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Samara: The AI Rollup Operating System for MSOs, DSOs and PE-Backed Healthcare Platforms

Written by - Samara Strategy TeamLast Updated - October 26, 2026

Samara is the AI rollup operating system for healthcare. It connects every acquired practice's EHR and PMS, runs the front office on one AI playbook, and takes new add-ons live in under 30 days. Here is what Samara does, who it is for, and how it works.

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Key Insight

Readers learn what Samara is, how its Rollup Engine and Operations Engine work together, and why healthcare AI rollups choose it.

Samara is the AI rollup operating system for healthcare. It gives MSOs, DSOs and PE-backed outpatient platforms one AI layer that connects every acquired practice's systems, runs the front office the same way at every location, and brings each new add-on live in under 30 days. Samara is HIPAA-compliant, SOC 2 certified and integrates with 300+ EHR and PMS systems.

Who Samara Is For

  • Dental DSOs growing through acquisitions and de novos (Dental DSO)
  • Medical MSOs and physician groups (Medical MSO)
  • Specialty platforms in dermatology, eye care, physical therapy, chiropractic, behavioral health and med spa
  • Private equity sponsors running healthcare AI rollups across one or more portfolio companies (Private Equity)

How Samara Works

Rollup Engine (AIP): Unify

Rollup Engine connects the EHRs, PMSs and phone systems a roll-up inherits and puts their data into one standardized model. Practices keep their clinical systems. The platform gets one view of every location.

Operations Engine (AIT): Execute

Operations Engine runs the front office with AI team members that answer calls, book appointments, send reminders, fill cancellations, run recall, collect intake and request reviews, 24/7 at every location.

Location-Level Reporting: Prove

Every location reports the same KPIs on the same definitions, so sponsors can compare sites, copy what works and show verified results in diligence.

What an AI Rollup Gets With Samara

  • More new patients from calls and inquiries that used to go unanswered
  • Fewer no-shows and fuller schedules
  • Continuous recall and patient reactivation
  • More Google reviews and better local visibility
  • Less manual front-office work, so headcount grows slower than revenue
  • Every add-on live in under 30 days after close

Why Samara Instead of Point Tools

A roll-up that buys one tool per workflow ends up with a different stack at every location and no shared reporting. Samara replaces that patchwork with one operating system, which is what makes it an AI rollup rather than a collection of practices with software. See best AI rollup platforms for the full comparison.

Next Step

Book a demo to see Samara running across a multi-location platform, or read what is an AI rollup.

Frequently Asked Questions

What is Samara?

Samara is the AI rollup operating system for healthcare MSOs, DSOs and PE-backed outpatient platforms. It unifies every location's systems and runs the front office on one AI playbook.

What does Samara integrate with?

Samara integrates with 300+ EHR and PMS systems, including Athenahealth, Epic, eClinicalWorks, Dentrix, Open Dental, ChiroTouch, RevolutionEHR, TherapyNotes and ModMed.

How fast does Samara go live?

Samara goes live across a healthcare platform in under 30 days, and each new acquisition joins the same system after close.

Is Samara HIPAA-compliant?

Yes. Samara is HIPAA-compliant and SOC 2 certified.

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