Possible, but 200 is still too big
Once upon a time, I had the pleasure of ensuring compliance to an IT audit comments at a medical charity. There were plenty, nothing special to talk about. What is really shocking is how the application works.
As each patient is processed, records were transferred server to server in a daisy chain. I can't do anything about the architecture, since there are massive workflows and replacement is in the pipeline.
So I did the next best thing. I virtualized the 10 year old servers into a couple of ESXi on new hardware and told HOD to get their act into gear.