1998 Top 100 IS Vendors
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June 1998 - Healthcare Informatics
Top 100 Results Reflect Industry Growth and Consolidation
by Jeff Elliott, Business Editor
In annual tradition, we present the fifth Healthcare Informatics Top 100. The industry has doubled since 1994 when we first ranked healthcare IT vendors based on their 1993 financial performance. In 1993, healthcare IS was a $7 billion industry. Revenues of the Top 100 companies ranged from $1.3 million to $501.3 million.
This year’s Top 100 revenues range from $5.5 million to $1.2 billion. Total revenues of the Top 100 companies--$6.9 billion--account for about half of the $14 billion healthcare IS industry in 1997. Industry leaders HBOC, Atlanta, and SMS, Malvern, Pa., continue to distance themselves from the rest of the pack, alone responsible for 30 percent of all Top 100 revenues.
As consolidation commands most of the attention in financial circles, most analysts say that it’s becoming increasingly difficult for the rest of the industry to compete in healthcare IT. Mid-sized companies, in particular, are thought to be a dying breed. If not acquired, they find themselves head-to-head with the handful of industry giants that control proportionate marketshare.
However, companies reporting the most significant growth are not always among the heavy hitters (see "Top 10 Revenue Gainers," page SS26). Advanced Health Corp., Tarrytown, N.Y., grew 207.5 percent and Medical Manager, Tampa, Fla., grew 136.7 percent through acquisition last year. And Lawson Software, Minneapolis, and PeopleSoft, Pleasanton, Calif., reported 94.4 percent and 77.6 percent revenue growth, respectively, from sales of their enterprisewide business applications.
Simply put, the "rest" of the industry will not simply go away, says David Garets, healthcare IT research director for GartnerGroup, Wakefield, Mass. "There is a huge influx of [single application] companies entering the market." While the industry consolidates, it also continues to expand, ensuring that competition in healthcare IT is stronger than ever.
Welcome Aboard
The following companies are among those filling the place of companies we lost from last year:
9Per-Se Technologies is the restructured IT business of Medaphis, Atlanta.
29Applied Healthcare Informaticsformed in October 1996 by United Healthcare, Minneapolis. In 1997 the company acquired Medicode (26), Salt Lake City; O’PIN Systems, Minneapolis; Medical Information Systems, Minneapolis; Certitude, Bethesda, Md.; and Cambridge Health Economics, Burlington, Mass.
91Object Productsmade four acquisitions in 1997--Velocity Healthcare Informatics, Minneapolis; Res-Q Healthcare Systems, Calabasas, Calif.; LINC, Calabasas, Calif.; HealthCheck, Inc., Sacramento, Calif.--placing the company in the Top 100 for the first time with revenues of $8.6 million.
93Triple G Corp. acquired four companies--Rose System Applications Ltd., Victoria, B.C.; Systemes d information SI-4 Inc., Montreal, Quebec; Summit Solutions Corp., Kamloops, B.C.; Technolabs Canada Inc., Markham, Ont.,--generating $8.2 million in revenues and a placement in the Top 100.
Missing in Action
The following companies from last year will not be found in the 1998 Top 100:
21 Enterprise Systems, Inc. acquired by HBOC (1)
24 Phamis, Inc. acquired by IDX Systems Corp. (4)
25 Amisys Managed Care Systems acquired by HBOC (1)
26 Medicode acquired by Applied Healthcare Informatics (29)
33 Medicus Systems Corp. acquired by QuadraMed Corp. (30)
35 HPR Inc. acquired by HBOC (1)
72 Bukstel & Halfpennyacquired by Advanced Health Corp. (78)
72 SDK Healthcare Information Systems acquired by Eclipsys (16)
72 Rothenberg Health Systems acquired by QuadraMed Corp. (30)
86 Healthcare Communications, Inc. (HCI) acquired by HIE (68)
1998 rank
company name
location
phone
web/email
revenue in millions
1
HBOC1
Atlanta
(800) 981-8601
www.hboc.com
$1,203.2
2
SMS1
Malvern, PA
(610) 219-6300
www.smed.com
$896.2
3
Science Applications International Corp. (SAIC)
San Diego
(800) 535-7762
www.saic.com
$351
4
IDX Systems Corp.1
Burlington, Vt.
(802) 862-1022
www.idx.com
$251.4
5
Cerner Corp.
Kansas City, Mo.
(816) 221-1024
www.cerner.com
$245.1
6
Medic Computer Systems, Inc.
Raleigh, N.C.
(800) 334-8534
www.medcmp.com
$245*
7
Lanier Worldwide, Inc.
Atlanta
(770) 496-9500
www.lanier.com
$198
8
Medical Information Technology (MEDITECH)
Westwood, Mass.
