Growth & Expansion
Growth & Expansion
We support health system growth through mergers and acquisitions, Community Connect programs, and strategic planning, helping you navigate the operational and technology change that comes with expansion.
What we do
Our Growth & Expansion capabilities
New sites, mergers, acquisitions, and community partnerships share a common challenge: bringing a new organization onto your technology, aligning operations, and improving outcomes. Every growth path requires its own governance model, technical approach, and change strategy, and we bring the right one to the table.
M&A & technology transition planning
Phase 0 planning that builds the foundation before two organizations become one.
- Governance, workstream, and decision-making structure design
- Technical scope validation, application inventory, and contract rationalization
- IT workforce planning, role mapping, and organizational design
- Risk identification, mitigation frameworks, and dependency mapping
Organic growth & expansion
Support the operational and technology work of growing from within: new facilities, acquired practices, and expanded service lines.
- New facility IT deployment and project management
- Epic extension to acquired practices
- Portfolio management across concurrent expansion initiatives
- Clinical and operational readiness for new towers and service lines
Community Connect: hub organizations
Extend your Epic platform into the community: affiliates, independent clinics, ASCs, and hospitals.
- Connect program advisory: governance, competitive landscape, and cost modeling
- Full-cycle implementation: design, build, testing, training, and go-live
- Connect partner fit scoring, scope models, and business plan development
- Post-live support strategy, SLAs, and long-term relationship management
Community Connect: partner organizations
Find the right hub and navigate the path to a successful Connect partnership.
- Hub evaluation and fit assessment across available Epic host organizations
- Contract review, scope negotiation, and readiness planning
- Operational and clinical readiness for onboarding to a new platform
- Go-live support and post-live stabilization as a Connect partner
Revenue cycle & clinical readiness
Prepare revenue cycle operations and clinical teams for the realities of a new platform, before go-live, not after.
- Revenue cycle structural and policy alignment for consolidated or newly affiliated areas
- Current and future-state KPI definition across HB, PB, and patient access
- Clinical workflow and content readiness across provider, nursing, and ancillary teams
- Parallel revenue cycle testing and clinical validation before cutover
Technical advisory
Navigate the technical complexity of growth, from application rationalization through go-live.
- Application rationalization: inventory, assessment, and decommission planning
- Data migration planning and legacy run-out strategy
- Interface design, build coordination, and integration validation
- Testing strategy, execution, and technical dress rehearsal support
Why Evergreen
Built by operators, not theorists
We've led IT integrations and workforce transitions from inside health systems, not just advised on them from the outside.
Healthcare-focused
Evergreen is healthcare focused, not industry-agnostic. Our team brings deep healthcare and operational context to every engagement.
Built for your reality
We don't apply generic frameworks. We adapt to your operational constraints, cultural dynamics, and decision-making rhythms.
Independent perspective
As a trusted, independent advisor, we work alongside Epic and other implementation partners without conflicting incentives; your outcomes come first.
Accountability embedded
Clear ownership, measurable milestones, and transparent progress tracking. You always know who's responsible and whether you're on track.
Case studies
Outcomes from the field
Epic Instance Consolidation
Large Academic Medical Center & Regional Health System
Governance · roadmap · path to go-live
Supported Phase 0 of an Epic-to-Epic instance consolidation between a large academic medical center and its regional health system partner. Designed governance structures, decision pathways, and workstream strategies to align clinical, technical, and revenue cycle standards across both entities, then developed a phased roadmap and prioritization process to address high-impact variations, manage third-party integrations, and guide early data conversion and technical planning.
Acquisition-to-Implementation Pivot
Academic Medical Center
12-month go-live · Connect → acquisition
Engaged initially as Connect implementation advisors, the engagement pivoted to a full acquisition mid-stream. Brought a 244-bed hospital and 20+ clinics onto Epic and Sunquest lab within 12 months, serving first as advisors to build the implementation plan, then as primary delivery partner with a 3-in-a-box Project Director, project managers across all key functional areas, and Epic analysts and trainers.
New Tower & Portfolio Management
Academic Health System
New tower · CMIO · CIO initiatives
Partnered with an academic health system to support IT deployment at a new hospital tower, including Epic Technical Dress Rehearsal project management, alongside portfolio management across the IT department. Provided project management supporting the CMIO on key clinical initiatives and the CIO of the university and health system on large initiatives running simultaneously across the organization.
Let's Talk About Growth & Expansion
Bring us the opportunity. We'll bring a plan and the people to deliver it.