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HCI 100 Listing

May 29, 2008
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  1. McKesson

    Alpharetta, GA

    (800) 981-8601

    http://www.mckesson.com

    HIT Revenue: $1,905,000,000 ('07) $1,542,000,000 ('06) $1,301,800,000 ('05)

    M&A 2007: RelayHealth Corp; HealthCom Partners LLC; Per-Se Technologies Inc; Physician Micro Systems Inc (Practice Partner).

    M&A 2006: Medcon Ltd.

    Employees: 13,000 Market: Public Founded: 1974

    McKesson is a provider of information technology, automation solutions, consulting services, and connectivity solutions for the healthcare industry.

    Company Executives: Pamela Pure, president, McKesson Technology Solutions; Sunny Sanyal, chief operating officer, McKesson Provider Technologies

  2. Cerner Corporation

    Kansas City, MO

    (816) 221-1024

    http://www.cerner.com

    HIT Revenue: $1,520,000,000 ('07) $1,378,000,000 ('06) $1,161,000,000 ('05)

    M&A 2007: Acquired Etreby Computer Company for $23,500,000 in February - this did not have a material impact on revenue.

    M&A 2006: Acquired Galt Associates for $13,700,000 in July - this did not have a material impact on revenue.

    M&A 2005: Acquired Medical Division of VitalWorks for $100,000,000 in January - contributed approximately $65,000,000 to 2005 revenue; acquired Axya Systemes for $5,200,000 in May - did not have material impact on revenue; acquired Bridge Medical for $11,000,000 in July - did not have material impact on revenue.

    Employees: 7,873 Market: Public Founded: 1979

    Cerner provides healthcare information technology solutions for organizations around the world, ranging in size from single-doctor practices to entire countries.

    Company Executives: Neal Patterson, chairman of the board and CEO; Trace Devanny, president

  3. Siemens

    New York, NY

    (800) 743-6367

    http://www.usa.siemens.com

    HIT Revenue (HIS PROSS ESTIMATE): $1,500,000,000 ('07)

    Employees: 398,000 (total corporation) Market: Public Founded: 1847

    HIS PROSs Notes: SMS closely tracked HBOC during the 1990s before both were acquired, by Siemens and McKesson, respectively, so this trend probably continued until 2007, when McKesson's acquisition of Per Se caused their spurt.

  4. CSC

    Falls Church, VA

    (610) 251-0660

    http://www.csc.com

    HIT Revenue: $1,366,000,000 ('07) $1,190,000,000 ('06) $1,085,367,000 ('05)

    M&A 2007: Acquired First Consulting Group in January for $365,000,000

    Employees: 90,420 Market: Public Founded: 1959

    CSC serves all aspects of the healthcare industry, including providers, payers, life sciences and government organizations. The company provides strategic planning, operations improvement, systems integration and outsourcing services.

    Company Executives: Michael Laphen, president and CEO; Deward Watts, VP Health Services

  5. Perot Systems & JJWild (a Perot Systems company)

    Plano, TX

    (972) 577-6395

    http://www.perotsystems.com

    HIT Revenue: $1,342,000,000 ('07) $1,080,000,000 ('06) $932,000,000 ('05)

    M&A 2007: Acquired JJWild Holdings Inc. in August 2007 for $86,000,000.

    Employees: 23,000 Market: Public Founded: 1988

    Perot Systems provides consulting, business process, and technology solutions for the healthcare industry. Services include health insurance administration and revenue cycle solutions, clinical consulting, hosting and full IT outsourcing.

    Company Executives: Peter Altabef; Chuck Lyles

  6. Ingenix

    Eden Prairie, MN

    (952) 833-7777

    http://www.ingenix.com

    HIT Revenue: $1,303,800,000 ('07) $956,300,000 ('06) $778,600,000 ('05)

    M&A 2007: Acquired ASC Decision Support on 12/17 ($4,000,000); Red Oak E-Commerce Solutions on 10/9 ($2,600,000); Healthia Consulting on 9/5 ($10,500,000); LighthouseMD on 8/16 ($29,500,000); the Lewin Group on 6/5 ($64,000,000); European Health Economics on 4/26 ($6,900,000).

    M&A 2006: Acquired Latin Trials on 11/10 ($7,000,000); ENS on 8/9 ($41,500,000); Pacific Pharma Partners on 7/27 ($2,500,000); Claredi on 5/15 ($6,500,000); psychCME on 5/12 ($10,000,000); HWT on 5/2 ($7,000,000); Innovus on 2/14 ($9,500,000).

    M&A 2005: Acquired SKM Oncology on 6/17 ($11,000,000); HSS on 5/20 ($125,000,000); Integrated Healthcare Information Systems on 2/25 ($28,000,000).

    Employees: 7,500 Market: Private Founded: 1996

    Ingenix provides organizations with products, services and consulting to improve the delivery and operations of their business.

    Company Executives: Andrew Slavitt, CEO; Lee Valenta, COO

  7. GE

    Fairfield, CT

    (203) 373-2211

    http://www.ge.com

    HIT Revenue (HIS PROS ESTIMATE): $1,000,000,000 ('07)

    Employees: 46,000 (GE Healthcare) Market: Public Founded: 1892 (GE)

    GE Healthcare is a $16.9 billion business. It does not break down product lines within healthcare. IDX was doing $521 million when it was acquired in 2006. Along with Logician and other acquisitions, $1 billion is a reasonable estimate.

  8. Emdeon Business Services

    Nashville, TN

    (877) 363-3666

    http://www.emdeon.com

    HIT Revenue: $808,537,000 ('07) $751,089,000 ('06) $690,094,000 ('05)

    HIS PROS HIT REVENUE STREAMS: PACS, RCM

    M&A 2007: Acquired IXT Solutions

    M&A 2006: Acquired Interactive Payer Network (IPN)

    Employees: 2,550 Market: Private Founded: 1998

    Provides revenue cycle and clinical communication solutions that can simplify business and improve delivery of healthcare for payers, providers, and vendor partners.

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

  9. Agfa HealthCare

    Greenville, SC

    (864) 421-1600

    http://www.agfa.com/healthcare

    HIT Revenue: $648,637,812 ('07) $583,366,671 ('06) $511,563,254 ('05)

    HIS PROS HIT REVENUE STREAMS: PACS

    M&A 2005: Acquired GWI in January 2005 for 256,500,000 euros; Heartlab Inc. in June 2005 for 112,000,000 euros; and Med2Rad in June 2005 for 3,400,000 euros.

    Employees: 7,153 Market: Public Founded: 1873

    Agfa HealthCare provides integrated IT and imaging systems solutions and specialized solutions for radiology, cardiology, mammography and orthopedics.

    Company Executives: Christian Reinaudo

  10. Misys Healthcare Systems

    Raleigh, NC

    (800) 877-5678

    http://www.misyshealthcare.com

    HIT Revenue: $571,665,859 ('07) $626,242,053 ('06) $574,434,216 ('05)

    HIS PROS HIT REVENUE STREAMS: Spun-off CPR, Sunquest

    M&A 2007: Sold Diagnostic Systems Business to Vista Equity Partners on October 11, 2007 for $381,500,000; sold Misys CPR to QuadraMed on September 23, 2007 for $33,000,000. M&A 2006: Acquired PayerPath Inc. for $49,000,000 on January 31, 2006.

    Employees: 1,500 Market: Public Founded: 1983

    Misys Healthcare Systems provides a variety of solutions, including EHRs for physicians across various care settings, practice management systems and EDI connectivity. Misys serves more than 110,000 physicians in 18,000 practice locations, 1,200 hospitals and 600 homecare providers.

