Healthcare Graphic

US Healthcare Provider

Healthcare: Optimization project saves over $600k for US market leader

With a distributed, complex and demanding IT landscape, there was a strong suspicion that the Healthcare Provider’s SQL server estate was far from optimized, with SQL licenses under-deployed, resources not optimally allocated and databases not used to their full potential.

The challenge was to ensure that the Healthcare Provider was maximizing the benefits and savings of Software Assurance, driving greater value to the organization and its patients.


Livingstone’s Contribution

With deep SQL licensing expertise garnered from hundreds of SAM engagements globally, Livingstone’s SAM services were able to quickly identify the current situation and Effective Licensing Position (ELP), providing the Healthcare Provider with clear and compelling advice on SQL consolidation, redeployment and optimization to drive significant cost savings.

Using inventory data from Movere’s discovery solution as the baseline, Livingstone’s Microsoft licensing specialists were able to interrogate the database editions, hardware attributes and resource utilization. This was then reconciled against the Microsoft agreements and licensing conditions to identify areas of risk or over-spend.


Service Overview
  • Full baseline of Microsoft SQL estate on-premises
  • Addressed under-deployment, erroneous version licensing, right-sizing hardware
  • Livingstone SAM team identified over $600,000 in SQL licensing saving
  • Advised on cloud migration planning & strategy for SQL estate.


Business Benefits & ROI

Ultimately, Livingstone presented recommendations that would save the Healthcare Provider hundreds of thousands of dollars in SQL licensing costs alone. The insights provided by Livingstone have given the IT Operations Team the confidence to engage with Microsoft in a more robust way and Livingstone has now been engaged to deliver a continuous SAM program to help the organization implement license optimization for other Microsoft products as well as additional vendors’ software across its server and desktop estates.


  • Cost savings & cloud readiness
  • $600,000+ identified in SQL licenses cost savings
  • Cost-effective provisioning of SQL licenses
  • Downgrading of SQL licenses from Enterprise to cheaper Standard edition.

This large US not-for-profit Healthcare Provider has dozens of hospitals, hundreds of patient care sites, more than 5,000 physicians & nearly 50,000 employees