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All HIS, All the Time

May 29, 2008
by Vince Ciotti and Bob Alcaro
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The top 12 HIS vendors constitute the core of the healthcare IT vendor universe

Here are the major players in the “Total HIS” market segment; that is, vendors which automate most major departments in hospitals for administrative, clinical and financial systems. Of the entire HCI 100 list, only 12 earn this recognition, and we list them separately since these companies alone generate almost 40 percent of the roughly $20 billion in annual HIT revenue reported last year. Several major developments among them in 2007 include:

  • McKesson — the acquisitions of Per Se and Practice Partners in 2007 continued the company's MandA growth mode, catapulting it to nearly $2 billion.

  • Cerner — amazing growth in sales of Millennium continues with annual revenue of about $1.5 billion in earning, this company is a probable tie with:

  • Siemensrevenue is being estimated based on this company's historic trend of matching the growth of HBOC/McKesson, but the organization is relying far more on indigenous product development, such as Soarian, than MandA.

  • GE — acquisition of IDX alone added nearly $500 million to the company's already solid HIT revenue base, and we estimate the total in 2007 at around $1 billion.

  • Epic — amazing sales successes have led this company from $27 million when it first reported to HCI in 1996, to $500 million last year: an epic achievement!

  • Eclipsys — again sustained solid growth from the previous year through strong sales of its wide array of products under the “Sunrise” moniker.

  • Meditech — numbers would be even stronger if it sold hardware, this company and Epic being the only Total HIS vendors following the practice.

  • Keane — acquisition by Caritor in 2007 should make 2008 an exciting year as the new owners invest capital in Keane's products.

  • QuadraMed — acquisition of Misys' “Computerized Patient Record” (CPR) adds a strong EMR/CPOE to this company's base “Affinity” HIS.

  • CPSI — a giant in the small (less than 100-bed) hospital market, with almost 700 clients and several years of strong stock performance since the company's IPO.

  • HMS — from Nashville, Tenn. (not the HMS in N.Y. providing Managed Care software), another large player in the small hospital market.

  • DHS — Dairyland Healthcare Solutions, with new owners Francisco Partners from San Francisco bringing a solid financial backing.

There are many more small “Total HIS” vendors that did not report revenue, such as IntraNexus, American Health Net, Sphere, I.H.S., VisualMed, and Spectron, etc. We estimate their revenues at less than $10 million each and wish them luck in growing to earn a spot on a future HCI 100 list.