
See how a 100-year-old NYC healthcare provider used a Derive Tech roadmap to secure patient data and remediate aging IT infrastructure.
Faced with aging hardware and approximately 120 virtual servers reaching end-of-life, one of New York City's most established healthcare providers—with over a century of service to the metro area—partnered with Derive Technologies to modernize its IT infrastructure. The organization's legacy VMware vSphere environment, tied to outdated blade servers, had created mounting security vulnerabilities, HIPAA compliance risks, and significant performance bottlenecks across its rehabilitation and nursing facilities.Through a comprehensive IT assessment, Derive identified critical security gaps including a lack of encryption on storage devices and SANs, inefficient system management interfaces prone to human error, and cost-prohibitive maintenance on aging hardware components. These challenges were compounded by an ongoing company-wide Exchange email migration that demanded protection while a broader infrastructure overhaul was planned.Derive Technologies delivered a future-ready strategic roadmap that successfully remediates obsolescence, ensures that sensitive patient data remains safe, and improves system performance across multiple facilities. By combining automated discovery tools, senior-level healthcare IT advisory, Azure hybrid cloud evaluation, and Microsoft licensing rationalization, Derive turned a "verge of obsolescence" situation into a clear, actionable migration path—positioning the healthcare provider for scalable, secure, and cost-predictable growth.
Leading NYC Metro Healthcare Service Provider (100+ years in operation)
Healthcare (home care, managed care, rehab, and nursing homes)
System obsolescence and high-risk compliance gaps
IT Assessment & Strategic Roadmap Development
VMware (Virtual Machine Platform), Microsoft Azure, SAS models, and Microsoft Licensing Rationalization
Derive Technologies
See how a 100-year-old NYC healthcare provider used a Derive Tech roadmap to secure patient data and remediate aging IT infrastructure.
Faced with aging hardware and 120 virtual servers reaching end-of-life, one of New York City’s most established healthcare providers partnered with Derive Technologies to modernize its IT infrastructure.
Through a comprehensive IT assessment, Derive identified critical security gaps and delivered a future-ready roadmap that successfully remediates obsolescence, ensures that sensitive patient data remains safe, and improves system performance across multiple rehabilitation and nursing facilities.
For over a century, this organization has been a cornerstone of the New York City metro area by providing essential home care and nursing services. But even the most reliable institutions can be slowed down by technical debt.
The provider was operating approximately 120 virtual servers on a legacy VMware vSphere environment. Because the underlying VMware software was tied to aging blade servers, the organization was unable to upgrade to the latest hypervisor versions, leaving them with mounting security vulnerabilities and limited support for modern workloads.
The stakes were high. In healthcare, "end-of-life" hardware is a direct threat to patient data security. The provider faced several mounting pressures:
Simultaneously, the organization was in the middle of a company-wide Exchange email migration. They needed a way to protect this ongoing project while planning a complete overhaul of their broader infrastructure.
Derive Technologies implemented a full analysis approach that examined every platform, workflow, and application from the top down.
1. Automated Discovery and Human Insight
The process began with a hybrid approach to data gathering. Derive utilized automated discovery tools to map out the 120 servers and their interdependencies, supplemented by deep-dive interviews with key IT personnel and on-site workshops, all led by Derive’s experts.
2. Senior-Level Advisory
Derive assigned a Senior Consultant with deep expertise in healthcare-specific IT challenges who coordinated Derive’s collective knowledge to provide a 360-degree view of the entire authentication and management mechanism of the system.
3. Azure Evaluation and Hybrid Planning
A team of systems engineers documented the existing infrastructure while simultaneously evaluating how these workloads could be extended to Microsoft Azure. The goal was to rationalize the technical merits of on-premise versus public or hybrid cloud options and weigh the financial implications for each.
4. Licensing Rationalization
Part of the process involved auditing Microsoft licensing to ensure full compliance while identifying opportunities to move core applications to a SaaS (Software as a Service) model, which the client preferred for its predictable costs.
The final deliverable was a modernized technology stack plan that catered to both current needs and future growth. By identifying gaps in security and performance, Derive provided a clear migration path that turned a "verge of obsolescence" situation into a competitive advantage.
The transition from a healthcare provider’s legacy systems to a modern architecture must be handled with surgical precision. The value of this roadmap was not just in the hardware recommendations, but in the operational efficiencies. It provided:
"Our IT infrastructure was on the verge of obsolescence... until Derive Tech helped us remediate that situation. Collaborating on an IT roadmap highlighted their insight and ability to modernize our IT environment. Now our systems are faster and ready for future enhancements—and most important, patient data is safer than ever." — Project Stakeholder, NYC Healthcare Provider
Derive Technologies continues to serve as a trusted advisor for organizations in the public and private sectors, leveraging their status as a Minority-Owned Business Enterprise (MBE) to deliver high-impact, expert-led IT assessments.

For more information about Derive Technologies BOOK A FREE CONSULTATION or contact us at marketing@derivetech.com or call +1 212-363-1111
.png)
The transition from a healthcare provider's legacy systems to a modern architecture must be handled with surgical precision. The value of this roadmap was not just in the hardware recommendations, but in the operational efficiencies. It provided Predictability—by favoring SAS models and predictable cost structures, the provider can now budget for IT as a known utility rather than an emergency expense. It ensured Patient Safety—by remediating security gaps, the firm guaranteed that patient data is safer than ever. And it delivered Scalability—the plan considered future business initiatives, ensuring that as the organization grows its home care and assisted living services, the IT architecture can scale alongside it.
Our IT infrastructure was on the verge of obsolescence... until Derive Tech helped us remediate that situation. Collaborating on an IT roadmap highlighted their insight and ability to modernize our IT environment. Now our systems are faster and ready for future enhancements—and most important, patient data is safer than ever.
Project Stakeholder, NYC Healthcare Provider
We’re proud to partner with some of the most respected names in the industry, delivering innovative IT solutions that drive lasting success.















Ready to optimize, secure, and future-proof your technology? Our experts will assess your current IT environment, identify opportunities for improvement, and create a tailored roadmap to help your business thrive.