This is a common problem. Most practices use anywhere from 3 to 11 different apps. However 5 to 8 is a very common scenario. For example, Dr Tran, has a very successful practice as a aesthetics and dermatology specialist . He has recently opened a second location also. This is how he was setup: • Website SEO company $450 /mon •  Hosting is on WordPress, on GoDaddy – $40/mon + some additional fees total is $100/mon •  Advertsing on Google $1000/mon + company manages ads, charges him $300/mon, in addition to ads budget •  For social media posting he pays $350/mon. The same company runs ads on Facebook and Instagram Ad budget is $600/mon •  For reputation management, he uses another company $299/mon for the first location, and now the 2nd location will be additional cost •  Email marketing is setup with MailChimp, there are approx 11,000 contacts in the EMR, so the monthly cost s $170/mon – However, it does not include the content for the newsletters that needs to be created, every month. The front desk staff does not have time to do this. Doctor has been looking for someone else to help with this. •  For patient intake forms, the practice tried using the EMR registration process, but patients were not filling out the forms online. So the doctor has hired another company to handle the HIPAA compliant digital forms. $250/month. •  For HIPAA compliant online appointments, the practice has been using ZocDoc, but they have increased their pricing recently based on each provider. Physicians now pay an annual $299 licensing fee, rather than the previous price of $3,000 a year, and pay a charge for new patients booking through Zocdoc that ranges from $35 to $110 based on their specialty. •  To increase patient engagement, practice is using a medical Chat Bot – Cost is $300/mon. •  Practice is also considering HIPAA compliant texting app, so the clinic staff can send texts to patients. This will be another $200 to $300 per month. Summary: Adding all this up, it is more than $2000 per month, 8+ companies, plus $1600 in advertising on Google and Facebook. This was replaced by a single vendor solution, and costs 50% less with better results, GOLD and PLATINUM service provides all of these services.