Free EMR Thoughts Newsletter Want to receive the latest EMR Thoughts, Healthcare IT happenings, and EMR Market trends sent straight to your email? Join thousands of healthcare pros who subscribe to EMR Thoughts for FREE!

ImagineMD EHR Closes Doors and Amazing Charts Acquired

A lot of activity lately in the EHR world and I think this is just the beginning. ImagineMD posted an “Important Notice” (quoted at the bottom of this post) on their website that said that they’re no longer providing ImagineMD services. The interesting thing is that a respected EHR consultant that I know absolutely loved the Imagine MD EHR. This guy had worked with hundreds of EHR software, so he knew the difference. Sadly, as often happens in business it’s not enough to have a great product. You also have to be able to market that product well. Looks like ImagineMD went out with their heads held high and didn’t leave their doctors high and dry. That’s always good since even an assisted transition is hard.

In other unrelated news, today it was also announced that Amazing Charts was acquired by Pri-Med. This is an interesting acquisition since Amazing Charts has a nice EHR footprint and Pri-Med wasn’t previously in the EHR space. Although, it does seem that Pri-Med’s physician connection could be really beneficial to Amazing Charts. I’m going to try and do an interview with Amazing Charts and Pri-Med which I’ll post on EMR and HIPAA or EMR and EHR.

ImagineMD is part of the EHR consolidation that everyone said is coming. We just can’t sustain 300+ EHR vendors. However, the Amazing Charts acquisition isn’t part of EHR consolidation. It’s similar to the ADP Acquisition of AdvancedMD where Neil Versel aptly pointed out wasn’t the expected EHR consolidation. Add these changes to large EHR vendors shutting down EHR software like MyWay and GE Centricity Advance and were slowly winnowing down the number of EHR vendors out there.

ImagineMD Client Notice:

Dear Clients of Imagine MD:

This notice is to inform you that as of September 30, 2012 (the “Effective Date”), we will no longer be providing Imagine MD Services as defined in the End User License Agreement – Terms of Use as set forth on our website at https://secure.imaginemd.com/Public/docs/terms.pdf (the “Services”). The Services may or may not include, without limitation, electronic prescribing “eRx”, meaningful use attestation services, and other related services. After the Effective Date, you will no longer have access to any of our Services and we will terminate all access codes that we have provided to you.

Following termination of Services we will return to you, or, upon your written instruction, transfer to another party, all patient records, including personal information you have provided to us or we have created and maintained on your behalf. Such information will be provided in an encrypted format. You will be contacted in the near future regarding this transfer of information. The files will include information through the period ending September 30, 2012, or the date as of which you request such data, whichever occurs first. Thirty days after the information is transferred, we will destroy all patient records and we will not retain a copy of the information. Additionally, we will provide you with a log of all relevant disclosures, if any, of protected health information that you may need to fulfill your obligations under the Health Insurance Portability and Accountability Act of 1996 with regard to the provisions and accounting of such disclosures.

We are terminating all of our services as we are in the process of exiting the business. All of us at Imagine MD thank you for using our services.

If you have any questions, please contact us by email at info@imagine-md.com or call us at (877) 394-7774.

eHealth Made EASY, LLC (a/k/a Imagine MD™)

Full Disclosure: Amazing Charts is an advertiser on this site.

November 19, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 5000 articles with John having written over 2000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 9.3 million times. John also recently launched two new companies: InfluentialNetworks.com and Physia.com, and is an advisor to docBeat. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and Google Plus.

EMR Market Numbers and Number of EHR Vendors with 0 Meaningful Use Attestations

Since I’ve kind of turned EMR Thoughts into an EMR and healthcare IT market website, I feel I should definitely point out this post I did on EMR and HIPAA about the Meaningful Use EHR Vendor Breakout by Percentage. It’s a really interesting post looking at which EHR vendors are doing well with meaningful use attestation and a look at what that means in the broader EHR market.

In the comments, Dr. Rowley (who first posted some of the meaningful use numbers) offered this added insight that I think is worth highlighting:

Here’s another observation on the ambulatory EHR market. If you look at all the Certified complete EHRs on the CMS CHPL list, and compare that to the HHS Meaningful Use list from data.gov, you will see that 284 vendors had products that were used (at least once) for MU attestion; however 295 additional vendors had NO usage of their products for MU attestation in 2011. More argument to a very crowded field, and lots of products in the market with perhaps no usage (or, at least, no Meaningful Usage).

Nearly 300 EHR vendors are listed on the list of Complete Certified EHR and had 0 meaningful use attestations! Wow! I guess I shouldn’t be that surprised since I even know a number of EHR vendors that still aren’t complete EHR certified. The volume of EHR companies is just astounding to me though.

These will be important numbers to look at near the end of 2012. We’ll see how many of those nearly 300 EHR companies still don’t have any meaningful use attestations.

June 21, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 5000 articles with John having written over 2000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 9.3 million times. John also recently launched two new companies: InfluentialNetworks.com and Physia.com, and is an advisor to docBeat. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and Google Plus.

