Probably not honestly, but switching to Libre Office was probably relatively easy and saves way more than it cost to pay IT to get it running on the network.
But switching the desktop environment for the entire hospital system, I could see being costly (in labor costs). Plus, I'm not sure that the EMR (Epic) would play nice, or any of the other various critical programs they use. Definitely a much different (and probably difficult) task to pull off smoothly, compared to switching Office for Libre
I think it really could be, if administration could understand the limitations of the IT side. And/or the corporate/entity cared to spend the money to make it happen (Like re-hiring the IT department so that everyone was on the same page).
I wish it could, but even I wouldn't think that it would be financially efficient to try and "fix" what already works. And Epic is just one of the critical programs.... there's a lot of in-between.
If it were my hospital to run; I'd wanna test-run linux desktop in some capacity, because I bet it could be made to work better/cheaper. But it's one of the most extensive hospitals in the state, with a LOT of everyone around using their services in some capacity. I can't imagine them shelling out the extra capital to "decide" if there would be "long-term gains". It's not financially smart "short-term", even if financially better "long-term.
But switching to Libre Office? I was surprised. Maybe one day we'll get there