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How Emergent Respiratory Saved Hundreds of Hours Annually with Sagify


How Emergent Respiratory automated Sage 50 invoicing from Shopify, saving hundreds of hours annually and eliminating manual backlog.

Published: July 8, 2025
sagifysage50shopifycase-studymedical devicesb2b ecommerceintegration

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How Emergent Respiratory Transformed Their Shopify–Sage 50 Workflow with Sagify

Summary: Emergent Respiratory, a medical manufacturer with hundreds of U.S. customers, faced a massive data entry burden and inconsistent bookkeeping practices. After implementing Sagify, they now process orders in seconds, send detailed invoices automatically, and have reclaimed hundreds of admin hours—without changing systems.


🏥 Company Snapshot

Duncan Hohenstein, VP of Sales at Emergent Respiratory

Emergent Respiratory is a U.S.-based manufacturer of emergency-use CPAP devices, breathing circuits, and masks. Their customers include fire departments, EMS services, and hospitals across the country.

After acquiring the Emergent brand, the team expanded from traditional contract manufacturing into what they now call Direct-to-Provider: a hybrid B2B model with complex order processes that sometimes resemble B2C transactions.

"We suddenly had a brand with hundreds of customers, each with their own way of ordering—some online, some by phone, some by PO. We needed systems that could keep up." - Duncan Hohenstein, VP of Sales


❌ The Challenge: Disconnected Systems, Manual Entry, and Backlogs

Emergent Respiratory inherited Shopify as their online store platform and had long used Sage 50 (formerly Peachtree) for accounting. But the two systems didn't talk to each other—leading to a painful, manual process.

  • Invoicing and packing slips were created directly in Shopify (with major limitations)
  • Shopify orders were either manually entered into Sage 50, or imported via messy spreadsheets
  • Orders were often left unentered for weeks or months at a time
  • A single person (often the founder) would spend entire weekends catching up
  • Reconciliation and reporting lagged, causing stress and compliance risks

"If we were lucky, we caught up once a quarter. Sometimes the data didn't get entered until something forced us to deal with it." - Duncan Hohenstein


✅ The Solution: Real-Time Sync and Stress-Free Accounting

After evaluating options, Emergent Respiratory implemented Sagify—the only solution built specifically to automate data entry between Shopify and Sage 50 US.

The change was immediate.

"Orders now flow into Sage almost instantly. We generate proper invoices, split shipments, and email receipts in our standard format—all without touching Excel." - Duncan Hohenstein

Now, every morning:

  • Sagify is run in 3 clicks, taking 15 seconds
  • Shopify orders become Sage 50 invoices, complete with payment and shipment details
  • Packing slips and email receipts are generated effortlessly
  • No more delays, no more guessing

"We're finally using Sage the way it was meant to be used. No double-handling. No backlog. It's just part of our daily routine now." - Duncan Hohenstein


📈 The Results: From Backlogged Chaos to Smooth Automation

Metric Result
🕒 Time Saved Hundreds of hours annually
💳 Payment Processing Instant & accurate
📦 Fulfillment Workflow Packing slips + invoices auto-generated
🧘 Stress Reduced dramatically
🌐 Shopify Stores Multi-store support for global expansion

"We absolutely have exponentially less admin hours—and payments are processed way faster than they were before." - Duncan Hohenstein

✨ Unexpected Wins

  • Professional invoices: Split shipments, clean numbering, and branded emails
  • Multi-store support: Sagify's architecture allows connecting to multiple Shopify stores—perfect for global scale
  • Consistent books: Month-end is no longer a fire drill

🧠 Why Emergent Respiratory Recommends Sagify

Emergent had tried everything—macros, spreadsheets, partial imports. Nothing worked well enough.

"There isn't anything else on the market that makes sense and does what Jonathan has made. If you're using Shopify and Sage 50, Sagify is a no-brainer." - Duncan Hohenstein

Not only did Sagify fix their workflow—it gave them peace of mind and time back to focus on growth.

"Jonathan has been helpful, kind, and just great to work with." - Duncan Hohenstein

Key Benefits Emergent Experienced

Before Sagify:

  • Orders entered manually once a quarter (or less frequently)
  • Entire weekends spent catching up on data entry
  • Invoicing limitations in Shopify (no split shipments, no proper numbering)
  • Constant stress about compliance and reporting
  • No consistent bookkeeping routine

After Sagify:

  • Daily 15-second sync process
  • Orders flow directly from Shopify to Sage 50
  • Professional invoices with proper formatting and split shipment support
  • Immediate payment recording and receipt generation
  • Peace of mind with real-time, accurate books

💡 Future Plans: Scale With Confidence

Emergent Respiratory is preparing to expand globally with additional Shopify storefronts. Thanks to Sagify's support for multiple stores, their infrastructure is already built for scale.

They've also shared ideas for even more automation, like real-time order syncing and automatic payment reconciliation—features Sagify is already considering for future updates.

"Being able to connect Sagify to multiple Shopify stores is going to be huge for us as we expand into other markets around the globe." - Duncan Hohenstein


Ready to Stop Wrestling with Sage 50?

👉 Book a free demo of Sagify today

If your team is still manually entering Shopify orders into Sage 50, Sagify can save you hundreds of hours, eliminate invoicing headaches, and simplify your operations—just like it did for Emergent Respiratory.


Want to learn more about Emergent Respiratory and their life-saving medical devices? Visit their website to see their full line of emergency respiratory products designed for first responders and healthcare providers.


Related Reading

  • Tula Hats Saves 3+ Hours Daily with Sagify - Another success story from a longtime Sage 50 user
  • Shopify Sage 50 Integration with Sagify - Learn how Sagify automates e-commerce accounting
  • How to Sync Sage 50 and Shopify Inventory - Master inventory management across platforms
  • Sagify US Latest Updates - Explore new features that can help your business

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