Zero new FTEs per acquired site.
The economics changed when you stopped adding front desk staff to match growth. Steer's workforce absorbs the volume. Your people work on the exceptions. Dermatology, orthopedics, spine, ophthalmology, urology, GI, women's health. The roll-up math works differently now.
Three problems. Every PE portfolio.
The pains of specialty roll-ups are specific, and they are not the same as a hospital system's. Steer is built to solve them.
FTE hiring that scales with acquisitions
Every acquired practice needs a front desk, a scheduler, a biller. Until it doesn't. AI Front Door and Luna absorb the volume. The workforce scales with locations, not with hiring plans.
Margin compression as the portfolio scales
Gross margins compress as overhead grows faster than revenue. The AI workforce inverts the ratio. +18% margin per provider in year one at PhyNet Dermatology.
RCM normalization across acquired practices
Each acquired practice has its own billing software, its own denial patterns, its own clean-claim rate. Revenue Cycle AI normalizes the entire portfolio onto one upstream capture model.
Integrated patient acquisition across the portfolio
Paid ads, SEO, referrals, website. Most roll-ups run these at the practice level. AI Front Door consolidates them at the platform level with real closed-loop attribution.
The roll-up math, rewritten.
Portfolio averages from deployments at PE-backed specialty roll-ups with six or more months in production.
From LOI to margin lift.
The AI workforce maps directly to the levers a PE operating partner cares about. Acquisition, cost basis, margin, exit multiple.
New practice closes. Steer spins up on the existing EHR in 3 to 4 weeks. No new FTE ramp-up. The location is absorbed, not integrated.
Front desk, scheduling, billing, and reminder staffing stays flat across new locations. Labor intensity per location goes down as the portfolio grows.
New patient acquisition up 2.4x per provider. Eligibility captured at booking. Denials worked continuously. RCM across the whole portfolio normalized.
Platform-level EBITDA margin improves. The story at exit is not growth by addition, it is growth with margin expansion. That is a different multiple.
PhyNet Dermatology: 82 locations.
The workforce that inherits the platform.
Every new acquisition inherits the workforce, not the integration load. The playbook runs the same at location one and location eighty-two. That is the compounding advantage of an AI-native platform over a point-tool stack.
The numbers behind the AI workforce.
Production outcomes from 109 organizations, 472 locations, 19M patient lives. Quantified results across all four agents, with methodology disclosed for every metric.
Run the roll-up math.
We work directly with PE operating partners and portfolio company CEOs. Bring us your acquisition pipeline and current cost structure. We model the workforce economics against it.