Summary: A fast-growing healthcare SaaS company serving 500+ clinics across North America was struggling to maintain its platform while scaling new feature development. Their 8-person internal IT team was overwhelmed by support tickets, compliance demands, and infrastructure management.
Expedite Software Services deployed a 25-person outsourced IT team covering platform operations, DevOps, QA, and security — enabling the client to refocus internal resources on product innovation.
Transfer day-to-day platform management to a dedicated outsourced team so internal engineers can focus on product.
Establish and maintain full HIPAA compliance across infrastructure, application layer, and data handling processes.
Move from business-hours-only support to 24/7 monitoring and incident response for 500+ clinic clients.
Optimise cloud spend on AWS while improving performance and reliability of the multi-tenant SaaS platform.
Reduce deployment frequency from monthly to weekly with automated CI/CD pipelines and regression testing.
Implement enterprise-grade security controls including penetration testing, vulnerability scanning, and SOC 2 readiness.
Python (Django), React.js, PostgreSQL, Redis, Celery
AWS (ECS, RDS, ElastiCache, S3), Terraform, CloudFormation
HL7 FHIR, HIPAA (PHI encryption, audit logging, BAAs)
GitHub Actions, ArgoCD, Docker, Helm Charts
Datadog, Sentry, AWS CloudWatch, PagerDuty
Cypress, Playwright, k6 (load testing), Postman
Support tickets grew 300% in 12 months as clinic count doubled — the 8-person team couldn't keep up with SLAs.
Three critical findings in the most recent HIPAA audit — encryption gaps, incomplete access logging, and missing BAAs.
Manual deployments taking 4+ hours each, limiting releases to once a month and delaying critical bug fixes.
AWS bill growing 25% quarter-over-quarter with no cost optimisation strategy or resource right-sizing in place.
25-person team: 8 DevOps/SRE, 6 platform engineers, 5 QA automation, 3 security specialists, 3 support analysts.
Closed all audit findings in 45 days — PHI encryption at rest and in transit, complete access logging, and BAA coverage.
Built fully automated deployment pipeline — code to production in under 30 minutes with automated rollback.
Reserved instances, right-sized compute, and implemented auto-scaling — reducing AWS spend by 35%.
Round-the-clock NOC with 15-minute P1 SLA, automated alerting, and structured escalation matrix.
Moved from monthly to weekly release cadence with automated regression suites covering 2,400+ test cases.
Zero unplanned outages across 500+ clinics for 9 consecutive months after the outsourced team was fully onboarded.
Annual AWS spend reduced from $1.8M to $1.17M through reserved instances, right-sizing, and auto-scaling.
All critical audit findings remediated in 45 days — subsequent audit passed with zero findings.
Deployment frequency improved from monthly to weekly — critical hotfixes deployed same-day.
Proactive monitoring and auto-remediation reduced reactive support tickets by 85% within 6 months.
Internal engineering team freed to launch 3 new product modules in Year 1 — previously backlogged for 18 months.