47%
EHR doesn't fit specialty workflows
Generic templates and missing features force you to adapt your process to the system and not the other way around.
Workflow mismatch
Trusted by 100+ Clinics Building Custom EHRs
Build Your Own Custom EHR That Actually Fits Your Clinic
Your clinic, your EHR! Ditch SaaS fees and build a customizable EHR that works your way, with expert guidance from start to launch.
No monthly fees — ever
Live in 10 weeks
100% source code yours
Free migration included
30+ specialties built
Why Your Current EHR Is Holding You Back
Why Clinic Owners Are Switching to Their Own Custom EHR
Here's what clinic owners tell us before switching to their own custom EHR.
67%
EHR costs keep increasing over time
Add-ons, licensing, and hidden fees push costs far beyond the initial quote.
Rising costs1 in 5
Clinicians spend too much time on EHR than patients
Hours lost every week to documentation, clicks, and workarounds outside clinic hours.
Time drain30%
Systems don't talk to each other
Labs, pharmacy, and other tools stay disconnected — forcing manual data entry again and again.
No integration83%
Practices rely too much on vendors for every change
Even small updates require external help, slowing down operations and increasing costs.
Vendor dependence74%
Your EHR vendor controls what you can do
Feature requests sit in queues while your clinic waits — limiting growth and flexibility.
Vendor control
Your EHR, Built Your Way
Build a Custom EHR That Works the Way Your Clinic Does
Customize every workflow — from scheduling to billing — so your EHR fits your clinic, your team, and the way you actually work.
Scheduling
Specialty-Driven Appointment and Practice Management Software Workflows.
Book My EHR Demo →
Real Clinics. Real Results.
How Clinics Are Improving Care, Efficiency, and Revenue with Custom EHRs
Here's what changed for clinics after moving away from rigid, one-size-fits-all EHR systems.
Primary Care
Maplewood Family Clinic
The Challenge
- Disconnected patient records across locations
- High documentation burden on physicians
- Manual billing reconciliation delays
The Result
- Unified patient records across providers
- AI-assisted charting reduced documentation time
- Automated billing workflows improved cash flow
+1,200Patients Onboarded
$12,500+Monthly Revenue Lift
40%Less Documentation
★★★★★
"We had tried tweaking our old system for years, but it never really fit how we worked. This is the first time it actually feels like the software is built around our clinic instead of us adjusting to it."
See Your Custom EHR ROI
See How Much You Can Save with a Custom EHR
Get a personalized estimate of your EHR costs and savings in under 30 seconds — no commitment required.
HIPAA Compliant
ONC Certified
100+ EHRs Built
Step 1 of 3
33%Tell us about your practice
We'll use this to estimate your custom EHR savings.
5 yrs
Current EHR spending
Enter your total monthly EHR/EMR cost including all fees.
$
Did you know? The average practice spends $1,200–$5,000/mo on EHR licensing. A custom EHR eliminates per-user fees entirely.
What are your biggest EHR pain points?
Select all that apply — each adds to your estimated savings.
2 pain points selected — each represents additional savings a custom EHR can address.
$0
over 5 years • Small (2–5 providers)
$0Monthly Savings
0%ROI
0 moBreak-even
0 hrsHrs Saved / Yr
Get My Exact Quote →
No commitment · 30-min call · 48hr proposal
* Estimated based on average build costs and your current fees. Actual quote provided after free discovery call.
#1 searched question: "How much does it cost to build a custom EHR?"
Transparent Pricing
What It Costs to Build Your Own Custom EHR
Fixed price. Written proposal. No hourly surprises.
Tier 1
Starter
Everything a solo or small clinic needs to run, chart, and bill — custom-built, HIPAA certified, yours forever.
Typical Investment
$25K – $35K
One-time. No monthly license fees. Ever.
- Patient charting & encounter notes
- Appointment scheduling
- e-Prescribing (eRx) integration
- Basic billing & claims
- HIPAA-compliant hosting
- Custom templates for your specialty
- 100% source code ownership
Tier 2
Premium
Advanced features, AI scribe, patient portal, and full lab integrations — built for growing multi-provider clinics.
Typical Investment
$35K – $80K
One-time. Break even in 18–24 months.
- Everything in Starter, plus:
- AI scribe & voice notes
- Patient portal & telehealth
- Lab & imaging integration
- Clearinghouse & RCM integration
- FHIR R4 interoperability
- Specialty-specific workflows
- AI medical coder (ICD-10/CPT)
Tier 3
Enterprise
Full AI suite, multi-location deployment, HL7 + FHIR R4, population health analytics, and legacy system migration.
Typical Investment
$80K – $200K+
One-time. Save $100K+ vs Epic/Cerner over 5 years.
- Everything in Premium, plus:
- Full AI suite — scribe, coder, nurse assist
- Multi-location deployment
- HL7 v2 + FHIR R4 full interop
- Population health analytics (CDS)
- Custom reporting & dashboards
- Legacy system sunset & migration
Every tier includes:
100% source code handoff
HIPAA compliance
90-day post-launch support
Fixed-price contract — no surprise invoices
Free data migration from your current EHR
Final pricing is based on a free scoping call. Most clinics fall within these ranges. Complex multi-specialty or hospital builds may exceed Tier 3.
