Extenia LLC
What We Do

Services

Four engagements. Each designed around a specific problem that healthcare organizations face when growth exceeds IT capacity.

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/fractional-it-leadership

Fractional IT Leadership

Senior technology leadership. Part-time cost.

Not every organization needs a full-time IT Director. Many need senior technology leadership on a part-time or interim basis — someone who can own the roadmap, manage vendors, report to executive leadership, and make sound decisions without requiring daily oversight. We provide that function at a fraction of the cost, with the experience of someone who has done it at scale.

Best fit for

Organizations between IT leaders, early-stage groups building out their IT function, or practices that have outgrown their current IT support model.

Scope of Engagement
  • Own and execute the technology roadmap
  • Vendor selection, negotiation, and ongoing management
  • Executive and board-level reporting
  • Staff leadership and team development
  • IT budget planning and oversight
  • Immediate availability — no search process, no onboarding lag
Discuss This Engagement →
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/acquisition-integration

Acquisition Integration

A proven playbook. Deployed from day one.

Most healthcare acquisitions underestimate the IT complexity of bringing a new practice onto centralized infrastructure. We manage the full integration lifecycle: pre-acquisition due diligence, network standup, identity integration, clinical systems migration, endpoint deployment, and go-live support. We've done this before — repeatedly — and we bring a proven playbook that reduces time-to-integration and protects operational continuity throughout.

Best fit for

PE-backed healthcare groups, multi-site physician practices, and regional health systems actively acquiring.

Scope of Engagement
  • Pre-acquisition IT due diligence and risk assessment
  • Network infrastructure standup and connectivity
  • Identity and directory integration
  • Clinical systems migration and EHR connectivity
  • Endpoint deployment and configuration
  • Go-live support and post-integration stabilization
Discuss This Engagement →
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/itsm-practice-standup

ITSM Practice Standup

Structure that makes distributed operations work.

Distributed healthcare operations require structured IT service management to function reliably. Without it, changes happen in isolation, incidents repeat, and no one has visibility into what's working and what isn't. We design and implement ITIL-aligned change, incident, and problem management frameworks — including service desk operations, SLA structures, and Change Advisory Board governance — built for the realities of multi-site healthcare environments.

Best fit for

Organizations experiencing rapid growth, repeated IT incidents, or inconsistent service delivery across locations.

Scope of Engagement
  • ITIL-aligned incident and problem management
  • Change management and CAB governance
  • Service desk design and operations
  • SLA structures and reporting frameworks
  • Knowledge base and documentation practices
  • Staff training and process adoption support
Discuss This Engagement →
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/it-due-diligence

IT Due Diligence

Know what you're buying before you buy it.

Before an acquisition closes, you need an honest assessment of what you're acquiring from a technology standpoint — infrastructure condition, security posture, licensing compliance, integration complexity, and cost to remediate. We provide that assessment in plain language, with clear findings and a realistic integration cost estimate, so leadership can make informed decisions before they're committed.

Best fit for

PE sponsors and operating partners evaluating healthcare acquisition targets.

Scope of Engagement
  • Infrastructure condition and technical debt assessment
  • Security posture and vulnerability review
  • Software licensing compliance audit
  • Integration complexity scoring
  • Realistic cost-to-remediate estimates
  • Plain-language findings report for executive and board audiences
Discuss This Engagement →

Not sure which engagement fits?

Tell us where you are. We'll tell you honestly what makes sense — and what doesn't.

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