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Imprivata OneSign vs Microsoft Active Directory comparison

Imprivata and Microsoft are both solutions in the Single Sign-On (SSO) category. Imprivata is ranked #11 with an average rating of 9.0, while Microsoft is ranked #9 with an average rating of 8.4. Imprivata holds a 2.8% mindshare in SSO, compared to Microsoft’s 3.1% mindshare. Additionally, 100% of Imprivata users are willing to recommend the solution, compared to 97% of Microsoft users who would recommend it.
Imprivata OneSign
Read 4 Imprivata OneSign reviews
  • 1,533 Views
  • 1,257 Comparison Views
100% willing to recommend
Microsoft Active Directory
Read 47 Microsoft Active Directory reviews
  • 1,845 Views
  • 1,218 Comparison Views
97% willing to recommend
 

Comparison Buyer's Guide

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Executive SummaryUpdated on Sep 18, 2024

Imprivata OneSign and Microsoft Active Directory are compared based on user reviews and specific criteria in identity and access management. Users are happier with the pricing and support of Imprivata OneSign, but Microsoft Active Directory is favored for its features, making it worth the price.

Features: Imprivata OneSign offers single sign-on capabilities, seamless authentication management, and user-friendly access controls. Microsoft Active Directory provides comprehensive identity management, detailed access control policies, and group management functionalities. The key difference is that Imprivata focuses on convenience, while Microsoft offers a wider range of functionalities.

Room for Improvement: Imprivata OneSign needs more integration options, improved user interface design, and enhanced reporting capabilities. Microsoft Active Directory would benefit from reduced complexity, a more intuitive user interface, and better integration with third-party applications. Imprivata has a simpler approach, whereas Microsoft needs usability enhancements.

Ease of Deployment and Customer Service: Imprivata OneSign is recognized for its straightforward deployment and supportive customer service. Microsoft Active Directory has a more complex deployment process and mixed reviews on customer service. Imprivata offers a seamless experience, whereas Microsoft comes with operational challenges.

Pricing and ROI: Imprivata OneSign users find the setup costs reasonable and report positive ROI due to efficiency gains. Microsoft Active Directory users feel the initial costs are higher, but the comprehensive features justify the investment. Imprivata is cost-effective initially, while Microsoft offers value in extended utility.

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To learn more, read our detailed Imprivata OneSign vs. Microsoft Active Directory Report (Updated: December 2025).
Buyer's Guide
Imprivata OneSign vs. Microsoft Active Directory
December 2025
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Review summaries and opinions

We asked business professionals to review the solutions they use. Here are some excerpts of what they said:
 

Categories and Ranking

Imprivata OneSign
Ranking in Single Sign-On (SSO)
11th
Average Rating
9.0
Reviews Sentiment
7.8
Number of Reviews
4
Ranking in other categories
No ranking in other categories
Microsoft Active Directory
Ranking in Single Sign-On (SSO)
9th
Average Rating
8.6
Reviews Sentiment
6.3
Number of Reviews
47
Ranking in other categories
Active Directory Management (2nd)
 

Mindshare comparison

As of January 2026, in the Single Sign-On (SSO) category, the mindshare of Imprivata OneSign is 2.8%, up from 1.8% compared to the previous year. The mindshare of Microsoft Active Directory is 3.1%, up from 2.8% compared to the previous year. It is calculated based on PeerSpot user engagement data.
Single Sign-On (SSO) Market Share Distribution
ProductMarket Share (%)
Microsoft Active Directory3.1%
Imprivata OneSign2.8%
Other94.1%
Single Sign-On (SSO)
 

