1. 2016 vendor review c
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This document provides a summary of the 2016 annual review of leading healthcare information systems (HIS) vendors ranked by revenue. It discusses the long history of such vendor reviews dating back to 1980. Definitions of what constitutes an HIS vendor are provided, excluding large firms that do not offer complete hospital information systems. Revenue figures for 2015 are presented along with analysis of changes from 2014 revenue and notable trends among vendors. The review highlights new entrants athenaHealth and eClinicalWorks and notes several vendors that have been acquired or are no longer separately tracked. A breakdown of analysis for the top 10 vendors across large, mid-size and small hospital markets over the next 3 weeks is outlined.
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2. 2016 macro vendors
This document summarizes a vendor review of high-end hospital information systems (HIS) vendors. Cerner has become the largest vendor in terms of annual revenue, surpassing McKesson. Cerner's acquisition of Siemens and major Department of Defense contract contributed to its growth. Epic is also experiencing steady growth. Allscripts and Meditech round out the top vendors, though GE was dropped from the top tier due to its small hospital client base. Upcoming episodes will cover mid-size and small hospital vendors.
3. 2016 mid range vendors
This document summarizes mid-sized hospital information systems (HIS) vendors with annual revenues in the hundreds of millions of dollars. It discusses Meditech, NTT Data Medhost, and HMS/Medhost. For each vendor, it provides details on products, client base, revenue history, acquisitions, and future prospects. It also discusses a major acquisition involving NTT Data and the impact on its consulting business.
4. 2016 small vendors
This document summarizes the small hospital EHR/HIS vendor market. It notes that Evident recently acquired Healthland, expanding its client base to over 1,000 small hospitals. Athenahealth and eClinicalWorks recently entered the small hospital market after focusing on physician practices. Other players for small hospitals include Meditech, Cerner, and Allscripts which offer cheaper versions of their products for this market. The document predicts continued consolidation in this space as large vendors look to gain more market share.
1. 2016 vendor review b
This document provides a summary of the 2016 annual review of leading healthcare information systems (HIS) vendors ranked by revenue. It discusses the long history of such vendor reviews dating back to 1980. Definitions of what constitutes an HIS vendor are provided, excluding large firms only involved in hardware, consulting, or specialty systems. Revenue figures for 2015 are presented for the top HIS vendors along with analysis of changes from 2014 revenue and factors influencing growth or decline. The review also highlights new entrants to the market and vendors that have been acquired or are no longer separately tracked. Details on the top 10 vendors will be analyzed over the next 3 weeks based on the size of hospitals they serve.
1. 2016 vendor review c 1
This document provides a summary of the 2016 annual review of leading healthcare information systems (HIS) vendors ranked by revenue. It discusses the long history of such vendor reviews dating back to 1980. Definitions of what constitutes an HIS vendor are provided, excluding large firms only involved in hardware, consulting, or specialty systems. Revenue figures for 2015 are presented for the top HIS vendors along with analysis of changes from 2014 revenue and notable trends. The review highlights the continued leadership of Cerner, as well as growth of athenaHealth and its new entry into the hospital HIS market.
1. 2016 vendor review
This document provides a summary of the 2016 annual review of leading healthcare information systems (HIS) vendors ranked by revenue. It discusses the long history of such vendor reviews dating back to 1980. Definitions of what constitutes an HIS vendor are provided, excluding large firms that do not offer complete hospital information systems. Revenue figures for 2015 are presented along with analysis of changes from 2014 and notable trends for top vendors such as growth for Cerner and declines for McKesson, Meditech, and Evident. The review highlights the addition of athenaHealth and the potential entry of eClinicalWorks into the hospital HIS market. Plans are outlined to examine the performance of the top 10 vendors broken into market segments in follow-up discussions
124. system longevity
This document summarizes the results of a one-year follow up review by CLAS (Ciotti's Latest Attempted Satire) of coffee cups given away by HIStalk and Epic at a past conference. In the follow up review, CLAS found that the HIStalk cup showed no signs of fading or wear after a year, while the lettering on the Epic cup had significantly faded and was difficult to read. The document also discusses how the ratings and perceived leaders of healthcare IT systems can change over time, and examines the typical lifespan and replacement cycles of different healthcare IT systems currently in use.
4. 2014 small vendors
CPSI is a leading vendor for small hospitals under 100 beds, with a client base of around 650 small and critical access hospitals. It has developed all of its applications and modules in-house over decades of self-development. Medhost was formed through the merger of HMS and EDIS leader Medhost. It has a client base skewed toward smaller and mid-sized proprietary hospital chains. Healthland grew rapidly serving small Midwest hospitals and has acquired several other vendors to expand its client base to around 500 small hospitals. NextGen enters the small hospital market through acquisitions but makes most of its revenue from its large base of over 40,000 physician clients.
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2. 2016 macro vendors
This document summarizes a vendor review of high-end hospital information systems (HIS) vendors. Cerner has become the largest vendor in terms of annual revenue, surpassing McKesson. Cerner's acquisition of Siemens and major Department of Defense contract contributed to its growth. Epic is also experiencing steady growth. Allscripts and Meditech round out the top vendors, though GE was dropped from the top tier due to its small hospital client base. Upcoming episodes will cover mid-size and small hospital vendors.
3. 2016 mid range vendors
This document summarizes mid-sized hospital information systems (HIS) vendors with annual revenues in the hundreds of millions of dollars. It discusses Meditech, NTT Data Medhost, and HMS/Medhost. For each vendor, it provides details on products, client base, revenue history, acquisitions, and future prospects. It also discusses a major acquisition involving NTT Data and the impact on its consulting business.
4. 2016 small vendors
This document summarizes the small hospital EHR/HIS vendor market. It notes that Evident recently acquired Healthland, expanding its client base to over 1,000 small hospitals. Athenahealth and eClinicalWorks recently entered the small hospital market after focusing on physician practices. Other players for small hospitals include Meditech, Cerner, and Allscripts which offer cheaper versions of their products for this market. The document predicts continued consolidation in this space as large vendors look to gain more market share.
1. 2016 vendor review b
This document provides a summary of the 2016 annual review of leading healthcare information systems (HIS) vendors ranked by revenue. It discusses the long history of such vendor reviews dating back to 1980. Definitions of what constitutes an HIS vendor are provided, excluding large firms only involved in hardware, consulting, or specialty systems. Revenue figures for 2015 are presented for the top HIS vendors along with analysis of changes from 2014 revenue and factors influencing growth or decline. The review also highlights new entrants to the market and vendors that have been acquired or are no longer separately tracked. Details on the top 10 vendors will be analyzed over the next 3 weeks based on the size of hospitals they serve.
