Unleashing Options for Virtualization in Your Epic Environment

Legacy Health, a six-hospital nonprofit health system serving more than 2.5 million Oregonians, faced mounting performance, scalability, and support challenges as its Epic EMR environment struggled under exponential data growth on a legacy Microsoft Hyper-V platform. With limited vendor options, rising costs, and a derailed attempt to move to VMware, Legacy needed a modern, future-proof approach that could deliver high performance, simplify management, and strengthen cybersecurity without discarding recent infrastructure investments.
Jan. 23, 2026

Through close collaboration with Nutanix and Pure Storage, Legacy pioneered a new architecture—running Epic on Nutanix AHV with Pure Storage FlashArray using NVMe/TCP—that dramatically reduced latency, delivered up to 300,000 IOPS, improved backup times from 13 hours to 90 minutes, and ensured fast, reliable access to patient records.

The result was a transformative solution that exceeded five-year growth requirements by 3×, improved clinician experience, accelerated patient care, and enhanced resilience through built-in security and cloud flexibility for disaster recovery and cyber incidents. Legacy Health’s success demonstrates how strong vendor partnerships and modern architectures can unlock breakthrough performance for mission-critical healthcare workloads while reducing complexity and risk. Download the full summary to learn how Legacy Health achieved this transformation and what it means for organizations modernizing Epic EMR environments.