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UP & COMERS

June 1, 2007
by Michelle Grey
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Record growth was recorded for a group of companies that moved up the ladder's rungs

Although the following companies all vary in revenue (having been chosen from this year's list of organizations ranked 41-100), what they do have in common is solid growth. With most of them experiencing double digit revenue increases over the last two years, they remain focused on developing solutions and services that optimize client satisfaction. Get ready to read about some of the industry's most interesting up and comers.

VISCU Inc.Rank: 69

2007 has already started to deliver its share of dividends for Baltimore-based VISCU Inc. In what might be considered the best endorsement of the century, President George Bush publically advocated the use of VISCU's eICU Program, while visiting Lee's Summit Hospital, Lee's Summit, Mo.

Although industry praise wanes in comparison to the president's stamp of approval, the healthcare information technology and clinical solutions company was named Innovator of the Year at the Innovation 2007 conference for chief executive officers.

The 2006 release of a VISCU-conducted analysis contending that its eICU program saves lives and improves patient outcomes provided yet another catalyst for the growth and expansion of the company. Following the results of the analysis, in which 68 of the hospitals utilizing VISCU's eICU Program demonstrated a severity-adjusted mortality rate 27 percent better than the national average, the company launched an extension of its solution.

Through the use of mobile audio-visual technology, clinicians can now support the care of patients outside the ICU; on medical surgical floors, emergency departments, step down units, and post-anesthesia units. First to jump on board with the expanded version were Parkview Health in Fort Wayne, Ind., and Christiana Care Health System in Wilmington, Del.


With more than 250,000 patients currently being monitored by VISCU's eICU Programs across the country, a growing number of healthcare institutions are signing on to enhance their ICU. Recent supporters of the technology include Alegent Health in Omaha, Neb., Saint Joseph's Hospital, Atlanta, and John Muir Health, Walnut Creek, Calif.

TeleTrackingRank: 73

A recent study suggests that not only is bed-tracking big business for Pittsburgh-based TeleTracking, a provider of workflow automated solutions, but hospitals and healthcare institutions can yield substantial ROI by automating their patient throughput.

Installation of TeleTracking's suite of Capacity Management Solutions at OSF Saint Francis Medical Center in Peoria, Ill., saved the facility more than $300,000 in the first year, and is projected to save more than $1.3 million three years down the road.

With reports that 80 percent of emergency physicians cite overcrowding to be one of their top five management concerns (according to a survey conducted by TeleTracking and the American College of Emergency Physicians), the need to manage patient flow more effectively remains paramount. The privately held company that began by developing its Bed Management Suite over 12 years ago has grown at a compounded rate of 27 percent over the past three years.

Building on this expansion, TeleTracking recently released TeleTracking XT, a new platform that extends hospitals' abilities to track and plan patient flow throughout the facility. In addition to several planned products under development, all of TeleTracking's existing solutions are being re-designed, leveraging the added power of TeleTracking XT.

Having built a database of more than 650 hospital clients throughout North America, healthcare facilities to recently implement TeleTracking's patient flow solutions include Scripps Health's La Jolla and Vista, Calif. campuses, and Ottawa's Queensway Carleton Hospital.

DR SystemsRank: 48

San Diego-based DR Systems is no stranger to industry praise. In fact, in 2006, Orem, Utah-based KLAS named it "Best in KLAS.€VbCrLf DR Systems also nabbed the coveted position of PACS category leader in the 2006 KLAS Top 20 mid-year report, topping out other PACS providers including Waukesha, Wis.-based GE Medical Systems, Malvern, Pa.-based Siemens, Andover, Mass.-based Philips, and Boston-based Amicas. It was also rated number one by MD Buyline from October 2004 through January 2006.

As film technology gets left on the cutting room floor in favor of digital imaging, DR systems continues to provide hospitals and imaging centers with scalable medical imaging and information systems.

With over 250 RIS/PACS installations under its belt, 2006 proved to be a record sales year for 15-year-old DR Systems, with the last month ushering in 12 new contracts, totaling more than $7.4 million. The largest contract was for $1.1 million, with the smallest contract coming in at just over $200,000. According to DR Systems, this financial spread indicates the company caters to the gamut of healthcare facilities, from small diagnostic imaging facilities to large hospitals.

In March of this year, DR Systems picked up a three-year contract with Irving, Texas-based Novation, a national healthcare contracting services company serving 2,500 members of VHA, Irving, Texas, and the University Health Systems Consortium, Oakbrook, Ill.

Orion HealthRank: 77

Orion Health, based in Auckland, New Zealand, boasts an impressive list of partners - Redwood City, Calif.-based Oracle Corporation, Palo Alto, Calif.-based Hewlett Packard, and St. Paul, Minn.-based 3M. Its roster of clients is certainly no slouch either. Orion currently serves over 1,000 organizations nationwide including the New York State Department of Health, Central Washington Hospital, and Atlanta-based U.S. Centers for Disease Control and Prevention.

In 2006 Orion was rated number one in its category by Orem, Utah-based KLAS Enterprises, and was awarded the Healthcare Transformation of the Year Award and the Telecommunications Users Association of New Zealand Healthcare Award.

Not one to rest on its laurels, Orion recently updated its hallmark solution, Rhapsody Integration Engine. Version 3 of the software has been designed to provide messaging integration for small to medium hospitals. Recent adopters of the technology include St. Croix Falls, Wis.-based St. Croix Regional Medical Center, and United Kingdom-based Northern Lincolnshire and Goole Hospitals NHS Trust.

