Case Study on Valley ENT
From Uncertainty to Control: How Valley ENT Gained IT Visibility and Trust with Focus Solutions
One of Arizona’s largest ENT groups gained control over their infrastructure after four failed MSP relationships
At a Glance
Client
Valley ENT
Size
60+ providers, 276+ users, 15+ locations
EHR/PM System
eClinical Works
Challenge
4 MSPs in 5 years, aging systems, stalled cloud migration
Solution
Assessment, onsite support, direct executive collaboration
Results
Visibility, prioritized risk, stronger alignment
Background
Valley ENT is one of Arizona’s largest ENT practices, with more than 60 providers across 20+ locations.
After cycling through four MSPs in five years, CEO Greg Robinson was left with a patchwork of aging infrastructure, incomplete reporting, and stalled IT projects.

“This isn’t a PE-backed group with a blank check. We’re a clinical organization that can’t afford downtime.”
— Greg Robinson, CEO
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The Turning Point
When a mission-critical server hadn’t been touched in over 900 days and cloud migration efforts kept stalling, Greg brought in Focus Solutions.
We began with a full infrastructure and security assessment.
“That assessment was very, very valuable… I have to be comfortable that I have an infrastructure I can trust.” – Greg Robinson, CEO
See What’s Hiding in Your Network
Boots on the Ground
- Two engineers deployed locally in Arizona
- Senior leadership embedded on-site
- Engineers worked in person through transition
“John said, ‘I’ll post up and be there as long as you need me.’ And he was.” – Greg Robinson, CEO
What the Assessment Revealed
- Legacy servers running unsupported software
- Delayed or abandoned cloud migration projects
- Lack of executive-level visibility into security posture
- Infrastructure risks that had been downplayed or overlooked
What’s Different Now
- Regular reporting and dashboards for leadership
- Clarity on project status, including Windows 11 upgrades
- Hands-on collaboration with engineering team
- Stronger understanding of risk and where to invest next
“I’ve taken a little more active involvement because I wanted to make sure Focus had my support. Now I know a lot more than I did before.” – Greg Robinson, CEO
Greg’s Advice to Other CEOs
“I’ve been through four MSPs in five years. What I wanted was a handshake and someone who does what they say they’re going to do. That’s Focus.”