More Complaints About the ONC Workforce Program

I think my post on Finding Jobs for ONC Workforce Participants and other related posts have been some of the saddest posts I’ve done. My heart really does break when I read the stories of the people who have done the ONC Workforce program and can’t find healthcare IT jobs. Here’s one such example that was recently left in the comments (minor modifications from the original):

I too completed the ONC Workforce Training Program in December 2011. I am an R.N. with over 20 years of healthcare experience.I have no prior IT experience…$19 billion dollars [the whole HITECH Act was $36 billion, so this number is off. I want to say the workforce program was just a little under $1 billion. Either way, it's still a lot of money.] of tax payers money has been invested in the training we should be prepared to get a job. I have been agressively looking for an entry level position also and have not been able to get work because when I speak to employers, recruiters, the outcome is always the same “the EHR companies want experienced people”, they are not interested in the HIT certification. The IT companies are being very selective at this time, they are looking for experts to implement the EHR systems. Eveyone is making money, the colleges, Ahima, Pearson Vue, computer companies, printer companies, and all of the supply companies that students buy equipment and supplies from. I have spent $3,000.00 on equipment in preparation for taking the ONC training. It may be tuition free, but it is very expensive to take the training. I have been unemployed for almost 4 years due to lay-offs. I have advanced training in healthcare and have spent large sums of money and remain unemployed. I thought that with my nursing background that I would have been a perfect fit for the ONC Trainer Role. I appreciate the training, but am greatly disappointed with not being trained for the job industry. Well if anyone has any lead on how I can get a job please share the information.

In that post, I linked to the EMR & EHR Jobs board that I have in the sidebar of my websites. There are quite a few EMR related jobs listed there. I haven’t quite figured out the reason for the disconnect. I’ve always been an experience over certification guy, but some of these stories really tug at the heart strings. Unfortunately, I’m not sure I have many answers for these people searching for healthcare IT jobs.

May 23, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 5000 articles with John having written over 2000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 9.3 million times. John also recently launched two new companies: InfluentialNetworks.com and Physia.com, and is an advisor to docBeat. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and Google Plus.

Top 10 EMR Software per Medical Software Advice

I always find it interesting to see various list of EMR and EHR software. Most of the lists don’t have much thought put into their creation. However, it’s fun to look through all the lists and see which EMR companies end up making it on the list. Plus, it’s good to know the next time you see them talking about being a top EMR software where that list might have come from.

This list of Top EMR Software companies comes from the people at Medical Software Advice. I’m not sure how they get this list, but it’s an interesting one. No doubt the list is a bit biased by the EHR vendors that actually work with Medical Software Device. Maybe this is the top 10 EMR software companies that can market. There are some of the major EHR companies on this list though, so take a look. Always good to triangulate multiple top EMR lists to narrow down your selection process.

For those in the industry, you’ll enjoy reading through the descriptions of each company.

January 24, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 5000 articles with John having written over 2000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 9.3 million times. John also recently launched two new companies: InfluentialNetworks.com and Physia.com, and is an advisor to docBeat. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and Google Plus.

90% of Doctors Expect to Have EHR Within 3 Years per USA Today

@ElinoreBoeke – Elinore Boeke
90% of surveyed doctors expect to have EHRs within three years usat.ly/tSgBNG #HealthIT #EHR via @USATODAY

The survey also sets EHR adoption at 46% and quotes someone saying there are 1000 EHR software vendors out there. Well, I think all of those numbers are way off.

First, expect that doctors won’t meet their expectations cause 90% of doctors won’t have EHR within 3 years.

Second, I think we’re closer to 25-30% adoption. 46% probably includes a lot of people who have a PMS, but no real EMR. Maybe they do 1 or 2 small EHR like function.

Third, 1000 EHR software vendors, really? Even if you expand to things like ePrescribing I’d put the number closer to 600. If you take out the partial EHR software companies, I think it’s closer to 300. Granted, there are more and more EHR software coming out each day.

November 30, 2011 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 5000 articles with John having written over 2000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 9.3 million times. John also recently launched two new companies: InfluentialNetworks.com and Physia.com, and is an advisor to docBeat. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and Google Plus.

HIPAA Violations Aren’t Happening in SaaS EHR

Micheal Koploy over at Medical Software Advice put together an interesting post that looked at all the HHS breach data. He does a pretty in depth look at the various incidents of breach that occurred and even does a deep dive into the specific EMR related HIPAA breaches that are listed. He then forms an interesting conclusion:

HIPAA Violations Aren’t in the Cloud
Some have said that increasing the number of EMRs make our records more vulnerable. I’d cite the above data to argue otherwise. Paper records and portable devices are the weakest link in HIPAA security. The systems themselves – and certainly cloud-based systems – have a pretty good track record. HIPPA violations aren’t happening in the cloud. Rather, they’re happening in the doctor’s office, hospital IT closets, cars, subways, and homes.