1. 2016 vendor review c 1
This document provides a summary of the 2016 annual review of leading healthcare information systems (HIS) vendors ranked by revenue. It discusses the long history of such vendor reviews dating back to 1980. Definitions of what constitutes an HIS vendor are provided, excluding large firms only involved in hardware, consulting, or specialty systems. Revenue figures for 2015 are presented for the top HIS vendors along with analysis of changes from 2014 revenue and notable trends. The review highlights the continued leadership of Cerner, as well as growth of athenaHealth and its new entry into the hospital HIS market.
1. 2016 vendor review
This document provides a summary of the 2016 annual review of leading healthcare information systems (HIS) vendors ranked by revenue. It discusses the long history of such vendor reviews dating back to 1980. Definitions of what constitutes an HIS vendor are provided, excluding large firms that do not offer complete hospital information systems. Revenue figures for 2015 are presented along with analysis of changes from 2014 and notable trends for top vendors such as growth for Cerner and declines for McKesson, Meditech, and Evident. The review highlights the addition of athenaHealth and the potential entry of eClinicalWorks into the hospital HIS market. Plans are outlined to examine the performance of the top 10 vendors broken into market segments in follow-up discussions
124. system longevity
This document summarizes the results of a one-year follow up review by CLAS (Ciotti's Latest Attempted Satire) of coffee cups given away by HIStalk and Epic at a past conference. In the follow up review, CLAS found that the HIStalk cup showed no signs of fading or wear after a year, while the lettering on the Epic cup had significantly faded and was difficult to read. The document also discusses how the ratings and perceived leaders of healthcare IT systems can change over time, and examines the typical lifespan and replacement cycles of different healthcare IT systems currently in use.
4. 2014 small vendors
CPSI is a leading vendor for small hospitals under 100 beds, with a client base of around 650 small and critical access hospitals. It has developed all of its applications and modules in-house over decades of self-development. Medhost was formed through the merger of HMS and EDIS leader Medhost. It has a client base skewed toward smaller and mid-sized proprietary hospital chains. Healthland grew rapidly serving small Midwest hospitals and has acquired several other vendors to expand its client base to around 500 small hospitals. NextGen enters the small hospital market through acquisitions but makes most of its revenue from its large base of over 40,000 physician clients.
2. 2016 macro vendors 1
This document summarizes a vendor review of high-end hospital information systems (HIS) vendors. Cerner has become the largest vendor in terms of annual revenue, surpassing McKesson. Cerner's acquisition of Siemens and major Department of Defense contract contributed to its growth. Epic is also experiencing steady growth. Allscripts and McKesson round out the top vendors, though McKesson's technology division revenue declined in 2015. The review will continue to analyze mid-size and small hospital HIS vendors in subsequent episodes.
4. 2016 small vendors 1
This document summarizes the small hospital EHR/HIS vendor market. It notes that Evident recently acquired Healthland, expanding its client base to over 1,000 small hospitals. Athenahealth and eClinicalWorks recently entered the small hospital market. Other players include Meditech, Cerner, and Allscripts with offerings tailored for small hospitals. The document also discusses smaller vendors Prognosis and CSS/ORMED and potential for future acquisitions in this space.
5. 2016 MD Vendor overview
This document summarizes the physician practice vendor market. It begins by outlining the leading vendors ranked by number of EHR attestations, with Epic, Allscripts, and eClinicalWorks having the most. It then discusses the large number of "other" smaller vendors that comprise 30% of the market. The document contrasts integrated hospital information systems with physician practice systems. Finally, it previews reviewing the top 10 vendors in more depth next week.
3. 2016 Mid-Range Vendors Elise Ames
This document summarizes mid-sized hospital information systems (HIS) vendors with annual revenues in the hundreds of millions of dollars. It discusses Meditech, NTT Data Medhost, and HMS/Medhost. For each vendor, it provides details on products, client base, revenue history, acquisitions, and future prospects. It also discusses a major acquisition involving NTT Data and the impact on its consulting business.
2. 2014 macro vendors
This document summarizes the 2014 annual revenues and key statistics for the top 5 high-end healthcare information systems (HIS) vendors: Cerner, McKesson, Epic, Allscripts, and GE. Cerner surpassed McKesson to become the largest vendor based on annual revenue of $5.5 billion in 2014, up 17% from 2013. The document outlines each vendor's product lines, number of employees, growth over time, and future prospects. Upcoming episodes will cover mid-size and small HIS vendors.
1. 2016 md vendor overview
This document provides an overview of the physician practice vendor market, including:
- There are over 785 vendors with certified EHRs, though the market will likely consolidate. The top 10 vendors make up over 50% of EHR attestations.
- Terminology around ambulatory, physician, and hospital systems can be confusing. Different types of practices purchase different vendors depending on size and ownership.
- Independent practices tend to use vendors without integrated hospital systems, while hospital-owned practices often use Epic or Cerner which have integrated capabilities.
- The next episode will review the top 10 vendors in more depth regarding history, acquisitions, products, revenue, and client base.
2. 2016 top 10 md vendors
This document summarizes the top 10 physician practice vendors in 2016 based on the number of EHR attestations per 2015 ONC reports. For each vendor, it provides their history, product lines, employee and client statistics, ratings, and future prospects. The top vendor was Epic, followed by Allscripts, eCW, NextGen, GE Healthcare, Greenway, Cerner, Practice Fusion, athenahealth, and McKesson. The summary highlights each vendor's founding, products, size, customer base, ratings, and potential future opportunities and challenges.
1. 2014 vendor overview(1)
This document summarizes the 2014 revenue of major healthcare information systems (HIS) vendors. It finds that Cerner surpassed McKesson to become the highest revenue vendor for the first time. Overall revenue growth for the top 12 vendors was only 5% compared to over 15% in previous years, possibly due to challenges meeting meaningful use criteria slowing new sales. In upcoming segments it will analyze vendor performance within market segments of large, mid-size, and small hospitals.
2. 2017 top 10 md vendors 4 28
The document summarizes leading physician practice vendors ranked by number of eligible provider (EP) electronic health record (EHR) attestations reported by the Office of the National Coordinator for Health Information Technology (ONC) as of July 2016. It provides details on the history, products, employee and client numbers, revenue, application ratings, and future prospects of the top 6 vendors: 1) Epic, 2) Allscripts, 3) eClinicalWorks, 4) NextGen Healthcare, 5) GE Healthcare, and 6) Cerner.
