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Build Your Own Custom EHR, Pay Once - Not Monthly

Stop renting an EHR that drains your practice every month. Build your own custom, clinic-owned EHR for your specialty — one-time payment, no subscriptions, yours forever.

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HIPAA Compliance SOC 2 Type II ONC
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Why Practices Switch

What's Holding Your EHR Back?

Here's what healthcare teams tell us before choosing a better EHR solution.

68%

EHR doesn't fit your specialty workflows — you adapt to the software, not the other way around

61%

Still doing after-hours documentation — your EHR makes charting slower, not faster

58%

Overpaying for licensing and add-ons — fees keep rising, features stay locked behind paywalls

55%

Labs and pharmacy systems don't integrate seamlessly — manual workarounds waste hours daily

48%

Can't find healthcare-skilled developers — generic tech teams don't understand clinical workflows

44%

Stuck waiting on vendor roadmaps — features you need built in months take years to ship

"Is this really cheaper long-term?"After the one-time build cost, you pay $0/month — forever. Most practices break even in 18–24 months and save $20K–$40K over 5 years.

"How long does it actually take?"~10 weeks discovery to deployment for most specialties. Dedicated PM, weekly updates, and fixed-price scope — no surprises.

"What if I need changes after launch?"You own 100% of the code. Work with us or any developer. Zero vendor lock-in, zero ongoing dependency.

Real Results

Practices That Stopped Paying Monthly Fees

Real outcomes from real clinic owners — in their own words.

Ready to stop paying monthly fees?

Join 100+ U.S. practices that own their EHR outright — one-time build, zero vendor lock-in.

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The Solutions

Specialty-Specific EHR Features Built Around Your Workflows

We design feature-rich EHR modules tailored to your clinical processes, operational model, and specialty-specific documentation needs.

Scheduling

Specialty-Driven Appointment and Practice Management Software Workflows.

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Real-Time Appointment Availability
By Specialty

Built for Your Specialty Engineered for Your Workflows

Tailor your custom EHR software to the unique workflows, documentation standards, and compliance requirements of your medical specialty — built to scale with your practice.

Primary Care

Comprehensive Care Delivery Infrastructure

Primary Care Dashboard Interface
  • Chronic condition dashboards (CCM-ready)
  • Preventive screening & wellness reminders
  • ePrescribing with drug interaction alerts
  • Lab ordering with real-time results sync
  • Multi-condition SOAP documentation templates
30+ Primary Care EHR Projects
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Don't see your specialty?

We build custom EHRs for any medical specialty. Let's talk about yours.

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ROI Calculator

Calculate Your EHR Savings

See your exact ROI before booking a call. Takes 30 seconds.

Healthcare professional reviewing EHR savings on mobile
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
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No commitment · 30-min call · 48hr proposal

* Estimated based on average build costs and your current fees. Actual quote provided after free discovery call.

Integrations

Seamless Connectivity for Custom EHR with EHR Integration

Simplify data exchange between your custom EHR and other healthcare platforms with the necessary integrations.

Surescripts

Integrate Surescripts for secure e-prescribing and real-time patient medication history within custom EHRs.

ScriptSure

Enhance efficiency by integrating ScriptSure for accurate, seamless prescription management inside your EHR system.

Quest Diagnostics

Integrate Quest to streamline lab test ordering, result retrieval, and improve care coordination across EHRs.

Labcorp

Integrating Labcorp enables smooth test scheduling, result tracking, and improved workflows within your EHR.

Fullscript

Add Fullscript integration to prescribe supplements and nutraceuticals directly within patient EHR records.

MD Toolbox

Integrate MD Toolbox for real-time clinical decision support, drug info, and streamlined provider workflows.

ACL Laboratories

Integrate ACL Labs to streamline test orders, result access, and provider communication within EHRs.

Dr. First

Integrate DrFirst for e-prescribing, medication safety, and stronger care coordination across healthcare teams.

Clinical Labs of Hawaii (CLH)

Add CLH integration to simplify test ordering, secure results, and enhance patient data access.

Rupa Health

Integrate Rupa Health with your custom EHR and Get Your Free prescriptions and lab results directly in your system.

Seamless Connectivity of Your Custom EHR with the Digital Healthcare Ecosystem

Integrate your custom EHR with a disparate healthcare software system for uninterrupted workflow and seamless data transfer for timely care delivery.