And the statement that cloud-based EMR systems are more vulnerable to security breaches simply isn’t supported by facts. Of course, it remains to be seen if this holds true as more cloud-based systems are deployed. As more physicians move their records to the cloud, the opportunity for breaches will increase.

If my doctor asked me how to ensure patients’ data is secure, I would offer the following: go to the cloud. Web-based EMRs eliminate the most common security risks because there aren’t physical files to be compromised. And no matter your system, it’s essential to train your staff on the necessary security measures to ensure patient privacy is a systematic imperative

I think he makes a good point about it possibly being too early to really know how many cloud based SaaS EHR companies are going to have breaches. I also think it’s fair to consider that when those do happen, they’re going to be big breaches. They won’t just be a few records that are breached, but a whole bunch. Although, this is true for any electronic medical record HIPAA breach as compared with a paper chart HIPAA breach.

The other thing I can’t help but wonder is if there are more breaches with cloud EHR software, but we just don’t know that their happening. Although, that goes against the common thinking that EHR software does a much better job of tracking breaches than a paper chart. Your digital fingerprints are all over a digital chart and can be reported on quite easily. It’s a little harder to track the inappropriate fingerprints on a paper chart.

All in all, I’d have to agree with Michael and his assertion that we’re likely to see many fewer EHR breaches from a SaaS or cloud based EHR company than we will see from all the in house EHR software. In an in house system, the EHR company can just blame the clinic for the breach (in most cases). In a SaaS based EHR system, a HIPAA breach would have a much more damaging effect on the future sales of that EHR company. So, they’re more likely to put in the effort needed to avoid such breaches.

June 20, 2011 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 5000 articles with John having written over 2000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 9.3 million times. John also recently launched two new companies: InfluentialNetworks.com and Physia.com, and is an advisor to docBeat. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and Google Plus.

Top 100 Healthcare IT Companies by Revenue

Healthcare Informatics has released their list of top 100 Healthcare IT companies by revenue in their cover story. They also have an interactive list which is easy to see the top 100 healthare IT and EMR companies and how they’ve moved up and down on the list.

Below I’ve listed the top 50 healthcare IT and EMR companies. Some interesting names on the list. Many of the revenue numbers are pretty amazing.

McKesson Technology Solutions | Alpharetta, GA | www.mckesson.com

HIT Revenue: $3,124,000,000 (10) $3,064,000,000 (09) $2,984,000,000 (08)

Major Revenue: 18% Software; 4% Hardware; 78% Services

Employees: 15,131 Type Company: Public Founded: 1974

The information technology and connectivity business of McKesson Corporation provides IT solutions that help organizations to improve patient safety, reduce the cost and variability of care, and manage revenue stream and resources.

Company Executives: Patrick Blake, EVP and Group President, McKesson Corp.

Dell Inc.* | Round Rock, TX | 800-289-3355 | content.dell.com/us/en/healthcare/healthcare-solutions.aspx
*Revenue estimate.

HIT Revenue: $2,625,000,000 (10) $2,500,000,000 (09)

Major Revenue: 6% Software; 54% Hardware; 40% Services

MandA 2010: KACE, 2/10; Exanet, 2/10; Scalent, 7/10; Ocarina Networks, 7/10; Boomi, 12/10; InSite One, 12/10

Employees: 11,000+ globally Type Company: Public Founded: 1984

Provides technology and business process solutions and services to the healthcare and life sciences industries, from IT outsourcing and revenue cycle services to integrated technology solutions, and from the point-of-care to the data center.

Company Executives: James Coffin, PhD, VP and GM, Dell Healthcare and Life Sciences; Berk Smith, VP, Dell Healthcare and Life Sciences Services

CareFusion | San Diego, CA | 888-876-4287 | www.carefusion.com

HIT Revenue: $2,600,000,000 (10) $2,400,000,000 (09)

MandA 2010: Medegen, 5/10 for $225 million; Divested Research Services, 6/10

Employees: 6,000 Type Company: Public Founded: 2009

Helps hospitals improve the quality and cost of healthcare through its products and services, focusing on medication errors and healthcare-associated infections.

Company Executives: Kieran Gallahue, Chairman and CEO; Jim Hinrichs, CFO

Philips Healthcare | Andover, MA | 978-659-3000 | www.philips.com/healthcare

HIT Revenue: $2,400,000,000 (10) $787,000,000 (09) $732,000,000 (08)

MandA 2010: Tesco Informatica, 3/10; CDP Medical Ltd., 8/10; Wheb Sistemas, 9/10

Type Company: Public Founded: 1891

Provides clinical informatics and patient care solutions designed to complement EHRs with patient data to support advanced clinical decision making, simplify clinician workflow, and improve financial outcomes.

