Overview Community Health Systems, Inc. (CHS) is one of the USA ’s leading operators of general acute care hospitals. The organization operates 158 hospitals in 22 states with approximately 27,000 licensed beds. Challenge In the last 10 years, CHS has undergone mas- sive acquisitive growth, adding over 150 new hospitals to its family. Having multiple applica- tions across this many hospitals created an identity and access management challenge for the CHS IT team. For example, one of their acquired hospitals had their healthcare profes- sionals accessing 13 different applications with 13 different logon credentials. Managing this for 2,700 users was very time-consuming, not to mention the time doctors were losing by hav- ing to log on to different applications up to 20 times a

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