Healthcare
$1.9M found in ninety days
A HIPAA-regulated platform provider whose cloud bill had grown 60% year on year while revenue grew 18%, with no clear explanation for the gap.
Before and after
BeforeAfter41%
Reduction in infrastructure cost
24x
Increase in deploy frequency
8 min
Recovery time, from 6 hours
0
Open audit findings
The challenge
What they were dealing with
Infrastructure had been built quickly during a growth phase and never revisited. Nothing was defined in code, non-production environments ran continuously, storage had no lifecycle policy, and no one wanted to touch a system they could not rebuild if it broke.
Services involved
What we did
- 01
Captured the existing estate in Terraform before changing anything, so every subsequent change was reversible
- 02
Started with the boring wins: non-production shutdown schedules, storage tiering, orphaned resource cleanup
- 03
Rightsized against measured utilisation rather than requested capacity
- 04
Restructured commitments once the steady-state baseline was actually known
- 05
Rebuilt the landing zone with HIPAA guardrails as policy-as-code, closing every open audit finding
The outcome
$1.9M annualised saving in 90 days
Measured against the pre-engagement baseline and re-verified at the 90-day review.
- 41% — Reduction in infrastructure cost
- 24x — Increase in deploy frequency
- 8 min — Recovery time, from 6 hours
- 0 — Open audit findings
We expected a cost project. What we actually got was the first time anyone could rebuild our platform from scratch.
More work
Other engagements worth reading.
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