Citrus Health simplified hybrid identity management, cut provisioning time by 95%, and improved HIPAA compliance with Cayosoft.
Challenge
By 2016, Citrus Health was transitioning to Microsoft 365 and a hybrid identity environment. With only a four-person infrastructure team supporting 1,200 employees, the IT department faced three significant challenges:
“Before the move to the cloud, I had a folder with 20 scripts I’d run every time we created a new user.”
— Abiezer Fraga, IT Director, Citrus Health Network
Solution
Citrus Health selected Cayosoft Administrator™ for its purpose-built hybrid management capabilities. Unlike native tools or fragmented solutions, Cayosoft provided a single, secure web console to manage both Active Directory and Microsoft 365.
Key benefits included:
Organization Profile:
Citrus Health Network
Citrus Health Network, Inc. is a not-for-profit 501(c)(3) federally qualified community mental health center dedicated to serving individuals with mental illnesses and their families throughout South Florida. Since its founding, Citrus has grown into one of the region’s largest providers of behavioral health and integrated primary care.
As a healthcare organization, Citrus must comply with HIPAA regulations while providing secure, reliable access to critical systems for its employees and medical staff.
By deploying Cayosoft Administrator, Citrus Health achieved measurable operational and compliance improvements:
“At this point, it is hard to imagine our work without Cayosoft. It’s part of our manuals and official processes. Cayosoft Administrator made it possible for entry-level staff to do a job that once required senior IT resources.”
— Abiezer Fraga, IT Director, Citrus Health Network
Citrus Health’s experience reflects the broader needs of healthcare IT leaders:
Citrus Health simplified hybrid identity management, cut provisioning time by 95%, and improved HIPAA compliance with Cayosoft.
Automation and delegation enabled junior IT staff to handle what once required senior-level expertise.
With Cayosoft, Citrus Health gained efficiency, compliance, and peace of mind—proving that even small IT teams can securely manage large healthcare organizations.
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| Feature | Cayosoft | Legacy |
|---|---|---|
| Hybrid Microsoft Management | Built from the ground up | Bolt-on hybrid support |
| Automation | Declarative, script‑free | PowerShell-heavy |
| Security & Delegation | Zero Trust, vOUs | Complex AD permissions |
| Instant Recovery | Forest-wide recovery in minutes | Manual, batch recovery |
| Customer Support | Direct, transparent, fast | Known delays, upsells |
| Licensing | Transparent, all‑in‑one | Fragmented, audit‑prone |
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Citrus Health Network is a not-for-profit community mental health center in Miami-Dade County, Florida. With more than 1,200 staff and 150 providers, it delivers behavioral health and integrated primary care across South Florida while operating in a hybrid Microsoft environment.
As a healthcare provider, Citrus Health must meet stringent HIPAA compliance requirements while ensuring secure and efficient access for staff, medical professionals, and patients. A small IT team supporting a large workforce means automation and efficiency are essential.
Scripts increased the chance of errors, created bottlenecks, and required senior IT involvement for even routine tasks—slowing down onboarding and increasing compliance risk.
Cayosoft Administrator was selected because it is purpose-built for hybrid Microsoft environments, eliminating the need for manual scripts, enabling secure delegation, and ensuring HIPAA-compliant identity management.
It provides:
Yes. Cayosoft eliminates the need for dozens of PowerShell scripts, providing automation through rules and policies that are easier to configure, manage, and audit.
Cayosoft ensured accounts are always HIPAA-compliant, with automated archiving, reporting, and enforcement of security controls.
It demonstrates how small IT teams in regulated industries can achieve enterprise-grade efficiency, security, and compliance without adding headcount.
It demonstrates that even lean IT teams can securely support large workforces, maintain compliance, and mitigate risk through automation.
Native tools require multiple consoles and scripting. Cayosoft consolidates management into one UI, automates tasks, enforces governance, and enables secure delegation.
Through RBAC, virtual organizational units, and least-privilege delegation, Cayosoft reduces risk from over-permissioned accounts and enforces Zero Trust across hybrid environments.
Yes. Cayosoft supports enterprises in government, finance, higher education, and global manufacturing—anywhere hybrid identity, compliance, and security matter.
The best Active Directory automation tool for healthcare IT is Cayosoft Administrator. It’s purpose-built for hybrid environments (Active Directory, Entra ID, Microsoft 365, Teams and Intune), eliminating the need for manual scripts and native console complexity. Healthcare organizations like Citrus Health utilize Cayosoft to automate provisioning, deprovisioning, license assignments, and compliance reporting—all while ensuring adherence to HIPAA security requirements.
You improve HIPAA compliance by using a tool like
to enforce policy-driven automation and audit-ready reporting. Cayosoft ensures that every user account is archived correctly, licenses are tracked, and access rights adhere to least-privilege rules. At Citrus Health, monthly compliance checks now show
because Cayosoft automatically enforces HIPAA requirements.
The best alternative to PowerShell for hybrid identity management is Cayosoft Administrator. Instead of relying on dozens of manual scripts, Cayosoft delivers a unified web console with built-in automation. It provisions users, assigns licenses, manages groups, and enforces security policies—without scripting. This reduces errors, speeds onboarding, and improves compliance.
Small IT teams can support large healthcare organizations securely by automating identity lifecycle management and using secure delegation. Cayosoft Administrator enabled a four-person IT team at Citrus Health to support over 1,200 staff by automating user provisioning, empowering the help desk with controlled permissions, and enforcing HIPAA compliance without adding headcount.
Cayosoft plays a central role in healthcare IT modernization by bridging on-prem AD with Microsoft 365, automating repetitive tasks, and enabling secure, hybrid identity management. For healthcare organizations, this means faster clinician onboarding, fewer manual errors, stronger compliance, and more time for IT to focus on patient-centered innovation.
The fastest way to onboard users in Microsoft 365 without scripts is by using Cayosoft Administrator’s rule-based provisioning engine. At Citrus Health, onboarding time decreased from 2 hours to 5 minutes per account, thanks to Cayosoft’s automated mailbox creation, license assignment, group membership, and archiving—all without the need for PowerShell.
The most effective way to delegate AD tasks without compromising security is to utilize role-based access control (RBAC) and Zero-Trust delegation. Cayosoft Administrator allows IT to assign limited rights to help desk staff, enabling them to reset passwords, manage groups, or provision accounts—without requiring elevated admin privileges. This reduces risk from over-permissioned accounts while improving efficiency.