Altera Digital Health

What Altera Digital Health does

Altera Digital Health Inc. is a global healthcare IT company that develops and supports electronic health record (EHR) platforms, interoperability, revenue cycle, and clinical analytics software for hospitals, health systems, and large physician practices. Its product portfolio centers on three EHR platforms — Sunrise (for mid-size hospitals and health systems), Paragon Denali (a cloud-native, containerized SaaS EHR on Microsoft Azure for community and critical access hospitals), and TouchWorks (for physician practices) — supplemented by the CareInMotion and dbMotion interoperability platforms, the Ventus revenue cycle suite, Altera Cloud hosting, Altera Lab LIS, and a Managed Services practice. The company has launched AI-enabled capabilities including the Sunrise Thread AI ambient scribe, the CareInTelligence data platform, and the Sunrise Axon TEFCA-aligned exchange solution.

The company was established in 2022 when Harris Computer, a division of Constellation Software Inc. (TSX:CSU), acquired the Allscripts Hospitals and Large Physician Practices business segment; Altera traces its roots to the original Sunrise EHR released in 1998 and to subsequent acquisitions including dbMotion (2013) and McKesson EIS (2017). It operates as a privately held subsidiary with a stated footprint of 5,001–10,000 employees, offices in the US (Chicago, Raleigh), UK/EMEA (Birmingham), Asia Pacific (Singapore, Adelaide), India (Vadodara, Pune), and Israel (Be'er Sheva), and a customer base of more than 2,700 hospitals across 15+ countries. Altera makes money primarily through recurring software subscriptions (EHR licenses, Paragon Denali SaaS), managed cloud and IT services, and implementation/professional services for deployments such as NHS Electronic Patient Record (EPR) programs and US hospital go-lives, with no publicly disclosed pricing.

Strategic positioning is built around competing with Epic, Oracle Health, and Meditech by emphasizing configurability, embedded clinical-pathway support (e.g., NELA Acute Abdomen Pathway), Microsoft Azure-native architecture, and a human-centered AI posture; the company has secured 10-year NHS EPR contracts with Stockport and Tameside NHS trusts covering much of Greater Manchester, and reports multi-year renewals with US clients including Phoenix Children's Hospital, Grand Lake Health, and Hospital for Special Care.

Name

Altera Digital Health

Legal name

Altera Digital Health Inc.

Website

https://alterahealth.com

Company type

Private

Founded year

2022

Operating status

Operating

Headcount range

5,001–10,000 employees

Short description

Altera Digital Health is a global healthcare IT company providing electronic health record (EHR), interoperability, revenue cycle, and AI-powered clinical solutions to more than 2,700 hospitals across 15+ countries, operating as a subsidiary of Harris Computer under Constellation Software.

Ownership category

akta.pro rank

Product category

Healthcare IT / Electronic Health Records

NAICS

Custom Computer Programming Services (541511), Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (51821)

SIC

Services-Computer Programming, Data Processing, Etc. (7370), Services-Misc Health & Allied Services, Nec (8090), Services-Computer Integrated Systems Design (7373)

akta.pro primary industry

Acute Care & Hospital EHRs (HLACAAAA)

akta.pro secondary industries

Ambulatory & Physician Practice EHRs (HLACAAAB), EHR Implementation, Optimization, Training & Managed Services (HLACAAAL)

Keywords

• Electronic health records
• Healthcare IT solutions
• Revenue cycle management
• Clinical interoperability
• Healthcare cloud services