    Company Executives: Vern Davenport, executive VP, Misys plc; general manager, Misys Healthcare Systems, LLC

  11. Cognizant

    Teaneck, NJ

    (201) 801-0233

    http://www.cognizant.com

    HIT Revenue: $504,504,000 ('07) $330,860,000 ('06) $176,102,000 ('05)

    M&A 2007: Acquired Market Rx on November 16 for $135 million

    Employees: 55,000+ Market: Public Founded: 1994

    Cognizant offers systems integration, outsourcing for applications, business processes and IT infrastructures, and testing solutions for pharmaceuticals, healthcare plans, telecom service providers, retailers, banks, insurers, manufacturing/logistics companies, information services, global media, and online companies.

    Company Executives: Lakshmi Narayanan; Francisco D'Souza

  12. Epic Systems Corporation

    Verona, WI

    (608) 271-9000

    http://www.epicsystems.com

    HIT Revenue: $503,000,000 ('07) $422,000,000 ('06) $370,000,000 ('05)

    HIS PROS HIT REVENUE STREAMS: Major potential in hardware

    Employees: 3,000 Market: Private Founded: 1979

    Epic develops, implements and supports enterprise clinical, access, revenue cycle and e-health software. Its customers are primarily large organizations, academic organizations and pediatric organizations.

    Company Executive: Judy Faulkner

  13. Eclipsys Corporation

    Atlanta, GA

    (404) 847-4000

    http://www.eclipsys.com

    HIT Revenue: $477,533,000 ('07) $427,542,000 ('06) $383,342,000 ('05)

    Employees: 2,400+ Market: Public Founded: 1996

    Eclipsys is a provider of integrated clinical, revenue cycle, and access management software, clinical content and professional services that help healthcare organizations improve clinical, financial, operational and client satisfaction outcomes.

    Company Executives: R. Andrew Eckert, president and CEO

  14. The TriZetto Group Inc.

    Newport Beach, CA

    (949) 719-2200

    http://www.trizetto.com

    HIT Revenue: $451,800,000 ('07) $347,900,000 ('06) $292,000,000 ('05)

    HIS PROS HIT REVENUE STREAMS: Managed Care

    Employees: 1,850 Market: Public Founded: 1997

    The TriZetto Group Inc. offers comprehensive enterprise software, outsourcing and professional services to help healthcare organizations enhance revenue growth, drive administrative efficiency, and improve the cost and quality of care.

    Company Executives: Jeff Margolis, chairman and CEO; Kathleen Earley, president and chief operating officer

  15. HLTH Corporation

    Elmwood Park, NJ

    (201) 703-3400

    http://www.hlth.com

    HIT Revenue: $434,534,000 ('07) $1,007,801,000 ('06) $942,323,000 ('05)

    Employees: 2,450 Market: Public Founded: 1996

    HLTH Corporation's businesses are comprised of WebMD Health Corp., ViPS and Porex.

    Company Executives: Martin J. Wygod, acting CEO and chairman; Mark Funston, CFO

  16. 3M Health Information Systems Inc. (subsidiary of 3M Company)

    Salt Lake City, UT

    (800) 367-2447

    http://www.3mhis.com

    HIT Revenue: $399,500,000 ('07) $288,400,000 ('06) $275,500,000 ('05)

    HIS PROS HIT REVENUE STREAMS: HIM

    M&A 2007: Acquired SoftMed Systems Inc. on December 15, 2006 (purchase amount not released).

    Employees: approx. 1,000 Market: Public Founded: 1983

    3M Health Information Systems delivers technology and consulting solutions to help healthcare organizations improve patient care, manage revenue cycle, facilitate compliance, achieve appropriate reimbursement, and enable an electronic patient record.

    Company Executives: Nancy Larson, president

  17. Meditech (Medical Information Technology Inc.)

    Westwood, MA

    (781) 821-3000

    http://www.meditech.com

    HIT Revenue: $376,000,000 ('07) $345,000,000 ('06) $305,000,000 ('05)

    HIS PROS HIT REVENUE STREAMS: Major potential in hardware

    Employees: 2,700 Market: Private Founded: 1969

    Meditech provides integrated software solutions to meet the information needs of health care organizations.

    Company Executives: A. Neil Pappalardo; Howard Messing

  18. SAIC

    Reston, VA

    (888) 886-5909

    http://www.saic.com/health

    HIT Revenue: $342,000,000 ('07) $319,000,000 ('06) $295,000,000 ('05)

    HIS PROS HIT REVENUE STREAMS: Military hospitals

    Employees: 44,000 Market: Public Founded: 1969

    SAIC Health Solutions offers expertise in health information technology, public health, life sciences and health services. Customers include federal, state, and local governments, and commercial healthcare organizations.

    Company Executives: Kenneth C. Dahlberg; Robert E. McCord

  19. MedQuist Inc.

    Mount Laurel, NJ

    (800) 233-3030

    http://www.medquist.com

    HIT Revenue: $340,342,000 ('07) $358,091,000 ('06) $353,005,000 ('05)

    HIS PROS HIT REVENUE STREAMS: Ancillary

    Employees: 7,400 Market: Public Founded: 1970

    MedQuist provides speech recognition-enabling technologies and clinical documentation workflow solutions to help healthcare facilities improve patient care, increase physician satisfaction, and lower operational costs.

    Company Executives: Howard S. Hoffmann; Mark E. Ivie

  20. Sage Software

    Tampa, FL

    (877) 932-6301

    http://www.sagehealth.com

    HIT Revenue: $300,000,000 ('07) $300,000,000 ('06) n/a ('05)

    HIS PROS HIT REVENUE STREAMS: Primarily practice management systems

    M&A 2006: During 2006, Sage acquired its healthcare group from the Practice Services of Emdeon Corporation.

    Employees: 13,900 Market: Public Founded: 1982

    Sage Software provides practice management and electronic health record software and services, as well as accounting and human resources solutions for the business needs of physicians' practices.

    Company Executives: Sharon Howard, senior VP, sales and marketing; Paul Stinson, senior VP, product management

  21. VersaSuite

    Austin, TX

    (512) 250-8774

    http://www.versasuite.com

    HIT Revenue: $300,000,000 ('07) $300,000,000 ('06) $300,000,000 ('05)

    Employees: 41 Market: Private Founded: 1992

    PM, EMR, Healthcare, hospitals and clinics

    Company Executives: Darius Samani; Chris Brown

  22. E*HealthLine Inc.

    Sacramento, CA

    (916) 924-8092

    http://www.ehealthline.com

    HIT Revenue: $290,000,000 ('07) $200,000,000 ('06) $90,000,000 ('05)

    HIS PROS HIT REVENUE STREAMS: Ancillary systems

    Employees: 350 Market: Private Founded: 1991

    E*HealthLine (EHL) is comprised of 11 main integrated healthcare information management systems to include managed care, disaster information, a Smart Card containing PHRs, an enrollment system, preventive care, hospital information, practice management, emergency department, financial management and operating theatre systems.

    Company Executives: Mary Johnson

  23. Wipro Technologies

    East Brunswick, NJ

    (732) 509-1500

    http://www.wipro.com/healthcare

    HIT Revenue: $254,000,000 ('07) $121,550,000 ('06) $51,350,000 ('05)

    M&A 2007: Acquired Infocrossing (IFOX) in Sep 2007 for $18.70 per share (total value $600,000,000).

    Employees: 88,000 Market: Public Founded: 1945

    Wipro HLS provides IT services in the areas of consulting, application development and maintenance, IT infrastructure and business process outsourcing.