Company Executives: Steve Rusckowski, CEO, Philips Healthcare; Deborah DiSanzo, CEO, Patient Care and Clinical Informatics

Cerner Corporation | Kansas City, MO | 816-201-0727 | www.cerner.com

HIT Revenue: $1,850,222,000 (10) $1,671,864,000 (09) $1,676,028,000 (08)

Major Revenue: 21% Software; 9% Hardware; 70% Services MandA 2010: IMC Health Care, 1/10

Employees: 8,600 Type Company: Public Founded: 1979

Optimizes processes for healthcare organizations, ranging from single-doctor practices to entire countries, for the pharmaceutical and medical device industries, and for the field of healthcare as a whole.

Company Executives: Neal Patterson, CEO and Chairman of the Board; Clifford W. Illig, Vice Chairman

Siemens Healthcare* | Malvern, PA | 888-826-9702 | www.medical.siemens.com

HIT Revenue: $1,600,000,000 (10) $1,400,000,000 (09)

Offers products and solutions, including medical imaging, laboratory diagnostics, medical IT, and hearing aids, for the entire range of patient care, from prevention and early detection to diagnosis, treatment, and aftercare.

Company Executives: John Glaser, PhD, CEO, Siemens Health Services

Keane, an NTT DATA Company | Boston, MA | 800-699-6773, ext. 5329 | www.keane.com/hsd

HIT Revenue: $1,400,000,000 (10) $178,000,000 (09) $187,299,000 (08)

Major Revenue: 25% Software; 2% Hardware; 73% Services

Employees: 6,650 Type Company: Private Founded: 1965

Offers healthcare IT solutions for medical centers, hospitals, post-acute care, and long-term care facilities, and helps organizations increase efficiency, reduce errors, meet regulatory requirements, and improve revenue cycle management. Acquired by NTT DATA Corporation.

Company Executives: Walt Kaczor, SVP; Ed Scott, VP, Sales and Marketing

CSC | Falls Church, VA | 703-876-1000 | www.csc.com

HIT Revenue: $1,334,000,000 (10) $1,566,000,000 (09) $1,640,000,000 (08)

Major Revenue: 5% Software; 95% Services

Employees: 6,000 Type Company: Public Founded: 1959

Provides strategic planning, operations improvement, systems integration, and outsourcing services to all segments of the healthcare industry.

Company Executives: Michael Laphen, President and CEO; Mark Roman, President, Healthcare Group

Pulse Systems, Inc., division of Cegedim | Wichita, KS | 800-444-0882 | www.pulseinc.com

HIT Revenue: $1,200,000,000 (10) $910,000,000 (09) $860,000,000 (08)

Major Revenue: 80% Software; 7% Hardware; 13% Services

Employees: 110 Type Company: Public Founded: 1986

Supports ambulatory physician offices through software that seamlessly integrates clinical, financial, and administrative processes into one comprehensive solution.

Company Executives: Basil Hourani, CEO; Alias Hourani, VP-Operations

Cognizant | Teaneck, NJ | 201-801-0223 | www.cognizant.com

HIT Revenue: $1,177,085,193 (10) $860,427,276 (09) $688,223,756 (08)

Major Revenue: 100% Services

Employees: 21,000+ Type Company: Public Founded: 1994

Provides IT, business process outsourcing, and consulting services to payers, providers, pharmacy benefit managers, and intermediaries.

Company Executives: Francisco D’Souza, President and CEO; Gordon Coburn, CFO and COO

Emdeon | Nashville, TN | 615-932-3000 | www.emdeon.com

HIT Revenue: $1,002,152,000 (10) $918,448,000 (09) $853,599,000 (08)

Major Revenue: 97% Software; 3% Services

MandA 2010: Future Vision Technology (FV Tech), 1/10 for $20 million; HTMS, 3/10 for $11 million; Chapin RCM, 6/10 for $18.9 million; Chamberlin Edmonds and Associates, 9/10 for $260 million

Employees: 3,000 Type Company: Public Founded: 1988

Provides healthcare revenue and payment cycle management and clinical information exchange that connect payers, providers, and patients to integrate and automate business, administrative, and clinical functions.

Company Executives: George Lazenby, CEO; Bob Newport, CFO

Epic Systems Corporation | Verona, WI | 608-271-9000 | www.epic.com

HIT Revenue: $825,000,000 (10) $650,000,000 (09) $602,000,000 (08)

Major Revenue: 100% Software

Employees: 4,150 Type Company: Private Founded: 1979

Offers a central database that links clinics, hospitals, and remote Web-based settings with clinical, scheduling, and billing information.

Company Executives: Judith Faulkner, Founder and CEO

Allscripts Healthcare Solutions, Inc. | Chicago, IL | 800-654-0889 | www.allscripts.com

HIT Revenue: $704,502,000 (10) $561,000,000 (09) $383,771,000 (08)

Major Revenue: 18% Software; 82% Services MandA 2010: Eclipsys Corporation, 8/10 for $1.3 billion

Employees: 5,500 Type Company: Public Founded: 1986

Provides clinical, financial, connectivity, and information solutions for hospitals, physicians, and post-acute organizations.

