We didn't set out to build an EHR. We set out to run a clinic. When nothing on the market worked, we built our own.
Moonshot Medical and Performance started as a gym in Park Ridge, Illinois. When we added medical services -- hormone optimization, peptide therapy, weight management -- we needed software to run the clinical side.
What we found was a mess.
Booking was broken. When a patient hit our website wanting to book, they had to fill out pages of information before they could even see available times. When we tried Calendly, passing data in a HIPAA-compliant way between it and our EHR was a nightmare. Other platforms required patients to create a portal account before they could receive intake forms or book their first appointment -- so people would show up to their first visit with nothing filled out.
Automation was a joke. Every workflow required our front desk staff to manually move data from one system to the next. Forms lived in one tool, scheduling in another, patient records in a third. The "integrations" between them were fragile at best.
E-prescribing was either missing or broken. Most platforms we tried didn't include it -- especially not for controlled substances like testosterone. And the ones that did bolted it on through a third-party window that constantly broke.
Inventory tracking was Missy's number one problem. Our NP, Missy, had struggled with this at every clinic she'd worked at. Patients need refills at specific intervals. We order from multiple compounding pharmacies. There was never a centralized place to track who got prescribed what, when it was sent, and when they'd likely run out. She was tracking it manually, and things fell through the cracks.
Billing was a nightmare. On platforms like Aesthetic Record, setting up recurring memberships -- the lifeblood of a cash-pay clinic -- was incredibly difficult. You couldn't accept recurring payments at a terminal. You couldn't keep cards on file properly. A recurring membership lived in a different place than a one-time charge, so you'd have to process two separate payments instead of one. Some platforms couldn't do subscriptions at all.
And nobody could do dose escalation billing. With GLP-1 protocols, the dose goes up over time and so does the cost. We needed tiered pricing that automatically scaled with the dosing protocol. That didn't exist anywhere.
So we built it ourselves.
What started as "let's fix booking" became a full EHR. Inventory tracking with lot numbers and mg-level dosing because Missy demanded it. CRM with drip sequences because I come from tech sales and know that understanding your customer's full journey -- from first inquiry to active member to potential churn -- is how you run a real business. Task management because with 8 people, we were losing track of who was doing what on sheets of paper. AI queries because clicking through 10 screens to find one piece of information is a waste of everyone's time.
"Every week I find a new workflow that makes my day faster. I can see everything I need about a patient without leaving the chart."
Missy Zammichieli, DNP, APRN, FNP-BC -- Medical Director
Our front desk staff love it. Missy loves it. The task system means nobody loses track of a to-do anymore. The billing dashboard shows us exactly what's coming in, when, and from whom.
The result: We can focus on serving patients and growing the practice instead of fighting our software. That's what we built Moonshot Clinic to do -- and now we're making it available to every clinic like ours.
Moonshot Clinic is built and tested by the same team that uses it to see patients, manage inventory, and run billing at Moonshot Medical.
Background in tech sales. Built the EHR because nothing on the market worked for a cash-pay performance medicine clinic. Runs operations, product, and the software side of Moonshot Medical.
Doctor of Nursing Practice. Drives the clinical workflow -- from charting templates to refill tracking to inventory management. Her real-world frustrations shaped every clinical feature in the system.
"Refill tracking was my number one problem at every clinic I've worked at."
Missy Zammichieli, DNP, APRN, FNP-BC
This isn't a list of competitors -- it's the real duct-tape stack we tried to make work. Every one of these tools failed us in a specific, painful way.
Billing nightmare. Couldn't set up recurring memberships. Recurring payments lived separately from one-time charges. Had to process two transactions instead of one.
$1K-10K setup fees. Dated interface that felt five years behind.
Lock-in contracts. When we tried to leave, offboarding was deliberately difficult.
Missing critical features for hormone and peptide clinics. Not built for our niche.
Didn't fit our workflow for hormone optimization and peptide therapy clinics.
HIPAA compliance gap. Passing patient data between Calendly and our EHR wasn't HIPAA-compliant. No BAA available.
Separate system from the EHR. Forms weren't connected to the chart.
$297/month. Didn't talk to the EHR. Manual data transfer between systems.
Couldn't handle recurring memberships. Completely separate from clinical records.
No connection to patient records. No HIPAA compliance.
Same problem -- separate system, no clinical integration, no audit trail.
Tried everything to find the right communication tool. Still a disconnected silo.
Band-aid on a broken model. Automations were fragile, broke constantly, and still didn't solve the HIPAA gap between non-compliant tools.
Another attempt to make disconnected tools talk to each other. Still not one system.
Every time we tried a new platform, one of three things happened:
We will never lock you into a contract. We will never hold your data hostage. If at any point you want to leave, we'll give you everything -- full export, immediately.
There is zero risk to onboarding because we'll give you everything you need to offboard.
We believe your patient data belongs to you, not your software vendor. Period.
Blood panels, DEXA body composition scans, hormone optimization, GLP-1 weight management, peptide therapy, chiropractic, physical rehab, and more. 8 team members. In production on Moonshot Clinic since January 2026.
See for yourself. No sales call required.