2. 2017 macro vendors b
This document discusses the top 10 healthcare IT vendors by 2016 revenue. It focuses on the high-end vendors with over $1.5 billion in revenue that primarily target large hospitals of 300+ beds. Cerner maintained the #1 spot with around $5 billion in revenue, an 8% increase. Epic was #2 with $2.5 billion in revenue, a 23% increase. Allscripts was #3 with $1.5 billion in revenue, a 12% increase. McKesson dropped to #4 with around $1.5 billion in revenue from its IT division, a estimated 50% decline. GE was dropped from the top 10 list due to losing many hospital clients in recent years. The following weeks will
1. 2017 top his vendors
This document summarizes the top 10 healthcare IT vendors by revenue in 2016. Cerner surpassed Epic as the number one vendor by revenue for the third year in a row. McKesson sold off around half of its EIS division. Meditech saw declining revenue for the fourth year in a row. The document also discusses changes in vendor names and provides historical revenue data for the top 10 vendors over the past 20 years. Upcoming episodes will analyze vendor performance in more detail based on hospital size.
8. diy rating
This document discusses a "DIY" approach to rating EMR and physician practice systems without relying on third-party rating agencies. It involves directly contacting reference clients provided by vendor finalists to get feedback from end users. Key steps include issuing a request for information to identify leading vendors, having different end users conduct peer-to-peer reference calls using a checklist, scoring the results, and sharing findings to involve users in the selection process. The approach aims to provide more relevant data than ratings, heavily involve users who must live with the system, and teach them that no system is perfect.
7. 2016 Other MD Vendors
The document provides an overview of the physician practice vendor market, including:
1) A recap of the top 10 vendors that comprise approximately 70% of the market and the next 40 vendors that make up 15% of the market.
2) Details on how larger HIS vendors offer multiple physician practice products and how products are positioned based on practice size.
3) Issues with relying on various vendor rating sources and the importance of conducting user reference calls to sort through the large number of options.
3. 2016 other md vendors
The document provides an overview of the physician practice vendor market, including:
- The top 10 vendors hold approximately 70% of the 500,000 attestations, with the next 40 vendors accounting for 15% and the remaining 735 vendors making up the rest.
- Many large HIS vendors have multiple physician practice products tailored for small, medium, and large practices.
- Various third party ratings of vendors exist but differ in methodology and vendors are rated differently across sources.
- The best way to evaluate vendors is to conduct your own user reference calls to practices of similar size and location that use the product being considered.
3. 2017 other md vendors 5 5 b
This document provides an overview of physician practice vendors, including details on the top 10 vendors and an overview of the remaining 622 vendors. It discusses the vendors' products, origins, mergers and acquisitions, annual revenues, and number of employees. It also offers suggestions for how medical practices can evaluate the many vendor options, such as making reference calls to existing users, reviewing user manuals, conducting site visits, meeting implementation teams, and having physicians do hands-on testing of finalist vendors' systems. The goal is to select the "least of the evils" and prepare users for challenges during the EHR conversion process.
1. 2017 md vendor overview
This document summarizes a vendor review of electronic health record (EHR) systems for physician practices. It provides an overview of the market, including the types of practices and applications available. It then ranks the top 10 vendors by the number of EHR attestations reported to ONC, with Epic having the largest market share. The document also examines "other" smaller vendors, hospital-owned practices versus independent practices, and integrated hospital/physician systems offered by various vendors like Epic, Allscripts, and Cerner.
4. 2017 low end vendors
2017 HIS Vendor Review
Part 4: "Small" HIS Vendors
By Vince Ciotti & Elise Ames
HIS Professionals, LLC
97. epic part 3
This document summarizes Epic's growth from a small startup to a major healthcare IT vendor. It describes how Epic took a non-traditional approach to sales and marketing, focusing on developing relationships with customers rather than aggressive promotions. Early on, Epic prioritized building out its software capabilities. By allowing potential customers to freely discuss the system and meeting with programmers rather than executives, Epic differentiated itself from competitors. This approach contributed to Epic gaining major customers like Kaiser Permanente and becoming the dominant vendor it is today.
98. epic part 4
Epic has dominated the large hospital market in recent years due to its truly integrated software that provides the same experience for physicians in hospitals and practices. While other vendors offer separate inpatient and ambulatory systems, Epic's single code base allows seamless use across settings. This integration has helped win many large healthcare organizations by satisfying physicians who are the most important users. However, Epic is not perfect and also faces challenges like cost overruns and weaker specialty applications. Overall, Epic has been uniquely successful due to its singular focus on clinical integration compared to competitors' more fragmented product histories.
108. cerner, part 5
This document provides an overview of Cerner's history from its beginnings in 1979 developing lab information systems to its current position as a leading provider of healthcare IT systems. It discusses Cerner's development of its Health Network Architecture (HNA) in the 1990s which expanded its offerings beyond labs into a full hospital information system. Key acquisitions and partnerships that helped grow Cerner's product portfolio are also summarized. The document concludes by teasing the story of McKesson's history which will be covered in the next episode.
96. epic part 2
This document summarizes the origins and early history of Epic Systems Corporation. It describes how founder Judy Faulkner studied computer science and developed an interest in medical applications. After graduate school, she built clinical data tracking systems and applications for various hospital departments. In 1979, she formed Healthcare Services Computing Inc, later renamed Epic Systems, with 3 employees. The summary provides an overview of Epic's growth from these early beginnings.
123. epic epilogue
Vince Ciotti gave a presentation on the history of healthcare information systems (HIS) to Epic's 6,000 employees. He recounted stories from the 1960s onwards involving pioneering clinical systems. The young audience was engaged by tales of early innovators. During Q&A, Ciotti was surprised to be asked about the future of HIS, having focused on the past. He plans follow up episodes discussing lessons from history for healthcare CIOs today.
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2. 2016 macro vendors 1
This document summarizes a vendor review of high-end hospital information systems (HIS) vendors. Cerner has become the largest vendor in terms of annual revenue, surpassing McKesson. Cerner's acquisition of Siemens and major Department of Defense contract contributed to its growth. Epic is also experiencing steady growth. Allscripts and McKesson round out the top vendors, though McKesson's technology division revenue declined in 2015. The review will continue to analyze mid-size and small hospital HIS vendors in subsequent episodes.
4. 2016 small vendors 1
This document summarizes the small hospital EHR/HIS vendor market. It notes that Evident recently acquired Healthland, expanding its client base to over 1,000 small hospitals. Athenahealth and eClinicalWorks recently entered the small hospital market. Other players include Meditech, Cerner, and Allscripts with offerings tailored for small hospitals. The document also discusses smaller vendors Prognosis and CSS/ORMED and potential for future acquisitions in this space.
5. 2016 MD Vendor overview
This document summarizes the physician practice vendor market. It begins by outlining the leading vendors ranked by number of EHR attestations, with Epic, Allscripts, and eClinicalWorks having the most. It then discusses the large number of "other" smaller vendors that comprise 30% of the market. The document contrasts integrated hospital information systems with physician practice systems. Finally, it previews reviewing the top 10 vendors in more depth next week.
3. 2016 Mid-Range Vendors Elise Ames
This document summarizes mid-sized hospital information systems (HIS) vendors with annual revenues in the hundreds of millions of dollars. It discusses Meditech, NTT Data Medhost, and HMS/Medhost. For each vendor, it provides details on products, client base, revenue history, acquisitions, and future prospects. It also discusses a major acquisition involving NTT Data and the impact on its consulting business.