Built for Your Specialty
Your Specialty. Your Workflows. Your Custom EHR.
Built for 30+ specialties — with workflows tailored to how your practice actually operates.
Custom EHR Module
30+ Projects
Primary Care
Custom EHR for family medicine, internal medicine & general practice — built around chronic care and preventive workflows.
Problems Faced with Current EHR
- Patient histories scattered across visits and providers
- Chronic conditions hard to track across multiple encounters
- Intake forms require repetitive manual data entry
- Routine visits require excessive typing and clicks
Solutions We Provided with Custom EHR
- Unified longitudinal patient records across all providers
- Chronic care dashboards track conditions across visits
- Digital intake auto-populates patient history and demographics
- Smart templates reduce typing for routine visits
Live in 10 Weeks · Fixed Price
Build Your Custom EHR in 10 Weeks
Transparent, milestone-driven process. No hourly billing. No scope-creep surprises.
1–2 Weeks
1
Discovery
Deep dive into workflows, compliance needs, and integration goals to define your exact EHR roadmap.
- Requirements gathering
- Workflow mapping
- Compliance alignment
2–3 Weeks
2
Design
Specialty-specific interfaces and workflows designed for how your practice actually operates.
- UX/UI design
- Workflow wireframes
- System architecture
6–10 Weeks
3
Development
Engineers build every feature, integrate all APIs, weekly demos. GitHub access throughout.
- Feature development
- API integrations
- Security compliance
1–2 Weeks
4
Deployment
Testing, full data migration, and staff training. Smooth go-live with zero patient data loss.
- Testing & QA
- Data migration
- Staff training
Ongoing
5
Support
24/7 monitoring, updates, and support. Or run it yourself — you own 100% of the code.
- 24/7 monitoring
- Continuous updates
- Performance tracking
Switch Without the Headache
Switch from eCW, Athena, or Kareo — Without Losing Data or Workflows
Free migration, seamless integrations, and zero disruption to your workflows.
Surescripts
e-Prescribing
ScriptSure
Prescription Mgmt
Quest Diagnostics
Lab Orders & Results
LabCorp
Lab Testing
Fullscript
Supplements
MD Toolbox
Clinical Decision
ACL Laboratories
Lab Results
DrFirst
Medication Safety
Rupa Health
Functional Labs
40+ More
Full ecosystem
Stripe
Card Processing
Square
Payments
Authorize.net
Payment Gateway
Waystar
Revenue Cycle
Office Ally
Claims Clearinghouse
Stax
Flat-Rate Payments
40+ More
Full ecosystem
Twilio
SMS & Voice
SendGrid
Email Delivery
Zoom
Telehealth Video
Jitsi
HIPAA Video
SFax
Secure Fax
SRFax
Fax Over IP
40+ More
Full ecosystem
● All integrations built on FHIR R4 — the gold standard for healthcare data exchange. Real-time · Bidirectional · Secure
Compliance-First EHR
HIPAA, ONC, FHIR R4 — Built Into Your Custom EHR
Every certification is in the foundation. You inherit the compliance architecture.
HIPAA Compliance
PHI encryption, audit logging, role-based access, and BAA provided. Standard on every build.
ONC Certification
Aligned with ONC standards for usability, safety, interoperability, and federal EHR compliance.
FHIR R4 / HL7
Modern interoperability standards for real-time data exchange with any healthcare platform.
21st Century Cures Act
Full compliance with information blocking regulations and patient access mandates.
Medical Coding
CPT, ICD-10, HCPCS coding frameworks for billing compliance and claim accuracy.
SOC 2 Type II
Secure infrastructure aligned with SOC 2 controls for availability and confidentiality.
ISO 27001
Globally recognised information security management for healthcare data protection.
FDA 510(k)
For clinical-grade applications, systems designed to applicable FDA regulatory pathways.
Ready for worry-free compliance?
Let us handle every regulation while you focus entirely on patient care.
Launch Faster With a Pre-Built Foundation
Build Your Custom EHR 40% Faster — Without Starting From Scratch
We've already built the core of your EHR — so you skip the heavy lifting and focus only on what makes your clinic unique.
