For PE-backed practice groups
One Integration Layer. Every Clinic. Every Vendor.
Standardize EHR connectivity across your portfolio. One integration layer for reporting, analytics, and every technology vendor.
The Hidden Cost of Practice Group Consolidation
Every acquisition inherits a different integration mess. Different vendors, different data formats, different people who “know how it works.”
For a 60-clinic group, this means:
$3M–$9M
Cumulative integration costs at $50K–$150K per clinic
6–12 months
Time to standardize each new acquisition
2–4 FTEs
Dedicated to integration maintenance
Inconsistent data
Undermining reporting, analytics, and value creation
This is the integration tax on acquisitions. And it compounds with every deal.
The Vendor Integration Problem
You're not just consolidating clinics. You're modernizing them with AI scribes, scheduling tools, and billing automation. Each one needs EHR access, and each vendor handles it independently. That means:
5 vendors = 5 integrations
Into the same EHR system, built and maintained independently
5 separate timelines
Each vendor takes 3 to 6 months before their tool is actually live
5 maintenance contracts
That break independently when the EHR updates
Redundant costs
Each vendor charges you for integration work, directly or baked into pricing
Zero standardization
No consistency across how your data flows between systems
No central control
You have no visibility or governance over what data goes where
You're paying the integration tax on every acquisition AND on every vendor. It compounds in both directions.
One Integration Layer. Two Problems Solved.
Cobalt sits between your EHR and everything else. Clinics connect once. Vendors connect once. Data flows consistently across your entire portfolio.
For Your Portfolio
- Standardize EHR connectivity across every clinic
- New acquisitions go live in days, not months
- Centralized data for reporting and analytics
- Predictable per-clinic pricing
For Your Vendors
- Every AI tool and technology partner plugs into the same integration
- New vendors go live immediately because the EHR connection already exists
- You control what data each vendor can access
- Eliminate redundant integration costs across your vendor stack
What’s Your Integration Tax?
The Acquisition Tax
Traditional
Custom Builds
With Cobalt
Unified API
60 clinics, Year 1
$3M–9M
Contact for portfolio pricing
Time to standardize
12–18 months
30–60 days
Engineering headcount
2–4 FTEs ($400K–$800K/yr)
0 dedicated
New acquisition go-live
4–9 months
Days
Ongoing maintenance
$500K+/year
Included
The Vendor Tax
A practice group using 5 technology vendors, each charging $10K to $50K for their own EHR integration:
Without Cobalt
$50K–$250K
in redundant integration costs, 5 separate implementation timelines
With Cobalt
One integration
Every vendor plugs in. $0 in redundant integration work.
How It Works
Connect
Cobalt connects to your EHR environment. One setup, one API key, one contract.
Deploy
Roll out to clinics across your portfolio. Point your vendors at the same API. Days, not months.
Scale
Add new acquisitions and new vendors to the same integration layer instantly. No re-architecture required.
Your Clinics
Cobalt
Unified API
Your Vendors & Tools
Built for Multi-Site Practice Groups
Post-Acquisition Integration
Standardize a new clinic's EHR connection within days of closing, not months.
Centralized Reporting
Pull consistent, structured data from every clinic into your analytics and BI tools.
AI and Vendor Enablement
Every AI scribe, scheduling tool, and billing platform plugs into the same integration. New vendor? Live in days.
Vendor Consolidation
Replace 5 separate vendor integrations into the same EHR with one API layer that you own and control.
Illustrative Example
The following scenario is based on typical customer profiles and projected outcomes.
What It Looks Like: A 60-Clinic GI Practice Group
Consider a PE-backed gastroenterology platform with 60+ locations spending $70K to $150K per clinic on EHR integration, with 4 to 6 month timelines per go-live. With 15 acquisitions in the pipeline, they'd be projecting $1.5M to $2.25M in integration costs over 18 months.
The platform was also onboarding three AI vendors: an AI scribe, a scheduling assistant, and a billing automation tool. Previously, each vendor would have required its own 3 to 6 month integration project. With Cobalt already in place as the integration layer, all three vendors were live within two weeks of contract signing.
With Cobalt's unified API deployed across all 60 clinics in a phased 45-day rollout, here's what changes:
$4.2M+ avoided
in projected integration costs over 3 years
72-hour go-live
for new acquisitions
2 FTEs redeployed
from maintenance to strategic IT
3 vendors live in 2 weeks
using the existing integration layer
This is an illustrative scenario, not an actual customer case study. Numbers are based on industry benchmarks and typical integration costs for multi-site practice groups.
Let’s Talk About Your Portfolio
Whether you're standardizing data or enabling AI vendors, it starts with the integration layer.
Schedule a 20-Minute CallNo pitch deck. Just a conversation about your integration stack.
One integration. Every vendor. Let's talk.
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