HCI 100 Submission Form

Welcome to the HCI 100 survey — a ranking of the top 100 healthcare IT vendors by revenue. 

All revenue questions refer to healthcare IT only.

HIT revenue represents income derived from the sale of computer hardware, software and related services to healthcare providers, including hospitals, ambulatory clinics, and physician practices.

 

HIT Revenue does NOT include:

  • Non-computer-based equipment.
  • Health and wellness content publishers, including those for patient and professional education, whether books or electronic media.
With questions, contact HCI Managing Editor John DeGaspari: jdegaspari@vendomegrp.com.
 
Asterisk (*) denotes required field

Please indicate how your company derives its HIT revenue as a percent of your total HIT revenues:*

% Software applications and systems.
% Hardware: Servers, personal computers, handheld devices, workstations on wheels, storage, routers, identification & tracking
% Services: Consulting, system integration, software support, installation—assessments, strategic planning, system selections,

Description:*
In 30 fact-driven words or less, describe the products and services your company provides, and to whom.
DO NOT SUBMIT ENTRIES WITH SUPERLATIVE ADJECTIVES SUCH AS TOP-RATED, LEADING-EDGE, FIRST RATE, BEST IN KLAS, ETC, OR YOUR SUBMISSION WILL BE REWRITTEN AT OUR DISCRETION.

2012 HIT Revenue (fiscal year) *
When filling in dollar figures, please present the figure in U.S. dollars with all zeros (do not include cents). For example, "fifty-one million" would be expressed as "$51,000,000." It would NOT be expressed as "$51 million," or "$51 mil."

2012 HIT M&A activity (this refers to activity that was formally concluded, not just announced, prior to Dec. 31, 2012). Please select one of the following: *

If your company made an acquisition(s):

Name of acquired company:
Date of close:
Purchase price (if disclosable):

If your company divested an entity:

Name of entity divested:
Date of the sale:
Sale price:

(for acquisitions provide the name of the entity purchased, the date of close, and the purchase amount. For sales, provide the name of the entity sold, the date of the sale and the amount.)

(this refers to activity that was formally concluded, not just announced, prior to Dec. 31, 2011).

(for acquisitions provide the name of the entity purchased, the date of close, and the purchase amount. For sales, provide the name of the entity sold, the date of the sale and the amount.)

(Name and Title)

(Name and Title)

(This will not be printed.)

(This will not be printed.)

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