Whether someone is suffering from arthritis or recovering from a hamstring injury while playing soccer, they end up at the same place: the office of an orthopedic physician.
Spire has rapidly expanded since its 2019 launch, increasing its employee count by over 500%.
This growth posed unique Identity Governance and Administration (IGA) challenges and created glaring security vulnerabilities.
Nearly half of orthopedic and spine physicians work at independent practices like Orthopedic and Neurology Specialists (ONS), based in Greenwich, Connecticut.
Spire Orthopedic Partners gives these independent practices the infrastructure, capital, and guidance to optimize their operations.
With the company’s management services, physicians can keep their full focus on delivering the highest-quality patient care possible.
Spire launched with ONS as its founding practice and a bold vision to create a physician-owned national network of partner practices.
When it acquired its second partner practice in 2020, it was just the beginning of a remarkable growth story.
Five years after initially launching, Spire Orthopedic Partners has become the leading orthopedic partner network in the Northeast, with 165 physicians working across 40 different locations.
Over that time, its employee count skyrocketed from 350 employees in 2020 to over 1800 in 2025.
Spire Orthopedic Partners’ rapid growth and partnership model created unique and significant identity management challenges for its IT department.
Sysadmins manually needed to reflect Joiner-Mover-Leaver (JML) updates between employees’ Paycom profiles and their Entra ID profiles.
Similarly, sysadmins were manually assigning, managing, and revoking user access privileges to core healthcare systems and records.
As Spire’s partner network expanded, this went from a manageable process to a massive burden.
With so many employees in so many different locations, delays and errors became increasingly frequent events.
Delayed access deprovisioning and incorrect privilege assignments posed a significant security risk.
Ghost accounts that retained system access offered an easy entry point for hackers.
A data breach for a healthcare organization is almost twice as costly as the national average, per IBM data.
Spire Orthopedic Partners needed to find a way to ensure consistent, timely, and correct user access provisioning to avoid disaster and stay HIPAA-compliant.
With another major acquisition on the horizon, Spire found the perfect answer to its IAM problem in Hire2Retire by RoboMQ.
Hire2Retire implemented Paycom to Entra ID integration to seamlessly sync employee data.
With the help of RoboMQ’s customer success team, Spire created automated workflows in Hire2Retire’s no-code UI to reflect identity lifecycle events like hires, role changes, or terminations in near-real time.
Crucially, Hire2Retire consistently updates user access privileges and group memberships for every employee account, and accurately provisions access based on role, location, and practice.
Now, all of Spire’s physicians have access to only their location’s healthcare systems and only their patient records.
When employees are offboarded, their access is promptly revoked, preventing security risks and ghost accounts.
Hire2Retire has also automated IT onboarding processes, automatically creating and provisioning Entra ID profiles in advance of their start date.
Now, new hires can hit the ground running from day one instead of chasing down IT for system access or resource assignment.
Thanks to Hire2Retire, Spire Orthopedic Partners has been able to reduce overall onboarding times by up to 5 days.
By automating previously manual administrative tasks, Hire2Retire has reduced Spire’s IT workload by up to 90%, giving sysadmins hours of their work week back so pertinent IT tickets can get resolved faster.
In addition, Hire2Retire can easily scale up to manage over 10,000 employee profiles, making it the perfect long-term partner for Spire Orthopedic Partners.
As Spire continues its rapid growth and adds more partner practices, Hire2Retire’s IGA automation will ensure stringent data security while saving IT resources.
To see how Hire2Retire can automate user access provisioning and JML processes for your organization, book a free one-on-one discovery call now!