Company Executives: Glen Tullman, CEO; Lee Shapiro, President

EMC Corp.* | Hopkinton, MA | 508-435-1000 | www.emc.com

HIT Revenue: $700,000,000 (10) $500,000,000 (09)

MandA 2010: Greenplum, Inc., 6/10; Isilon Systems, 12/10

Develops and provides information infrastructure technology and solutions.

Company Executives: Joseph Tucci, Chairman, President, and CEO; William J. Teuber, Jr., Vice Chairman

Wolters Kluwer Health | Philadelphia, PA | 215-646-8700 | www.wolterskluwerhealth.com

HIT Revenue: $687,000,000 (10) $618,000,000 (09) $524,000,000 (08)

Major Revenue: 75% Software; 25% Services MandA 2010: Pharmacy OneSource, 12/10

Employees: 1,700 Type Company: Public Founded: 1978

Provides information and point-of-care solutions serving professionals, institutions, and students in medicine, nursing, allied health, and pharmacy.

Company Executives: Bob Becker, President and CEO, WK Health and Pharma Solutions; Arvind Subramanian, President and CEO, WK Health, Clinical Solutions

The Trizetto Group | Greenwood Village, CO | 800-569-1222 | www.trizetto.com

HIT Revenue: $518,000,000 (10) $490,000,000 (09) $481,600,000 (08)

Major Revenue: 45% Software; 55% Services

Employees: 2,360 Type Company: Private Founded: 1997

Provides healthcare IT software and service solutions for administrative efficiency, cost and quality-of-care improvement, and increased payer and provider collaboration, and connectivity.

Company Executives: Trace Devanny, CEO; Tony Bellomo, President

OptumInsight (formerly Ingenix) | Eden Prairie, MN | 800-765-6713 | www.ingenix.com

HIT Revenue: $460,000,000 (10) $430,000,000 (09) $335,000,000 (08)

Major Revenue: 75% Software; 25% Services

MandA 2010: Quality Metric, Incorporated, 3/10; Axolotl Corp., 8/10; Picis, Inc., 8/10; Executive Healthcare Resources, 8/10; A-Life Medical, Inc., 10/10

Employees: 14,000 Type Company: Private Founded: 1996

Brings technology solutions, intelligence, and decision-support tools together to help hospitals, health systems, and physician practices connect and align with federal regulations, and make better informed decisions.

Company Executives: Andy Slavitt, CEO; Bill Miller, President, Provider Solutions

Medical Information Technology, Inc. (MEDITECH) | Westwood, MA | 781-821-3000 | www.meditech.com

HIT Revenue: $459,098,000 (10) $393,025,014 (09) $397,929,595 (08)

Employees: 3,300+ Type Company: Private

Provides integrated software solutions that meet the information needs of healthcare organizations, including hospitals, ambulatory care centers, physicians’ offices, long-term care and behavioral health facilities, and home health organizations.

Company Executives: A. Neil Pappalardo, Chairman; Lawrence Polimeno, Vice Chairman

Nuance Communications, Inc. | Burlington, MA | 781-565-5000 | www.nuance.com

HIT Revenue: $449,300,000 (10) $392,000,000 (09) $356,300,000 (08)

MandA 2010: Language and Computing Inc., 2/10; Encompass Medical Transcription, Inc., 8/10; OSi, LLC, 9/10

Employees: 839 Type Company: Public Founded: 1994

Provides speech-enabled, computer-assisted clinical documentation and decision support solutions for patient care, regulatory compliance, and financial performance.

Company Executives: Paul Ricci, Chairman and CEO; Janet Dillione, EVP and GM

3M Health Information Systems | Salt Lake City, UT | 800-367-2447 | www.3Mhis.com

HIT Revenue: $448,907,000 (10) $425,627,000 (09) $413,300,000 (08)

Major Revenue: 81% Software; 1% Hardware; 18% Services

Employees: 950 Type Company: Public Founded: 1983

Offers integrated solutions for medical records coding, ICD-10, dictation and transcription, clinical documentation improvement, quality, data standardization, and vocabularies.

Company Executives: Jon T. Lindekugel, President; JaeLynn Williams, VP, Marketing

GE Healthcare** | Chalfont St. Giles, U.K. | www.gehealthcare.com
**Industry analysts’ estimates rank company in top quartile.

Type Company: Public Offers a broad range of products and services to healthcare providers for diagnosis and earlier treatment of cancer, heart disease, neurological diseases, and other conditions.

Company Executives: John Dineen, President and CEO; Marcelo Mosci, President and CEO, GE Healthcare Americas

IBM** | Armonk, NY | www.ibm.com

Type Company: Public Integrates data so doctors, patients, and insurers can share information seamlessly and efficiently; helps clients apply advanced analytics to improve medical research, diagnosis, and treatment.

Company Executives: Samuel J. Palmisano, Chairman, President, and CEO

Lawson Software** | St. Paul, MN | 800-477-1357 | www.lawson.com

Type Company: Public Offers enterprise resource planning software, services, and support.