2. 2014 macro vendors
This document summarizes the 2014 annual revenues and key statistics for the top 5 high-end healthcare information systems (HIS) vendors: Cerner, McKesson, Epic, Allscripts, and GE. Cerner surpassed McKesson to become the largest vendor based on annual revenue of $5.5 billion in 2014, up 17% from 2013. The document outlines each vendor's product lines, number of employees, growth over time, and future prospects. Upcoming episodes will cover mid-size and small HIS vendors.
1. 2016 md vendor overview
This document provides an overview of the physician practice vendor market, including:
- There are over 785 vendors with certified EHRs, though the market will likely consolidate. The top 10 vendors make up over 50% of EHR attestations.
- Terminology around ambulatory, physician, and hospital systems can be confusing. Different types of practices purchase different vendors depending on size and ownership.
- Independent practices tend to use vendors without integrated hospital systems, while hospital-owned practices often use Epic or Cerner which have integrated capabilities.
- The next episode will review the top 10 vendors in more depth regarding history, acquisitions, products, revenue, and client base.
2. 2016 top 10 md vendors
This document summarizes the top 10 physician practice vendors in 2016 based on the number of EHR attestations per 2015 ONC reports. For each vendor, it provides their history, product lines, employee and client statistics, ratings, and future prospects. The top vendor was Epic, followed by Allscripts, eCW, NextGen, GE Healthcare, Greenway, Cerner, Practice Fusion, athenahealth, and McKesson. The summary highlights each vendor's founding, products, size, customer base, ratings, and potential future opportunities and challenges.
1. 2014 vendor overview(1)
This document summarizes the 2014 revenue of major healthcare information systems (HIS) vendors. It finds that Cerner surpassed McKesson to become the highest revenue vendor for the first time. Overall revenue growth for the top 12 vendors was only 5% compared to over 15% in previous years, possibly due to challenges meeting meaningful use criteria slowing new sales. In upcoming segments it will analyze vendor performance within market segments of large, mid-size, and small hospitals.
2. 2017 top 10 md vendors 4 28
The document summarizes leading physician practice vendors ranked by number of eligible provider (EP) electronic health record (EHR) attestations reported by the Office of the National Coordinator for Health Information Technology (ONC) as of July 2016. It provides details on the history, products, employee and client numbers, revenue, application ratings, and future prospects of the top 6 vendors: 1) Epic, 2) Allscripts, 3) eClinicalWorks, 4) NextGen Healthcare, 5) GE Healthcare, and 6) Cerner.
2. 2017 macro vendors b
This document discusses the top 10 healthcare IT vendors by 2016 revenue. It focuses on the high-end vendors with over $1.5 billion in revenue that primarily target large hospitals of 300+ beds. Cerner maintained the #1 spot with around $5 billion in revenue, an 8% increase. Epic was #2 with $2.5 billion in revenue, a 23% increase. Allscripts was #3 with $1.5 billion in revenue, a 12% increase. McKesson dropped to #4 with around $1.5 billion in revenue from its IT division, a estimated 50% decline. GE was dropped from the top 10 list due to losing many hospital clients in recent years. The following weeks will
1. 2017 top his vendors
This document summarizes the top 10 healthcare IT vendors by revenue in 2016. Cerner surpassed Epic as the number one vendor by revenue for the third year in a row. McKesson sold off around half of its EIS division. Meditech saw declining revenue for the fourth year in a row. The document also discusses changes in vendor names and provides historical revenue data for the top 10 vendors over the past 20 years. Upcoming episodes will analyze vendor performance in more detail based on hospital size.
8. diy rating
This document discusses a "DIY" approach to rating EMR and physician practice systems without relying on third-party rating agencies. It involves directly contacting reference clients provided by vendor finalists to get feedback from end users. Key steps include issuing a request for information to identify leading vendors, having different end users conduct peer-to-peer reference calls using a checklist, scoring the results, and sharing findings to involve users in the selection process. The approach aims to provide more relevant data than ratings, heavily involve users who must live with the system, and teach them that no system is perfect.
7. 2016 Other MD Vendors
The document provides an overview of the physician practice vendor market, including:
1) A recap of the top 10 vendors that comprise approximately 70% of the market and the next 40 vendors that make up 15% of the market.
2) Details on how larger HIS vendors offer multiple physician practice products and how products are positioned based on practice size.
3) Issues with relying on various vendor rating sources and the importance of conducting user reference calls to sort through the large number of options.
3. 2016 other md vendors
The document provides an overview of the physician practice vendor market, including:
- The top 10 vendors hold approximately 70% of the 500,000 attestations, with the next 40 vendors accounting for 15% and the remaining 735 vendors making up the rest.
- Many large HIS vendors have multiple physician practice products tailored for small, medium, and large practices.
- Various third party ratings of vendors exist but differ in methodology and vendors are rated differently across sources.
- The best way to evaluate vendors is to conduct your own user reference calls to practices of similar size and location that use the product being considered.
3. 2017 other md vendors 5 5 b
This document provides an overview of physician practice vendors, including details on the top 10 vendors and an overview of the remaining 622 vendors. It discusses the vendors' products, origins, mergers and acquisitions, annual revenues, and number of employees. It also offers suggestions for how medical practices can evaluate the many vendor options, such as making reference calls to existing users, reviewing user manuals, conducting site visits, meeting implementation teams, and having physicians do hands-on testing of finalist vendors' systems. The goal is to select the "least of the evils" and prepare users for challenges during the EHR conversion process.
1. 2017 md vendor overview
This document summarizes a vendor review of electronic health record (EHR) systems for physician practices. It provides an overview of the market, including the types of practices and applications available. It then ranks the top 10 vendors by the number of EHR attestations reported to ONC, with Epic having the largest market share. The document also examines "other" smaller vendors, hospital-owned practices versus independent practices, and integrated hospital/physician systems offered by various vendors like Epic, Allscripts, and Cerner.
4. 2017 low end vendors
2017 HIS Vendor Review
Part 4: "Small" HIS Vendors
By Vince Ciotti & Elise Ames
HIS Professionals, LLC
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97. epic part 3
This document summarizes Epic's growth from a small startup to a major healthcare IT vendor. It describes how Epic took a non-traditional approach to sales and marketing, focusing on developing relationships with customers rather than aggressive promotions. Early on, Epic prioritized building out its software capabilities. By allowing potential customers to freely discuss the system and meeting with programmers rather than executives, Epic differentiated itself from competitors. This approach contributed to Epic gaining major customers like Kaiser Permanente and becoming the dominant vendor it is today.