    Company Executives: Vijay G.K; Arnab Bag

  24. Nuance Communications

    Burlington, MA

    (781) 565-5000

    http://www.nuance.com

    HIT Revenue: $251,000,000 ('07) $160,000,000 ('06) $25,000,000 ('05)

    HIS PROS HIT REVENUE STREAMS: Dictaphone

    M&A 2007: Acquired Focus Infomatics in March; Commissure in October; Vocada in November.

    M&A 2006: Acquired Dictaphone in March. M&A 2005: Acquired Medremote in May.

    Employees: 4,500+ worldwide Market: Public Founded: 1993

    Nuance's Dictaphone Healthcare division provides speech recognition technology to facilitate clinical documentation for EMRs. The company also provides workflow and communications solutions to help caregivers treat patients and improve communication.

    Company Executives: Robert Wise, president, Dictaphone Healthcare Division; Peter Durlach, SVP, marketing and product strategy

  25. Allscripts

    Chicago, IL

    (800) 654-0889

    http://www.allscripts.com

    HIT Revenue: $222,673,000 ('07) $173,503,000 ('06) $65,166,000 ('05)

    HIS PROS HIT REVENUE STREAMS: EMR

    M&A 2007: Acquired Extended Care Information Network for $19,000,000 on 12/31/07; Source Medical Solutions for $11,700,000 on 7/10/07.

    M&A 2006: Acquired A4 Health Systems on 1/18/06 for $272,000,000.

    Employees: 1,150 Market: Public Founded: 1986

    Allscripts is a provider of clinical software, connectivity and information solutions that physicians can use to improve healthcare. More than 40,000 physicians use Allscripts

    Company Executives: Glen Tullman; Lee Shapiro

  26. Spheris

    Franklin, TN

    (800) 368-1717

    http://www.spheris.com

    HIT Revenue: $200,400,000 ('07) $207,100,000 ('06) $209,000,000 ('05)

    M&A 2006: Acquired Vianeta Communications in March 2006.

    Employees: 6,100 Market: Private Founded: 1998

    Spheris is an outsource provider of clinical documentation technology and services to more than 500 health systems, hospitals and group practices throughout the U.S.

    Company Executives: Steve Simpson, CEO; Tony James, COO

  27. InterSystems Corporation

    Cambridge, MA

    (617)-621-0600

    http://www.InterSystems.com

    HIT Revenue: $195,000,000 ('07) $160,000,000 ('06) $135,000,000 ('05)

    HIS PROS HIT REVENUE STREAMS: Opertating Sysems/Databases

    M&A 2007: Acquired TrakHealth in May 2007 (purchase amount was not disclosed).

    Employees: 670 Market: Private Founded: 1978

    InterSystems Corporation provides solutions that enable the development, deployment and integration of enterprise-class applications.

    Company Executives: Philip (Terry) Ragon, CEO; John McCormick, COO

  28. Keane Inc.

    San Ramon, CA

    (631) 824-5206

    http://www.keane.com/hsd

    HIT Revenue: $189,293,000 ('07) $174,488,000 ('06) $180,170,000 ('05)

    M&A 2007: In June 2007 Caritor Inc. acquired Keane Inc. for an all-cash purchase price of approximately $854,000,000. The resulting private company now operates globally under the Keane name and is based in San Ramon, CA.

    Employees: 14,000 Market: Private Founded: 1965

    Keane provides healthcare specific IT products and services to hundreds of acute and thousands of post-acute healthcare organizations. Products include patient access, revenue cycle, clinical, and general financial applications

    Company Executives: Walt Kaczor, senior VP

  29. SAS

    Cary, NC

    (919) 677-8000

    http://www.sas.com

    HIT Revenue: $172,000,000 ('07) $169,100,000 ('06) $151,200,000 ('05)

    HIS PROS HIT REVENUE STREAMS: ERP

    Employees: 10,469 Market: Private Founded: 1976

    SAS delivers software that can help to deliver business decisions, relationships with customers and suppliers, compliance with governmental regulations and research.

    Company Executives: Jim Goodnight, CEO; Mikael Hagström

  30. HealthPort

    Alpharetta, GA

    (800) 737-2585

    http://www.healthport.com

    HIT Revenue: $168,341,000 ('07) $113,638,000 ('06) $100,334,000 ('05)

    Employees: 2,750 Market: Private Founded: 1976

    HealthPort offers a selection of HIT solutions, including electronic document management, EMR, revenue cycle and practice management, to hospitals, physician practices, and community health centers.

    Company Executives: Frank Murphy, president and CEO; Brian Grazzini, CFO

  31. Kronos Incorporated

    Chelmsford, MA

    (978) 250-9800

    http://www.kronos.com

    HIT Revenue: $158,821,000 ('07) $156,116,000 ('06) $145,224,000 ('05)

    HIS PROS HIT REVENUE STREAMS: Time and Attendance

    Employees: 3,400 Market: Private Founded: 1977

    Kronos Incorporated works to empower organizations to manage their workforce. Kronos for Healthcare is an offering of software and services designed to manage labor costs, increase productivity, and improve employee satisfaction while supporting patient care.

    Company Executives: Aron Ain, CEO; Paul Lacy, president

  32. NextGen Healthcare/Quality Systems Inc.

    Horsham, PA

    (215) 657-7010

    http://www.nextgen.com

    HIT Revenue: $157,000,000 ('07) $119,300,000 ('06) $89,000,000 ('05)

    Employees: 600 Market: Public Founded: 1994

    NextGen Healthcare is a provider of practice management systems, EMR software, and resource solutions for medical practices.

    Company Executives: Louis Silverman, CEO; Patrick Cline, president

  33. Emergis, a TELUS Company

    Longueuil, Quebec City

    (450) 928-6000

    http://www.emergis.com

    HIT Revenue: $149,600,000 ('07) $113,800,000 ('06) $91,900,000 ('05)

    HIS PROS HIT REVENUE STREAMS: Oacis

    M&A 2007: Unikoan Inc. in July for $15,500,000; Informatique DLD in August for $13,100,000.

    M&A 2006: Frontline Solutions in May for $4,200,000; DINMAR Consulting in July for $40,100,000.

    M&A 2005: National Data Corp of Canada in March for $13,700,000; NDCHealth Pharmacy Systems in April for $2,400,000.

    Employees: 1,130 Market: Public Founded: 1988

    A healthcare IT supplier, the company's open architecture Oacis product helped launch the HL7 movement. Today Oacis unifies patient records throughout North America and Australia.

    Company Executives: François Côté - president and CEO; Mark Groper - executive VP, health (public sector)

  34. QuadraMed Corporation

    Reston, VA

    (703) 709-2300

    http://www.quadramed.com

    HIT Revenue: $137,350,000 ('07) $125,201,000 ('06) $122,313,000 ('05)

    M&A 2007: Asset purchase agreement of Misys Computerized Patient Record on 9/23/2007 for $33,000,000.

    Employees: 651 Market: Public Founded: 1993

    QuadraMed helps healthcare organizations to improve the documentation, quality, safety, and efficiency of patient care along with coding, billing, and collections functions — from initial patient contact through discharge.

    Company Executives: Keith Hagen; David Piazza

  35. MED3OOO Inc.

    Pittsburgh, PA

    (412) 937-8887

    http://www.MED3000.com

    HIT Revenue: $117,763,665 ('07) $47,685,000 ('06) $10,400,000 ('05)

    M&A 2007: InteGreat Concepts Inc. - 5/31/07; PSA, LLC - 7/31/07 (MED3OOO is a privately held company and does not disclose purchase amounts/details of acquisitions).

    M&A 2006: iLiant 5/8/06; HealthServe, LLC 11/30/06 (MED3OOO is a privately held company and does not disclose purchase amounts/details of acquisitions).

