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CircusScale

Enterprise

Standardize the things that must be standard. Free everything else.

Large organizations are told to choose between control and speed. That trade-off is a property of the software, not of health systems — and it is the one we designed against first.

Standardize without freezing

System-wide standards with delegated local authorship, so a service line can move without a change-control committee — and you can still see everything that changed.

Governance as a first-class feature

Every configuration change is versioned, attributable, reviewable, and reversible. Promote between environments like code.

Scale that is boring

Dedicated infrastructure, regional data residency, financially backed uptime, and capacity planning done before you ask.

Migration at system scale

Multi-facility cutovers sequenced by service line, with per-wave validation and rollback criteria agreed in writing.

One vendor relationship

Clinical, scheduling, revenue cycle, patient experience, analytics, and the integration layer — one contract, one BAA, one audit trail.

Your team, extended

A named implementation and success team, plus direct access to the engineers who build what you run.

Architecture

What you are actually buying.

Six layers, one clinical record. Your configuration, your code, and our product all run on the same services underneath.

01Experience
ClinicianStaffPatientDeveloper

Every surface built on the same public API.

02Platform
EHRSchedulingRevenue cycleMessagingAnalytics

The complete product, not a starter kit.

03Intelligence
AIAutomationAgentsDecision support

Applied inside workflows, with human checkpoints.

04Services
Workflow engineAPIsEventsPermissionsAudit

What your configuration and your code both run on.

05Interoperability
FHIRHL7RESTGraphQLWebhooksMarketplace

Multiple front doors, one clinical record.

06Ecosystem
LabsPharmaciesPayersHospitalsDevicesApps

The rest of healthcare, already connected.

Procurement

The questions your committee will ask, answered before the RFP.

Can we run this in our own cloud?

Yes — dedicated infrastructure and regional data residency are configuration, not a different product.

What is the uptime commitment?

A financially backed SLA, with the measurement method written into the contract rather than left to a status page.

How do we control change across facilities?

Central standards with delegated local authorship, and a governance log showing who changed what, when, and why.

What happens to our data if we leave?

Full export in standard formats, at no charge, on demand — and we run that export during onboarding so you have seen it work.

How long is implementation?

Sequenced by service line and facility, typically weeks per wave, with a fixed fee and rollback criteria agreed in writing.

Who do we call at 2am?

A named team with a 24×7 one-hour response on P1, plus direct access to the engineers who build what you run.