Regenaskin Solutions

From startup to $22M in year one — on six people and a system built before the first sale.

Where Regenaskin Solutions was stuck

Blake Bourque had 15 years in healthcare, had built laboratory information management systems, and had managed over 100 HL7 interface projects — so he knew exactly what bad operational infrastructure looked like. When he launched Regenaskin Solutions, a clinical skincare company, he refused to build the plane while flying it. He needed a HIPAA-compliant application, a systematized sales and onboarding process, and operational software that would scale before the first dollar came in. His previous experience with traditional software development — six-week waterfall cycles where the deliverable no longer matched the brief by the time it arrived — made him actively look for a faster, more agile approach.

What we built

We started with the Company Brain — mapping every process in Visio before a single line of code was written. Blake's entire team aligned on workflows on paper first. Then we built: a HIPAA-compliant custom portal for client onboarding and management, a streamlined software process that made it easier for clients to do business than any alternative, and sticky product infrastructure designed to protect against churn. The development speed was the differentiator — Blake described it as "I talked to you guys on a Monday and on Wednesday we had a wireframe I could click and see." The concept-to-delivery cycle went from six weeks to days. Blake's ops manager Ryan was embedded directly in the build process alongside our developer Steven, with Blake doing architecture and QC checks — not sitting in every meeting.

What happened next

Regenaskin Solutions did $22 million in accrual-based revenue in its first year of operation, with six full-time employees and roughly eight contracted sales reps at peak. Blake attributes the result directly to the systems built with OpsKings in 2024, before the revenue started flowing. The software became a competitive moat: a sticky product that clients couldn't get anywhere else, replacing paper processes, faxes, and non-compliant workflows with a single HIPAA-compliant system. Blake bought back his time as a selling CEO — out of the weeds of software meetings and back in front of patients and clients. The retainer relationship continued because every build delivered measurable ROI.