How does a growing organization achieve the efficiencies gained by operating as a single entity? How does it accomplish this structure when operating multiple EHRs? If an organization is utilizing a single EHR, how does it get all of the providers and other users to “play nice” in the same medical record? This presentation explains how Stamford Health Integrated Practices (SHIP), a growing multispecialty medical group in Stamford, Connecticut, took the complex challenge of migrating more than nine instances of the same EHR to gain those efficiencies. In addition, it discusses the financial gains and operational challenges around the revenue cycle management and IT components of a unified EHR.