Outcreating Cyber Resilience for a Leading US Healthcare System

Our Client

The client is one of the largest not-for-profit healthcare systems in the United States, operating across hospitals, outpatient centres, and physician practices.

Its IT environment includes 7,500+ servers, 1,200 applications, and 4.2 PB of data distributed across four data centres, eight remote sites, and multi-cloud environments spanning AWS, Azure, and GCP.

Given its dependency on uninterrupted data access and strict HIPAA requirements, the organization required a scalable, cyber-resilient data protection strategy.

Market Context

Healthcare organizations are facing increasing pressure to strengthen cyber resilience as ransomware attacks, regulatory scrutiny, and hybrid-cloud complexity continue to rise. Traditional backup environments often lack immutability, recovery validation, and unified visibility across cloud and on-premises workloads.

As healthcare ecosystems scale, IT and security leaders must ensure rapid recovery, compliance readiness, and uninterrupted access to critical systems without increasing operational complexity. This shift is accelerating adoption of cyber-resilient backup architectures, clean-room recovery models, and managed resiliency services.

Key Challenges

The client’s existing data protection environment exposed infrastructure, operations, and security teams to significant resilience and recovery risks:

• Infrastructure and security teams lacked cyber-resilient backup capabilities with anomaly detection and ransomware protection.
• Microsoft 365 administrators had no recovery coverage across Exchange, SharePoint, OneDrive, and Teams workloads.
• Identity and access management teams lacked Active Directory recovery mechanisms, increasing enterprise-wide recovery risk after a breach.
• Disaster recovery and security operations teams had no isolated clean-room environments to validate recovery readiness or conduct cyber drills.
• IT leadership operated within a CapEx-heavy model that limited scalability and created unpredictable operational overhead.
• Operations teams managed fragmented recovery processes across data centers, remote locations, and multi-cloud environments.

LTM's Solution

LTM delivered a unified, Rubrik-powered cyber resilience transformation designed to improve recovery assurance, operational visibility, and compliance readiness across the healthcare ecosystem.

• Implemented Rubrik CDM across on-premises infrastructure, remote sites, and AWS, Azure, and GCP cloud environments.
• Established immutable, air-gapped protection architecture to strengthen ransomware resilience and long-term recovery readiness.
• Enabled Rubrik ADFR for secure Active Directory Forest Recovery following cyber incidents or enterprise-wide compromise.
• Implemented Rubrik for Microsoft 365 to provide granular recovery across Exchange, SharePoint, OneDrive, and Teams.
• Built a dedicated clean-room recovery environment to support isolated recovery validation and cyber simulation exercises.
• Standardized operational workflows, automation, and centralized management across distributed infrastructure environments.
• Delivered the entire platform as a fully managed Backup-as-a-Service model with fixed monthly pricing covering infrastructure, software, and 24×7 operations.

This approach established a scalable, intelligent recovery framework aligned to enterprise cyber resilience and compliance priorities.

Business Benefits

• Achieved 100% recovery coverage across virtual machines, databases, physical servers, cloud workloads, and Microsoft 365 environments.
• Strengthened enterprise cyber resilience through immutability, WORM storage, air-gapped recovery, ADFR, and validated clean-room recovery drills.
• Improved operational efficiency through centralized visibility, automation, and standardized recovery procedures across distributed environments.
• Reduced financial complexity by transitioning from a CapEx-heavy model to predictable monthly service-based pricing.
• Improved HIPAA readiness through policy-driven governance, audit-ready reporting, and enterprise-wide protection standardization.
• Optimized long-term retention costs through integrated object storage architecture and efficient Rubrik Brik utilization.

Conclusion

The transformation established a unified, cyber-resilient data protection foundation across the client’s hybrid healthcare ecosystem. By integrating clean-room recovery, Active Directory protection, Microsoft 365 coverage, and managed resiliency operations, the organization improved recovery readiness, operational visibility, and compliance assurance.

Ongoing efforts focus on expanding cyber recovery automation, strengthening cloud resiliency strategies, and enhancing enterprise-wide recovery orchestration. This foundation positions the organization to scale securely while maintaining uninterrupted access to critical healthcare systems.