Kevin Mackey Founder · Coach · Builder Schedule with Kevin
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The Real Me

Meet Kevin.

Not the founder. Not the consultant. The whole person.

My brain is broken. And it is beautiful.

I have severe dyslexia. I have major ADHD. I am on the autism spectrum. As a young child, life was hard in ways most people will never understand. Phonics meant nothing to me. I could not look up a word in a dictionary because I could not pronounce the word. Reading aloud was a nightmare. Spelling still is. For most of my early life, this felt like a disability. I was embarrassed by it.

The shift happened in adulthood, in business. I was sending emails to doctors — some of the most highly educated people in the world — and I always added a footer that apologized for the misspelled words and promised that polished work would always be sent to a proofreader. One day a doctor wrote back and said something I will never forget. She said, "None of your words are spelled correctly, but if I cannot figure out what you are trying to say, maybe that is more about me than it is about you."

That single sentence gave me the confidence to stop apologizing. And then the world caught up to me. Text messaging happened. Abbreviated language became normal. Suddenly my dyslexia was hidden inside everyone's everyday writing. The disability dissolved into the culture around me.

What I had once seen as a flaw, I came to recognize as a superpower. My broken brain forced me to find three, four, five alternate solutions to every problem because the obvious linear path was never available to me. Where other people see a clear straight line from the question to the answer, I see the entire puzzle from above, and I rearrange the pieces into a winning hand. That is not a workaround. That is a superior way of thinking when you are solving complex problems. And I have been doing it my whole life.

The Journey

I have lived every side of the medical ecosystem. As a young man I was sick for over a decade. I was a patient in true vulnerability — the kind of patient who teaches you what it actually feels like to be on the receiving end of medicine. Then I became a firefighter and paramedic for twelve years. I was the first-line provider showing up to the worst of the worst of the worst. I learned what providers carry, what they sacrifice, what they need from the systems behind them. Then I became a medical software consultant, integrating, building, and optimizing on a single electronic health record platform for nearly ten years.

Patient. Provider. Builder. Coach. Most people in this industry have lived one of those roles. I have lived all of them. That is why I see what others cannot see.

The Companies

That journey turned into a portfolio of companies, each one solving a different real problem in a different real world.

FxMedSupport is the flagship. Ten years of building exclusively on top of the Cerbo electronic health record. Hundreds of medical practices. Eighty-plus production applications. The official integration and development partner for Cerbo. The Cerbo community calls us the DreamMakers because we always find a way to say yes.

NutrimentRx is the parent company of FxMedSupport. It runs independent ecommerce and back-end application tools for small businesses outside the Cerbo ecosystem.

Mackey Net Solutions is a separate company entirely, run out of Florida, with no operational connection to FxMedSupport or NutrimentRx. Mackey Net Solutions is a category-defining force in custom software architecture, building enterprise-level applications across finance, legal, tourism, coffee, surfing — any industry that needs the kind of complex, custom, built-from-scratch software that off-the-shelf vendors cannot deliver.

Your Faith Guides is a faith-based life coaching application. I built it because I personally needed a coach to help me navigate everyday life as a founder, a brother, a son, a friend, a community member. The application allows you to have life conversations with biblical figures who guide you through real-world challenges using the wisdom of Christ.

OpenFlame Roastery is a passion project. I roast coffee over open flame as morning meditation. The first time I sold an order, the joy left the work. I refunded the order and decided I would never sell what I love. Now I send free coffee to a small group of community members one or two times a month. It is a gift. It is a reminder that not everything has to be monetized to be valuable.

How I Work

When I sit down with a medical practice owner or a Fortune 500 executive, the first thing I do is smile and tell them I love them. I tell them that right now, I am probably too ignorant about their business to make the statements I am about to make. I tell them I am going to ask uncomfortable questions and step into lanes they did not expect me to step into. And then I tell them the truth about why they hired me.

You hired me to show you where you are not making money. Where you are losing money. Where you are leaking time, energy, and operational efficiency. Sometimes that is exciting. Sometimes they slam the door in my face.

My father raised me with deep integrity. He taught me that what you have is your word. When you break that word, it is very hard to get it back. Across all of my companies, the rule is the same. Under-promise. Over-deliver. Tell the truth, even when it costs you the deal. Most prospects find me after they have already gone to a cheaper vendor who promised the world for ninety percent less. By the time they come back to me, they have wasted months, money, and the chance to launch their product on time. That time and energy can never be bought back. The dollars come second.

The Personal

Beyond the work, I am a son, a brother, a friend, a former stepfather, a community member. I am also a person who is doing the work on himself every day. I have spiritual healers. I have mentors. I have community.

As of the writing of this page, I am one thousand five hundred and thirty-two consecutive days into my gratitude journal. Every day. No misses. The journal also includes a mood map where I rate my day from one to five, sad face to happy face. I love that mood map so much we are adding it as a feature inside FxMedSupport's Portal Messenger Pro because I believe it should be tracked as a vital sign.

Costa Rica · Home Base

My family is in San Francisco, California. I fly back often to be close to them. But my home base is Costa Rica.

Every day I am here, I have made myself two non-negotiable promises. I sit and listen to the birds and the monkeys for at least five minutes. It usually turns into twenty or thirty. And I touch natural water — a waterfall, a river, an ocean, a lake. I love my work so much that I can lose myself inside it for eighteen or twenty-four hours straight. These rituals are how I keep Costa Rica deep within my heart, and how I remind myself how blessed I am to live such a beautiful life.

What I Believe

A business is a stool. The person receiving the service must be just as compensated as the person providing it, and just as compensated as the company overseeing the production. All three legs must stay equal. That is the foundation everything is built on.

I am not perfect. I am doing the work, the same work I ask my clients to do. What I am is honest. What I am is grounded. What I am is good.

Now you have met the real me.

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