For Mid-Market Health Systems

Built for healthcare.
Built around your team.

We design, deploy, and run the work your team can't justify hiring for. We don't replace your team. We make it more capable.

Start a conversation → See the work

Health systems we work with

Hospitals we work with.

Four engagements. Four reasons CIOs pick us. Each story below is real. Names withheld here. We name them in qualified late-stage conversations.

01 Regional health system Approx. 1,500 beds, Southeast

Custom observability practice, built around their stack.

We are their IT operations observability team. Custom modules, dashboards, and alert tuning for their environment.

02 Community hospital Coastal North Carolina

Network, security, contact center, professional services.

Started where the pain was. Earned the next four projects on results.

03 Public behavioral health Multi-state operator

Managed SD-WAN at scale across hundreds of sites.

Standardized architecture. New sites live in days, not weeks.

04 Multi-specialty surgical group High-volume ambulatory

Network and patient communication for ambulatory.

Healthcare beyond hospitals. Specialty groups have their own complexity.

What mid-market actually requires

Three things national MSPs miss. We don't.

Every provider claims healthcare expertise. The difference shows in three places.

01 / Co-managed, not BPO

We add capacity. We don't take over.

National MSPs absorb your environment. They run it from their NOC. Your team manages the vendor instead of the technology.

We work the other way. We bring depth where it makes sense: 24x7 coverage you can't sustainably staff, specialized expertise that doesn't justify a full-time hire, surge capacity for projects. You keep ownership. You keep strategic control.

"Co-managed visibility, configuration governance, and incident response. Not a takeover."

02 / Engineered, not templated

Custom observability. Custom dashboards. Custom tuning.

We build the observability toolchain around your environment. Custom telemetry collectors for your specific clinical and infrastructure platforms. Dashboards that reflect your topology. Alert tuning matched to how your environment actually behaves.

This is IT operations observability. Network, infrastructure, clinical application reliability. We are not a SIEM. We do not run security operations. We are your IT ops team's depth bench.

"Alert logic that reflects how your environment behaves, not how a vendor wishes it did."

03 / Designed for how care delivers

Clinical workflow drives the design.

A network architect who has never seen a code blue designs different segmentation than one who has. We design network, contact center, and operations around how the OR, ED, ICU, and clinics actually behave under load. Medical device segmentation that doesn't break biomed. Phased cutovers timed to census. Change windows negotiated with clinical informatics, not imposed on them.

"Network changes don't disrupt clinical operations because clinical operations were the design input."

The model, stated plainly

What we don't try to be.

Not a SOC

We don't run security operations. Not a SIEM, not an MDR, not a managed SOC. Our observability and incident response work is IT operations: networks, infrastructure, applications, clinical system availability. Your security team has its own tools and partner. We integrate. We don't replace.

Not a reseller

We're not in the business of shipping boxes and walking away. Hardware and licenses move through us when they need to, but engineering and operations are the product. If you need a partner whose value is procurement discounts, we're not it. If you need one whose value is what happens after the gear arrives, we are.

Not a generalist

Healthcare is one of a small number of verticals we focus on. The specialization is real. It's also bounded. If your problem isn't a fit, we'll say so and point you somewhere better.

The work, in detail

Four stories. Four reasons CIOs choose us.

Each engagement below anchors a different message. Names withheld. Operational details real.

Regional health system Approx. 1,500 beds Southeast US Aegis observability + IT ops IR

Custom observability, built for their stack.

"Engineered, not templated."

Situation

Multiple data centers. Heterogeneous network. Epic plus several specialty clinical platforms. Existing tools produced volume, not signal. Alerts didn't map to clinical impact. Senior engineers spent their time correlating noise. The team needed a partner that would build to their environment, not deliver a templated managed service.

Approach

We built a custom observability practice on top of the Aegis operating model. Custom telemetry collectors and modules for their specific platforms. Dashboards reflecting their actual topology and service definitions. Alert logic mapped to clinical service impact, not infrastructure component failure. IT ops incident response runbooks developed jointly with the internal team. Our engineers operate as an extension of their IT ops function.

Outcome

Unified visibility into clinical application performance. Alerts that match how the environment behaves. MTTR on clinical-impacting incidents down meaningfully. Senior engineers freed from L1/L2 noise. The relationship has expanded as additional environments came into the Aegis model.

When this story fits

Tier 2 / Tier 3 systems with mature IT teams who object to generic MSP positioning. CIOs burned by managed services that didn't understand their environment. When observability depth needs to be the differentiator against tier-one MSPs.

Community hospital Approx. 150 beds Coastal North Carolina Network, security, CX, PS

Land and expand across four service areas.