    Employees: 1,400+ Market: Private Founded: 1995

    MED3OOO, a national healthcare management and technology company, provides RCM, ASP PM/EHR, InteGreat EHR, Data Warehousing, and Management Services to over 15,000 U.S. physicians to improve clinical and financial outcomes.

    Company Executives: Patrick Hampson, chairman & CEO; Stephen Ura, CTO

  36. CareTech Solutions Inc.

    Troy, MI

    (248) 823-0800

    http://www.caretechsolutions.com

    HIT Revenue: $115,400,000 ('07) $112,750,000 ('06) $106,190,000 ('05)

    HIS PROS HIT REVENUE STREAMS: Outsourcing

    Employees: 675 Market: Private Founded: 1998

    From implementing emerging technologies to supporting day-to-day operations, CareTech Solutions delivers information technology services, Web products and solutions and health information management to hospitals and health systems.

    Company Executives: James Giordano, president and CEO; Patrick Milostan, SVP and COO

  37. Picis

    Wakefield, MA

    (781) 557-3000

    http://www.picis.com

    HIT Revenue: $115,000,000 ('07) $67,000,000 ('06) $60,000,000 ('05)

    HIS PROS HIT REVENUE STREAMS: ED, OR

    M&A 2007: Acquisition of Lynx Medical Systems August 8, 2007.

    Employees: 680 Market: Private Founded: 1994

    Picis, a provider of high-acuity care information systems, focuses on the emergency department, surgery and critical care — areas where patients are the most vulnerable and hospital costs/revenues are concentrated.

    Company Executives: Todd C. Cozzens, CEO; Melissa Cruz, CFO

  38. MedAssets Inc.

    Alpharetta, GA

    (866) 323-6332

    http://www.medassets.com

    HIT Revenue: $114,800,000 ('07) $92,200,000 ('06) $30,500,000 ('05)

    M&A 2007: Acquired XactiMed Inc. in May 2007 for $50,400,000 and acquired MDX-Solutions in July 2007 for $80,500,000

    M&A 2006: Acquired Avega Health Systems in January 2006 for $53,400,000

    Employees: 1,200 Market: Public Founded: 1999

    Company Executives: John Bardis, chairman, president and CEO; Rand Ballard, chief operating officer and chief customer officer

  39. PHNS Inc.

    Dallas, TX

    (214) 257-7000

    http://www.phns.com

    HIT Revenue: $112,444,000 ('07) $92,151,000 ('06) $78,855,000 ('05)

    HIS PROS HIT REVENUE STREAMS: RCM, HIM

    Employees: 1,525 Market: Private Founded: 1999

    PHNS Inc. provides healthcare information technology (IT) and other healthcare business process (BP) services, including medical records, transcription, coding, release of information and accounts receivable outsourcing services.

    Company Executives: Charles M. Young, CEO & co-founder; Richard K. Kneipper, CAO & co-founder

  40. IMPAC Medical Systems Inc.

    Sunnyvale, CA

    (408) 830-8000

    http://www.impac.com

    HIT Revenue: $111,500,000 ('07) $91,700,000 ('06) $72,800,000 ('05)

    HIS PROS HIT REVENUE STREAMS: Oncology

    Employees: 500+ Market: Public Founded: 1990

    IMPAC Medical Systems is an oncology IT solutions provider, offering oncology charting, practice management, clinical laboratory, anatomic pathology, cancer registry, and outcomes reporting solutions.

    Company Executives: James P. Hoey; Joseph K. Jachinowski

  41. CPSI

    Mobile, AL

    (800) 711-2774

    http://www.cpsinet.com

    HIT Revenue: $110,013,000 ('07) $115,974,000 ('06) $108,826,000 ('05)

    Employees: 903 Market: Public Founded: 1979

    CPSI is a single source vendor that provides an integrated EMR/healthcare information system for community hospitals that includes software, hardware, conversion/implementation, and support.

    Company Executives: J. Boyd Douglas; Mike Jones

  42. NEC Unified Solutions Inc.

    Irving, TX

    (214) 262-6400

    http://www.necunified.com

    HIT Revenue: $105,000,000 ('07) $91,000,000 ('06) N/A ('05)

    Employees: 1,400 Market: Private Founded: 1899

    NEC Unified Solutions helps companies unify their business through software, applications, development tools, and services. NEC offers a portfolio for unified communications, wireless, voice, data, managed and professional services.

    Company Executives: Jeffrey P. Kane, president; Naoki Kiyomine, senior VP, sales

  43. Emageon

    Birmingham, AL

    (205) 980-9222

    http://www.emageon.com

    HIT Revenue: $104,625,000 ('07) $123,505,000 ('06) $75,064,000 ('05)

    HIS PROS HIT REVENUE STREAMS: PACS

    M&A 2005: Acquisition of Camtronics Medical Systems on Nov. 1, 2005 for $40,300,000.

    Employees: 356 Market: Public Founded: 1998

    Provides enterprise information technology systems for healthcare facilities — radiology, cardiology and other medical specialty visualization and infrastructure tools.

    Company Executives: Chuck Jett, chairman, CEO and president; Chris Perkins, chief operating officer

  44. athenahealth Inc.

    Watertown, MA

    (617) 402-1000

    http://www.athenahealth.com

    HIT Revenue: $100,773,000 ('07) $75,813,000 ('06) $53,540 ('05)

    Employees: 622 Market: Public Founded: 1997

    athenahealth is a provider of Internet-based business services for physician practices. The company's service offerings are based on proprietary Internet-based practice management and EMR software, a continuously updated payer knowledge-base and integrated back-office service operations.

    Company Executives: Jonathan Bush; Carl Byers

  45. HOV Services Inc.

    Troy, MI

    (800) 497-9527

    http://www.hovservices.com

    HIT Revenue: $90,390,000 ('07) $50,840,000 ('06) $40,020,000 ('05)

    M&A 2007: HOV Services Inc. was formerly LASON Inc. LASON was acquired by HOV Services in February 2007 for $148,000,000 (this did not affect HIT Revenue for 2007).

    Employees: 12,000+ Market: Public Founded: 1985

    HOV Services provides ways to improve business processes for healthcare organizations including EHR imaging, coding, billing, revenue cycle management and collections.

    Company Executives: Suresh Yannamani, president and COO; Jim Reynolds, Global CFO and CAO

  46. Sunquest Information Systems

    Tuscon, AZ

    (520) 570-2000

    http://www.sunquestinfo.com

    HIT Revenue (HIS PROS ESTIMATE): $80,000,000 ('07)

    Employees: 700+ Market: Private Founded: 1979

    HIS PROS NOTES: The Diagnostic Information Systems division reported a profit of $12 million on $80 million revenue for Misys' fiscal year, ending on May 31. Diagnostic Information Systems' products include Misys Laboratory Information System, a highly regarded 25-year-old software system that manages specimen data from requisition entry through tracking to final cumulative report production. (Source AZbiz.com)

  47. CNSI

    Rockville, MD

    (301) 634-4600

    http://www.cns-inc.com

    HIT Revenue: $79,281,659 ('07) $57,600,000 ('06) $31,393,000 ('05)

    Employees: 1,100 Market: Private Founded: 1994

    CNSI provides IT business solutions to government and commercial enterprises, helping them improve business performance through technology as well as align IT investments with their missions and business objectives.

