XRHealth Rapidly Expands, Increases Availability Using Amazon RDS

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Combining the functionality of AWS with the professionalism of Automat-it proved to be a winning formula for XRHealth

About XRHealth

Founded in 2016, XRHealth is a software-as-a-service (SaaS) medical company that provides virtual reality (VR) physical and cognitive therapy solutions. Patients can use these solutions to perform exercises from home while virtually collaborating with their clinicians. XRHealth saw an opportunity to expand to new regions as demand for these telehealth solutions increased.

The Motivation

XRHealth could not sustain additional growth in its self-managed MySQL cloud database, which failed to scale to handle the amplified volume, leading to frequent downtimes that degraded user experience. XRHealth needed a new database that would easily scale up and maintain compliance with regulations protecting sensitive patient data.

As a young startup of 50 people, XRHealth chose to use the managed services of Amazon Web Services (AWS) and professional services of Automat-it. In early 2020 it migrated to Amazon Relational Database Service (Amazon RDS) for MySQL and used it to deploy scalable MySQL instances in minutes with cost-efficient and resizable hardware capacity. On Amazon RDS, XRHealth achieved out-of-the-box compliance with regulations such as HIPAA and the European Union’s General Data Protection Regulation (GDPR); rapidly expanded to new regions; provided better performance to more users; optimized costs; and relieved its in-house staff of system maintenance tasks. Being on AWS also enabled XRHealth to quickly scale up and deploy new telehealth services during the COVID-19 pandemic.

“AWS has amazing abilities for small companies like us to start small, experiment, and iterate to find our path to success in terms of the right technical solution for the right business opportunity. Combining the functionality of AWS with the professionalism of Automat-it proved to be a winning formula for XRHealth” says Tal Arbel, Vice President of Data Products, XRHealth


  1. Set up a fully compliant infrastructure in a new region in 10 days.
  2. Expanded twice as fast as it would have with its previous cloud provider
  3. Reduced downtime
  4. Increased performance
  5. Enabled fast global expansion
  6. Optimized costs
  7. Automated backups
  8. Achieves out-of-the-box compliance with HIPAA, the GDPR, and other regulations

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