Company Executives: Harry Debes, CEO and President

Microsoft** | Redmond, WA | www.microsoft.com/hsg

Type Company: Public Founded: 1975

Offers health solutions including Amalga, HealthVault, and a portfolio of identity and access management technologies acquired from Sentillion Inc. in 2010.

Oracle Corporation** | Redwood Shores, CA | 800-392-2999 | www.oracle.com

Type Company: Public Provides complete, open, and integrated business software and hardware systems.

Company Executives: Lawrence J. Ellison, CEO

MedQuist Holdings Inc. | Franklin, TN | 866-542-7253 | www.medquist.com

HIT Revenue: $417,326,000 (10) $353,932,000 (09) $171,413,000 (08)

Major Revenue: 9% Software; 91% Services MandA 2010: Spheris, 4/10 for $112.4 million; Divested PFS, 12/10 for $14.8 million

Employees: 12,000 Type Company: Public Founded: 1998

Offers services that enable healthcare facilities to manage clinical documentation workflow from voice capture through coding.

Company Executives: Peter Masanotti, President and CEO; Anthony James, CFO

Infosys Technologies Limited | Plano, TX | 469-229-9400 | www.infosys.com

HIT Revenue: $414,600,000 (10) $325,000,000 (09) $251,000,000 (08)

Major Revenue: 1% Software; 99% Services

Employees: 6,520 Type Company: Public Founded: 1981

Serves payers, providers, PBMs, retail pharmacies, life sciences, and HIEs, offering business consulting, IT outsourcing and BPO, knowledge services, systems integration, package application services and implementation, ADM and reengineering, and testing services.

Company Executives: S. Gopalakrishnan, CEO and Managing Director; Eric Paternoster, Unit Head, Insurance, Life Sciences and Healthcare Vertical

TELUS Health Solutions | Longueuil, PQ, Canada | 450-928-6000 | www.telushealth.com

HIT Revenue: $403,000,000 (10) $342,429,000 (09) $305,000,000 (08)

Major Revenue: 80% Software; 20% Services

Employees: 1,400 Type Company: Public Founded: 1998

Helps transform how information is used across the continuum of care, from hospital to primary care to home, with tools that foster collaboration, drive prevention, and empower care teams and patients.

Company Executives: Paul Lepage, SVP; Stephane Dubreuil, SVP, Consumer Health Marketing

Science Applications International Corporation (SAIC) | McLean, VA | 888-886-5909 | www.saic.com/health

HIT Revenue: $394,450,000 (10) $376,270,000 (09) $346,680,000 (08)

Major Revenue: 100% Services

Employees: 1,900 Type Company: Public Founded: 1969

Provides expertise, services, and infrastructure that support information-based healthcare to enhance patient care, accelerate public health surveillance, foster biomedical research, reduce costs, and improve healthcare system performance.

Company Executives: Joseph W. Craver III, President-Health, Energy and Civil Solutions Group; Stephen J. Comber, Health Solutions Business Unit General Manager

MedAssets, Inc. | Alpharetta, GA | 678-248-8194 | www.medassets.com

HIT Revenue: $391,331,000 (10) $341,281,000 (09) $279,656,000 (08)

Major Revenue: 65% Software; 35% Services MandA 2010: The Broadlane Group, 11/10 for $850 million

Employees: 3,100 Type Company: Public Founded: 1999

Offers revenue cycle, spend, and clinical resource management solutions that help control cost, improve margins and cash flow, increase regulatory compliance, and optimize operational efficiency.

Company Executives: John A. Bardis, Chairman, President, and CEO; Rand A. Ballard, COO

Vangent, Inc. | Arlington, VA | 703-284-5600 | www.vangent.com

HIT Revenue: $348,656,933 (10) $326,346,320 (09) $301,041,954 (08)

Major Revenue: 3% Software; 7% Hardware; 90% Services MandA 2010: Buccaneer Computer Systems and Service, 9/10

Employees: 3,960 Type Company: Private Founded: 1953

Supports the Military Health System for DoD; manages 1-800-MEDICARE and 1-800-CDC-INFO; provides tools to manage the healthcare of American Indians and Alaskan natives, leads development of NHIN CONNECT.

Company Executives: Mac Curtis, President and CEO; Jim Reagan, CFO

NextGen Healthcare | Horsham, PA | 215-657-7010 | www.nextgen.com

HIT Revenue: $334,768,000 (10) $262,900,000 (09) $214,900,000 (08)

Major Revenue: 30% Software; 2% Hardware; 68% Services MandA 2010: Opus Healthcare Solutions, Inc., 2/10

Employees: 1,300 Type Company: Public Founded: 1994

Provides integrated clinical, financial, and connectivity solutions for ambulatory, inpatient, and dental provider organizations. A wholly owned subsidiary of Quality Systems, Inc.