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Our Process

Discovery to Deployment in Approximately 10 Weeks

Complete development of your custom EHR software, right from the discovery phase to deployment, while catering to your unique needs and requirements.

discovery
Discovery
(Duration: 1-2 Weeks)
design
Design
(Duration: 2-3 Weeks)
development
Development
(Duration: 8-10 Weeks)
deployment
Deployment
(Duration: 1-2 Weeks)
support
Support
(Duration: Ongoing)

Understanding requirements deeply

We gather clinical workflows, compliance needs, and integration goals to define your EHR roadmap.

  • Requirement gathering
  • Workflow mapping
  • Compliance alignment

Crafting user-focused experiences

We design intuitive interfaces, specialty-specific workflows, and system architecture tailored to your practice.

  • UI/UX design
  • Workflow wireframes
  • System architecture

Building core functionalities

Our engineers code, integrate APIs, and ensure interoperability while prioritizing security and scalability.

  • Feature coding
  • API integrations
  • Security compliance

Seamless go-live transition

We handle testing, data migration, and user onboarding to ensure a smooth EHR launch.

  • Testing & QA
  • Data migration
  • User training

Ensuring long-term reliability

We provide continuous monitoring, updates, and support to keep your EHR optimized and compliant.

  • Continuous updates
  • 24/7 support
  • Performance monitoring
Compliance

Compliance-First EHR Development for Modern Requirements

Design and deploy a HIPAA-compliant EHR that meets all federal and industry EHR compliance requirements, including ONC certification, interoperability standards, and healthcare security frameworks.

HIPAA Compliance

Architect a HIPAA-compliant EHR system with strict privacy controls, encryption standards, audit logging, and role-based access management.

ONC Certification

Ensure your EHR software aligns with ONC certification standards for usability, safety, interoperability, and federal EHR compliance requirements.

FHIR/HL7

Implement FHIR and HL7 interoperability standards to meet modern EHR compliance requirements for secure, real-time data exchange.

21st Century Cures Act

Design your EHR system to comply with information blocking regulations and patient access mandates under the Cures Act.

Medical Coding Standards

Support CPT, ICD-10, and HCPCS coding frameworks to ensure billing compliance and regulatory accuracy.

SOC 2 Type II Certification

Build secure infrastructure aligned with SOC 2 controls for availability, confidentiality, and operational integrity.

ISO 27001

Adopt globally recognized information security management standards for healthcare data protection.

FDA 510(k) Clearance

For clinical-grade applications, design systems aligned with FDA regulatory pathways where applicable.

Custom EHR software is just like any other EHR software, but its entire foundation is built around your practice's unique workflows, specialties, and compliance needs. This typically cannot be done in an off-the-shelf EHR software solution. In such cases, you have to align your practice to its workflow and not the other way around. That is why a custom EHR adapts to your practice, contributing to time saving, reducing clicks, and giving a delightful experience for both patients and providers.
The development timeline for building a production-ready EHR typically ranges from eight to 10 weeks. However, it can vary based on the project scope, features, and other requirements, such as integration and additional AI-powered capabilities.
We follow all key healthcare regulations like HIPAA, ONC Certification, FHIR/HL7, Cures Act, SOC 2, ISO 27001, and FDA 510(k) (when applicable). This ensures your EHR is safe, interoperable, and future-ready.
Yes. We handle data migration carefully, whether it's from spreadsheets, outdated EHRs, or modern systems. Our approach ensures your patient records, medical history, and billing data move over securely, without downtime or data loss.
Yes. We provide continuous updates, 24/7 support, and performance monitoring to keep your EHR optimized, secure, and aligned with new compliance requirements.
Yes. We integrate with Surescripts, Quest, Labcorp, ACL Labs, Fullscript, Dr. First, Rupa Health, and more — plus any third-party app through HL7 or FHIR APIs.
We combine deep clinical workflow expertise with a compliance-first engineering approach. You own 100% of the code, avoid vendor lock-in, and get a platform tailored to your specialty — not a generic template.
Yes. We design AI-assisted documentation, ambient scribing, risk stratification, and predictive analytics modules that integrate natively with your custom EHR.
Your custom EHR is architected to scale — from a single-provider clinic to multi-location networks. Add providers, locations, and new specialty modules without rebuilding the platform.
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