    Company Executives: B. Chatterjee, co-founder and president

  48. SCC Soft Computer

    Clearwater, FL

    (727) 789-0100

    http://www.softcomputer.com

    HIT Revenue: $75,600,000 ('07) $62,500,000 ('06) $57,550,000 ('05)

    HIS PROS HIT REVENUE STREAMS: Lab, RX, RIS

    Employees: 1,253 Market: Private Founded: 1979

    SCC Soft Computer offers information system suites for laboratory, outreach, blood services, radiology, pharmacy and genetics.

    Company Executives: Gilbert Hakim; Jean Hakim

  49. Vital Images Inc.

    Minnetonka, MN

    (952) 487-9500

    http://www.vitalimages.com

    HIT Revenue: $70,176,000 ('07) $70,512,000 ('06) $51,717,000 ('05)

    HIS PROS HIT REVENUE STREAMS: Imaging

    Employees: 328 Market: Public Founded: 1988

    Vital Images develops imaging software for radiologists, cardiologists, oncologists and other physicians that enables them to view 2D, 3D, and 4D images of human anatomy from CT and MR scanners.

    Company Executives: Michael H. Carrel; Peter J. Goepfrich

  50. Accuro Healthcare Solutions

    Dallas, TX

    (877) 321-0500

    http://www.accurohealth.com

    HIT Revenue: $68,069,000 ('07) $55,972,000 ('06) $24,072,000 ('05)

    M&A 2007: Acquired Woodmoor Group, total annual revenue at date of purchase - $1,800,000

    M&A 2006: Acquired CodeCorrect, total annual revenue at date of purchase - $15,200,000; CDMSG, total annual revenue at date of purchase - $1,200,000.

    M&A 2005: Acquired Innovative Health Solutions, total annual revenue at date of purchase - $7,000,000; Triad Healthcare Consultants, total annual revenue at date of purchase - $2,000,000.

    Employees: 450 Market: Private Founded: 2004

    Accuro Healthcare Solutions provides proprietary Internet-based solutions to a broad range of healthcare providers, including hospitals and ancillary healthcare providers, enabling them to manage patient registration, billing, collection and reimbursement processes.

    Company Executives: John Carlyle, CEO; Brent McCarty, president and COO

  51. eClinicalWorks

    Westborough, MA

    (866) 888-MYCW

    http://www.eclinicalworks.com

    HIT Revenue: $59,325,000 ('07) $38,214,865 ('06) $17,499,846 ('05)

    HIS PROS HIT REVENUE STREAMS: EMR

    Employees: 625 Market: Private Founded: 1999

    eClinicalWorks provides a unified EMR/PM system, patient portal and electronic health exchange to physician offices of all sizes and specialties, hospital networks, independent physician associations and departments of health.

    Company Executives: Girish Kumar Navani, CEO and co-founder

  52. DR Systems Inc.

    San Diego, CA

    (800) 794-5955

    http://www.dominator.com

    HIT Revenue $57,731,824 ('07) $50,180,499 ('06) $36,185,565 ('05)

    HIS PROS HIT REVENUE STREAMS: Imaging

    Employees: 185 Market: Private Founded: 1992

    Rated #1 PACS, “Top 20: 2007 Best in KLAS Report,” DR Systems' Unity RIS/PACS is an enterprise medical imaging information system marketed in the U.S. to both diagnostic imaging centers and hospitals.

    Company Executives: Murray Reicher, M.D., chairman and co-founder; Richard Porritt, president and CEO

  53. Computer Task Group Inc. (CTG)

    Buffalo, NY

    (716) 882-8000

    http://www.ctg.com

    HIT Revenue: $56,900,000 ('07) $49,400,000 ('06) $41,300,000 ('05)

    Employees: 3,400 Market: Public Founded: 1966

    CTG provides international IT consulting services for clinical, financial, and operational solutions to healthcare providers.

    Company Executives: James R. Boldt, chairman and CEO; Thomas J. Niehaus, senior VP, CTGHS GM

  54. Healthcare Management Systems Inc.

    Nashville, TN

    (615) 383-7300

    http://www.hmstn.com

    HIT Revenue: $53,800,000 ('07) $47,000,000 ('06) $41,330,000 ('05)

    Employees: 380 Market: Private Founded: 1984

    Healthcare Management Systems Inc. is a healthcare company that provides an information technology system that integrates clinical and financial applications on a single IBM platform to over 600 community hospitals nationwide.

    Company Executives: Tom Stephenson; Paul Agee

  55. AMICAS Inc.

    Boston, MA

    (617) 779-7878

    http://www.amicas.com

    HIT Revenue: $49,900,000 ('07) $49,400,000 ('06) $52,800,000 ('05)

    HIS PROS HIT REVENUE STREAMS: PACS, RIS

    Employees: 250 Market: Public Founded: 1975

    AMICAS, a provider of radiology and medical image and information management solutions, provides RIS, PACS, Financials, and Document Management platforms for imaging centers, ambulatory care facilities, and radiology practices.

    Company Executives: Stephen N. Kahane, MD; Kevin C. Burns

  56. Precision Dynamics Corporation

    San Fernando, CA

    (818) 897-1111

    http://www.pdcorp.com

    HIT Revenue: $49,749,000 ('07) $44,500,000 ('06) $41,600,000 ('05)

    HIS PROS HIT REVENUE STREAMS: Patient IdentificationBands

    Employees: 546 Market: Private Founded: 1956

    PDC is a provider of positive patient ID wristband systems/solutions. PDC introduced the first patented bar code wristband and Smart Band RFID Wristband.

    Company Executives: Gary Hutchinson, president and CEO

  57. Syntel

    Troy, MI

    (248) 619-2800

    http://www.syntelinc.com

    HIT Revenue: $49,000,000 ('07) $45,500,000 ('06) $42,600,000 ('05)

    Employees: 11,700 Market: Public Founded: 1980

    Syntel offers an integrated suite of IT and knowledge process outsourcing (KPO) services that help payers, providers, and pharmaceutical firms realize competitive advantages by focusing on continuous innovation and knowledge management.

    Company Executives: Bharat Desai; Keshav Murugesh

  58. CareMedic Systems Inc.

    St. Petersburg, FL

    (800) 508-8494

    http://www.caremedic.com

    HIT Revenue: $49,000,000 ('07) $49,040,000 ('06) $35,940,000 ('05)

    HIS PROS HIT REVENUE STREAMS: RCM

    M&A 2005: Acquired Third Millenium on September 16, 2005

    Employees: 300 Market: Private Founded: 1997

    CareMedic offers adaptive, revenue cycle management solutions and combinations of technology and services to solve problems.

    Company Executives: Sheila Schweitzer - chairperson/CEO; Allen Plunk - CFO

  59. Source Medical Solutions

    Birmingham, AL

    (205) 972-1222

    http://sourcemed.net/

    HIT Revenue: $44,891,765 ('07) $36,344,112 ('06) $32,948,003 ('05)

    HIS PROS HIT REVENUE STREAMS: Ambulatory

    Employees: 225 Market: Private Founded: 2001

    Source Medical Solutions targets ambulatory surgery centers, surgical hospitals, outpatient rehabilitation centers and hospital ambulatory therapy clinics. Products include enterprise management systems providing scheduling, registration, EHRs, clinical documentation, billing, compliance, claims processing, and collections functionality.

    Company Executives: Larry McTavish; Scott Stone

  60. MEDecision Inc.

    Wayne, PA

    (610) 540-0202

    http://www.MEDecision.com

    HIT Revenue: $44,800,000 ('07) $44,200,000 ('06) $38,600,000 ('05)

    HIS PROS HIT REVENUE STREAMS: Managed Care

    Employees: 244 Market: Public Founded: 1988

    MEDecision offers collaborative healthcare management solutions to manage the health of members and member populations.

