This document is a case study detailing the integration of Okta and Citrix NetScaler for healthcare environments. It describes how a large hospital group utilizes Epic Systems for medical records, which are secured by NetScaler and accessed by various personnel around the clock. The document outlines the challenges faced by remote users, particularly nonresident doctors, who require access to on-premises records. It explains how Okta's Single Sign-On (SSO) and Multi-Factor Authentication (MFA) simplify and secure remote access to patient data. The integration allows healthcare staff to log in once to access both cloud and on-prem applications through a single portal. The case study emphasizes the need for strong authentication and authorization processes to protect sensitive patient data in a regulated environment. Additionally, it highlights the benefits of this integration, including simplified access for remote staff, enhanced security measures, and improved efficiency for IT administrators managing access control.