For Private Equity

The platform play for radiology roll-ups.

Every acquisition brings a fragmented PACS nightmare. Sirona's multi-tenant architecture onboards each practice in weeks, not years — with unified portfolio analytics and EBITDA-lifting efficiency gains.

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How Sirona is Different

Multi-tenant architecture built for roll-up economics

Most PACS systems evolved from single-practice on-premise installations — every new acquisition forces a 12-month migration project. Sirona was architected from day one as a multi-tenant cloud platform. Each acquired practice creates a tenant — your data, your analytics, your AI customizations — all isolated, all on the same underlying infrastructure. Onboarding takes weeks. No PACS migration projects. No data replication headaches. No vendor lock-in on the practice you just bought.

What you get across your entire portfolio

Sirona replaces fragmented point solutions with a unified operating system that scales from 1 practice to 50+.

Multi-Tenant Architecture

Each acquired practice gets isolated data, compliance, and analytics — on a shared, cost-optimized infrastructure.

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Unified Reporting System

AI-powered reporter replaces PowerScribe across your entire portfolio. Licensed per platform, not per user.

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Portfolio Analytics

Real-time dashboards across all practices: productivity, turnaround, utilization, EBITDA contribution by practice.

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Fast Onboarding

Implementation in weeks for acquired practices — no year-long PACS migration projects.

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AI-Driven Efficiency

Unified AI across worklist, reporting, and viewing drives per-radiologist productivity gains that compound across practices.

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Unified Cost Control

Single vendor, single reporting system, single data infrastructure — eliminates complexity and redundant IT spend.

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The PE operator playbook: how Sirona changes the math

The Problem

Fragmented PACS creates operational chaos after 3+ acquisitions

You acquire a practice running Sectra. Six months later you buy one on Intelerad. Then GE Edison. Suddenly you've got 3 PACS vendors, no unified reporting, no cross-practice analytics, 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 cross-practice analytics — benchmarking impossible

Each acquisition adds 2–4 months integration timeline

Per-practice cost line items multiply by headcount

Year 1 Economics

Overlay on day one. Save from day one.

Sirona overlays your acquired practice's existing systems immediately — radiologists move onto the platform in weeks, not years. IT overhead starts dropping on day one: servers, PACS licensing, networking, reporting software. The legacy PACS stays in place only as long as it takes to migrate the data out, then it's decommissioned. You don't wait for a multi-year cutover to start saving.

Live overlay from day one — no multi-year migration

Radiologists reading on Sirona within weeks

IT overhead drops immediately: servers, PACS, networking, reporting

Legacy systems decommissioned on your schedule, not a deadline

Portfolio Scale

Each acquisition compounds the ROI of the platform

Acquisition 1: You pay for the platform. Every acquisition after that is cheaper to integrate, because the infrastructure already exists. By Acquisition 5, you've got unified analytics across the entire portfolio on a single cost structure.

Shared infrastructure costs decrease per practice with each acquisition

Portfolio analytics improve with every new data tenant added

Vendor consolidation = better pricing negotiation

Cross-practice best practices flow automatically through platform

Exit Leverage

A unified data layer materially lifts exit multiples

Buyers diligence a roll-up on operational cohesion, not logo count. A portfolio that already runs on one platform — unified reporting, unified archives, consolidated EBITDA reporting — commands a premium. Sirona compresses the post-close integration risk that strategic buyers price into their multiples, which translates directly into enterprise value at exit.

One unified technology stack at diligence

Consolidated EBITDA and KPI reporting out of the box

Zero PACS-migration risk for the incoming buyer

Platform AI improvements distribute across the portfolio in weeks

Weeks

to onboard an acquired practice — not the year-plus legacy PACS takes

Major

IT headcount reduction per integrated practice

Eliminated

all software, hardware, and other radiology IT across every acquired practice

Built for the roll-up playbook

Epsilon Health

“Deploying our own custom AI workflows through Sirona has changed our economics. The same physicians read materially more — with the final call always theirs.”

Rustin Rassoli

Founder & CEO, Epsilon Health

Everlight RadiologyRead the partnership announcement

“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?

Traditional PACS require 12+ months because each acquisition demands data migration, system replication, and custom workflows. Sirona's multi-tenant architecture means each acquired practice creates an isolated tenant on shared infrastructure — no migration. Radiologists from the acquired practice can read on Day 1, and full onboarding completes in weeks. You're not moving data; you're provisioning credentials and configuring templates.

What's the real cost of PowerScribe across a 10-practice portfolio?

PowerScribe licensing is a significant per-radiologist annual cost, and a typical 10-practice portfolio has 30–50 radiologists — reporting software becomes a major recurring line item on its own. Sirona includes reporting — no per-radiologist, no per-seat, no renewal negotiations. The cost elimination compounds immediately on Day 1 of each acquisition.

Can Sirona really unify PACS from different vendors?

Yes, but more importantly: Sirona replaces the need to unify fragmented PACS. Rather than bridging a Sectra at Practice A, an Intelerad at Practice B, and a GE system at Practice C, you onboard all three practices onto Sirona as their primary platform. Each practice's legacy PACS becomes a read-only archive if needed.

How do portfolio analytics actually drive EBITDA?

Portfolio analytics give you visibility into which practices scale, which plateau, and where to invest post-acquisition. You see real-time data on productivity per practice, turnaround times, AI adoption rates, radiologist utilization, and cost per study. This lets you benchmark across the portfolio, identify practices with IT bloat and rightsize, and see which subspecialties drive the best margins.

What happens to the acquired practice's existing IT team?

Post-acquisition PACS integration typically ties up multiple IT staff per practice for months. Sirona's fast onboarding and cloud-native architecture reduces that to minimal administrative effort per practice. The practice's legacy IT team can be redeployed to broader IT strategy, clinical integrations, or eliminated if that was a cost center.

Can you run a hybrid model — some practices on Sirona, some on legacy PACS?

You can, but it defeats the entire point. Unified portfolio analytics, unified reporting standards, and unified IT structure are what drive EBITDA. Hybrid models create governance complexity, multiple vendor relationships, and impossible benchmarking. Fast-growing portfolios move toward 100% Sirona within 24 months.