MUSC Health — Imaging & Radiology · Cloud Rationalization Executive Summary

Portfolio Overview

In plain terms: of 36 clinical applications, 5 stay where they are because they depend on physical hardware or life-safety equipment that cannot move to the cloud. 0 can be shut down now — a replacement is already deployed. 31 are candidates for cloud migration but need 4–6 weeks of discovery work first, mostly to confirm BAAs and SaaS contract terms. Once the discovery work closes, the migrating subset saves $1,432,900 per year from Year 2 onward.

36 Applications

408 Total VMs

$1,432,900/yr Run-Rate ROI (achieved Year 2 onward) Sum of migration savings — 5 actionable apps

31 Actionable Apps 0 retire · 31 migrate

0 Decommission Now

31 Discovery Required 4-6 week sprint unlocks

5 Structurally RETAIN Hardware-integrated

$7,040,800 5-Year Position Migrating subset

Portfolio Analysis

VM Distribution

Infrastructure weight by application

Strategic 6R Allocation

Recommended migration paths

Risk vs. Savings Potential

Bubble size = VM count

Financial Position

Migration-scope apps only (REPURCHASE / RETIRE / REFACTOR). Right-sizing savings on structurally-retained apps are not included.

-$640,815

Year 1 Net Cash Position

Migration costs + dual-running netted

$1,432,900/yr

Run-Rate ROI

(achieved Year 2 onward)

+$1,249,385

3-Year Cumulative Net

Migrating subset

+$3,139,585

5-Year Cumulative Net

Migrating subset

What's Blocking Us

SRC-CAP-001 21 apps unlocks ~$730,600/yr Single biggest unlock

Business Associate Agreement not confirmed — PHI cannot move to the SaaS vendor until legal/procurement closes this. Single biggest unlock.

→ GE Centricity / CCW, Mosaiq, Siemens Syngo / Syngovia, Sectra PACS, MUSE, Lumedx Apollo / CardioPACS, Acuo VNA, Philips Digital Pathology, RapidAI, Hyland OnBase / VNA, DynaCad Radiology, Infinitt Dental PACS, ATNA Audit Repository, Butterfly Link, HeartFlow Connect, Magview, PenRad, Circle, Nuance PowerShare, Nuance PowerScribe One, Volpara

SRC-CAP-002 11 apps unlocks ~$214,500/yr

Evidence is thin — more than half of the seven evidence dimensions are inferred or missing. Resolves with a short discovery sprint.

→ Philips IntelliSpace, EchoPACS, CardioAccess, Medicom, Vizai, GE Unified Viewer, LifeImage / Expedo, Optellum / Lung AI, cNeuro, ACRConnect, Teamplay

Application Rationalization Matrix

Detailed breakdown of all 36 clinical applications — current posture, strategic target, confidence, and financial impact. 🔒 = hardware-integrated / life-safety system.

* Steady-State for RETAIN apps (marked *) reflects right-sizing savings under RULE T2 — not included in the $1,432,900/yr headline Run-Rate ROI, which counts migration savings only.