    Company Executives: David St.Clair, founder and CEO; Carl Smith, EVP and CFO

  61. HealthStream

    Nashville, TN

    (615) 301-3100

    http://www.healthstream.com

    HIT Revenue: $43,900,000 ('07) $31,800,000 ('06) $27,400,000 ('05)

    HIS PROS HIT REVENUE STREAMS: Surveys

    M&A 2007: Acquired the Jackson Organization Inc. in March 2007 for $12,650,000 ($11,650,000 in cash and approximately 250,000 shares of common stock).

    M&A 2005: Acquired Data Management & Research Inc. in March 2005 for $10,600,000 ($9,100,000 cash and approximately 480,000 shares of common stock).

    Employees: 375 Market: Public Founded: 1990 (then known as “New Order Media”)

    HealthStream is a provider of learning and research solutions for the healthcare industry, serving over 2,200 healthcare organizations.

    Company Executives: Robert A. Frist, Jr.; Arthur Newman

  62. Mediware Information Systems

    Lenexa, KS

    (913) 307-1000

    http://www.mediware.com

    HIT Revenue: $41,200,000 ('07) $37,800,000 ('06) $36,500,000 ('05)

    HIS PROS HIT REVENUE STREAMS:

    Ancillary Systems: blood bank, pharmacy and ER

    Employees: 220 Market: Public Founded: 1980

    Mediware delivers ClosedLoop clinical software systems for blood and medication management to help improve efficiency and reduce errors in hospitals and blood centers.

    Company Executives: T. Kelly Mann, president and CEO; Mark Williams, CFO

  63. The SSI Group Inc.

    Mobile, AL

    (251) 345-0000

    http://www.thessigroup.com

    HIT Revenue: $40,472,000 ('07) $38,566,000 ('06) $39,521,000 ('05)

    HIS PROS HIT REVENUE STREAMS: EDI

    Employees: 385 Market: Private Founded: 1988

    EDI Software is designed to improve revenue cycle efficiencies while reducing staffing requirements. SSI's products aim to streamline workflow, reduce A/R days and enable two-way integration with healthcare information systems.

    Company Executives: Bobby Smith, CEO; Debbie Short, COO

  64. Dairyland Healthcare Solutions

    Glenwood, MN

    (320) 634-5331

    http://www.dhsnet.com

    HIT Revenue: $38,892,838 ('07) $37,667,641 ('06) $32,265,786 ('05)

    Employees: 250 Market: Private Founded: 1980

    Dairyland Healthcare Solutions is a healthcare information systems company that links information between small community hospitals and their healthcare delivery and business networks.

    Company Executives: James Burgess; Angie Franks

  65. TeleVox Software Inc.

    Mobile, AL

    (800) 644-4266

    http://www.televox.com

    HIT Revenue: $38,400,000 ('07) $31,360,000 ('06) $22,540,000 ('05)

    HIS PROS HIT REVENUE STREAMS: Communications/Telecom

    Employees: 280 Market: Private Founded: 1992

    TeleVox Software designs, markets and supports patient communication and messaging software for healthcare practices, clinics and hospitals.

    Company Executives: Pam Mortenson; Lisa Taylor

  66. Passport Health Communications Inc.

    Franklin, TN

    (888) 661-5657

    http://www.passporthealth.com

    HIT Revenue: $37,321,271 ('07) $31,025,189 ('06) $24,858,880 ('05)

    HIS PROS HIT REVENUE STREAMS: RCM

    M&A 2005: Acquired Healthworks Alliance Inc. May 1, 2005.

    Employees: 185 Market: Private Founded: 1996

    Passport provides administrative, clinical and financial technology and services to help hospitals and other health care providers operate their revenue cycle.

    Company Executives: Jim Lackey, chairman and CEO; Keith Ely, president

  67. Antares Management Solutions

    Westlake, OH

    (440) 414-2100

    http://www.antaressolutions.com

    HIT Revenue: $36,900,000 ('07) $28,300,000 ('06) $32,000,000 ('05)

    HIS PROS HIT REVENUE STREAMS: Insurance

    Employees: 665 Market: Private Founded: 1997

    Antares Management Solutions provides business process outsourcing (BPO) and information technology outsourcing (ITO) services to insurance and other industries. The company's solutions allow clients to reduce costs and risk while concentrating on their core businesses.

    Company Executives: Ed Hartzell, CEO; Ken Sidon, president

  68. TeleTracking Technologies Inc.

    Pittsburgh, PA

    (412) 391-7862

    http://www.teletracking.com

    HIT Revenue: $35,700,000 ('07) $27,800,000 ('06) $23,700,000 ('05)

    HIS PROS HIT REVENUE STREAMS: Patient Tracking

    Employees: 140 Market: Private Founded: 1991

    TeleTracking provides automated patient flow solutions and services to more than 700 hospitals throughout the United States, Canada and the United Kingdom.

    Company Executives: Anthony Sanzo, president and CEO; Kirk Stephen, CFO/COO

  69. Adaptis

    Seattle, WA

    (206) 749-9456

    http://www.adaptis.com

    HIT Revenue: $33,906,000 ('07) $28,967,000 ('06) $27,100,000 ('05)

    HIS PROS HIT REVENUE STREAMS: Managed Care

    Employees: 202 Market: Private Founded: 1996

    Adaptis provides administrative, medical management and decision support services to health payers in the Medicare Advantage and Medicaid managed care and commercial markets.

    Company Executives: James K. Anderson, president and CEO; Jan Claesson, senior VP and chief business development officer

  70. Orion Health

    Santa Monica, CA

    (800) 905-9151

    http://www.orionhealth.com

    HIT Revenue: $29,949,000 ('07) $23,962,071 ('06) $15,984,351 ('05)

    HIS PROS HIT REVENUE STREAMS: Security

    Employees: 250+ Market: Private Founded: 1993

    Orion Health's solutions integrate existing healthcare information systems and deliver universal access to information. Orion delivers an end-to-end IT integration platform.

    Company Executives: Ian McCrae, CEO; Kimbal Riley, COO

  71. Vitalize Consulting Solutions Inc.

    Kennett Square, PA

    (610) 444-1233

    http://www.getvitalized.com

    HIT Revenue: $28,261,926 ('07) $17,115,942 ('06) $10,300,000 ('05)

    HIS PROS HIT REVENUE STREAMS: Consulting/Implementation

    M&A 2007: Lucida Healthcare IT, closed on 12/21/2008, for the amount of $3,000,000

    Employees: 169 Market: Private Founded: 2002

    VCS's range of programs and services includes system implementation, optimization, custom reporting, technology and integration, education and knowledge transfer in the Cerner, Epic, Siemens, Eclipsys, McKesson and Meditech solutions.

    Company Executives: Bruce Cerullo, CEO; Mary Pat Fralick, COO

  72. Hyland Software

    Westlake, OH

    (440)788-5000

    http://www.onbase.com/healthcare

    HIT Revenue: $26,900,000 ('07) $15,589,000 ('06) $11,792,000 ('05)

    HIS PROS HIT REVENUE STREAMS: Imaging, RCM

    Employees: 650 Market: Private Founded: 1991

    Managing content and streamlining workflows across the enterprise with solutions for revenue cycle management, medical records and back office operations, OnBase includes document imaging, workflow and electronic document management capabilities.

    Company Executives: A.J. Hyland; Chris Hyland

  73. RCM Technologies Inc.

    Parsippany, NJ

    (973) 658-3000

    http://www.rcmt.com

    HIT Revenue: $24,871,754 ('07) $19,646,147 ('06) $20,874,415 ('05)

    M&A 2005: Soltre Technology Inc., 10/17/05 (stock purchase)

    Employees: 2,582 Market: Public Founded: 1971

    RCM Technologies Inc. provides a range of IT consulting services, including application services and computer systems validation, for healthcare organizations and pharmaceutical companies.