"We grow with you."

Situation

Small IT team. Wide operational scope. Multiple infrastructure domains aging into end-of-life simultaneously. Network refresh, security upgrades, contact center modernization, and a stack of clinical projects all on the team's plate at once. The CIO needed one partner, not a vendor portfolio to manage.

Approach

We started with network modernization. Delivered well. Got asked to take on the next thing. Then the next. The relationship grew to network architecture, security, contact center on Amazon Connect via Aegis CX, and ongoing professional services across multiple workstreams. No forced multi-year contract. Each expansion earned on results.

Outcome

One accountable IT partner across four service areas. Internal IT capacity preserved for clinical priorities. Each subsequent project moved faster because trust was already built.

When this story fits

Tier 1 community and regional hospitals worried they'll be a low-priority account at a larger MSP. CIOs whose constraint is internal capacity, not budget. When prospects fear lock-in or oversold scope.

Public behavioral health provider Multi-state operator Large distributed footprint Managed SD-WAN (VeloCloud)

SD-WAN at multi-site scale.

"We operate at scale."

Situation

Large distributed clinical footprint across multiple states. Site connectivity needs varied. Some redundancy, some basic transport, all centralized policy. Patchwork of carriers and circuit types had become operationally unsustainable as the footprint grew through acquisition.

Approach

Managed SD-WAN on VeloCloud, standardized across the footprint. Tiered configurations matched to site profile and clinical criticality. Centralized management replaced site-level config. New sites, including acquired ones, follow a repeatable deployment pattern. Time-to-connectivity dropped from weeks to days.

Outcome

Consistent connectivity quality and centralized policy across the footprint. Predictable cost. Operational overhead per site dropped substantially. The architecture absorbs new sites and acquisitions without custom design work.

When this story fits

Behavioral health, ASC platforms, dialysis chains, urgent care, any healthcare ICP with a distributed multi-site model. PE-backed platforms in active acquisition mode. Prospects quoted by telco-managed SD-WAN who want a different model.

Multi-specialty surgical group High procedural volume Ambulatory environment Network + UCaaS / CX

Network and patient communication for ambulatory.

"Healthcare beyond hospitals."

Situation

Clinical and operational growth had outpaced the underlying infrastructure. Clinicians needed reliable connectivity for clinical applications and imaging. Patients expected modern scheduling, communication, and follow-up. Existing systems limited both throughput and patient experience.

Approach

Integrated modernization across two domains. Network refresh for clinical and operational reliability. Unified communications and contact center for patient-facing scheduling, communication, and follow-up. Sequenced to minimize disruption to a high-volume clinical environment.

Outcome

Modern infrastructure aligned to current volume and growth. Patient communication more responsive and measurable. Staff time previously lost to system workarounds redirected to clinical priorities.

When this story fits

ASCs, multi-specialty groups, specialty practice platforms. PE-backed ambulatory platforms rolling up multiple practices. Healthcare prospects outside the traditional hospital ICP.

Where you fit

We show up differently for different sizes.

A 200-bed community hospital and an 1,800-bed regional system don't share problems, buying motions, or expectations. Treating them the same is the scattershot pattern most providers fall into.

Community & Regional · 150 to 499 beds

The capacity-constrained CIO.

Smaller IT teams. Tight budgets. Often single-state, often nonprofit. The constraint isn't strategy. It's bandwidth.

We lead with

A scoped assessment of where you are and what's working. Co-managed operations through Aegis when you need depth your team can't sustainably staff. Project work delivered cleanly so we earn the next thing.

Mid-Market · 500 to 1,199 beds

The system in transition.

Real IT organizations carrying real strategic load. Cloud migrations, application modernization, growth, sometimes M&A. The work doesn't stop, but the team can't grow as fast as the work.

We lead with

Architecture advisory for the projects on your roadmap. Engineering capacity for execution. Aegis as the recurring co-managed backbone for the operational work that doesn't need to be in-house.

Upper Mid-Market · 1,200 to 2,500 beds

The near-enterprise system.

Sophisticated IT teams with mature standards. More stakeholders, longer cycles, higher stakes per decision. Strategic logos that take time to win and are worth the wait.

We lead with

Specialized depth in the places your team would rather not staff full-time. Custom observability for a critical platform. Co-managed Aegis for specific domains. Engineering bench you can pull on for the projects where capacity is the bottleneck.

Ambulatory, Behavioral, Specialty Platforms

Healthcare beyond the hospital.

ASCs, multi-specialty groups, behavioral health, urgent care, PE-backed roll-ups. Distributed, repeatable, growth-oriented. Different complexity than acute care.