Headquarters

HQ city

London

HQ country

United Kingdom

HQ region

Europe

Offices8 records

Markets served

GTM type

B2B

Offering type

Software

Cost components

Personnel, Technology or R&D, Operations, Marketing or Sales, Infrastructure

Revenue model

1. EHR Software Licenses (Sunrise, Paragon, TouchWorks): Annual subscription and licensing fees for electronic health record platforms including Sunrise (for mid-size hospitals and health systems), Paragon Denali (for community/critical access hospitals), and TouchWorks EHR (for physician practices). Revenue from software licenses, maintenance, and support contracts.
2. Paragon Denali SaaS Subscription: Cloud-native SaaS delivery model with regular updates and maintenance delivered in one predictable subscription. Revenue from containerized services with incremental updates that reduce downtime.
3. Ventus Revenue Cycle Solutions: Integrated revenue cycle and administrative solutions including Enterprise Master Patient Index, Surgery and Scheduling, Intelligent Coding, and Medical Necessity Compliance. Revenue from software licensing and services.
4. Altera Cloud Services: Cloud hosting and infrastructure services on Microsoft Azure with 24x7 protection, proactive monitoring, and rapid recovery. End-to-end cloud services for security, performance, and availability.
5. Managed IT Services: Vendor-agnostic 24x7 support spanning service desk, applications, revenue cycle, cloud/infrastructure, cybersecurity, and automation. Includes enterprise service desk, integration and data migration, robotic process automation, and application management.
6. Professional Services: Implementation, training, and consulting services for EHR deployments, digital transformations, and system migrations. Includes support for NHS trust EPR implementations and hospital go-lives.

Go-to-market motion2 records

Distribution channels4 records

Marketing channels8 records

Core offering

Altera Digital Health develops and sells electronic health record (EHR) platforms and supporting healthcare IT solutions — Sunrise, Paragon Denali, and TouchWorks EHR — alongside interoperability (CareInMotion, dbMotion), revenue cycle (Ventus), ambient AI documentation (Sunrise Thread AI), care coordination, cloud hosting on Microsoft Azure, and 24x7 managed services. Products are sold to hospitals, health systems, physician practices, NHS trusts, and community/critical access hospitals across 15+ countries.

Product overview

Altera Digital Health develops a comprehensive portfolio of electronic health record (EHR) solutions and healthcare technology products. The core product lineup includes Sunrise (for mid-size hospitals and health systems), Paragon Denali (cloud-native SaaS for community/critical access hospitals), and TouchWorks EHR (for physician practices). Supporting products include interoperability platforms (CareInMotion, dbMotion), revenue cycle management (Ventus), care coordination (Care Director), and context management (Altera Context). Recent AI-powered launches include Sunrise Thread AI (ambient scribe) and CareInTelligence (data platform). Services include Altera Cloud (Azure-based hosting), Altera Lab (LIS), and Managed Services (24x7 IT support). The company serves 2,700+ hospitals in 15+ countries.

Differentiator

Problem solved

Functional benefit

Brands

• Sunrise: Comprehensive acute, ambulatory and financial EHR solution for hospitals and health systems providing a single patient record for more informed patient care.
• Paragon
• TouchWorks EHR
• CareInMotion
• Ventus
• dbMotion
• Care Director
• Altera Context
• Altera Lab
• Altera Cloud
• CareInTelligence
• Sunrise Thread AI
• Sunrise Axon
• Sunrise CarePath
• Sunrise Health Record
• Managed Services

