Case studyDifferent Centers. Different Systems. One View.
Eximius · 5 multi-specialty centers · Multiple statesHow Eximius Surgery Center Development Group got live multi-center visibility across heterogeneous platforms. Centers on separate systems · Live reporting without rip-and-replace
July 2026
Executive summary
When every surgery center runs on its own stack, consolidated reporting becomes a manual, laggy process. Finch connects to all of them and makes the portfolio visible in real time — without forcing anyone to switch systems.
The situation
Eximius operates five multi-specialty ambulatory surgery centers across multiple states. Each center runs on its own existing platform — different EHRs and practice management systems across the portfolio. That setup is common for multi-site groups that have grown through partnerships or acquisitions. It also creates a persistent reporting problem.
Any time leadership wanted a portfolio view — performance across sites, specialty mix, case profitability, supply trends — someone had to request reports from each center, wait for them to be pulled from different systems, then manually consolidate everything into a usable format. The result was lag. By the time a regional or multi-center picture was ready, the window to act on it had often already closed. Growth only made the fragmentation worse.
What Finch delivered
Finch connected to the different underlying systems and became the single intelligence and reporting layer across the portfolio. No center had to change its core platform. Multi-center and regional roll-ups, plus the ability to ask questions in plain English, became available in one place with live data.
Unified multi-center view
Performance across all centers despite heterogeneous source systems
Consolidated reporting in seconds
What previously took days of coordination across sites
Same-day comparison and action
Compare sites, spot outliers, and act without waiting for compiled reports
Natural-language follow-ups
Leadership can ask questions without waiting on analysts
Scales with the portfolio
Grow centers without adding proportional reporting headcount
Before vs. after
| Before Finch | With Finch |
|---|---|
| Request reports from each center separately | Single connection layer across systems |
| Wait for pulls from different systems | Live data from every center in one place |
| Manual consolidation in spreadsheets | Instant multi-center and regional roll-ups |
| Portfolio view arrives days later | Portfolio view available the same day |
| Hard to compare sites side-by-side in real time | Compare sites, specialties, and trends immediately |
Why this matters for multi-site groups
Most multi-center ASC organizations grow into a patchwork of systems. Forcing standardization is expensive, disruptive, and often politically difficult. The alternative — living with fragmented reporting — creates lag and opacity exactly when leadership needs speed and clarity the most.
Finch sits in the middle. It does not require centers to abandon their existing platforms. It connects to the data they already have and turns it into a single, live intelligence layer. The result is portfolio visibility without the rip-and-replace tax — and a reporting process that scales as the number of centers grows instead of breaking under it.
Key findings
Heterogeneous systems are normal
Multi-site groups rarely run on one platform. The problem is not the variety — it's the lag it creates in reporting.
You don't have to standardize to see the whole portfolio
An intelligence layer on top of existing systems can deliver unified visibility without forcing change at every center.
Speed compounds with scale
The more centers you add, the more painful manual consolidation becomes. Live roll-ups remove that penalty.
Same-day decisions require same-day data
When the portfolio view arrives days later, the conversation is already over. When it's live, leadership can actually manage the group.