Application	VMs	Current	Strategic Target	Confidence	Steady-State *	Risk	Bucket
Philips Perinatal 🔒 Philips	10	RETAIN	RETAIN	40%	$13,000/yr*	High	Structurally RETAIN
Philips Patient Monitoring 🔒 Philips	20	RETAIN	RETAIN	55%	$26,000/yr*	High	Structurally RETAIN
PaceArt 🔒 Biotronik	5	RETAIN	RETAIN	40%	$11,700/yr*	High	Structurally RETAIN
GE Centricity / CCW GE Healthcare	12	REPURCHASE	REPURCHASE	40%	$31,200/yr	Medium	Discovery Required
Mosaiq 🔒 Elekta	3	REPURCHASE	REPURCHASE	40%	$9,100/yr	High	Structurally RETAIN
Siemens Syngo / Syngovia 🔒 Siemens Healthineers	12	REPURCHASE	REPURCHASE	40%	$31,200/yr	Medium	Discovery Required
Sectra PACS Sectra	124	REPURCHASE	REPURCHASE	40%	$322,400/yr	Medium	Discovery Required
Philips IntelliSpace 🔒 Philips	66	REPURCHASE	REPURCHASE	55%	$169,000/yr	Medium	Discovery Required
MUSE 🔒 GE Healthcare	8	REPURCHASE	REPURCHASE	40%	$20,800/yr	High	Discovery Required
Lumedx Apollo / CardioPACS 🔒 Lumedx	3	REPURCHASE	REPURCHASE	40%	$9,100/yr	Medium	Discovery Required
Hologic Apex 🔒 Hologic	2	RETAIN	RETAIN	55%	$2,600/yr*	Medium	Structurally RETAIN
Acuo VNA Acuo Technologies	12	REPURCHASE	REPURCHASE	40%	$31,200/yr	Medium	Discovery Required
Philips Digital Pathology 🔒 Philips	4	REPURCHASE	REPURCHASE	40%	$10,400/yr	Medium	Discovery Required
RapidAI 🔒 RapidAI	3	REPURCHASE	REPURCHASE	40%	$9,100/yr	Medium	Discovery Required
EchoPACS 🔒 Digisonics	1	REHOST	REHOST	55%	$1,300/yr	Medium	Discovery Required
Hyland OnBase / VNA Hyland	55	REPURCHASE	REPURCHASE	40%	$144,300/yr	Medium	Discovery Required
CardioAccess 🔒 Cardiocom	1	REHOST	REHOST	55%	$1,300/yr	Medium	Discovery Required
DynaCad Radiology 🔒 Invivo	1	REHOST	REHOST	40%	$1,300/yr	Medium	Discovery Required
Medicom 🔒 Medicom	1	REHOST	REHOST	55%	$1,300/yr	Medium	Discovery Required
Infinitt Dental PACS Infinitt	12	REPURCHASE	REPURCHASE	40%	$31,200/yr	Medium	Discovery Required
ATNA Audit Repository Sectra	6	REHOST	REHOST	40%	$18,200/yr	Medium	Discovery Required
Butterfly Link Butterfly Network	3	REPURCHASE	REPURCHASE	40%	$9,100/yr	Medium	Discovery Required
HeartFlow Connect 🔒 HeartFlow	4	REPURCHASE	REPURCHASE	40%	$10,400/yr	Medium	Discovery Required
Vizai 🔒 Viz.ai	2	REPURCHASE	REPURCHASE	55%	$2,600/yr	High	Discovery Required
GE Unified Viewer 🔒 GE Healthcare	9	REHOST	REHOST	55%	$22,100/yr	Medium	Discovery Required
LifeImage / Expedo NilRead (Hyland)	4	REPURCHASE	REPURCHASE	55%	$10,400/yr	Medium	Discovery Required
Magview Magview	5	REPURCHASE	REPURCHASE	40%	$11,700/yr	Medium	Discovery Required
PenRad PenRad Technologies	2	REPURCHASE	REPURCHASE	40%	$2,600/yr	Medium	Discovery Required
Circle 🔒 Circle CVI	1	REPURCHASE	REPURCHASE	40%	$1,300/yr	Medium	Discovery Required
Nuance PowerShare Nuance (Microsoft)	10	REPURCHASE	REPURCHASE	40%	$23,400/yr	Medium	Discovery Required
Nuance PowerScribe One Nuance (Microsoft)	1	REPURCHASE	REPURCHASE	40%	$1,300/yr	Medium	Discovery Required
Optellum / Lung AI 🔒 Optellum	2	REPURCHASE	REPURCHASE	55%	$2,600/yr	Medium	Discovery Required
cNeuro 🔒 Cortechs.ai	1	REHOST	REHOST	55%	$1,300/yr	Medium	Discovery Required
Volpara Volpara Health	1	REPURCHASE	REPURCHASE	40%	$1,300/yr	Medium	Discovery Required
ACRConnect 🔒 ACR	1	REPURCHASE	REPURCHASE	55%	$1,300/yr	Medium	Discovery Required
Teamplay 🔒 Siemens Healthineers	1	REPURCHASE	REPURCHASE	55%	$1,300/yr	Medium	Discovery Required

R-ARF v4.4.1 · MUSC Health — Imaging & Radiology · Generated 2026-05-22 16:10:55 · Claude Sonnet 4.6 · 0 validator failures · Provenance-by-construction