Ascension laid the groundwork for “best shore” back in the early 2000’s. They never intended to fully support Network/Data/Voice operations, and their “catholic” values often collided with real world attitudes. They basically modeled the MSP to serve as a bailout to quickly take the money and run. They outsourced in 2007 and it was a disaster, resulting in a total reboot two years later. A lot of work went into rounding up the assortment of tribes (hospitals) into something that would work. Out of that came the Service Desk, Provisioning, Applications and the sort. The problem at the time (and continues to this date) was that every hospital wanted their own expensive incompatible service model. That drove up costs, resulted in a failed Symphony project, and pi---d of a lot of providers - Gerry should be fired solely for that performance. But it gets better! Ascension benefited greatly from Federal bailout money and from covid. What did Gerry do? Well - He called about two-thirds of his IT department and basically fired them. Yes it was MSP round 2 all packaged and ready to go. Walking out the door I remembered 2007 and gave round 2 two years. Guess what happened? Advent and Amita divorced, Wiggle and a few other tribes had uprisings, and the HCL contract is up for rebid. Ascension needs to call a Sev 2 on their operation, and hand the ticket over to HCL - They’re made for each other!