98. epic part 4
Epic has dominated the large hospital market in recent years due to its truly integrated software that provides the same experience for physicians in hospitals and practices. While other vendors offer separate inpatient and ambulatory systems, Epic's single code base allows seamless use across settings. This integration has helped win many large healthcare organizations by satisfying physicians who are the most important users. However, Epic is not perfect and also faces challenges like cost overruns and weaker specialty applications. Overall, Epic has been uniquely successful due to its singular focus on clinical integration compared to competitors' more fragmented product histories.
108. cerner, part 5
This document provides an overview of Cerner's history from its beginnings in 1979 developing lab information systems to its current position as a leading provider of healthcare IT systems. It discusses Cerner's development of its Health Network Architecture (HNA) in the 1990s which expanded its offerings beyond labs into a full hospital information system. Key acquisitions and partnerships that helped grow Cerner's product portfolio are also summarized. The document concludes by teasing the story of McKesson's history which will be covered in the next episode.
96. epic part 2
This document summarizes the origins and early history of Epic Systems Corporation. It describes how founder Judy Faulkner studied computer science and developed an interest in medical applications. After graduate school, she built clinical data tracking systems and applications for various hospital departments. In 1979, she formed Healthcare Services Computing Inc, later renamed Epic Systems, with 3 employees. The summary provides an overview of Epic's growth from these early beginnings.
123. epic epilogue
Vince Ciotti gave a presentation on the history of healthcare information systems (HIS) to Epic's 6,000 employees. He recounted stories from the 1960s onwards involving pioneering clinical systems. The young audience was engaged by tales of early innovators. During Q&A, Ciotti was surprised to be asked about the future of HIS, having focused on the past. He plans follow up episodes discussing lessons from history for healthcare CIOs today.
95. epic part 1
Vince Ciotti was invited to visit Epic's headquarters and meet with CEO Judy Faulkner to discuss the history of the company for an article he was writing. Against his expectations of a formal corporate meeting, Faulkner greeted him warmly and answered his questions directly in an informal setting. Based on emails from several CIOs who are Epic customers, Ciotti was impressed with Faulkner's humility and the personal attention Epic provides its clients, unlike other large vendors. Next week, Ciotti will begin publishing the history of Epic and its founder Judy Faulkner in his newsletter.
Hissies 2017
The document summarizes the winners of the 10th Annual HISsies Awards, which honors the best and worst of healthcare IT as voted by readers of HIStalk. Key awards and winners mentioned include Smartest Vendor Action Taken going to McKesson for planning its exit from healthcare IT, Stupidest Vendor Action Taken going to Theranos for everything it did, and Best Healthcare IT Vendor/Consulting Firm going to Epic. John Halamka from BIDMC won or was nominated for several awards.
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1. 2017 Top HIS Vendors
This document summarizes the top 10 healthcare IT vendors by revenue in 2016. Cerner surpassed Epic as the number one vendor by revenue for the third year in a row. McKesson sold off around half of its EIS division. Meditech saw declining revenue for the fourth year in a row. The document also discusses changes in vendor names and drops some vendors from previous lists. It concludes by outlining upcoming episodes that will analyze vendor performance in more detail based on hospital size.
1. 2017 Top 10 HIS vendors
This document summarizes the top 10 healthcare IT vendors by revenue in 2016. Cerner surpassed Epic as the number one vendor by revenue for the third year in a row. McKesson sold off around half of its EIS division. Meditech saw declining revenue for the fourth year in a row. The document also notes acquisitions and name changes among vendors over the past year and provides historical revenue figures for the top 10 vendors over the past 20 years.
1. 2018 top his vendors 3 26
This document summarizes the top 10 healthcare IT vendors based on annual revenue. Cerner surged to the lead with over $5 billion in revenue in 2017 thanks to large contracts. eCW edged ahead of Meditech for the #5 spot. McKesson is no longer in the top 10 after selling their EIS division to Allscripts. Cantata, formerly of NTT Data, is a new addition to the top 10. The rankings 20 years ago are also provided for comparison - none of today's top 5 vendors were on the list at that time. Future episodes will provide more details on vendor performance in the large, mid-size, and small hospital market segments.
1. 2018 top his vendors 3 23
This document summarizes the top 10 healthcare IT vendors based on annual revenue. Cerner surged to the lead with over $5 billion in revenue in 2017 thanks to large contracts. eCW edged ahead of Meditech for the #5 spot. McKesson is no longer in the top 10 after selling their EIS division to Allscripts. Cantata, formerly of NTT Data, is a new addition to the top 10. The rankings 20 years ago are also provided for comparison - none of today's top 5 vendors were on the list at that time. Future episodes will provide more details on vendor performance in different market segments.
1. 2018 top his vendors 3 25
This document summarizes the top 10 healthcare IT vendors in 2018 based on annual revenue. Cerner surged to the top spot with over $5 billion in revenue thanks to large contracts. eCW edged ahead of Meditech for the #5 spot. McKesson is no longer in the top 10 after selling their EIS division to Allscripts. Cantata, formerly of NTT Data, is a new addition to the top 10. The rankings and vendors have changed significantly over the past 20 years. In upcoming episodes, each vendor's performance will be analyzed based on the hospital size segments they target.
2014 vendor overview
This document summarizes the 2014 revenue of major healthcare IT vendors. Some key points:
- Cerner surpassed McKesson to become the largest vendor by revenue for the first time.
- Revenue growth was relatively flat compared to previous years, possibly due to incentives from the HITECH Act slowing new sales.
- Vendors are broken down into categories based on the size of hospitals they typically serve: large hospitals (>300 beds), mid-size (100-300 beds), and small (<100 beds).
- Over the next 3 weeks, the document will analyze vendor performance within each category.
1. 2014 vendor overview
This document summarizes the annual revenue of the top 12 healthcare information systems (HIS) vendors based on published reports. It finds that in 2014, Cerner surpassed McKesson to become the #1 vendor by revenue for the first time. Overall revenue growth for the top vendors was only 5% compared to higher growth in previous years, possibly due to incentives from the HITECH Act slowing new sales as hospitals focused on meeting meaningful use criteria. The document indicates it will provide more detail on vendor performance in the next 3 episodes, broken down by market segment.
4. 2018 low end vendors 4-6
This document summarizes and analyzes the top 10 healthcare IT vendors based on 2017 annual revenue. It discusses the estimated $300M or less annual revenue of the last four vendors - CPSI, Harris Healthcare, Medhost, and Cantata. For each, it provides a brief history, product lines, client base, and future prospects. It concludes that the biggest news this year was McKesson and Siemens no longer being in the top 10, and Epic now having three product varieties for different hospital sizes.
