Scale outpatient EBITDA through operational automation and system-wide intelligence.
Samara is enterprise AI infrastructure for multi-site outpatient networks. Deployed at the portfolio level — not the clinic level.
Outpatient rollups are operationally fragmented by design.
When a platform acquires its fourth clinic, it inherits four different scheduling systems, three EHRs, two billing platforms, and no unified operational view. The add-on acquisition model creates integration debt that compounds with every deal.
This is not a technology problem. It is a systems infrastructure problem. Samara is the operational layer that standardizes every clinic on day one — without replacing the existing stack.
Front-office staff turnover annually
Industry average across outpatient networks
Appointment no-show rate
Industry standard, pre-intervention
EHR integration timeline per acquisition
Traditional systems integration approach
Redundant front-office labor per hub
Addressable through AI workforce deployment
Five structural problems in every outpatient rollup.
These are not isolated clinic issues. They are systemic problems that compound with every acquisition.
Disconnected Systems
Each acquired clinic runs different EHR, PMS, and scheduling software. Data cannot flow between locations, making portfolio-level reporting impossible without manual aggregation.
Labor Inefficiency
Front-office headcount scales linearly with location count. Every new clinic requires 3–5 administrative hires, compressing EBITDA on every add-on deal.
Fragmented Workflows
Scheduling, intake, confirmation, and recall operate as manual, disconnected steps. No standardized process across the portfolio produces inconsistent patient throughput.
Poor Portfolio Visibility
Portfolio-level KPIs require manual aggregation from 10+ systems. By the time data reaches leadership, it is weeks old and operationally irrelevant for real-time decisions.
Scaling Bottlenecks
Each new acquisition restarts the integration process. The traditional 6–18 month EHR integration timeline is incompatible with an aggressive buy-and-build strategy.
A three-layer infrastructure model for multi-site health systems.
Samara is not a scheduling app or CRM. It is purpose-built operational infrastructure that sits above your existing EHR stack — standardizing every clinic's workflows without forcing software replacement.
Integration Layer
Samara connects to your existing EHR and PMS systems without replacement. Every clinic in the portfolio is live — Athenahealth, Epic, Dentrix, OpenDental, WebPT, and 295+ others — within 2–4 weeks of signing.
Orchestration Layer
The AI workforce operates across the full front-office stack — scheduling, intake, confirmation, recall, and discharge — standardizing every workflow from day one at every location in the network.
Intelligence Layer
Real-time operational intelligence across every location. No-show rates, fill rates, labor efficiency, and patient acquisition metrics — all normalized and directly comparable across the portfolio.
Quantified operational leverage. Per location. Portfolio-wide.
Every line below represents a validated operational improvement. At a 10× EBITDA multiple, recovering $264K per location per year adds over $2.6M in enterprise value per clinic.
Three-phase deployment. From pilot to portfolio.
Samara is designed to scale with your buy-and-build strategy. Each new acquisition is onboarded under 4 weeks as a repeatable process — not a one-time implementation project that restarts with every deal.
Single-Location Pilot
Samara deploys to one flagship location. EHR integration is configured, workflows are validated, and baseline KPIs are established. No staff retraining required.
Regional Expansion
Pilot learnings are templatized and rolled out across a regional cluster simultaneously. Workflow templates are standardized across the group.
Portfolio Deployment
Full portfolio standardization across every location. New acquisitions are onboarded under 4 weeks as a repeatable integration playbook, not a custom project.
Enterprise infrastructure standards. Built for institutional-grade deployment.
PE-backed healthcare networks require infrastructure that can withstand LP scrutiny, regulatory audits, and exit due diligence. Samara is designed for this environment — not adapted to it.
HIPAA Compliant
End-to-end encryption, Business Associate Agreement (BAA) included, and full PHI handling protocols across every integration point.
SOC 2 Certified
Annual third-party security audits with SOC 2 Type II certification. Enterprise-grade security posture for institutional due diligence.
Human-in-the-Loop
Every AI decision surface has human override controls. Clinical workflows maintain full staff oversight with AI operating as a force-multiplier.
Full Audit Trail
Every scheduling decision, patient communication, and workflow action is logged, timestamped, and auditable — meeting institutional compliance standards.
Data Standardization
Data from 300+ EHR systems is normalized into a single schema. Portfolio-level reporting uses consistent definitions across all locations.
Portfolio Intelligence
Real-time KPI dashboards give portfolio leadership visibility into every location's performance — no manual reporting, no data lag.
Four engagement paths. One outcome.
Different firms have different urgency. Choose the format that matches where you are in the process.
Strategic Evaluation
For firms exploring AI infrastructure as part of a broader operational platform strategy. We map your current portfolio against benchmarks.
Schedule a Strategy SessionOperational Assessment
For firms with active portfolio companies experiencing scheduling inefficiency, labor cost pressure, or integration debt from recent acquisitions.
Request an AssessmentPortfolio Standardization
For multi-entity platforms in active consolidation mode preparing for exit. We model the full valuation impact across your current location count.
Book a Portfolio ReviewPilot Program
For firms ready to validate the model with a single network or location before committing to full deployment. ROI measurable within 30 days.
Start a Pilot