    Company Executives: Leon Kopyt, CEO and president; Stanton Remer, EVP, CFO, treasurer and secretary

  74. American Healthcare Holdings

    Tampa, FL

    (813) 594-1026

    http://www.visionarymed.com

    HIT Revenue: $24,393,524 ('07) $23,347,193 ('06) $18,748,832 ('05)

    M&A 2007: Antek Inc. 5/23/07 for $19,802,776; Alteer Inc. 12/28/07 for $3,595,000.

    Employees: 252 Market: Private Founded: 1997

    American Healthcare Holdings delivers healthcare software solutions connecting patients, providers, payers, hospitals, and labs. Solutions are created via its integrated line of Visionary Dream EHR, document management, LIS, Provider & HME/DME Office Management and RCM products and services.

    Company Executives: Jason Patchen, CEO; Jim Clark, COO

  75. Beacon Partners Inc.

    Weymouth, MA

    (781) 982-8400

    http://www.beaconpartners.com

    HIT Revenue: $24,000,000 ('07) $16,600,000 ('06) $10,900,000 ('05)

    Employees: 120 Market: Private Founded: 1989

    Beacon Partners is a healthcare management consulting firm that provides IT, clinical, strategic and operations consulting for healthcare facilities including health systems, academic practice plans, community hospitals, integrated delivery networks, physician groups and payers.

    Company Executives: Ralph P. Fargnoli, Jr., president and CEO; Charles A. Anastos, Jr., senior VP

  76. Axiom Resource Managment Inc.

    Falls Church, VA

    (703) 998-0327

    http://www.axiom-rm.com

    HIT Revenue: $23,312,483 ('07) $19,110,575 ('06) $15,711,238 ('05)

    Employees: 415 Market: Private Founded: 1996

    Axiom delivers program management, operational support, accessibility, management training, and IT solutions. The company delivers studies and analysis, marketing, distance learning, software development, and quality of life services.

    Company Executives: Doug Peardon/Kevin Riley - equal partners

  77. ZirMed Inc.

    Louisville, KY

    (502) 779-4302

    http://www.zirmed.com

    HIT Revenue: $23,256,293 ('07) $15,469,425 ('06) $10,779,014 ('05)

    HIS PROS HIT REVENUE STREAMS: RCM

    Employees: 175 Market: Private Founded: 1999

    ZirMed offers a suite of revenue cycle management solutions to healthcare providers. ZirMed's solutions are deployed as software as a service and include eligibility verification, credit/debit processing, check processing, claims management, and coding and compliancy.

    Company Executives: Jerry Merritt; Jim Lacy

  78. MEDSEEK Inc.

    Birmingham, AL

    (205) 982-5800

    http://www.medseek.com

    HIT Revenue: $23,000,000 ('07) $18,000,000 ('06) $8,000,000 ('05)

    M&A 2006: Acquired Access Point on 3/30/2006 for $3,000,000.

    Employees: 125 Market: Private Founded: 1996

    Medseek Inc. provides healthcare organizations with online portal management technology and clinical data integration capabilities for data-sharing, communication and interaction among employees, community, caregivers and patients.

    Company Executives: Mark Ludwig; Peter Kuhn

  79. Nightingale Informatix

    Markham, ON

    (866) 852.3663

    http://www.nightingale.md

    HIT Revenue: $21,551,000 ('07) $11,423,000 ('06) $4,131,000 ('05)

    HIS PROS HIT REVENUE STREAMS: EMR

    M&A 2007: Acquired HealtheNet on March 16, 2007 for $7,125,000.

    M&A 2006: Acquired Integrated Healthware Inc. on April 1, 2006 for $6,000,000.

    Employees: 176 Market: Public Founded: 2002

    Nightingale Informatix, a health care service and software company, provides Web-based clinician and community-based EMRs for healthcare providers and organizations.

    Company Executives: Sam Chebib

  80. Amcom Software Inc.

    Eden Prairie, MN

    (952) 230-5200

    http://www.amcomsoftware.com

    HIT Revenue: $21,000,000 ('07) $18,000,000 ('06) $15,500,000 ('05)

    M&A 2007: XTEND Communications Corp - November 2007; Telident - January 2008 (Terms of transactions have not been disclosed).

    Employees: 160 Market: Private Founded: 1984

    Amcom Software provides solutions to help healthcare organizations integrate technology, automate processes, consolidate operations and standardize communications. The company also provides workstation and Web-based solutions, including attendant console, computer telephony integration (CTI) and speech recognition.

    Company Executives: Chris Heim, CEO; Dan Mayleben, CFO

  81. Data Innovations Inc.

    South Burlington, VT

    (802) 658-2850

    http://www.datainnovations.com

    HIT Revenue: $20,826,000 ('07) $13,192,000 ('06) $11,805,000 ('05)

    HIS PROS HIT REVENUE STREAMS: LIS

    M&A 2007: Acquired P.G.P. in July 2, 2007 (terms not disclosed).

    Employees: 80+ Market: Private Founded: 1989

    Through six worldwide offices, Data Innovations sells laboratory middleware systems both through business partners and directly to customers. Services include support, a variety of training options, and on-site consulting.

    Company Executives: Gregory R. Vail; David G. Potter

  82. The CSC Group

    Brecksville, OH

    (440) 546-4272

    http://www.thecscgroup.com

    HIT Revenue: $19,042,900 ('07) $18,170,000 ('06) $16,300,000 ('05)

    HIS PROS HIT REVENUE STREAMS: RCM

    M&A 2007: most recent acquisition was May 2002

    Employees: 203 Market: Private Founded: 1964

    A/R Management Solutions with integrated workflow automation across the healthcare enterprise, and integrated clinical applications in maternal fetal medicine, OB/GYN and medical records.

    Company Executives: William F. Zimmerman, chairman and CEO; Robert M. Zimmerman, president and COO

  83. Streamline Health

    Cincinnati, OH

    (513) 794-7100

    http://www.streamlinehealth.net

    HIT Revenue: $16,600,000 ('07) $15,900,000 ('06) $16,100,000 ('05)

    HIS PROS HIT REVENUE STREAMS: Imaging

    Employees: 110 Market: Public Founded: 1989

    Streamline Health offers enterprise workflow and document management solutions to optimize processes across the revenue cycle, integrating all clinical and financial documents of health information management.

    Company Executives: J. Brian Patsy, president/CEO; Joe Brown, CIO and VP, client services

  84. CBay Systems and Services Inc.

    Annapolis, MD

    (410) 940-6900

    http://www.cbaysystems.com

    HIT Revenue: $15,000,000 ('07) $6,600,000 ('06)

    HIS PROS HIT REVENUE STREAMS: Transcription

    Employees: 89 Market: Public Founded: 1998

    CBay provides transcription and document management solutions to IDNs, hospitals, academic institutions, clinics and physician practices.

    Company Executives: Raman Kumar; Christopher Foley

  85. Unibased Systems Architecture Inc.

    St. Louis, MO

    (800) 489-6069

    http://www.unibased.com

    HIT Revenue: $14,800,000 ('07) $12,000,000 ('06) $8,000,000 ('05)

    HIS PROS HIT REVENUE STREAMS: Scheduling

    Employees: 46 Market: Private Founded: 1986

    USA offers an integrated enterprise registration and scheduling system for all hospital and clinical departments, both inpatient and outpatient.

