A multi-hospital, multi-supplier organization operating under HIPAA — three managed service providers, no unified view of SLA performance, cost of service, or asset inventory. FogLifter® changed that.
This engagement involved one of the largest integrated healthcare delivery systems in the United States — a multi-hospital, multi-supplier organization operating under strict HIPAA and regulatory compliance requirements. IT infrastructure was managed across three major managed service providers, with SLA performance previously tracked manually from numerous sources in varying formats.
The IT environment comprised 70,000+ servers, 27 petabytes of storage, and 3,300 applications. At the time of engagement, there was no unified view of SLA performance, cost of service, or asset inventory across all three suppliers.
Four operational problems converging at once across a complex multi-supplier estate.
Capability by capability, mapped to the FogLifter pillars: Count, Cost, Caliber, Compliance.
FogLifter automated SLA data processing across all three managed service providers, feeding validated SLA performance data programmatically into a single ServiceNow® dashboard drillable to individual incidents and tickets. This gave the client the ability to dispute missed SLAs within the contractually required 10-day window — previously impossible.
FogLifter provided cost-of-service transparency tied directly to contract costs and billing across 70,000+ servers, 27 petabytes of storage, and 3,300 applications. This moved the organization from spreadsheet-based reconciliation to automated, evidence-based invoice validation.
FogLifter enabled the client to achieve 98.7–99.1% patching compliance across approximately 55,000 servers. Client-internal calculations show 36 application administrator hours saved per application per month — valued at $2,880 per application per month. Across 1,100+ critical applications, this produces $3.3M in savings per month, or $40M annually.
FogLifter's Validation View allowed both the client and their primary managed service provider to comment, reconcile, and agree on asset counts and SLA results — creating a defensible, multi-party audit trail for HIPAA compliance and security mandate reporting.
Where the headline savings come from, line by line.
| Line item | Value | How it's calculated |
|---|---|---|
| Patching labor savings | $40M / year | 36 application-administrator hours saved per app per month, valued at $2,880 per app per month, across 1,100+ critical applications — the client's own calculation. |
| Per application, per month | $2,880 | The unit-economic figure underneath the $40M annual headline. 36 admin hours at the client's loaded rate. |
| OpEx cost savings | $1M / year | Recurring operational expense reduction unlocked by automated SLA measurement and invoice validation. |
| Licensing cost avoidance | $2M / year | Annual avoidance from validated inventory eliminating duplicate, orphaned, and over-licensed entitlements. |
| Critical applications under managed patching | 1,100+ | The denominator for the labor-savings calculation; coordinated patching across all critical apps. |
| Managed service providers under unified SLA measurement | 3 | One ServiceNow® dashboard, drillable to incidents and tickets, replacing manual SLA reconciliation across all three providers. |
— FogLifter product documentation
