From Outsourcing to Full Team Ownership: How Tonic Health Built a 15-Dev R&D Center in 3 Months

  • Eastern Europe
  • Engineering Infrastructure Setup
  • High-Volume Hiring
  • Switch from Outsourcing
  • VC-Backed Company
HQ
California, USA
Company size
51-200
Funding raised
$10.8M
Lead investors
Hearst Ventures, Perceptive Equity, and Royal Street Ventures
Team location
Eastern Europe
Cooperation time
4 years
Product
Dynamic patient intake and outcomes platform
Notable clients
Pfizer, Cigna, VA, NewYork-Presbyterian, Providence, and Mass General Brigham

TONIC HEALTH: Full-fledged R&D office with employer branding

Tonic Health is a US-based patient intake and healthcare data platform serving enterprise health systems and replacing paper clinic workflows. Founded in 2010, Tonic Health raised $10.8 million in funding. The company was later acquired by R1 RCM, and in November 2025, Luma Health acquired Tonic from R1 – expanding Luma’s reach to more than 1,000 health systems and 100 million patients.

Tonic Health employees

Issue

Tonic Health had been using a traditional outsourcing that delivered developers, but with familiar trade-offs: limited team visibility, reduced control over processes, and engineers who shipped features without owning outcomes.

The goal was to stop renting development capacity and build own software R&D team in Ukraine – one that worked directly for Tonic, aligned with its values, and embedded in the product.

But starting from zero exposed three hard blockers.

No legal presence meant no entity to employ engineers, no compliant payroll structure, and no clear framework for tax obligations – a months-long problem to solve from scratch.

No recognizable employer brand meant offer rejections, even when the role and compensation were right – the target of 5-6 hires per month stayed out of reach.

No local hiring infrastructure meant a pipeline of irrelevant CVs instead of vetted senior engineers who could fill roles on time and stay for the long run.

Solving all three simultaneously while running a product development required extra headcount to cope with the admin chaos. Tonic chose a different path.

Solution

Alcor took on the full scope of building Tonic’s Ukrainian R&D center.

Visibility came first. Alcor built Tonic’s employer brand in Ukraine via social media and crafted an EVP grounded in market-relevant salaries and benefits. This positioned Tonic as a credible employer before the first role opened.

Recruitment followed a deliberate approach: targeted sourcing from Alcor’s 325K-candidate database, personalized outreach, and pre-screening for real-world technical capability and cultural fit. It resulted in focused shortlists where 80% of CVs met Tonic’s expectations.

On the legal and operational side, Alcor structured the employment framework and handled full compliance setup, saving Tonic over a month in establishing its own legal entity. Alcor also negotiated the office lease and sourced equipment, so Tonic’s leadership never spent a day on local vendor management.

Once the team was live, Alcor consolidated all admin into a single monthly process – one partner, one invoice, zero headaches.

RESULTS:

R&D center operational in 3 months
Alcor found the perfect office location, negotiated beneficial lease terms, and handled procurements. We handled all vendor interactions on Tonic’s behalf, so the client could focus entirely on product development. 3 months from kickoff, a fully equipped, legally compliant R&D center was live.
Valley-caliber engineering team
We hired 15 senior PHP engineers as Tonic’s R&D core team, later expanding with DevOps, Frontend, Security Engineers, and QA Leads. All were interviewed for technical depth and cultural fit. Result: a fully integrated team with a tenure of 2.5+ years.
Zero offer rejections
Alcor’s employer branding campaign and localized EVP made Tonic a recognizable employer in the Ukrainian tech market before the first vacancy opened. Every engineer who received an offer accepted it – no time lost chasing replacements.
Fully managed EOR
Alcor owned every admin layer: contracts, payroll, taxes, benefits, and compliance with Ukrainian labor law. The client got its IP protected with crafted NDAs. New engineers onboarded in 10 business days, with 0 compliance burden landing on Tonic’s leadership.
Human-first support
Every request – legal, financial, operational – went to a dedicated customer manager who maintained direct contact with Tonic’s team and owned every issue to resolution. Tonic Health leaned on us, we got their back – with no ticket queues or bots.
A strategic partner, not a vendor
Some partners handle what’s in scope and nothing more. Alcor operated differently – consistently, across every legal, financial, and operational matter, year after year. Tonic’s CTO, Boris Glants, noted: “They’ve been a very strategic partner” – not a vendor who executes, but one who thinks ahead.

Build Your AI Engineering Team in 30 Days

No vendor chaos. 0 compliance risk. No more recruiting delays.

Alcor Helped Build the Foundation for Everything That Followed

2012-2016

Tonic raises $10M+ in total funding across 6 funding rounds

2018

Alcor builds Tonic’s software R&D team in Ukraine

2020

SCI Solutions acquires Tonic Health

2020

R1 RCM acquires SCI Solutions, bringing Tonic Health into R1’s portfolio

2025

Luma Health acquires Tonic from R1 and expands the company’s footprint to 1,000+ health systems and 100M patients served

Tonic Health employees

Use our calculator to estimate your team budget before any conversations starts