(781) 821-3000
www.meditech.com
$193.8
9
Per-Se Techologies2
Atlanta
(888) 448-4YOU
www.medaphis.com
$181.6
10
National Data Corporation-NDC Health Information Services
Atlanta
(888) 907-3278
www.ndchealth.com
$176.2
11
CSC Healthcare
Southfield, Mich.
(800) CSC-HS99
www.csc.com/hcs
$150**
12
ENVOY Corporation
Nashville, Tenn.
(800) 735-8254
www.envoycorp.com
$113.7
13
PeopleSoft, Inc.
Pleasanton, Calif.
(888) 773-8277
www.peoplesoft.com
$112.6
14
Sunquest Information Systems, Inc.
Tucson, Ariz.
(800) 748-9658
www.sunquest.com
$102.3
15
Physician Computer Network1
Morris Plains, N.J.
(800) 221-1476
www.pcn.com
$100**
16
Eclipsys Corp.
Delray Beach, Fla.
(561) 243-1440
www.eclipsys.com
$99*
17
3M Health Information Systems
Murray, Utah
(800) 367-2447
www.3mhis.com
$90
18
Health Management Systems, Inc.
New York City
(310) 563-3200
www.hmsy.com
$89.5
19
Companion Technologies
Columbia, S.C.
(800) 382-7243
www.megawest.com
$89
20
HCIA, Inc.
Baltimore
(800) 568-3282
www.hcia.com
$83
21
Synertech
Harrisburg, Pa.
(800) 216-9756
www.synertechsystems.com
$78.6
22
Medical Manager Corp.
Tampa, Fla.
(800) 222-7701
www.medicalmanager.com
$78.1
23
SAS Institute
Cary, N.C.
(919) 677-8000
www.sas.com
$69
24
Protocol Systems
Beaverton, Ore.
(800) 289-2500
www.protocol.com
$64.1
25
Geac Computer Corporation, Ltd.
Markham, Ontario
(905) 475-0525
www.geac.com
$57.3
26
Reynolds and Reynolds Healthcare Systems
Dayton, Ohio
(800) 934-3167
www.reyrey.com/healthcare
$55
27
Lawson Software
Minneapolis
(800) 793-0249
www.lawson.com
$52.5
28
IMNET Systems, Inc.1
Alpharetta, Ga.
(800) 329-2777
www.imnet.com
$50.2
29
Applied Healthcare Informatics, Inc.
Minnetonka, Minn.
(800) 328-5979
n/a
$46.2
30
QuadraMed Corp.1
Larkspur, Calif.
(800) 473-7633
www.quadramed.com
$44.9
31
Transition Systems, Inc.
Boston
(617) 723-4222
www.tsidss.com
$44.6
32
Kronos, Inc.
Waltham, Mass.
(800) 225-1561
www.kronos.com
$44.3
33
DAOU Systems, Inc.
San Diego
(800) 578-DAOU
www.daou.com
$41.7
34
Epic Systems Corp.
Madison, Wis.
(608) 271-9000
www.epicsys.com
$40**
34
GTE Data Services
Temple Terrace, Fla.
(800) 237-2774 x6879
www.gtedataservices.com
$40
36
The Compucare Company3
Reston, Va.
(703) 709-2300
www.compucareonline.com
$38
37
Dynamic Healthcare Technologies, Inc.
Maitland, Fla.
(800) 832-3020
www.dht.com
$36.5
38
InfoCure Corp.
Atlanta
(770) 221-9990
www.infocure.com
$35.4
39
Erisco
New York City
(800) 5ERISCO
www.erisco.com
$35
40
American Management Systems, Inc.
Fairfax, Va.
(800) 682-0028
www.amsinc.com
$34.9
41
ADAC HealthCare Information Systems
Houston
(800) 231-2604
www.adaclabs.com
$32.7
42
Resource Information Management Systems, Inc. (RIMS)
Naperville, Ill.
(888) 841-3100
www.rims.com
$32.6
43
Delta Health Systems
Altoona, Pa.
(814) 944-1651
www.deltahealth.com
$32
44
Keane, Inc.
Melville, N.Y.
(800) 699-6773
www.keane.com/hsd
$30.3
45
SunGard Healthcare Information Systems
Wayne, Pa.
(610) 341-8700
www.sungard.com/his.html
$30
46
Simione Central
Atlanta
(800) 441-2331
www.simcen.com
$27.4
47
Software Technologies Corp.
Monrovia, Calif.
(800) 425-0541
www.stc.com
$26.7
48
FileNET Corp.
Costa Mesa, Calif.
(800) FILENET
www.filenet.com
$25.1
49
Oacis Healthcare Systems, Inc.
Greenbrae, Calif.
(800) 43-OACIS
www.oacis.com
$25
50
CPSI
Mobile, Ala.