Featured Reviews

Rohit Yamsani - PeerSpot reviewer
Rohit Yamsani
Senior Consultant at HCLSoftware
Single sign-on saves time by seamlessly managing passwords and improving workflow efficiency
What I appreciate best about Imprivata OneSign are the single sign-on and the Confirm ID features. The single sign-on works seamlessly for all the nurses or the end users out there. You just have to log in to the application once and the single sign-on clicks in and works for everyone. Users don't have to manually remember all their passwords. Imprivata OneSign helps by remembering and storing all passwords. The integration capabilities of Imprivata OneSign offer many possibilities, and there are numerous upgrades Imprivata has been implementing. At this point, they are growing rapidly. There are new tools coming out for reporting and generating real-time analysis. Imprivata E-PAM is a new feature that I've been reading about in articles, which is going to help administrator people and enterprise administrator personnel to view real-time records and views for all end customers. Reporting and looking at logs for the users will be seamlessly efficient. I use the reporting tools available in Imprivata OneSign. The admin console itself has a reporting feature, which gives us a list of pre-built templates of reports where you can see how many users have been added, the user policy, the users who have last logged in in specific amounts of days, and the reporting for the EPCS users. There are numerous reporting options available which help with troubleshooting issues. I have seen many benefits from using Imprivata OneSign. It saves substantial time for nurses. As a nurse or doctor, you don't have to spend time remembering passwords or signing into computers. You just need to grab the nearest machine and tap in. You can use the machine anytime if you want. It saves time when dealing with patients. For doctors who might not be tech-savvy, Imprivata OneSign helps them sign in seamlessly.
Read full review
Eko Kurniawan - PeerSpot reviewer
Eko Kurniawan
IT Operations & Security at veris
Has simplified credential management and improved secure access control across departments
The features I find most useful in Microsoft Active Directory are especially for the Single Sign-On. This is very useful for users, particularly if they have plenty of applications, such as tablet applications. When they log in to their computer, the application will automatically log in with their credentials. They don't need to remember another user and password to log in to the application because it's already maintained with Microsoft Active Directory using Single Sign-On. To assess the impact of Microsoft Active Directory's centralized domain management on security protocols and access permissions, Microsoft Active Directory itself has constraints with security because when we have a solution such as SSO or Single Sign-On, which makes it easier for users to log in, some parts have security openings. When their computer is compromised with a threat, malware, or other cyber threats, it becomes easier to enter the application without login permission.
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Quotes from Members

We asked business professionals to review the solutions they use. Here are some excerpts of what they said:
 

Pros

"It provides a service that allows users to sign in to whatever application they are using. This is the most important feature of this solution."
"It has benefited my organization in the way that it makes it more secure by making it harder to hack."
"I have seen many benefits from using Imprivata OneSign. It saves substantial time for nurses."
"Imprivata OneSign helps customers minimize their work in remembering passwords and enhances their security."
"The scalability of the solution is high...The initial setup of the solution is easy, and I would rate it an eight or nine out of ten on a scale of one to ten, where one being difficult and ten being easy."
"I can use Active Directory to block a user's internet access and monitor how an employee is using the internet."
"The user-friendliness of Microsoft Active Directory is a valuable feature."
"The Solution's most important feature is that it can merge with a cloud-based active directory via Azure AD Connect."
"The solution is stable."
"These Group Policies provide enhancement, helping to reduce administrative overhead and enhance productivity."
"It is easy to handle, and it gives a hundred percent results with the group policies."
"The solution’s management capability is very good. The tool is also very scalable. You can add any number of users that you want to operate. Moreover, you can easily organize the solution."
More Microsoft Active Directory pros
 

Cons

"Imprivata OneSign should have a landing page because most customers prefer this feature, which is currently a strong point for competitors."
"Fast user switching and Citrix integration in Imprivata OneSign could improve. There are many options available for VDI connectivity, but I've seen issues with VDI connectivity and Citrix storefront connectivity."
"I would like for them to make this solution compatible with Mac OS. I would also like for them to provide a portal so that users can easily integrate it with their applications."
"They should have a landing page."
"I would like to see the integration with Mac and IOS products improved."
"Sometimes, it can be overly complicated, and when you apply Group Policy in an Active Directory environment, sometimes those settings apply and sometimes they don't."
"There could be enough material to learn about the product."
"Microsoft Active Directory could improve by having better integration with other solutions."
"There is room for improvement."
"Microsoft Active Directory fails to provide MFA. MFA, which is also known as multi-factor authentication on top of the password and username, is what I would like to see in the product's future releases."
"There are no reporting features."
"It could be more stable."
More Microsoft Active Directory cons
 

