Offline
FinOps

Cost optimization

Unit economics across compute, storage, egress, and per-tenant cost-to-serve.

MTD spend
$184k
Δ vs budget
−6.4%
Cost per active patient
$0.41
Waste signals
9

Spend by category — MTD

  • Compute (regions, edge)
    $72k · 39%tracking
  • Storage (FHIR + cold archive)
    $41k · 22%tracking
  • AI inference (GPT, embedding)
    $28k · 15%growing
  • Egress & CDN
    $19k · 10%tracking
  • Observability & logs
    $14k · 8%tracking
  • Third-party APIs
    $10k · 6%tracking

Waste & rightsizing

  • Idle Postgres replicas (us-east-2)save $2.4k/mo
  • Over-provisioned ingest workerssave $1.9k/mo
  • Orphan attachments > 90dsave $1.2k/mo
  • Verbose audit logs (DEBUG)save $0.8k/mo

Top tenants by cost-to-serve

  • Northstar Health (412 sites)$38k/mo · $0.34 / patient
  • BayState Medical$22k/mo · $0.48 / patient
  • Westside Clinic Group$9k/mo · $0.51 / patient
  • Coastal Regional$7k/mo · $0.62 / patient