Scaling Infrastructure Operations

How Healimpilo helped a US healthcare enterprise establish a fully-staffed, cloud-native infrastructure operations team in India — reducing operational costs by 62% while improving incident response times.

Client Name

MedTech Solutions

Service Category

DevOps & Cloud

Industry

Electronic Health Records

Project Duration

24+ months (On Going)

Project Overview

MedTech Solutions is a US-based EHR vendor serving over 2,200 hospitals and clinics across North America. The company had grown through acquisition, inheriting three separate data centers, inconsistent automation practices, and a sprawling network architecture that no single person fully understood.

Their US-based infrastructure team was chronically understaffed — 11 engineers supporting a 24/7 operation, leading to burnout, knowledge silos, and reactive firefighting instead of proactive optimization. Mean time to resolution (MTTR) for P1 incidents was 4.2 hours. Deployments required manual runbooks and happened only during maintenance windows.

The VP of Engineering had a mandate from the board: reduce infrastructure operating costs by 50% while modernizing the stack to support the company’s shift to a cloud-native SaaS model. The constraint: they couldn’t afford downtime or the risk of offshoring to a vendor that didn’t understand healthcare compliance.

The Challenge

Build an offshore infrastructure operations capability that could replace expensive US headcount, operate 24/7, and modernize legacy systems — all without breaking what was already running in production.

The Result

62% Reduction in infrastructure operating costs (year-over-year)
1.3 hr Mean time to resolution for P1 incidents (down from 4.2 hours)
0 Customer-impacting incidents during cloud migration
99.97% Infrastructure uptime (vs. 99.82% baseline pre-engagement)
2 hrs Deployment cycle time (down from 4 days)
$1.8M Annual cloud cost savings identified through FinOps practice
80% Reduction in US on-call burden
11% Team attrition rate (vs. 25% industry average)