    Company Executives: Lawrence V. Covington, president; Charles W. Kean, VP, sales

  86. Hayes Management Consulting

    Newton Center, MA

    (617) 559-0404

    http://www.hayesmanagement.com

    HIT Revenue: $14,727,000 ('07) $11,900,000 ('06) $10,178,000 ('05)

    Employees: 85 Market: Private Founded: 1993

    Hayes works with physician practices, hospitals and other healthcare organizations to improve clinical and business operations. The company provides assessments, process redesign and technology implementation services.

    Company Executives: Paul J. Hayes, chairman; Peter J. Butler, president

  87. GeBBS Healthcare Solutions

    Englewood Cliffs, NJ

    (201) 227-0088

    http://www.gebbs.com

    HIT Revenue: $12,102,454 ('07) $11,026,111 ('06) $10,654,538 ('05)

    HIS PROS HIT REVENUE STREAMS: Outsourcing

    Employees: 620 Market: Private Founded: 1997

    GeBBS provides outsourcing solutions to healthcare providers (hospitals, faculty practices and large physician groups). The company is ISO 9001 certified with multiple global delivery centers located in the United States and India.

    Company Executives: Vijay Singh - chairman; Nitin Thakor - president and CEO

  88. The Coker Group

    Alpharetta, GA

    (678) 832-2000

    http://www.cokergroup.com

    HIT Revenue: $12,000,000 ('07) $9,000,000 ('06) $7,000,000 ('05)

    Employees: 60 Market: Private Founded: 1985

    The Coker Group is a health care consulting firm that works to help physicians and hospitals adopt technology.

    Company Executives: Jeffery Daigrepont

  89. Medical Present Value Inc. (MPV)

    Austin, TX

    (866) 930-1230

    http://www.mpv.com

    HIT Revenue: $11,724,791 ('07) $9,204,337 ('06) $5,201,047 ('05)

    Employees: 97 Market: Private Founded: 1999

    MPV delivers payer compliance tools and services to help physician groups identify and recover underpayments, negotiate contracts, improve workflow efficiency and maximize practice revenue.

    Company Executives: Tom Stampiglia; Craig Halley

  90. The Shams Group

    Coppell, TX

    (972) 906-9397

    http://www.shamsgroup.com

    HIT Revenue: $11,545,000 ('07) $8,625,000 ('06) $6,784,100 ('05)

    HIS PROS HIT REVENUE STREAMS: Meditech Specialty Firm

    Employees: 250 Market: Private Founded: 1989

    TSG is a software and service firm with architecture that focuses on four major core competencies: business intelligence, EHR, business process management and integration solutions.

    Company Executives: Kamruddin Shams; Ziauddin Shams

  91. Perceptive Software Inc.

    Shawnee, KS

    (913) 422-7525

    http://www.imagenow.com

    HIT Revenue: $10,408,921 ('07) $6,743,601 ('06) $4,578,557 ('05)

    HIS PROS HIT REVENUE STREAMS: Imaging

    Employees: 500 Market: Private Founded: 1988

    Perceptive Software creates document imaging, document management and workflow software solutions for organizations of varying sizes across all industries.

    Company Executives: Scott Coons, CEO

  92. Aspyra Inc.

    Calabasas, CA

    (818)880-6700

    http://www.aspyra.com

    HIT Revenue: $10,300,000 ('07) $12,700,000 ('06) $7,200,000 ('05)

    HIS PROS HIT REVENUE STREAMS: RIS, PACS

    Employees: 74 Market: Public Founded: 1978

    Aspyra is a provider of clinical and diagnostic information solutions specializing in enterprise-wide systems for hospitals, multi-specialty clinics, imaging departments and orthopedic centers (Note: 2007 numbers are unaudited).

    Company Executives: Jim Zierick, interim CEO; James (Skip) Helms

  93. Portico Systems Inc.

    Blue Bell, PA

    (215) 358-3800

    http://www.porticosys.com

    HIT Revenue: $10,213,000 ('07) $7,801,000 ('06) $3,048,000 ('05)

    HIS PROS HIT REVENUE STREAMS: Managed Care

    Employees: 107 Market: Private Founded: 1997

    Portico Systems offers software solutions to health plans that automate provider network processes such as network strategy, information management, provider service, credentialing, recruiting, claims support and contracting.

    Company Executives: Ned Moore; Scott Fraser

  94. Clinicare/Chartcare

    New York, NY

    (631) 878-3440

    http://www.chartcare.com

    HIT Revenue: $9,600,000 ('07) $6,500,000 ('06) $5,300,000 ('05)

    Employees: 70 Market: Private Founded: 1984

    Provides EMR/EHR software and services in specialty physician offices and clinics across North America.

    Company Executives: Dennis Niebergal; John Fitzgibbon

  95. Global Works Systems Inc.

    Burlington, VT

    (802) 846-2550

    http://www.global-works.com

    HIT Revenue: $9,400,000 ('07) $7,200,000 ('06) $5,500,000 ('05)

    Employees: 70 Market: Private Founded: 1992

    Global Works is a healthcare software and services firm focused on systems value optimization.

    Company Executives: William J. Bresee; Jeffrey Sibley

  96. Health Data Specialists, LLC

    Pomona, KS

    (205) 979-9545

    http://www.hds-llc.com

    HIT Revenue: $9,400,000 ('07) $6,800,000 ('06) $5,100,000 ('05)

    HIS PROS HIT REVENUE STREAMS: Consulting/Implementation

    Employees: 57 Market: Private Founded: 2003

    Epic, Cerner, Siemens, and project management-related professional services for installation and optimization of vendor solutions.

    Company Executives: Bob Hayden; Paul Triche

  97. Virtelligence Inc

    Minneapolis, MN

    (888) 746-9220

    http://www.virtelligence.com

    HIT Revenue: $9,385,932 ('07) $8,127,890 ('06) $5,671, 234 ('05)

    Employees: 65 Market: Private Founded: 1998

    Virtelligence is a privately held healthcare IT consulting firm that offers solution advisory and IT consulting services.

    Company Executives: Akhtar Chaudhri; Catherine Hering

  98. MediNotes Corporation

    West Des Moines, IA

    (515)327-8850

    http://www.medinotes.com

    HIT Revenue: $8,569,000 ('07) $7,901,000 ('06) $7,558,000 ('05)

    HIS PROS HIT REVENUE STREAMS: EMR

    Employees: 130 Market: Private Founded: 1996

    MediNotes e targets ambulatory physicians looking for best-of-breed EMR solutions. MediNotes e is available in over 20 medical disciplines in clinics with 1-15 physicians.

    Company Executives: Donald G. Schoen, CEO; Davin S. Hills, executive VP

  99. Benchmark Systems

    Lynchburg, VA

    (800) 779-0902

    http://www.benchmark-systems.com

    HIT Revenue: $8,500,000 ('07) $7,140,000 ('06) $7,947,500 ('05)

    HIS PROS HIT REVENUE STREAMS: EDI

    Employees: 100+ Market: Private Founded: 1978

    Benchmark Systems is a developer and distributor of healthcare management systems, software, and services. Healthcare solutions include practice management, EMR, document management, physician billing, and an electronic claims (EDI) clearinghouse.

    Company Executives: Roger Green; Barry Brooks

  100. HTP Inc.

    Columbus OH (614) 885-1272

    http://www.htp-inc.com

    HIT: Revenue: $7,455,155 ('07) $5,502,205 ('06) $4,100,348 ('05)

    Employees: 63 Market: Private Founded: 1996

    HTP develops revenue management software for hospitals to help identify insurance eligibility coverage for patients, maximize reimbursement, and find financial assistance.

    Company executives: Ray Shealy; Dennis Swartzlander


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