The document describes a project to deliver large-scale real-time graph analytics using Dell infrastructure and TigerGraph. It discusses 3 phases of testing on clusters of increasing size up to 8 nodes and 104 million patients. Across the phases, the maximum parallel queries increased from 1250 to 25000 while maintaining query response times of under 1 second. Live monitoring tools showed the clusters performing well under load. The results demonstrate Dell and TigerGraph can successfully execute medical graph queries at scale.