Healthcare Platform
Patient Management
Onboarding
- Self onboarding
- Intake forms
- Assessments
- Preferences
- Consents forms
Patient Interface
- Patient web portal
- Patient mobile app
- Patient CheckIn Kiosk
Patient Review & Feedback
- Patient survey
- Rating for Provider
Payment Gateways
- Payment Gateway
- Invoice
- Payment Receipt
- Statement
Patient Charting
Patient Clinicals
- Facesheet
- Timeline
- Vitals
- Diagnosis
- Allergies
- Medication
- Vaccinations
- Symptoms
- Medical History
- Family History
- Social History
- Documentation
Order Management
- E-prescription
- Lab order & results
- Radiology orders
Visit Details
- Encounter summary
- Previous charts
- Previous reports
- Clinical Data
Patient Engagement
Video & Audio Call
- PC, Mac, Browser
- No software to install
- Encrypted connection
- Phone Call
- Web voice call
In-Call Chat
- Screen sharing
- Image capturing
- Call recording
- In call assessment
- Session chat & file sharing
- Patient joining alert
Patient
- Patient educations & webinars
- Clinical directory
- Announcements
- Preferred languages
- 24×7 patient support
- Virtual Assistant
Media Channel
- Text message
- Email / Fax
- Chat
- Instant video call
- Bulk SMS & email
File Sharing
- Image & video sharing
- Contact sharing
- Visit note sharing
Scheduling
- Self scheduling
- Calendar widget
- Reminders
Notifications
- Alerts
- Auto SMS / email reminder
Practice Management
Practice Setup
- Provider group
- Multiple Locations
- Specialists
- Practice hours
Master Management
- CSV, XLS import
- Data Migration & Import
Reports & Analytics
- Clinical
- Financials
- Systems
- Patients
- Configure reports
Inventory Management
- Inventory Tracking
- Multi-location Support
- Stock Optimization
User Setup
- Role-based Access
- User Authorisations
- Flexible roles & permissions
Data Catalogues
- Patients
- Providers
- ICD-10, CPT codes
- Drugs catalogue
- Labs & radiology order set
- Service master
Form Builder
- Intake form
- Clinical notes
- Consent form
Settings
- Notification Setting
- Print Configurations
Provider Management
Scheduling
- Recurring scheduling
- Waitlist
- Individual / group / personal
- Multiple practitioner availability
- Coloured appointment types
Provider Setting
- Availability setting
- Fee schedule
- Report configuration
- Custom intake
- Custom SOAP notes
- Notification setting
Referral
- Outbound & Inbound referral
- Attach Visit Notes
- Response
- Closed Loop
Encounters
- Check in
- Intake
- Audio Transcription
- Load Previous Note
- Exam
- Sign visit
- Follow up
Visit Notes
- Visit encounters
- In-person encounters
- Patient chart review
- Chats
- Assessment
Customized Template
- Intake forms
- Encounter forms
- Assessments
- Questionnaire
- Care Plans
- SOAP notes
- Micro
RCM & Financials
Super Bill
- Generate Superbill
- Medical coding
- Charge entry
- Superbill with Codes
Payment
- Statements
- Credit card processing
- Payment Posting
- Apply Payment
- Account receivables
- Account statement
- Refund Unapplied Amount
- Overdue account alerts
- Automatic Receipt
Services & Plans
- Membership Management
- Package Management
Insurance
- Batch Eligibility
- Benefit Verification
- Pre authorization
Claims
- Fee Schedule
- Electronic claim
- Paper claim
- Auto track claim status
- Code Scrubbing
- Electronic Remittance Advice (ERA)
- Explanation of Benefits (EOB)
- Denial Management
Invoices
- Configure invoices & receipts
- Automatic generate Invoice
- Send Past Invoices
Compliant and Secure IT Infrastructure
API's and Integrations
E-Prescription
Lab & Radiology
Payment & Claim
TriZetto
AI Module & Communication
Freed AI
AWS HealthScribe
Marketing & CRM
High Level Marketing
Mailchimp
Most of your EHR is already built. You just customize what matters.
See Your Custom EHR in Action
FAQs
Questions Related to Building Your Own Custom EHR? — Answered
Still deciding? Talk to a real solutions architect — not a sales rep. We'll scope your custom EHR live on the call.
Custom EHR is built entirely around your practice's workflows, specialty, and compliance needs. Off-the-shelf EHRs force you to adapt to their system. Custom EHRs adapt to you — fewer clicks, less documentation time, and workflows your staff actually loves using.
Most builds land between $25K and $200K, one-time. Timelines are typically 10 weeks from kickoff to go-live, with weekly demos throughout. You get a fixed-price contract before any development starts.
Yes — free data migration from your current EHR is included with every tier. We handle charts, demographics, appointments, billing history, and documents. Zero patient data loss guaranteed.
Your choice. We offer monthly support plans (24/7 monitoring, updates, feature additions), or you can run it yourself — you own 100% of the source code and can use any developer.
Labs (Quest, LabCorp, ACL), e-prescribing (Surescripts, ScriptSure, DrFirst), clearinghouses, patient portals, and 40+ more — all built on FHIR R4 for real-time bidirectional exchange.
Yes. HIPAA isn't an add-on — it's baked into the architecture. Every build ships with PHI encryption, audit logging, RBAC, and a signed BAA.
Yes — both are available in Premium and Enterprise tiers. AI scribe auto-generates SOAP notes during encounters. AI coder suggests ICD-10/CPT codes from your documentation in real time.
The system scales with you — add providers, locations, specialties, or modules as needed. You own the code, so growth never triggers a new SaaS licensing nightmare.