs scheduled routines, and reads its own logs.
Sky is an internal reference deployment, not a customer deployment. It is where Foundry 41 uses the patterns described on this site—governed context, isolated jobs, human review—on its own work.
Working together
What is it like to work with Foundry 41?
Direct. Foundry 41 is a small, senior team: the work is senior-led and AI-assisted, and you work directly with the people building it, with no account layer in between.
Engagements start with a short fit call. From there it is a fractional CTO engagement, a paid, fixed-scope Workflow Blueprint, or an honest "not a fit."
Start with a conversation
Bring one workflow or one technical decision.
Email hello@foundry41.com with the problem, the systems involved, and who owns the outcome.