Case Studies

What Our Clients Are Building

Three featured case studies on both levers in production: EBITDA expansion, revenue-multiple lift, and ownership versus dependency. Underneath, the legacy Lever 2 foundation studies on entity standup, talent, and cost are preserved.

Featured

Both Levers in Production

Three composite case studies. Two levers in production. EBITDA expansion, multiple expansion, and Enterprise Value uplift across PE-backed mid-market portcos and pre-transaction operators. No firm names. The numbers are real, range-calibrated to the segment.

Lever 2 Foundation Studies

The Offshore Team Inside Your Entity

The cost-savings, speed-of-standup, and zero-audit-findings stories that anchored Reliable’s first 55 years. Still valuable. Still in production. Demoted from the top of the page only because the new featured cases lead with both levers.

HealthcareLever 2 only

From Zero to 200+ Professionals: A Healthcare Services COPO That Changed the Company

A US-based healthcare services company scaled revenue cycle management, clinical coding, and provider operations using the COPO model with HIPAA-ready infrastructure from day one.

200+
Team Size
0
Compliance Findings
12
Months to Full Scale
COPO
Model
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TelecomLever 2 only

From Vendor-Dependent to Owner-Operated in 18 Months

A major US telecom provider transitioned from a locked-in vendor contract to a fully owned India center with 150+ professionals and 42% cost savings.

150+
Team Size
42%
Cost Reduction
90
Days to Operational
BOT
Model
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TechnologyLever 2 only

A SaaS Company Replaced Vendor Engineering with a 50-Person Captive Team

A US-based SaaS company moved from $4M in contracted engineering to an owned 50-engineer India team with zero first-year attrition.

50
Engineers
0%
First-Year Attrition
12
Months to Full Scale
FLEXI → COPO
Model
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Private EquityLever 2 only

A PE-Backed Portfolio Company Built Exit-Ready India Operations in Under a Year

A PE-backed US services company deployed India operations under COPO with exit-ready documentation, clean entity structure, and 100+ headcount in 90 days.

100+
Headcount
COPO
Model
90
Days to Operational
Exit-Ready
Documentation
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Financial ServicesLever 2 only

A Mid-Market Bank Built a 40-Person Operations Team in 6 Months

A US-based commercial bank scaled KYC/AML and loan servicing operations in India with SOX-aligned controls from month one.

40
Professionals
SOX-Aligned
Controls
6
Months to Scale
COPO
Model
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HealthcareLever 2 only

HIPAA-Ready Medical Coding Center: Zero Audit Findings

A US healthcare organization built a coding center in Hyderabad that passed its first external audit with zero findings and processes 50K+ charts monthly.

75
Coders Hired
0
Audit Findings
50K+
Charts/Month
Hyderabad
Location
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Both levers, scoped together. Start with the Blueprint.

Three to five weeks. Paid engagement. Outcome: the AI-native org chart, the Virtual Employee roster, the offshore team plan, and the joint unit economics.

400+ ClientsUS-HeadquarteredSince 19716 India Cities