Earlier this year, Orion partnered with New York-based Accenture, which was awarded a contract by the U.S. Department of Health and Human Services to develop a fully integrated health information system prototype. Orion's Concerto Medical Applications Portal was selected to serve as the system's clinical Web portal, through which clinicians can search and view previously filtered information.

Management shakeups over the last year include the appointment of a new chief operating officer (COO) and chief technology officer (CTO). Kimbal Riley was promoted from within the company to COO, whereas John Lightfoot, the new CTO, heralded from the Massachusetts Institute of Technology, Cambridge, Mass.

NightingaleRank: 76

Ontario-based Nightingale was founded in 2002 on a homegrown product designed by two New Brunswick physicians. The fledgling company acquired the rights to the solution, subsequently rebuilding and relaunching as myNightingale.

Nightingale's offerings are underpinned by myNightingale, which provides an integrated suite of applications designed to automate workflow for primary and ambulatory care clinics.

Nightingale's first year of operation drove less than $500,000 in revenue, however, its second and third year produced $2 million, while revenue in 2006 jumped to an estimated $14 million - the first in which it experienced profitability.

In 2006, Nightingale won three of the largest EMR contracts in Canada - Ontario based Mount Sinai Hospitals' ambulatory record management system project, Nova Scotia Department of Health's primary healthcare reform project, and Alberta Orthopedic Society's EMR project.



Recent acquisitions have expanded its products and customer base; HealtheNet and Scribes, acquired in November 2005, added transcription secure data distribution services; and Integrated Healthware, acquired in January 2006, has added claims processing.

In early 2007, Nightingale signed an agreement with Ontario-based MCI Medical Clinics Inc., one of the country's largest chains of outpatient clinics, to provide its healthcare software solutions to 20 MCI clinics. 2007 continued its upward swing with Nightingale completing an acquisition of the outstanding shares of VantageMed Corporation. The acquisition is expected help expand Nightingale's U.S. customer base by more than 18,000 healthcare providers.

Healthia ConsultingRank: 89

In 1998, Glenn Galloway and Jim Zerwas jumped ship from their respective Fortune 500 companies and embarked on launching their own management consulting firm - financed from their own pockets. Formerly named StoneBridge Group, the privately held company re-focused to concentrate on the healthcare sector, and re-branded themselves as Healthia Consulting in late 2005.

The healthcare consulting firm is headquartered in Minneapolis, and has offices in Chicago and Denver. Healthia offers management advisory and solution delivery services for healthcare provider, payer and life sciences organizations.

Within a few years of launching, Healthia had a client roster that included Allina Hospitals and Clinics, Minneapolis; North Memorial, Robbinsdale, Minn.; and Park Nicollet Health Services, Minneapolis. The company continued to grow exponentially, experiencing double digit growth every year since its inception, even increasing its annual revenue by 35 percent over the last two years.

Not just concerned with the bottom line, Healthia has been awarded numerous accolades for its working environment and culture, including the Center for Ethical Business Cultures' 2007 outstanding employer award and the Minnesota Work Life Champion Award in 2006 and 2007.

Concerned with maintaining integrity in all areas of its organization, Healthia recently partnered with Dallas-based Aspen Advisors, providers of information management advisory services, in an effort to ensure its clients that IT strategy and system recommendations are impartial.

eClinicalWorksRank: 58



With a 2006 "Best in KLAS€VbCrLf award in the ambulatory EMR and ambulatory billing and scheduling category, a steady stream of healthcare organizations are signing up to implement eClincalWorks' Unified EMR/PM solution. The privately owned software company has continued to garner industry praise, and was selected to receive San Antonio-based Frost & Sullivan's 2006 Award for customer value enhancement.

As 2006 drew to a close, Westborough, Mass.-based eClincalWorks rounded out the year pulling in a total of $40 million in revenue, and nabbed contacts with Maine's largest primary care groups InterMed and PrimeCare, and Indiana's Hendricks Regional Health Medical group.

The software company increased momentum in early 2007, signing on to provide Idaho's largest healthcare provider, Texas's largest independent physician organization, and Connecticut's largest operator of community health centers with eClinicalWorks' EMR/PM solution. Company projections state that revenue for 2007 will be close to $60 million, a 20 percent increase from the previous year.

Irving, Texas-based Healthvision has selected eClinicalWorks as its seventh application partner with its e-Health Interoperability Exchange Partnership Program. The program certifies that partner health IT applications, including EMRs, are able to exchange clinical patient data through the HIE platform.

In April this year, eClinicalWorks closed a $19.8 million deal with the New York City Department of Health and Mental Hygiene as part of NYC's Primary Care Information Project (PCIP) initiative.

CSC GroupRank: 82

Brecksville, Ohio-based Computer Systems Company Inc. (The CSC Group), providers of image and document management software solutions, prides itself on being quick to respond to industry demand. Having been dished out a handful of industry awards including Ernst and Young's Top Technology Entrepreneur in 2003, and experiencing 36 percent growth over the last two years, the company remains abreast of customer needs.

According to the CSC Group, earlier this year the marketplace identified "initial denial rate€VbCrLf as a key performance indicator. CSC responded with the release of the Papers Denial Management System, which identifies the reason and source of each denial.

CSC Groups' top three clients include University Hospitals Health System of Cleveland, Scott and White Medical Center, Temple, Texas, and Children's Healthcare of Atlanta.

Over the next few years the company plans to expand its product offerings in business healthcare by broadening its Papers Revenue Cycle Management product to focus on three key areas: access management, eligibility verification, and utilization review. In CSC's R4 subsidiary, the development focus will shift to outcomes measurement in women's healthcare and vascular medicine.


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