Company Executives: Scott Decker, President; Steve Puckett, EVP, Inpatient Solutions

Ascom Wireless Solutions | Goteborg, Sweden | 46 31 55 9300 | www.ascom.us/us-en

HIT Revenue: $300,000,000 (10) $286,000,000 (09)

Major Revenue: 20% Software; 50% Hardware; 30% Services

Employees: 1,148 Type Company: Public Founded: 1955

Provides on-site wireless communications for segments such as hospitals and elder care. Its solutions are based on VoWiFi, IP-DECT, Nurse Call, and paging technologies, which are integrated into existing enterprise systems.

Company Executives: Fritz Mumenthaler, Managing Director; Anders Melin, VP, Supply Chain

InterSystems Corporation | Cambridge, MA | 617-621-0600 | www.InterSystems.com

HIT Revenue: $281,000,000 (10) $231,200,000 (09) $226,000,000 (08)

Major Revenue: 65% Software; 35% Services

Employees: 900 Type Company: Private Founded: 1978

Offers software for connected healthcare, specializing in advanced integration, database, and business intelligence.

Company Executives: Terry Ragon, CEO; Paul Grabscheid, VP, Strategic Planning

SAS | Cary, NC | 919-531-8000 | www.sas.com

HIT Revenue: $270,638,200 (10) $244,700,000 (09) $205,660,000 (08)

Major Revenue: 85% Software; 15% Services

Employees: 11,801 Type Company: Private Founded: 1976

Provides business analytics solutions across the enterprise to support business decisions, align actions with business strategy, improve operational efficiency, and increase the bottom line.

Company Executives: Jim Goodnight, Founder and CEO; Jim Davis, CMO

HealthPort Technologies, LLC | Alpharetta, GA | 800-737-2585 | www.healthport.com

HIT Revenue: $263,000,000 (10) $259,000,000 (09) $200,000,000 (08)

Major Revenue: 100% Services

MandA 2010: PHNS’s Hunter Medical Systems, Inc. (HMSI) release of information services organization, 6/10

Employees: 3,700 Type Company: Private Founded: 1976

Provides release of information services, comprehensive audit management technology, disability forms completion, and on-site conversion services that facilitate the secure and expedient transfer of protected health information.

Company Executives: Mike Labedz, CEO; Brian Grazzini, CFO

Sage (Sage Healthcare Division)* | Tampa, FL | 877-932-6301 | www.sagehealth.com.

HIT Revenue: $251,520,000 (10)

Employees: 1,200 Type Company: Public Founded: 1981

Provides EHR, practice management, RCM, and analytics solutions to physicians, and processes claims and e-prescriptions. EHR specialties include primary care, OB/GYN, pediatrics, cardiology, and orthopedics in all sizes of practices and community health centers.

Company Executives: Betty Otter-Nickerson, President; Tony Ryzinski, SVP, Marketing

athenahealth, Inc. | Watertown, MA | 888-652-8200 | www.athenahealth.com

HIT Revenue: $245,500,000 (10) $188,500,000 (09) $100,800,000 (08)

Major Revenue: 100% Software

Employees: 1,242 Type Company: Public Founded: 1997

Provides cloud-based business services for physicians that are based on proprietary Web-native practice management and EHR software, a continuously updated payer knowledge-base, integrated back-office service operations, and patient communications services.

Company Executives: Jonathan Bush, Chairman and CEO; Tim Adams, CFO

HCL Technologies Healthcare Practice | Florham Park, NJ | 732-803-1619 | www.hcltech.com/healthcare

HIT Revenue: $199,000,000 (10) $134,000,000 (09) $102,000,000 (08)

Major Revenue: 93% Software; 1% Hardware; 6% Services

Employees: 6,600 Type Company: Public Founded: 1976

Offers business-aligned enterprise IT services, including domain expertise-driven information management, compliance solutions, and future-ready business process optimization, to leading pharmaceutical companies, insurance payers, and healthcare providers.

Company Executives: Pradep Nair, SVP, HCL Healthcare; Gurmeet Chahal, VP, Sales, HCL Healthcare

Sunquest Information Systems | Tucson, AZ | 800-748-0692 | www.sunquestinfo.com

HIT Revenue: $174,500,000 (10) $164,700,000 (09) $155,500,000 (08)

Employees: 600 Type Company: Private Founded: 1979

Provides software to help increase patient safety and predictive medicine insight for community hospitals, integrated delivery networks, academic institutions, outreach programs, and reference laboratories, including streamlining workflow and fostering physician affinity.

Company Executives: Richard Atkin, President and CEO; Kathy Jehle, CFO

Kronos, Inc.* | Chelmsford, MA | 978-250-9800 | www.kronos.com

HIT Revenue: $174,000,000 (10) $168,000,000 (09) $178,766,750 (08)

Founded: 1977

Helps organizations manage their workforce by giving them tools to control labor costs, minimize compliance risk, and improve workforce productivity. Signed agreement to acquire API in February 2011.

