A leading $1 billion Skilled Nursing organization operating across 95+ branch locations and employing approximately 6,000 field clinicians undertook a full enterprise EMR transformation to modernize its Refer-to- Bill (R2B) lifecycle. The program replaced a fragmented, multi-vendor clinical and billing environment with Statewise (https://statewise.com/) as the unified EHR platform, supported by enterprise mobility on iOS and Android, and integrated into a comprehensive enterprise technology ecosystem.