3. 2014 mid range vendors
This document provides a summary of mid-range hospital information system (HIS) vendors, which typically target community hospitals of 100-300 beds. It discusses the revenues and products of Meditech, McKesson's Paragon system, NTT Data's Optimum suite, and QuadraMed. Meditech has over 1,000 clients on three different systems and recently integrated its physician software. Paragon and Optimum are pursuing more integrated offerings like Epic. QuadraMed grew through the 1990s but has had declining revenues since selling businesses. The next part will cover vendors targeting smaller hospitals.
1. 2014 vendor overview
This document summarizes the 2014 revenue of major healthcare information systems (HIS) vendors. It finds that Cerner surpassed McKesson to become the highest revenue vendor for the first time. Overall revenue growth for the top 12 vendors was only 5% compared to over 15% in previous years, possibly due to challenges meeting meaningful use criteria slowing new sales. In upcoming segments it will analyze vendor performance within market segments of large, mid-size, and small hospitals.
3. 2014 mid range vendors
This document provides a summary of mid-range healthcare information system (HIS) vendors, which typically target community hospitals of 100-300 beds. It discusses the revenues and products of Meditech, McKesson's Paragon system, NTT Data's Optimum suite, and QuadraMed. Meditech has three distinct HIS products serving over 1,000 clients total. Paragon and Optimum are aiming to provide integrated physician practice and hospital systems. QuadraMed has experienced ownership changes and sells the Affinity and QCPR systems to around 100 clients in total. The document examines the history and future prospects of these mid-sized HIS vendors.
3. 2014 mid range vendors
This document provides a summary of mid-range healthcare information system (HIS) vendors, which typically target community hospitals of 100-300 beds. It discusses the revenues and products of Meditech, McKesson's Paragon system, NTT Data's Optimum suite, and QuadraMed. Meditech has three distinct HIS products serving over 1,000 clients total. Paragon and Optimum are aiming to provide integrated physician practice and hospital systems. QuadraMed has experienced ownership changes and sells the Affinity and QCPR systems to around 100 clients in total. The document examines the history and future prospects of these mid-sized HIS vendors.
2. 2016 macro vendors
This document summarizes a vendor review of high-end hospital information systems (HIS) vendors. Cerner has become the largest vendor in terms of annual revenue, surpassing McKesson. Cerner's acquisition of Siemens and major Department of Defense contract contributed to its growth. Epic is also experiencing steady growth. Allscripts and Meditech round out the top vendors, though GE has declined in the HIS market. Upcoming episodes will cover mid-size and small hospital vendors.
2. 2014 macro vendors
This document summarizes the 2014 annual revenues and growth of the major high-end hospital information system (HIS) vendors, whose target market includes large hospitals of 300+ beds, academic medical centers, and integrated delivery networks. Cerner surpassed McKesson as the largest HIS vendor in annual revenue and now holds the top position. Epic experienced steady revenue growth and maintains solid future prospects. Allscripts earned significant revenue from physician practice systems and solutions. While GE remains a mid-sized player in HIS, they have diversified offerings across healthcare. The document outlines key statistics and analyses for each vendor.
2. 2014 macro vendors
This document summarizes the 2014 annual revenues and key statistics for the top 5 high-end healthcare information systems (HIS) vendors: Cerner, McKesson, Epic, Allscripts, and GE. Cerner surpassed McKesson to become the largest vendor based on annual revenue of $5.5 billion in 2014, up 17% from 2013. The document outlines each vendor's product lines, number of employees, growth over time, and future prospects. It concludes by stating that the next two episodes will cover performance details of the remaining 7 HIS vendors segmented by mid-size and small hospital targets.
3. 2018 mid range vendors 4-4
This document provides an overview and analysis of 3 mid-sized healthcare information system (HIS) vendors: athenahealth, eClinicalWorks, and Meditech. It discusses their annual revenues, product lines, client bases by hospital size, recent acquisitions and developments, and future prospects. Athenahealth has over $1 billion in annual revenue and offers both physician practice and hospital information systems. eClinicalWorks generates $490 million annually from its electronic health records for small physician practices but faced legal issues in 2017. Meditech has a long history and three distinct HIS products serving over 1,000 hospitals, and its prospects are positive with a new physician system and cloud offerings.
4. 2016 small vendors
This document summarizes the small hospital EHR/HIS vendor market. It notes that Evident recently acquired Healthland, expanding its client base to over 1,000 small hospitals. Athenahealth and eClinicalWorks recently entered the small hospital market after focusing on physician practices. Other players for small hospitals include Meditech, Cerner, and Allscripts which offer cheaper versions of their products for this market. The document predicts Evident will remain dominant for some time as Healthland clients transition, and questions which physician practice vendors may next acquire small hospital EHR vendors to expand into this market.
3. 2016 mid range vendors
This document summarizes mid-range hospital information system (HIS) vendors that target community hospitals with 100-300 beds. It discusses 5 vendors: Meditech, NTT Data Medhost, HMS/Medhost, QuadraMed, and their histories, products, revenues, acquisitions, and future prospects. Recent developments like Meditech's new integrated physician system and NTT Data's acquisition of Dell's consulting division are also mentioned. The document concludes by previewing coverage of small hospital HIS vendors in the next episode.
2. 2017 Macro Vendors
This document discusses the top 10 healthcare IT vendors by 2016 revenue. It focuses on the high-end vendors with over $1.5 billion in revenue that primarily target large hospitals of 300+ beds. Cerner maintained the #1 spot with around $5 billion in revenue, an 8% increase over 2015. Epic was #2 with $2.5 billion in revenue, up 23%. Allscripts was #3 with $1.5 billion, a 12% increase. McKesson dropped to #4 with around $1.5 billion in revenue from its IT division, a 50% decline from selling off parts of its business. The document outlines recent developments and future prospects for each of these top vendors.
4. 2014 small vendors
This document summarizes four electronic health record (EHR) vendors that target small hospitals: CPSI, Medhost, Healthland, and NextGen. It provides an overview of each vendor's origins, acquisitions, client base, product lines, and recent revenue trends. While small in size, the market for small hospitals under 100 beds represents over 2,300 facilities in the United States. The document analyzes how each vendor has positioned themselves to serve this sizable small hospital market.
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HISsies 2020
The document summarizes the winners of the 2021 HISsies Awards, which honor the best and worst of healthcare IT as voted by readers of HIStalk. Some of the winners included Epic for Smartest Vendor Action Taken, Cerner for Stupidest Vendor Action Taken, Epic for Best Healthcare IT Vendor, IBM Watson Health for Worst Healthcare IT Vendor, Judy Faulkner of Epic for Best Leader of a Vendor, and Kaiser Permanente for Best Provider User of Healthcare IT. John Halamka of Mayo Clinic won several categories including Most Effective Healthcare IT Provider Executive.
HISsies 2019
The document summarizes the winners of the Twelfth Annual HISsies Awards which honors the best and worst of healthcare IT as voted by readers. Some of the categories and winners mentioned are:
- Smartest Vendor Action Taken in 2018: Cerner convinces the VA to choose its system without issuing an RFP.
