The integration layer your last vendor promised.

MAYO CLINIC
KAISER PERMANENTE
CLEVELAND CLINIC
OPTUM
CIGNA
HUMANA
HCA HEALTHCARE
ASCENSION
COMMONSPIRIT
CENTENE
ELEVANCE HEALTH
PFIZER
MAYO CLINIC
KAISER PERMANENTE
CLEVELAND CLINIC
OPTUM
CIGNA
HUMANA
HCA HEALTHCARE
ASCENSION
COMMONSPIRIT
CENTENE
ELEVANCE HEALTH
PFIZER

One nervous system.
Every system talking.

Pulse wires your EHR silos, claims engines, and patient portals into a single integration layer that's live in 6 weeks — not 18 months. Built for the organizations that have already burned two fiscal years on integrations that still break at 2 AM.

Download Migration Teardown

Select a spoke to examine

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01 — Platform

One hub. Every spoke.
Zero translation layers.

Pulse sits between your systems as a real-time normalization engine — not a middleware wrapper that adds another layer to break.

EpicCernerMeditechClaims EnginePatient PortalLab SystemsImaging / PACSPharmacyPULSEINTEGRATION HUB

Click any node to inspect the connection.

47ms
Avg. API latency
p99 across all endpoints
200+
Pre-built connectors
EHR, payer, pharma
6 wks
To production
Median implementation
99.97%
Uptime SLA
With penalty clauses

Compliance Coverage

HIPAAHITRUST CSFSOC 2 Type IIFedRAMP ReadyFHIR R4HL7 v2.xX12 EDIIHE XDS

02 — vs. Legacy Vendors

The integration tax
you've been paying.

Legacy integration vendors sell you a platform, then charge you for every connector, every upgrade, every 2 AM support call. These numbers are real. Bring them to your budget meeting.

Your system size

500beds
505,000 beds

Pulse — 36mo TCO

$1.2M

All-in: implementation + SLA + support

Legacy Vendor — 36mo TCO

$4.8M

License + SI fees + overruns + adapters

Your Savings

$3.6M

Over 36 months · 75% reduction

Metric
⬡ Pulse
Legacy Vendor

Implementation timeline

6 weeks

Median across 80+ deployments

14–22 months

Per Gartner HIT survey 2024

36-month TCO (500-bed system)

$1.2M

Includes implementation + SLA

$4.8M+

License + SI fees + overruns

API latency (p99)

47ms

Real-time normalization

1,200ms+

Batch sync windows

Uptime SLA

99.97%

With financial penalty clauses

99.5%

Best-effort SLA

FHIR R4 native support

Full

HL7, FHIR, X12 normalized

Adapter required

$180K+ adapter project

Vendor lock-in

None

Open API, data portability

High

5-year contracts standard

Download the full TCO breakdown

03 — vs. Point Solutions

Eight tools don't make
one platform.

Point solutions create integration debt. Each connector is a liability — a different vendor, a different SLA, a different team that owns it when it breaks at 2 AM.

Compare against

How many systems to connect?

8systems
240 systems

Pulse / yr

$340K

All systems included

Mirth Connect stack / yr

$936K

4x tools required

Capability
Pulse
Mirth Connect

Systems covered

200+

< 15

Setup per connector

< 1 day

3–5 days

Normalization

Automatic

Manual

FHIR R4 native

Yes

No

Annual cost (500 beds)

$340K

$540K

Dedicated HIT support

24/7

Business hrs

04 — vs. Build In-House

Building it yourself
costs more than you think.

The real cost isn't the engineers. It's the 18 months before you're live, the key-person risk when they leave, and the compliance surface that grows every quarter.

Build In-House Calculator

4 FTE
$165K
36 months
Integration engineers (avg 4 FTE)$2.0M
Infrastructure & cloud$648K
Security & compliance tooling$432K
QA & testing overhead$792K
Ongoing maintenance & incidents$1.1M
Total in-house cost$4.9M

Pulse

$1.0M

In-House

$4.9M

You save

79%

Risks you inherit when you build

Key-person dependency

Critical

Integration knowledge lives in 1–2 engineers who leave

Compliance drift

High

HIPAA/HITRUST requirements change faster than internal cycles

Break-fix spiral

High

Each EHR upgrade can break every downstream integration

Opportunity cost

Medium

4 engineers building plumbing vs. clinical product features

Time to first data flowing

Pulse6 weeks
In-House Build18–24 months

05 — Your Integration Map

Every comparison metric
visible before the first call.

We built this page so you can do your due diligence in public — carry these numbers into any budget meeting before a salesperson ever enters the room.

See Your Integration Map

Custom-built for your EHR environment. No email required.

Organization Type

Current EHR Environment

No sales call required. Results in 2 business hours.

Migration Teardown

The 34-page PDF that shows exactly how Pulse migrates from your current vendor — week by week, with rollback plans at every stage.

6-week migration timeline with milestones
Rollback procedures at each stage
Compliance handoff checklist
Total cost worksheet (editable)
Vendor comparison scorecard

Work email only. No spam.

From organizations that made the switch

“We had 14 integration projects in flight with three different vendors. Pulse consolidated them in 8 weeks. The 2 AM pages stopped.”

Middle-aged man in business attire, confident expression

CTO, Regional Health System

580-bed system, Epic environment

“Our claims adjudication latency dropped from 4 hours to 47 seconds. The ROI was visible in the first billing cycle.”

Professional woman with dark hair in corporate setting

VP of Technology, National Payer

2.4M member payer organization

“The migration teardown PDF alone saved us from a $2.4M vendor mistake. We signed with Pulse before the first sales call.”

Man with glasses in professional setting, thoughtful expression

Director of Digital Health, Pharma

Top-10 pharmaceutical company