
For Private Equity
The platform play for radiology roll-ups.
Every acquisition brings another fragmented PACS stack. Sirona puts each practice on one cloud platform — one viewer, reporter, worklist, and archive, one data model — with no servers to buy per practice.
How Sirona is Different
Multi-tenant architecture built for roll-up economics
Most PACS systems evolved from single-practice on-premise installations, so every new acquisition becomes its own migration project — and legacy PACS replacements commonly run 6–12 months. Sirona was architected from day one as a multi-tenant cloud platform. Each acquired practice is set up as its own organization — its data, users, and configuration scoped to it — on the same underlying infrastructure. Go-lives typically fall between 1 and 9 months, with most of that range driven by data-migration requirements. No servers to stage per practice. No second PACS implementation to run.
What you get across your entire portfolio
Sirona replaces fragmented point solutions with one platform across every practice you own.
Multi-Tenant Architecture
Each acquired practice gets its own organization — data, users, and roles scoped to it — on shared cloud infrastructure.
Learn moreUnified Reporting System
One cloud-native reporter across your entire portfolio, included in the platform subscription.
Learn moreOne Data Model
Every practice records studies, reports, and workflow events the same way, so operational data is comparable across the portfolio.
Learn moreRepeatable Onboarding
Go-lives typically run 1–9 months, driven mostly by data migration, with the legacy PACS running until you retire it.
Learn morePlatform AI Everywhere
Auto-Impressions, Priors Summary, and smart hanging protocols are the same in every practice, and improvements reach all of them at once.
Learn moreUnified Cost Control
Single vendor, single reporting system, single data infrastructure — removes redundant IT spend.
Learn moreThe PE operator playbook: how Sirona changes the math
The Problem
Fragmented PACS creates operational chaos after 3+ acquisitions
You acquire a practice running one vendor's PACS. Six months later you buy one on a second. Then a third. Suddenly you've got three PACS vendors, no unified reporting, no common data, and an IT team managing separate implementations instead of scaling the business. Each new acquisition resets your operational complexity.
Fragmented PACS creates separate IT teams per practice
No common data definitions — benchmarking by spreadsheet
Each acquisition adds another integration project
Per-practice cost lines multiply with every deal
Integration Path
Overlay first. Retire legacy on your schedule.
Sirona can overlay an acquired practice's existing PACS, so radiologists move onto the platform without waiting for the archive to migrate. Historical data migrates in the background, and the legacy PACS stays in place only as long as that takes; then it's decommissioned on your schedule. Servers, PACS licensing, and separate reporting software come off the books as each system is retired.
Overlay the existing PACS — no big-bang cutover
Historical data migrates in the background while reading continues
Servers, PACS licenses, and reporting software retired as you go
Legacy systems decommissioned on your schedule, not a deadline
Portfolio Scale
Each acquisition reuses what the last one built
The first acquisition establishes the platform: integrations, templates, roles, and the onboarding playbook. Every acquisition after that reuses them, because the infrastructure already exists. By the fifth, the portfolio runs on one stack, one data model, and one vendor relationship.
No per-practice servers, storage, or PACS stack to stand up
Every practice recorded on the same data model
One vendor relationship instead of one per practice
One onboarding playbook, reused for every practice
Exit Leverage
A unified stack is easier to diligence
Buyers diligence a roll-up on operational cohesion, not logo count. A portfolio that already runs on one platform — one reporter, one archive, one data model — is simpler to diligence than a collection of per-practice stacks. Sirona reduces the post-close integration risk a buyer has to underwrite.
One unified technology stack at diligence
Operational data on common definitions across practices
No pending PACS migrations for a buyer to inherit
Platform improvements reach every practice at once
1–9 months
typical go-live — most of the range is data migration
0
servers, storage arrays, or PACS stacks to stand up per acquired practice
1
platform replacing per-practice PACS, reporter, and worklist stacks
Built for the roll-up playbook

“In 12 months on Sirona we went from zero to more than a million exams a year. That growth was only possible because we deployed our own AI on top of the Sirona platform — our radiologists consistently read X-rays 20–40% faster on workflows we could not have built on any other platform. You cannot build a modern practice on a legacy PACS — and Sirona is the only modern enterprise-grade platform in radiology today.”
Rustin Rassoli
Founder & CEO, Epsilon Health
“This partnership marks the beginning of the cloud-native era in radiology software globally. Sirona has delivered an architecture that is fundamentally different from anything else in the market today — Sirona is unified, and cloud-native from the ground up. For teleradiology, that architectural distinction is existential, not incremental.”
Andy Donaldson
CTO, Everlight Radiology
FAQs
How does multi-tenant architecture actually reduce onboarding time?
What happens to per-practice reporting licenses?
Can Sirona really unify PACS from different vendors?
How do we compare practices across the portfolio?
What happens to the acquired practice's existing IT team?
Can you run a hybrid model — some practices on Sirona, some on legacy PACS?