(334) 639-8100
www.cpsinet.com
$24.2
50
Insurdata Inc.
Irving, Texas
(972) 443-5000
www.insurdata.com
$24.2
52
SCC Clinical Information Systems
Palm Harbor, Fla.
(800) SOFTFLA
www.softcomputer.com
$23.5
53
Citation Computer Systems, Inc.
Chesterfield, Mo.
(800) 325-1382
www.cita.com
$22
54
VitalCom
Tustin, Calif.
(800) 888-0077
www.vitalcom.com
$21.8
55
Quality Systems, Inc.
Tustin, Calif.
(800) 888-7955
www.qsii.com
$20.1
56
The SSI Group, Inc.
Clearwater, Fla.
(800) 881-2739
www.ssigroup.com
$20
57
CliniComp, Intl.
San Diego, Calif.
(800) 350-8202
www.clinicomp.com
$20**
58
Mediware Information Systems, Inc.
Melville, N.Y.
(516) 423-7800
www.mediware.com
$18.5
58
Ross Systems, Inc.
Atlanta
(770) 351-9600
www.rossinc.com
$18.5
60
HBS International, Inc.
Bellevue, Wash.
(800) 290-8982
www.hbsi.com
$18.3
61
Datamedic Corp.
Waltham, Mass.
(800) 851-2830
www.datamedic.com
$18.1
62
CAI
Pacheco, Calif.
(510) 691-2500
www.cainc.com
$18
63
A4 Health Systems
Cary, N.C.
(919) 851-6177
www.a4healthsys.com
$17.5
63
Spacelabs Intesys
Redmond, Wash.
(800) 251-9910
www.spacelabs.com
$17.5
65
Health Systems Design Corp.
Oakland, Calif.
(800) HSDXPRT
www.hsdc.com
$16.8
66
Medirisk, Inc.
Atlanta
(404) 364-6700
www.medirisk.com
$16.7
67
Health Care Data Systems
Dewitt, N.Y.
(800) 950-7111
www.hcds.com
$15.8
68
HIE, Inc.
Marietta, Ga.
(770) 423-8450
www.hie.com
$15.6
69
Dairyland Computer and Consulting
Glenwood, Minn.
(800) 323-6987
www.dairyland-hosp.com
$15.5
70
GeoAccess, Inc.
Overland Park, Kan.
(800) 457-4697 ext 192
www.geoaccess.com
$15.4
71
Nichols Research Corp.
Huntsville, Ala.
(800) 477-1140
www.nichols.com
$15
72
Healthcare Management Systems
Nashville, Tenn.
(615) 383-7300
www.hmstn.com
$14.7
73
MSI Solutions, Inc.
Marietta, Ga.
(800) 829-1782
www.msi-solutions.com
$14.5
73
Care Computer Systems
Bellevue, Wash.
(800) 426-2675
www.carecomputer.com
$14.5
75
MedicaLogic
Hillsboro, Ore.
(503) 531-7000
www.medicalogic.com
$13.6
76
Summit Medical Systems
Minnetonka, Minn.
(800) 767-0766
www.summitmedical.com
$13.1
77
HCS
Farmingdale, N.J.
(800) 524-1038
www.hcsinteractant.com
$12.5
78
Advanced Health Corp.
Tarrytown, N.Y.
(800) 944-1314
www.advhealth.com
$12.3
79
Disc Systems
Minneapolis
(800) 879-3472
www.discsystems.com
$11
80
Proxymed, Inc.
Ft. Lauderdale, Fla.
(954) 473-1001
www.proxymed.com
$10.9
81
First Coast Systems, Inc.
Jacksonville, Fla.
(800) 395-5555
www.fcoast.com
$10.8
82
Infinium Software, Inc.
Hyannis, Mass.
(800) 725-7668
www.infinium.com
$10.4
83
IMPAC Medical Systems
Mountain View, Calif.
(650) 254-4700
www.impac.com
$10.2
84
HealthVISION, Inc.
Santa Rosa, Calif.
(707) 528-7300
www.healthvision.com
$10**
85
MECON
San Ramon, Calif.
(800) 35MECON
www.mecon.com
$9.9
85
Sentient
Kensington, Md.
(800) 966-9419
www.sentientconsult.com
$9.9
87
Home Care Information Systems, Inc.
Bloomfield, N.J.
(973) 338-2020
www.hcis.com
$9.7
88
MedPlus, Inc.3
Cincinnati, Ohio
(800) 444-6235
www.medplus.com
$9
88
HSS, Inc.
Hamden, Conn.
(800) 999-3747
n/a
$9
90
LanVision, Inc.
Cincinnati
(800) 554-6818
www.lanvision.com
$8.7
91
APACHE Medical Systems, Inc.
McLean, Va.