Pricing and Cost Advice

"The price is reasonable, it's an affordable solution."
"At the moment, I believe the price is reasonable."
"The pricing is not very expensive. I rate the pricing a five out of ten."
"On a scale from one to ten, where one is cheap and ten is expensive, I rate the solution's pricing a four out of ten."
"We have to purchase a license for the solution."
"My company makes payments every quarter towards the licensing costs of the product."
"The solution is based on a licensing model."
"Active Directory is built-in into Microsoft Windows 10. I'm not an administrator and would not be involved in purchasing decisions for new versions of the software. I have only used the client portion of it, I do not know if there is a cost to using the solution."
"The version of Microsoft Active Directory I was using was expensive because it was used for large companies."
"The product's premium support services are expensive."
More Microsoft Active Directory pricing and cost advice
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Top Industries

By visitors reading reviews
Healthcare Company
29%
Government
6%
Computer Software Company
5%
Comms Service Provider
5%
Computer Software Company
11%
Manufacturing Company
11%
Financial Services Firm
11%
Healthcare Company
6%
 

Company Size

By reviewers
Large Enterprise
Midsize Enterprise
Small Business
No data available
By reviewers
Company SizeCount
Small Business20
Midsize Enterprise7
Large Enterprise20
 

Questions from the Community

What needs improvement with Imprivata OneSign?
Fast user switching and Citrix integration in Imprivata OneSign could improve. There are many options available for VDI connectivity, but I've seen issues with VDI connectivity and Citrix storefron...
See all answers
What is your primary use case for Imprivata OneSign?
I have experience with Imprivata OneSign and Imprivata Confirm ID. For the past three and a half years, I've been using Imprivata OneSign 7.9 and Confirm ID 7.9 versions. The client I'm working wit...
See all answers
What advice do you have for others considering Imprivata OneSign?
As an end user, it's easy to use Imprivata OneSign. Users don't have to rely much on knowledge to use that tool. It's basic, just an agent that sits on your machine and you shouldn't worry about an...
See all answers
What do you like most about Microsoft Active Directory?
The solution is easy to install and has good reliability.
See all answers
What needs improvement with Microsoft Active Directory?
The best way to protect this is to use Microsoft Defender. For Microsoft support for Microsoft Active Directory, I would rate it as eight. If I give it 10, it would be too perfect. Eight is fair. M...
See all answers
What is your primary use case for Microsoft Active Directory?
My main use cases for Microsoft Active Directory are to manage user access and credentials.
See all answers
 

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Product Reports

Buyer's Guide
Single Sign-On (SSO)
December 2025
Imprivata OneSign reportDownload Imprivata OneSign product report
Buyer's Guide
Microsoft Active Directory
January 2026
Microsoft Active Directory reportDownload Microsoft Active Directory product report
 

Also Known As

OneSign, Imprivata OneSign Authentication Management
No data available
 

Overview

Imprivata OneSign delivers fast, secure no-click-access to the applications and information that care providers need, whenever and wherever they need it.

Security and regulatory compliance requirements mandate user authentication technology for accessing workstations and applications. As a result, care providers need to enter unique usernames and passwords (or PINs) for order signing, documentation signing, medication reconciliation and most other applications throughout their workflow. These laborious login requirements can disrupt clinical focus and obstruct patient care.

Imprivata

Active Directory stores information about objects on the network and makes this information easy for administrators and users to find and use. Active Directory uses a structured data store as the basis for a logical, hierarchical organization of directory information.

This data store, also known as the directory, contains information about Active Directory objects. These objects typically include shared resources such as servers, volumes, printers, and the network user and computer accounts.

Security is integrated with Active Directory through logon authentication and access control to objects in the directory. With a single network logon, administrators can manage directory data and organization throughout their network, and authorized network users can access resources anywhere on the network. Policy-based administration eases the management of even the most complex network.

Microsoft
 

Sample Customers

AZ Groeninge, Cambridge University Hospitals NHS Foundation Trust, East Kent Hospitals University NHS Foundation Trust, Liverpool Womens NHS Foundation Trust, Mahaska Health Partnership, Phoebe Putney Memorial Hospital, Boulder Community Hospital, City of Marietta, Spencer Hospital, Southwest Washington Medical Center, South Shore Hospital
Information Not Available
Buyer's Guide
Imprivata OneSign vs. Microsoft Active Directory
December 2025
Free Report: Imprivata OneSign vs. Microsoft Active Directory
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