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Case study · From the Pluris libraryReceipt no. 5145
What sucked

The customer is a market leader in the ultrasound segment, but its codebase was 20+ years old and not built for cloud or multitenancy, so every customer needed a separate deployment of the full stack.

The economics only ran one way: each new customer meant another full stack to stand up and maintain, so the cost of serving a customer climbed with every deal. Running 290+ independent stacks made everything slower too, since releases had to be pushed to each instance one at a time and, with the frontend coupled to the core and nothing multi-tenant, features could not be built once and shipped everywhere. A bundled commercial image viewer added significant COGS, and rich imaging and study data went unmonetized. After a PE acquisition with a mandate to accelerate growth, the modernization had aggressive timelines that traditional development could not meet.

Private equityHealthcare & Life SciencesProduct & Engineering6–12 months
What they built

A consolidation of 290+ single-tenant VB6 instances into one multi-tenant SaaS on AWS, accelerated by Ideas2IT's Legacyleap modernization platform, plus three production AI products running on Anthropic Claude.

What changed
~$500K+/yr in licensing eliminated

The licensed image viewer became diagnostic imaging the company owns, removing the per-customer fee that grew with every deal and lifting gross margin. (Estimated)

60% less rewrite effort

Legacyleap read and mapped 290+ instances up front, so the modernization skipped months of manual code archaeology.

3 AI products shipped in 12 months

AI imaging analytics, voice-to-text clinical documentation, and conversational BI all shipped in the same window, with voice-to-text cutting documentation time an estimated 50%.

Time to results
6–12 months
Company size
51-250 people
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Who did it
Murali Vivekanandan
President, Ideas2IT Technologies

Vetted by Pluris.