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Hospital & Healthcare · CASE STUDY

Saporo, Order in chaos

How a Hospital Group remediated all critical security controls with Saporo

Responsible for healthcare services across a major city, serving nearly 500,000 patients annually

Hospital & Healthcare22,000+ employeesAD + ADCS + SMBFrance
150+Security controls remediated
2M+Attack paths eliminated
100+Hours saved every month

The Challenge

A critical AD inheritance with no clear owner

  • A critical amount of misconfigurations. As a critical healthcare operator, the organization faced government pressure to reach higher standards.

  • A retiring AD administrator left behind a complex, undocumented environment with no structured handover.

  • AD lacked proper tiering and segmentation, leaving privilege escalation paths across the environment unaddressed.

  • Manual audits and periodic audit scans could not scale to an environment of 245,000 identities or surface attack paths at all.

Why Saporo

Manual audits and controls hit their ceiling

  • Saporo maps findings across 500+ security controls, covering ANSSI, MITRE, CIS, and more, and links each one to its contextual attack path.

  • Actionable prioritization: Saporo connects each control finding to the attack paths it enables, giving the team a clear, risk-based remediation order across the full identity environment.

  • No formal tooling was in place. Security coverage depended on two people working part-time with no continuous visibility.

  • Saporo was selected to go beyond compliance scanning and deliver actionable attack path intelligence across the full identity environment.

What We Did

Mapped every path. Prioritized by real risk

  • Coverage: Mapped attack paths across the full environment, including Active Directory, AD Certificate Services, Azure, and SMB shares, exposing the complete identity attack surface for the first time and enabling risk-based prioritization.

  • Tiering and segmentation: Validated AD segmentation and identified the misconfigurations enabling lateral movement between tiers, closing the most critical privilege escalation routes.

  • Compliance alignment: Findings mapped directly to ANSSI controls and French and European standards, creating a clear, evidence-backed remediation path to desired objectives.

  • Deployment: Agentless. Operational in one hour. No disruption to clinical systems, with no agents to install or maintain.

Outcomes

From compliance gap to remediated risk

  • Millions of attack paths eliminated; critical risks across AD, ADCS, Azure, and SMB identified and remediated.

  • ANSSI compliance objectives met. The compliance threshold the team had been unable to reach through manual means for years was reached within one year with Saporo.

  • Hundreds of manual audit hours recovered. One administrator now owns what previously required two people working part-time.

  • Ongoing posture management maintained with minimal upkeep. Security issues are now addressed continuously rather than through periodic audits. Audit reports remain up to date and export-ready

Reduce identity exposure before it becomes an attack

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