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EverPure: How Legacy Health Modernized IT

Everpure
08/11/2026
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We are Oregon's largest private nonprofit health care system, so data is incredibly important to our organization and quick access to that data. Data is, you know, top of mind for every physician. That instant response when they're troubleshooting or triaging a patient is key, right? Seconds matter in certain situations and having a performance system in the back end to ensure that that's the last thing they think about is really important to us. Our EHR vendor, Epic, let us know that our existing three tier infrastructure wasn't sufficient to support the next round of upgrades coming. We made the choice to go back to Epic's recommended platform for the operational database, which was VMware ESXi. And we made that decision two weeks prior to Broadcom's announcement of the acquisition of VMware. And we were incredibly disappointed when over the course of four months we were unable to get licensing. So we went back to the drawing board. We met with Epic in person with Nutanix and started to talk about something that Epic had been testing a little bit internally and something that I've been very interested in, which was NVMe over TCP. And a number of things kind of all aligned. Pure released their iteration in support of NVMe over TCP. And this allowed us to take a virtual machine running on Nutanix and connect it to Pure Storage using NVMe over TCP. This was a theory at best when we started. We were able to build the first iteration and Nutanix and Pure Storage and everyone involved. We had some fantastic results and it blew everyone's mind. One of the biggest benefits from this process that we just went through was the fact that we're now on a seamless platform. There's less disruptions, there's less down times. It's just a better experience overall. www.microsoft.com

TL;DR

  • Legacy Health, Oregon's largest private nonprofit health system, needed to modernize its data infrastructure to meet Epic EHR upgrade requirements and ensure fast, reliable access to patient data.
  • A last-minute VMware licensing failure following Broadcom's acquisition forced Legacy Health to abandon its original plan and explore alternative infrastructure approaches.
  • Partnering with Epic and Nutanix, Legacy Health deployed NVMe over TCP with Pure Storage — a configuration that was experimental at the start but delivered outstanding performance results.

Summary

Legacy Health, Oregon's largest private nonprofit healthcare system, shares how it modernized its data infrastructure using Pure Storage and Nutanix after a series of unexpected infrastructure challenges. The organization's EHR vendor, Epic, flagged that its existing three-tier infrastructure was no longer sufficient to support upcoming platform upgrades, prompting a move to VMware ESXi — a decision made just two weeks before Broadcom announced its acquisition of VMware. Unable to secure licensing over the following four months, Legacy Health was forced to pivot. Working directly with Epic and Nutanix, the team explored NVMe over TCP, a protocol Epic had been testing internally. Pure Storage's support for NVMe over TCP enabled Legacy Health to connect virtual machines running on Nutanix directly to Pure Storage arrays — a configuration that was, by the team's own admission, theoretical at the outset. The results exceeded expectations, delivering the performance and resiliency required for clinical workflows where seconds matter. Physicians now have near-instant access to patient data, reducing cognitive load during triage and troubleshooting. The outcome is a seamless, lower-disruption platform that positions Legacy Health for long-term infrastructure growth without the complexity of legacy tiered architectures.

Chapters

0:00 - Infrastructure Standards at Legacy Health
0:47 - Epic Upgrade Requirements & VMware Decision
1:13 - Broadcom Acquisition Derails Licensing
1:21 - NVMe over TCP Solution with Nutanix & Pure
2:13 - Results and Platform Benefits

Key Quotes

0:25 "Data is, you know, top of mind for every physician. That instant response when they're troubleshooting or triaging a patient is key, right? ..."
0:36 "Seconds matter in certain situations and having a performance system in the back end to ensure that that's the last thing they think about is really important to us."
1:05 "We made that decision two weeks prior to Broadcom's announcement of the acquisition of VMware."
2:08 "We had some fantastic results and it blew everyone's mind."

FAQ

Why did Legacy Health switch away from VMware ESXi for its Epic EHR infrastructure?

Legacy Health initially chose VMware ESXi based on Epic's recommendation, but the decision was made just two weeks before Broadcom announced its acquisition of VMware. Over the following four months, Legacy Health was unable to obtain the necessary licensing, forcing the team to find an alternative solution.

What is NVMe over TCP and how did it help Legacy Health?

NVMe over TCP is a storage protocol that allows virtual machines — in this case running on Nutanix — to connect directly to storage arrays like Pure Storage over standard TCP/IP networks. For Legacy Health, it provided the high performance and low latency required to support Epic EHR workloads without relying on a traditional three-tier infrastructure.


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