(800) 634-9379
www.APACHE-MSI.com
$8.6
91
Object Products, Inc.
San Francisco
(415) 495-4741
www.objectproducts.com
$8.6
93
Global Software, Inc.
Raleigh, N.C.
(800) 326-3444
www.glbsoft.com
$8.2
93
Triple G. Corp.
Markham, Ont.
(888) 874-7534
www.tripleg.com
$8.2
95
Medical Information Management Systems, Inc. (MIMS)
Nashville, Tenn.
(800) 796-6467
www.mimscorp.com
$7.6
96
Creative Computer Applications, Inc. (CCA)
Calabasas, Calif.
(800) 437-9000
www.ccainc.com
$7.1
97
MicroScript Corp.
Danvers, Mass.
(800) 495-7500
www.microscript.com
$6.7
97
Scientific Data Management, Inc.
Clinton Township, Mich.
(800) 538-6339
n/a
$6.7
99
MEDecision, Inc.
Wayne, Pa.
(610) 254-0202
www.MEDecision.com
$5.7
100
MIDS, Inc.
Tuscon, Ariz.
(520) 296-7398
www.MIDSinc.com
$5.5
11996, 1995 revenues have been restated to reflect acquisitions
2Restructured division of Medaphis
31996, 1995 revenues have been restated to reflect divestiture
*Estimate from Bear Stearns
** Estimate from Sheldon I. Dorenfest & Associates
Top 100
Alphabetically Listed with rank
3M Health Information Systems 17
a4 Health System 63
ADAC HealthCare Information Systems 41
Advanced Health Corp. 78
American Management Systems, Inc. 40
APACHE Medical Systems, Inc. 91
Applied Healthcare Informatics, Inc. 29
CAI 62
Care Computer Systems 73
Cerner Corp. 5
Citation Computer Systems, Inc. 53
CliniComp 57
Companion Technologies 20
Compucare Company (The) 36
CPSI 50
Creative Computer Applications, Inc. (CCA) 96
CSC Healthcare 11
Dairyland Computer and Consulting 69
DAOU Systems, Inc. 33
Datamedic Corp. 61
Delta Health Systems 43
Disc Systems 79
Dynamic Healthcare Technologies, Inc. 37
Eclipsys Corp. 16
ENVOY Corp. 12
Epic Systems Corp. 34
Erisco 39
FileNET Corp. 48
First Coast Systems, Inc. 81
Geac Computer Corporation, Ltd. 25
GeoAccess, Inc. 70
Global Software, Inc. 93
GTE Data Services 34
HBOC 1
HBS International, Inc. 60
HCIA, Inc. 20
HCS 77
Health Care Data Systems 67
Health Management Systems, Inc. 18
Health Systems Design Corp. 65
Healthcare Management Systems 72
HealthVISION, Inc. 84
HIE, Inc. 68
Home Care Information Systems, Inc. 87
HSS, Inc. 88
IDX Systems Corp. 4
IMNET Systems, Inc. 28
IMPAC Medical Systems 83
Infinium Software, Inc. 82
InfoCure Corp. 38
Insurdata Inc. 50
Keane, Inc. 44
Kronos, Inc. 32
Lanier Worldwide, Inc. 7
LanVision, Inc. 90
Lawson Software 27
MECON 85
MEDecision, Inc. 99
Medic Computer Systems, Inc. 6
Medical Information Management Systems, Inc. (MIMS) 95
Medical Information Technology (MEDITECH) 8
Medical Manager Corp. 22
MedicaLogic 75
Medirisk, Inc. 66
Mediware Information Systems, Inc. 58
MedPlus, Inc. 88
MicroScript Corp. 97
MIDS, Inc. 100
MSI Solutions, Inc. 73
National Data Corp. (Health Info. Services) 10
Nichols Research Corp. 71
Oacis Healthcare Systems, Inc. 49
Object Products, Inc. 91
PeopleSoft, Inc. 13
Per-Se Techologies 9
Physician Computer Network 15
Protocol Systems 24
Proxymed, Inc. 80
QuadraMed Corp. 30
Quality Systems, Inc. 55
Resource Information Management Systems, Inc. (RIMS) 42
Reynolds and Reynolds Healthcare Systems 26
Ross Systems, Inc. 58
SAS Institute 23
SCC Clinical Information Systems 52
Science Applications International Corp. (SAIC) 3
Scientific Data Management, Inc. 97
Sentient 85
Simione Central 47
SMS 2
Software Technologies Corp. 48
Spacelabs Intesys 63
SSI Group, Inc. (The) 56
Summit Medical Systems 76
SunGard Healthcare Information Systems 45
Sunquest Information Systems, Inc. 14
Synertech 21
Transition Systems, Inc. 31
Triple G. Corp. 93
VitalCom 54