- Stupidest Vendor Action Taken in 2018: Athenahealth hires Jeff Immelt, fires Jonathan Bush, and prematurely enters the inpatient market.
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2. 2018 macro vendors 3 30
Cerner maintained the #1 spot for the fourth year in a row with over $5 billion in annual revenue. Their growth was driven by large government contracts like the $8 billion DoD deal and a $5 billion contract with the VA. Epic remained in second place with 9% revenue growth to $2.7 billion, and will likely gain clients switching from Siemens and Allscripts. Allscripts acquired McKesson's EIS business for $185 million, giving them new HIS products like Paragon to expand in the small hospital market as their physician practice business provides the majority of their $1.8 billion in revenue.
HISsies 2018
This document summarizes the winners of the 11th Annual HISsies Awards, which honors the best and worst of healthcare IT as voted by readers of HIStalk. Key award categories and winners included Smartest Vendor Action Taken (Cerner convinces VA to choose its system without bidding), Stupidest Vendor Action Taken (EClinicalWorks accused of falsifying EMR certification data), Best Healthcare IT Vendor (Epic), and Most Effective Healthcare IT Figure (John Halamka of BIDMC). The awards recognize significant people, organizations, technologies and events in the healthcare IT industry each year.
3. march 1988
This document summarizes articles from a 1988 healthcare computing magazine, highlighting how hospital information systems have changed over the past 30 years. It notes that in the late 1970s and early 1980s, hospitals switched from shared systems to in-house systems but were beginning to return to shared systems for improved support. Today, leading vendors like Cerner, Epic and Meditech predominantly offer remote hosting from large data centers, similar to the old shared systems. The document also discusses the evolution of healthcare consulting firms and provides advice on selecting consultants that is still relevant today.
2. february 1988
This document summarizes and discusses news articles from the February 1988 issue of Computers in Healthcare magazine. It describes an advertisement from Phillips promoting their PACS technology from 30 years ago. The lead story featured Professional Healthcare Systems (PHS), an HIS vendor spun off from a large hospital chain. PHS was later acquired by several different companies over the years. Another article discusses three companies pioneering bedside terminal systems in the 1980s. The document analyzes the longevity and acquisitions of various healthcare IT vendors mentioned in the magazine from 30 years ago compared to today's leading companies.
1. jan 1988
This document provides a summary of news and events from the healthcare IT industry in January 1988, as reported in two industry publications. It describes the formation of SMS's turnkey division to offer in-house systems in response to competitors. A pioneering hospital is highlighted for being an early adopter of barcoding for medication verification. A LIS vendor offers an unprecedented uptime guarantee. The name changes of two vendors, AIC and HMS, are noted. Several early healthcare IT companies and their original names/acronyms are identified.
5. december 1987
This document summarizes news from the healthcare IT industry in December 1987:
- Kodak was a major vendor of photographic film but struggled after digital cameras were introduced. A device from Kodak allowed displaying a PC screen on an overhead projector.
- Sentry Data was a major player in the 1980s with their Tandem "non-stop" healthcare IT system. A modern startup reused the name "Sentry."
- In 1987, CEOs of four leading lab vendors made predictions about 1992 - two predictions were premature but others proved accurate about adoption of EHRs and integrated healthcare IT systems.
- The document provides other insights into the early healthcare IT industry including vendors like Medite
4. november 1987
This document summarizes healthcare IT news from November 1987 and discusses how the industry has changed. It provides ads and articles from that time period about leading vendors like Cerner, Sunquest, and NCR. It also discusses the evolution of technologies like mainframes, minicomputers, microcomputers, and today's cloud-based systems. Additionally, it accurately predicts that the number of hospitals and beds in the US would decrease by 2000. The document highlights how healthcare IT has progressed over the last 30 years.
3. october 1987
The document summarizes news from the healthcare IT industry from October 1987. It discusses how leading EMR vendor TDS withdrew from bidding on the DoD's CHCS contract due to issues with requirements. Many major vendors at the time bid on the large DoD project, though McDonnell Douglas subsidiary McAuto ultimately lost to consulting firm SAIC. The document also describes the founding of the HL7 standard to help address the problem of building interfaces between different clinical systems. Advertisements from the time show how few vendors from 30 years ago are still in business today under the same name.
2 september 1987
This document summarizes healthcare IT news and events from September 1987:
- It highlights an editorial from Bill Childs questioning IBM's dominance of the hardware market.
- It profiles Scott Holbrook, who had an impressive career moving between major companies like IBM, McAuto, and IHC.
- The major healthcare IT conferences at the time were ECHO and the AHA annual convention, while HIMSS was still relatively small.
- It reflects on vendors advertising in 1987, noting that only Sunquest still exists under the same name today.
- A graph shows the longevity of today's major EHR vendors like Meditech, Epic, CPSI, and Cerner, who have been in business for
109. cerner, part 6
This document discusses the history of the healthcare IT company Cerner, including:
- Cerner has had consistent leadership, with Neal Paterson serving as CEO for the company's entire 34-year history.
- Trace Devanny served as Cerner's President from 1999-2010 after joining as a sales representative and rising through the ranks.
- In 2013, Zane Burke was promoted from COO to become Cerner's third President.
- Cerner has experienced tremendous growth over 34 years, with annual revenue increasing and over 12,000 employees worldwide.
108. cerner, part 5
This document provides an overview of Cerner's history from its beginnings in 1979 developing lab information systems to its current position as a leading provider of healthcare IT systems. It discusses Cerner's development of its Health Network Architecture (HNA) in the 1990s which expanded its offerings beyond labs into a full hospital information system. Key acquisitions and partnerships that helped grow Cerner's product portfolio are also summarized. The document concludes by teasing the story of McKesson's history which will be covered in the next episode.
107. cerner, part 4
Cerner was selected by a large Pennsylvania healthcare system for their new laboratory information system (LIS) after a thorough selection process. The selection team evaluated vendors through scored demonstrations, user documentation reviews, phone reference calls to existing clients, and unaccompanied site visits. Cerner scored highest across all evaluation steps, excelling in user-friendliness, documentation quality, post-implementation support, and system functionality witnessed at client sites. As a result of this selection process, Cerner rose to the top of the LIS market and was chosen by the healthcare system over competitors like Sunquest and ALS.
1. august 1987
This document summarizes news from the healthcare IT industry in August 1987 and discusses lessons that can be learned. It provides details on leading vendors of the time, including that only one vendor from 1987 still exists today under the same name and leadership. It also discusses people in the industry at that time, including earnings for various roles, and looks at advertisements from industry publications in 1987 for vendors and products, many of which are still in use today. The document concludes by previewing what will be covered from industry publications in September 1987.