Company Executives: Aron Ain, CEO; Peter George, CTO and SVP, Products and Technology

Anthelio Healthcare Solutions Inc. (formerly PHNS, Inc.) | Dallas, TX | 214-257-7000 | www.antheliohealth.com

HIT Revenue: $158,066,000 (10) $151,656,000 (09) $127,994,000 (08)

Major Revenue: 100% Services

Employees: 657 Type Company: Private Founded: 1999

Provides comprehensive information technology and business process services to hospitals, healthcare providers, and other businesses across the U.S.

Company Executives: Richard Garnick, CEO; Richard Kneipper, Chief Strategy Officer and Co-Founder

CareTech Solutions | Troy, MI | 248-823-0800 | www.caretech.com

HIT Revenue: $154,035,000 (10) $151,400,000 (09) $134,000,000 (08)

Major Revenue: 10% Software; 4% Hardware; 86% Services

Employees: 850 Type Company: Private Founded: 1998

An IT and Web products and services provider for U.S. hospitals and health systems offering flexible and customized IT solutions, including a healthcare-specific help desk and data center hosting.

Company Executives: Jim Giordano, President and CEO; Pat Milostan, SVP and COO

eClinicalWorks | Westborough, MA | 866-888-6929 | www.eclinicalworks.com

HIT Revenue: $154,000,000 (10) $105,882,637 (09) $86,360,323 (08)

Major Revenue: 70% Software; 30% Services

Employees: 1,400 Type Company: Private Founded: 1999

Provides a comprehensive EHR with practice management solution, including EMR software as well as mobile, patient portal, and HIE applications for customers of all sizes and specialties.

Company Executives: Girish Navani, CEO and Co-Founder; Mahesh Navani, COO and Co-Founder; Dr. Raj Dharampuriya, CMO and Co-Founder

CPSi | Mobile, AL | 800-711-2774 | www.cpsinet.com

HIT Revenue: $153,247,000 (10) $127,742,000 (09) $119,664,000 (08)

Major Revenue: 20% Software; 10% Hardware; 70% Services

Employees: 1,194 Type Company: Public Founded: 1979

Offers an integrated healthcare information system/EMR for community and specialty hospitals including software, hardware, implementation and support, with financial, clinical, patient care, physician portal, CPOE, and PACS software modules.

Company Executives: J. Boyd Douglas, President and CEO; David Dye, Chairman and CFO

QuadraMed | Reston, VA | 703-709-2300 | www.quadramed.com

HIT Revenue: $149,000,000 (10) $145,000,000 (09) $150,000,000 (08)

Major Revenue: 30% Software; 70% Services

Employees: 570 Type Company: Private Founded: 1993

Provides HIT solutions and services that address challenges in access/identity management, care management (EHR), health information management, and patient revenue management for health systems around the world.

Company Executives: Duncan James, CEO; Dave Piazza, CFO

MED3000 | Pittsburgh, PA | 412-937-8887 | www.MED3000.com

HIT Revenue: $144,257,942 (10) $136,347,275 (09) $120,594,741 (08)

Major Revenue: 15% Software; 85% Services

Employees: 2,105 Type Company: Private Founded: 1995

Provides healthcare management, operations, and information technology services that help differentiate its physician, hospital, municipal, and payer clients.

Company Executives: Patrick Hampson, Chairman and CEO; Stephen Ura, CTO

Merge Healthcare | Chicago, IL | 312-565-6868 | www.merge.com

HIT Revenue: $140,332,000 (10) $66,841,000 (09) $56,735,000 (08)

Major Revenue: 30% Software; 70% Services MandA 2010: AMICAS, 4/10 for $223.9 million

Employees: 750 Type Company: Public Founded: 1987

Develops software solutions that automate healthcare data and diagnostic workflow to create a more comprehensive electronic record of the patient experience. Products range from standards-based development toolkits to fully integrated clinical applications.

Company Executives: Jeff Surges, CEO; Justin Dearborn, President

Agfa HealthCare* | Mortsel, Belgium | 864-421-1600 | www.agfa.com

HIT Revenue: $140,000,000 (10) $190,000,000 (09) $1,583,375,000 (08)

Type Company: Public

Provides IT-enabled clinical workflow and diagnostic image management solutions, and state-of-the-art systems for capturing and processing images in hospitals and healthcare facilities.

Company Executives: Christian Reinaudo, President and CEO, Agfa-Gevaert, and President, Agfa HealthCare

Elsevier | Philadelphia, PA | 866-430-7062 | www.clinicaldecisionsupport.com

HIT Revenue: $125,000,000 (10) $121,000,000 (09) $107,000,000 (08)

Major Revenue: 100% Software

Employees: 350 Type Company: Public Founded: 1995

Delivers clinical content, care planning and documentation, drug reference and decision support, learning and performance management, and analytics solutions that optimize decisions and actions to improve the overall quality, safety, and cost of care.

Company Executives: Michael Hansen, CEO; Chris Dillon, Managing Director

June 2, 2011 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 5000 articles with John having written over 2000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 9.3 million times. John also recently launched two new companies: InfluentialNetworks.com and Physia.com, and is an advisor to docBeat. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and Google Plus.