Charité Universitätsmedizin Berlin is the oldest hospital in Europe, dating to 1710, and with the help of SAP In-Memory Appliance Software (SAP HANA*) running on the Intel® Xeon® processor 7500 series, it plans to complement that long history with cutting-edge business intelligence. Healthcare providers worldwide must bring together state-of-the-art medical knowledge and technical capabilities to provide excellent care while safeguarding fiscal soundness. Charité Universitätsmedizin Berlin is pursuing next-generation business intelligence as one way of optimizing clinical outcomes while also improving operational and budget efficiencies. In its role of enabling robust, real-time analysis of the organization’s very large data stores, SAP HANA is a cornerstone of that effort. With four campuses in Berlin, Charité handles more than 133,000 inpatient and 564,000 outpatient cases per year, with annual turnover of approximately €1.12 billion. The hospital is supported by a creative and innovative IT organization with 135 members, which is charged with the day-to-day operation of two large, modern data centers. They support more than 11,000 users, including clinical, research, administrative, and academic personnel. Throughout these operational areas, the organization as a whole stands to gain from SAP HANA’s advanced capabilities. Challenge Improve business intelligence and clinical decision making at a major research hospital. Enable real-time ad hoc reporting from data stores consisting of more than 300 million data sets that include structured and unstructured data hosted on a heterogeneous set of systems. Drive both clinical and financial efficiencies to improve overall support for patient well-being, research pursuits, and budgetary concerns.