Cerner Part 3
Cerner began as PGI in 1979 and changed its name in 1984 after hiring advertising executives to come up with a new name. They chose "Cerner", which comes from Latin and other languages meaning things like "to discern" and "to blossom". In 1986, Cerner went public with its IPO, allowing initial investors to profit and increasing confidence in the company. By going public, Cerner was able to extend stock options to employees to share in the company's success. Cerner's stock has grown tremendously since its IPO, demonstrating the company's strong financial performance over the decades.
Cerner Part 2
This document summarizes the early history of Cerner, formerly known as PGI. It describes how PGI entered the healthcare IT market in the early 1980s by developing a Laboratory Information System (LIS) called PathNet. PGI was successful in implementing PathNet at four pilot hospitals between 1981-1983. This helped the company gain funding and compete against other established LIS vendors at the time as the LIS market was growing rapidly. By 1988, Cerner had grown to 72 LIS sales, ranking them 9th among LIS vendors surveyed that year. The document provides context about the healthcare IT landscape in the early 1980s.
Cerner Part 1
This document provides an overview of the early history of Cerner, one of the largest healthcare IT companies. It describes how Neal Patterson, Cliff Illig, and Paul Gorup met at Arthur Andersen and founded PGI Inc. in 1979. As consultants at Arthur Andersen, they gained experience in healthcare IT. Their first clients included hospitals in Oklahoma, Missouri, Kansas. They found success developing clinical systems, renaming their company Cerner in 1979. The document profiles the founders and how their experience led them to start a company in healthcare IT.
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1. 2016 vendor review c
- 1. 2016 HIS Vendor Review © 2016 by H.I.S. Professionals, LLC, all rights reserved. By Vince Ciotti & Susan Pouzar HIS Professionals, LLC 1980 1990 2000 2010 2015
- 2. HIS-tory of Vendor Reviews • If you’ve been reading the few print magazines in our industry along with getting far more unvarnished insights from HIStalk, you’ve probably followed our annual review of the leading HIS vendors in order of their annual revenue for many years: – Original credit for the idea must go to Bill Childs who created this whole media when he started his Computers in Hospitals magazine in 1980 with a whopping 52 page first issue. • Bill’s magazines morphed & were renamed many times over the years, and subsequent rags expanded the vendor review from 25 to 100 vendors, in issues running 200+ pages. • We’ve been continuing Bill’s tradition of HIS vendor revenue reviews for about the past 20 years, recently listing it on HIStalk, the source today for the latest HIS vendor information.
- 3. Definitions • It’s important to define what one means by an “H.I.S.” vendor since some HIT print rag’s rankings include billion-dollar firms in their top 10 list like Optum, Dell, Cognizant, Phillips and Xerox, that don’t really offer an H.I.S. system, which we define as: - Hospital – acute care facilities are the primary market, not “just” physician practices, managed care, long term care, home health, PACS, etc. - Information – the full suite of apps needed to automate a hospital: both financial and clinical systems. Thus, specialty vendor like Sunquest for LIS and Oracle for ERP are excluded. - Systems - the complete package of hardware, software and implementation. This excludes giants like Dell, CSC, IBM, Leidos, HP, etc, who “only” offer hardware and/or consulting.
- 4. HIS Vendors Revenue for 2015 • We obtained the figures from year-end earning reports, SEC filings (K-10s) or written communications received from the vendors themselves. Estimates had to be made for only one company that is privately held: QuadraMed/ N. Harris.
- 5. 2015 vs. 2014 Revenue • This bar chart illustrates the increase/decrease in revenue per vendor from last year, as well as the huge disparity in dollar size:
- 6. 2015 Revenue Shockers • There are some surprises in this table that deserve highlighting: - Cerner – forged way ahead of #2 McKesson for the lead in the HIS industry by revenue for the second year in a row, due mainly to the ≈$1.2B they gained from Siemen’s largely remote-hosted client base, the deal closed in February of 2015. - McKesson, Meditech & Evident (CPSI) – actually declined in revenue by ≈10% each, reflecting the lack of HIS sales in this post-Meaningful Use market when so many hospitals are reluctant to switch systems again after costly upgrades for HITECH $s. - Slow Growth – most other vendors showed little or no revenue growth compared to previous years, such as Allscripts, Medhost and QuadraMed.
- 7. Newbies There is one new vendor in this year’s revenue review, and another who will be in it shortly, that are well worth highlighting: • athenaHealth – a huge physician practice vendor with ≈$1B in revenue that entered the HIS market by acquiring small (mainly CAH) hospital vendor RazorInsights (≈$2M in revenue) in 2015. – RazorInsights = a modern cloud-based EMR with a solid & integrated RCM, priced on an SaaS model, with ≈20 CAH hospital clients, and the hottest demo booth at HIMSS. – Athena also signed with Toledo Medical Center, a 200 bed AMC, as a pilot site for their new integrated HIS/MD system. • eClinicalWorks – also claims an integrated HIS is “in the works:” – They claim ≈80 hospitals in India are are already using the EMR from their extremely popular physician practice system in the US, with an integrated “total HIS” being developed…
- 8. MIA!? • Several HIS vendors are dropped since last year’s HIS vendor list: – Siemens/SMS - the leader in HIS revenue for decades before being acquired by Siemens circa Y2K, & then Cerner last year. – GE – this tech giant is a massive player in the physician practice and ancillary department (eg: OB) market niches, but their few remaining HIS clients on the ex-IDX “Centricity” HIS/EMR represent such a tiny slice of their total revenue, they will be covered when we review MD practice vendors next. – Healthland – this small hospital (<100 beds) giant with over 350 hospital clients on their aging “Classic” and modern “Centriq” systems was acquired by Evident (CPSI) this year. – NextGen – acquired the Opus hospital EMR and Sphere financials (RCM and ERP) several years ago, but couldn’t sell the interfaced systems, and sold out to QuadraMed in 2015.
- 9. 20 Years of HIS Vendor Revenue Here’s two decades worth of revenue for today’s leading vendors:
- 10. Next 3 Weeks • We’ll delve into the details of the 10 vendors’ performance over the next 3 episodes of the HIS review, broken down by the three major HIS market segments (in terms of beds and revenue): – Large – those vendors whose derive the majority of their revenue from large hospitals over 300 beds in size, including large AMCs & Multi-IDNS: Cerner, Epic, & Allscripts. – Mid-Size – vendors whose target market includes mainly mid- size hospitals of 100 to 300 beds in size, including Meditech (all 3!), Paragon, NTT Data, QuadraMed & Medhost. – Small – vendors whose client base consists of mostly under 100 bed facilities, including CAH (Critical Access Hospitals) of under 25 beds, where Evident (CPSI) is the leader. • For questions, comments, or legal action, please contact us at: vciotti@hispros.com, 505.466.4958 or spouzar@hispros.com, 407.321.1110