The Infrastructure Your Admissions Run On.

Kipu, BestNotes, Sigmund, Lightning Step, Salesforce Health Cloud, Sunwave, KIPU + RCM combinations, and most other major rehab EHRs. If your EHR exposes an API, SFTP, or webhook, we can connect it. For closed systems, we build middleware or work directly with the vendor to open a supported integration path.

Client-side tracking is structurally broken in healthcare. iOS privacy updates, browser blockers, and platform policy changes have eroded data accuracy to the point where most rehabs are flying blind on attribution. Server-side moves the tracking inside your infrastructure — more accurate, more durable, and far easier to keep PHI out of Google, Meta, and Microsoft.

Yes. We negotiate Business Associate Agreements with every vendor in the stack, maintain a BAA ledger your compliance team can pull on demand, and re-review coverage when vendors change terms. Your legal team has the final review — we handle the operational lift so nothing ships without a BAA in place.

Most engagements run a 60-day audit and remediation roadmap, followed by a 90-to-120-day execution window for the bulk of the rebuild. Mission-critical fixes — broken call routing, failed conversion tracking, PHI exposure — get prioritized into the first two weeks. We do not sit on bleeding systems while we write a deck about them.

Usually, yes. We're not trying to displace your IT team or MSP — we own the growth and marketing stack specifically. We coordinate with your existing infrastructure providers on scope, change windows, and security review so nothing breaks downstream of what we touch.

We build for it. Redundant call routing, backup pipelines, off-site warehouse replication, and documented recovery procedures for every critical system in the stack. If a vendor goes down, intake calls don't drop and admissions data doesn't disappear — it fails over to a system we've already tested.

A CRM engagement is one system. Infrastructure is the connective layer between every system — EHR, CRM, ad platforms, call tracking, warehouse, identity, hosting. Most CRM projects fail because the upstream and downstream plumbing was never built. We build the plumbing first, then the CRM does what it was actually bought to do.

More than most operators realize. Page speed, HTTPS, schema, tracking integrity, and uptime are the floor that everything else stands on. A slow site quietly drags down SEO (Core Web Vitals are a ranking factor) and tanks rehab PPC performance (Google penalizes slow landing pages with worse Quality Scores and higher CPCs). On the compliance side, if call tracking, forms, or pixels handle PHI without a BAA in place, you're exposed regardless of how good your behavioral health website design looks. We treat infrastructure as a marketing system, not an IT afterthought.