NAKIVO Saves Hawaiian Hospital Thousands of Dollars

Wahiawa General Hospital, a nonprofit hospital in Hawaii, USA, saves thousands of dollars on its VM backup budget with NAKIVO Backup & Replication installed on a QNAP NAS.

Business Challenge

Wahiawa General Hospital is a nonprofit hospital, serving the communities of Central Oahu and North Shore in Hawaii. The hospital is dedicated to providing the highest quality of care possible to each and every patient, in a safe, caring, and compassionate environment. Today, Wahiawa General Hospital offers multiple levels of patient care with their 53-bed acute care facility and 107-bed long-term care facility. The hospital’s mission remains offering the communities it serves the best technology and care.

Wahiawa General Hospital is the most comprehensive healthcare facility in that area. In order to provide the best patient care, the hospital relies on IT support. Its virtual infrastructure stores critical data and applications that are required to monitor most of the processes, everything from patient admission, examination, and treatment to accounting.

Wahiawa General Hospital’s goal is to become the go-to healthcare provider. The hospital aims to provide uninterrupted healthcare services and improve the health indicators of the population it serves. Thus, the IT team must ensure availability of data and applications at all times. The hospital relies heavily on backups to ensure patient care. It is crucial that the hospital has access to up-to-date data and is able to recover that data without any issues in case of an outage. In a worst-case scenario, without a proper VM backup solution, data loss can hinder patient care and damage the hospital’s reputation.

The hospital’s previous backup software did not meet all the requirements. The backup system relied on snapshot backups that did not warn the IT team of failed backup jobs. In addition, the previous solution was too expensive for the hospital. Therefore, they started to look for a new backup solution that would offer them application-aware backup and swift VM recovery. Moreover, it was important that the solution was easy to use and required minimum intervention from the IT team.


Wahiawa General Hospital decided to deploy NAKIVO Backup & Replication because the product supports new and older VMware vSphere versions and can be installed on QNAP servers. The choice of NAKIVO Backup & Replication was also based on the excellent support service offered by NAKIVO, meeting the hospital’s service level agreement (SLA) of just one hour, and the product’s reasonable pricing. NAKIVO Backup & Replication also offers incremental backup, application-aware backup, instant VM recovery, and instant file/object recovery.

Currently, NAKIVO Backup & Replication is installed on a QNAP server to ensure reliable protection of critical data and applications. “Installation on QNAP offloaded our virtual infrastructure from other tasks and resources. There was no need to purchase a dedicated storage server or a separate backup server, as QNAP gives us both backup and storage in one device. The combination of NAKIVO Backup & Replication and QNAP was still 5x less expensive than other solutions,” says Randal Pacheco, IT Director at Wahiawa General Hospital.

What sold the hospital’s IT team on NAKIVO Backup & Replication was the product’s proactive support team. “The level of support that I received was one of the huge factors in the decision to deploy NAKIVO Backup & Replication. Fast and proactive support service is what I needed, in case I had an issue. Support helped me configure our QNAP properly for production and speed. Support was always making sure I had no more issues before closing the ticket. Even when I was away for a couple of weeks, they still reached out and made sure I was taken care of,” says Randal.

With NAKIVO Backup & Replication, Wahiawa General Hospital now knows that all their virtual machines are readily available. Application-aware backup of NAKIVO Backup & Replication ensure that all data in all applications is transactionally consistent. Incremental backup allows the hospital to only back up changed data to the backup repository, allowing for faster backups. Finally, with instant VM recovery, entire virtual machines can be restored directly from compressed and deduplicated backups. With NAKIVO Backup & Replication, important systems can be restored in a matter of minutes.


With NAKIVO Backup & Replication installed on a QNAP NAS, Wahiawa General Hospital ensures that critical data and applications for the care of patients are available at all times. Virtual machines can be backed up incrementally and all the applications can remain consistent. Entire virtual machines can also be restored in a matter of minutes, if issues occur. The IT team also saves some time and resources in managing backups. “NAKIVO Backup & Replication allows us to be a one-man team in supporting our backups, as you can definitely set the software and forget it. The actual team is the support team of NAKIVO Backup & Replication, while we are just the hands. Overall, NAKIVO Backup & Replication gives other similar products a run for their money. When I say money, I mean that the software helped us save thousands of dollars on our VM backup budget,” says Randal.

About Wahiawa General Hospital

Wahiawa General Hospital is a community-owned, nonprofit hospital serving Central Oahu and Oahu’s world-famous North Shore. The hospital’s goal is to deliver the best possible care to every patient entering the hospital. As a community hospital, Wahiawa General Hospital offers progressive skilled services, individualized care, and state-of-the-art technology in order to provide efficient care for their patients and their families. Wahiawa General Hospital is always working toward improving their services and is always interested in hearing new ideas and suggestions to help maintain quality patient care. For more information, please visit