We lead with

Multi-site SD-WAN at scale. Repeatable site deployments. AI Contact Center for patient access and scheduling efficiency. Standardization that survives acquisition velocity.

The technical capability story

For the depth on what we build.

This page covers why mid-market hospitals choose us. For the how, see our healthcare IT solutions overview: clinical network architecture, HIPAA-aligned segmentation, secure remote access, multi-site SD-WAN, Amazon Connect for healthcare, clinical-aware observability.

Healthcare IT solutions overview →

Where to start

Three ways in.

None of these require a commitment beyond the meeting itself.

Option 01

Network and infrastructure assessment.

Free. Scoped. Three weeks. We document where you are, what's working, the highest-leverage gaps. Deliverable is yours regardless of next steps.

Request the assessment → Option 02

Peer reference call.

Talk to a CIO or VP Infrastructure already running an Aegis engagement. 20 to 30 minutes. We arrange it once we've confirmed fit.

Request a peer call → Option 03

Direct conversation.

Email, phone, calendar. We bring thinking specific to your environment, not a deck about IVI. You bring the problem you're trying to solve.

Schedule a call →

Questions worth asking

Things mid-market CIOs ask us.

The questions below come up about how we engage.

How are you different from a national MSP?

National MSPs run enterprise BPO. They want to absorb your environment, run it from their NOC, and have your team manage them. That model has a place. It's not what mid-market hospital IT teams want. We're co-managed. We add depth and capacity where you need it. You keep operational ownership.

Do you provide security operations or run a SOC?

No. Not a SOC, not an MDR, not a SIEM. Our observability and incident response work is IT operations: networks, infrastructure, applications, clinical system availability. Your security team has its own tools and partner. We integrate. We don't replace. If you need a security partner, we'll point you to good ones.

Do we have to commit to managed services to engage?

No. Most healthcare relationships start with a scoped professional services engagement: an assessment, a network refresh, a contact center modernization. They expand only if both sides see value. Aegis co-managed is for customers who want capacity beyond what their team can staff. Not a precondition.

Can you provide named customer references?

Yes, in qualified late-stage conversations. Case studies on this page are anonymized because most hospital systems prefer not to be named in writing, especially around security or operations. After mutual fit is confirmed, we arrange peer reference calls. Discretion runs both directions.

Cisco-replacement only, or do you operate in mixed environments?

Mixed environments. Our preferred platforms are Arista (campus, data center, AI), Palo Alto (network security), VeloCloud (SD-WAN), and Amazon Connect (contact center). Deep engineering bench across all of them. Most healthcare environments we walk into are mixed Cisco / Arista / Palo Alto / Fortinet. Augmenting an incumbent often makes more sense than displacing one.

How do you handle change windows in 24x7 clinical environments?

Coordinated with clinical informatics and applications. Sequenced around census. Pre-staged off-site. Validated in non-production. Rolled in phases small enough to contain any incident. We don't impose change windows on clinical operations. We negotiate them.

Are you only relevant to large hospital systems?

No. Our healthcare base ranges from community hospitals through multi-state operators, plus ambulatory and specialty groups outside the traditional hospital ICP. The engagement model adapts to team size and environment maturity. The engineering depth doesn't change.

Ready when you are.

The first conversation is just a conversation.

No deck. No demo. We come prepared with thinking specific to your environment. Bring the problem you're trying to solve. If we're not the right partner, we'll say so.

Start a conversation →

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SD-WAN / SASE / ZTNA

Built for healthcare. Built around your team.

Hospitals we work with.

Custom observability practice, built around their stack.

Network, security, contact center, professional services.

Managed SD-WAN at scale across hundreds of sites.

Network and patient communication for ambulatory.

Three things national MSPs miss. We don't.

We add capacity. We don't take over.

Custom observability. Custom dashboards. Custom tuning.

Clinical workflow drives the design.

What we don't try to be.

Four stories. Four reasons CIOs choose us.

Custom observability, built for their stack.

Situation

Approach

Outcome

Land and expand across four service areas.

Situation

Approach

Outcome

SD-WAN at multi-site scale.

Situation

Approach

Outcome

Network and patient communication for ambulatory.

Situation

Approach

Outcome

We show up differently for different sizes.

The capacity-constrained CIO.

The system in transition.

The near-enterprise system.

Healthcare beyond the hospital.

For the depth on what we build.

Three ways in.

Network and infrastructure assessment.

Peer reference call.

Direct conversation.

Things mid-market CIOs ask us.

The first conversation is just a conversation.

Resource Directory

Featured Resources

All Resources

Built for healthcare.
Built around your team.