@Heath@DonorLogix Thanks for reaching out.
Have you followed the steps on https://learn.microsoft.com/en-us/azure/active-directory/saas-apps/sugarcrm-tutorial
It has a step by step documentation with screenshot about how to set it up. Let us know if it helps.
-----------------------------------------------------------------------------------------------------------------
If the suggested response helped you resolve your issue, please do not forget to accept the response as Answer and "Up-Vote" for the answer that helped you for benefit of the community.