Agilus Systems Schedule a call

Honesty · Respect · Meaning · Success

Modernize what matters. Build what lasts.

A fractional CTO, CIO, and CISO practice for healthcare, AI, and mid-market companies. AI-augmented delivery. Audit-ready by default.

Schedule a call See the offerings

Healthcare. AI. Modernization.

01 — What working with Agilus looks like

Five things to count on.

A decade of leading security, engineering, and infrastructure teams sits behind every engagement. The five commitments below are how the practice has always operated. They have not changed.

  1. 01

    Your opinions matter.

    Listening before acting. Clients are partners, never tickets.

  2. 02

    Hard problems, solved under pressure.

    High-rigor execution with autonomy. The work is the work. No theater.

  3. 03

    Your success is the engagement.

    Invested in the outcome, not the hours. Your goals carry the same weight as ours.

  4. 04

    Meaningful impact.

    Measurable effect on the business. No busywork. No vanity metrics.

  5. 05

    Growth through challenge.

    The hard problems solved together become skills your team carries forward for years.

02 — The offerings

Two lanes. One operator.

Each engagement is solo-delivered, AI-augmented, and built around the same five commitments above.

01

Modernization & Security

For companies whose tech stack has gotten in the way.

Legacy systems that look impossible to fix, made workable. AWS modernization. SOC 2, HIPAA, NIST compliance baselines. Security operations: SSO, zero trust, SIEM, governance. AI-augmented delivery means a pace that surprises everyone, including the auditor.

  • Architecture and infrastructure modernization
  • HIPAA, SOC 2, NIST compliance baselines
  • Security operations and governance
  • Concierge retainer with senior availability

Best for: mid-market companies with revenue, customers, and a stack holding them back.

Talk about a modernization engagement

02

Build & Launch

For startups that need a senior partner from day zero.

End-to-end build of production-grade platforms. Backend, frontend, infrastructure, compliance, and go-live ownership. Healthcare-aware. AI-native engineering with modern tooling. Fractional CTO leadership through launch and beyond.

  • End-to-end product build (API, UI, infra, ETL)
  • Multi-tenant SaaS with audit-ready foundations
  • Healthcare and AI domain expertise
  • CTO-tier partnership without CTO-tier overhead

Best for: healthcare and AI startups who need a senior technical co-founder, not a vendor.

Talk about a build engagement

Also available

Fractional CTO / CISO

Executive technology and security leadership for companies navigating modernization, M&A, or audits without a full-time hire.

Technical Due Diligence

Independent assessment of architecture, security posture, and team capability for investors, boards, or acquirers.

AI Adoption Strategy

Cut through the noise. Identify where AI moves the business forward and where it is just hype.

03 — Proven in production

Real business problems. Solved.

Three engagements. Two lanes. One operator. Each anonymized to protect the client; specifics available on a call.

01

Healthcare CCM Platform

A complex Salesforce deployment for chronic care management. Operations streamlined from 5 developers to 1. Deployment timelines cut from months to days. Documentation that turned chaos into clarity. PHI-bound and audit-ready throughout.

Months → days

02

EHR-Integrated SaaS

A healthcare SaaS app built from scratch under a single technical lead. 15 repositories spanning web, embedded React, ETL, and reference data ingestion. Full Terraform infrastructure, automated Dev/Staging/Prod, SOC 2 underway. AI-agentic engineering throughout.

15 repos · 1 lead

03

AI Company Operations

Embedded fractional CTO for an AI software company. Client implementation plans, architecture diagrams, and delivery processes all streamlined. Business reality translated into technical execution. No vendor noise.

Fractional CTO

04 — How engagements work

Senior partnership starts with mutual trust.

The practice takes a small number of clients per year, by design. These four principles shape every engagement. If they resonate, the fit is likely.

01

Trust runs both ways.

Stated commitments are kept. The same is expected back. No vendor speak, no scope games, no surprises. Straight talk, or no engagement.

02

Both sides work hard.

Senior depth and AI-augmented speed on this side. Engagement, context, and decision-making on yours. The work goes faster when both sides show up.

03

Problems surface fast.

Risks are flagged the moment they appear, in both directions. Bad news early is cheap; bad news late is expensive.

04

Push back. Hold the work accountable.

Hard problems do not get solved by nodding along. Pushback is welcome and expected. The best outcomes come from real partnership, not deference.

05 — Talk to the practice

A small number of engagements. By design.

Modernizing a legacy system, or building something serious in healthcare or AI? Thirty minutes. Honest conversation. No deck.

Schedule a call Email gary@agil.us

Honesty · Respect · Meaning · Success