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The EBITDA Engine: Why Outpatient Practices are Switching to Labor as a Service (LaaS)

Written by - Customer Success TeamLast Updated - February 7, 2026

An executive overview of the shift from traditional staffing to autonomous AI Teams and the impact on practice valuation.

Key Insight

The healthcare labor market is broken. High turnover and rising wages are eroding practice margins. Samara’s Labor as a Service (LaaS) model provides a permanent solution, driving a 400bps margin expansion and significantly increasing practice enterprise value.

The Shift to Autonomous Labor

Traditional practices are limited by the capacity of their human staff. A human receptionist can only handle one call at a time. A human office manager can only analyze so much data. Samara’s AI Teams (AIT)—including Sam, Shika, Vini, Mara, Arshi, and Nica—provide a scalable, autonomous workforce that handles everything from scheduling and intake to marketing and reputation management. This isn't just software; it's Outcomes as a Service (OaaS).

The Financial Impact on Practice Valuation

For practices looking to scale or exit to private equity, EBITDA is the primary metric. Shifting from a human-heavy administrative model to an AI-led model increases the predictability of the business and expands the net margin. A practice with 100% staffing stability and high net margins is worth significantly more in the current market.

Key Performance Indicators (KPIs)

  • Fixed Cost to Scalable Asset: Shift your administrative spend from a fixed liability (salaries) to a scalable asset that grows with your volume.
  • 100% Staffing Stability: Eliminate the $75k+ annual cost of front-desk turnover and training.
  • Dominant AI Visibility: Nica ensures your practice is the top recommendation in the new age of AI search, driving organic growth.

Conclusion

The future of outpatient healthcare is autonomous. Practices that embrace Samara AI Teams today will be the high-value EBITDA engines of tomorrow. Samara AIP GO is the engine that will drive the next generation of high-performance outpatient practices.

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