Products and services

• Sunrise Comprehensive acute, ambulatory, and financial EHR platform for mid-size hospitals and health systems, providing a single patient record with integrated clinical and financial data, AI-powered documentation, and TEFCA-aligned interoperability.
• Paragon Denali Cloud-native, SaaS EHR for rural, critical access, and community hospitals with containerized services on Microsoft Azure that deliver incremental updates in minutes rather than hours, reducing downtime.
• TouchWorks EHR EHR platform for medium-to-large single or multi-specialty physician practices, MSOs, and IDNs that streamlines clinical workflows, supports value-based care initiatives, and provides specialty-specific decision support.
• CareInMotion Interoperability solution that aggregates discrete patient data from diverse care settings into a single longitudinal patient record, powering population health management, care coordination, and analytics for hospitals, HIEs, ACOs, and health plans.
• Ventus Integrated revenue cycle and administrative solutions portfolio including Ventus Passport (EMPI), Intelligent Coding, Compliance Advisor, Contract Management, and Revenue Aware.
• dbMotion Interoperability platform that integrates discrete patient data from diverse care settings into a single patient record with semantically normalized data to support value-based care and delivery system reform.
• Care Director Web-based solution that coordinates outpatient care across the continuum, supporting value-based care models and total population health management.
• Altera Context HL7 CCOW standard-based context management solution that automates access to patient-centric information across disparate applications for clinicians.
• Altera Cloud Cloud services built on Microsoft Azure providing security, scalability, and 24x7 protection including assessment, migration, management, and security/compliance services for mission-critical healthcare systems.
• Altera Lab Laboratory information system that manages, processes, and stores data related to laboratory testing, communicating seamlessly with ancillary and document management systems.
• Managed Services 24x7 vendor-agnostic support spanning service desk, applications, revenue cycle, cloud/infrastructure, cybersecurity, and automation, including RPA and application management for healthcare organizations.
• Sunrise Thread AI AI-powered ambient scribe and documentation assistant built directly into Sunrise EHR that captures patient-provider conversations in real time and automatically generates structured clinical notes, with auditability for compliance.
• CareInTelligence Advanced data platform unifying fragmented clinical, claims, financial, and social determinant data from payers, providers, and community organizations to deliver actionable insights and population health analytics.
• Sunrise Axon TEFCA-aligned interoperability solution that brings discrete external patient data directly into the clinical workflow, reducing duplicate testing and care gaps for US-based healthcare providers.
• Sunrise CarePath Patient engagement platform that gives individuals 24/7 access to health records, clinical summaries, lab results, secure messaging with care teams, and appointment scheduling.

Quantifiable outcome

• 100% compliance with Acute Abdomen Pathway documentation standards
• +6 more outcomes

Named customers14 records

Segments7 records

Ideal customer profiles5 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration1 record

AI capability10 records

Feature7 records

Partnerships

Four partnerships are on record, tiered core.

• LumencoreTechnology or Integration · 14 January 2026Altera Digital Health has built a secure, scalable network with Lumen for cloud infrastructure and network services. The partnership enables reliable, high-performance connectivity for Altera's healthcare IT solutions supporting mission-critical hospital operations.
• Paymentus HoldingscoreTechnology or Integration · 26 September 2024Integration of Paymentus Electronic Bill Presentment and Payments platform with Altera's healthcare IT solutions to address revenue cycle management challenges in healthcare billing. The combined solutions enable healthcare providers to deliver real-time billing information through EHRs and offer patients multiple payment options including ACH, secure IVR, text, email, and digital wallets. Aims to address large patient balances as the single largest source of personal debt in the US.
• Microsoft AzurecoreTechnology or IntegrationCore cloud infrastructure partnership where Microsoft Azure powers Altera's cloud-enabled EHR platforms including Sunrise (powered by Microsoft Azure) and Paragon Denali (deployed natively in Microsoft Azure cloud). Azure provides security framework, scalability, and reliability for healthcare IT workloads.
• CareInTelligence Platform EcosystemcoreStrategic or Co-development PartnerCareInTelligence data platform unifies fragmented healthcare data from across the ecosystem - clinical, claims, operational, social determinant data - to deliver actionable intelligence for payers, providers, and community organizations. Built on modern cloud architecture with robust governance framework.

Scale indicators9 records

Recent moves7 records

Expansion highlights6 records

Direct peers

• NextGen Healthcare: NextGen competes directly with TouchWorks in the ambulatory and physician practice market, particularly specialty practices and value-based care environments. Both vendors serve multi-specialty groups and IDNs, with similar customer profiles among independent practices seeking specialty-specific EHR content.
• Meditech: Meditech directly competes with Altera's Paragon Denali in the community and mid-size hospital segment with its Expanse platform. Both vendors target the same buyer profile (community, critical access, and mid-size hospitals seeking cloud-native EHRs without Epic-scale complexity), making Meditech Altera's closest head-to-head competitor.
• athenahealth: athenahealth competes directly with Altera's TouchWorks EHR in medium-to-large physician practices, MSOs, and ambulatory groups. Both vendors offer integrated EHR + practice management + revenue cycle for ambulatory care, with athenahealth's network-anchored model competing against TouchWorks' configurability positioning.
• MEDITECH Expanse: Meditech's cloud-native Expanse EHR directly competes with Paragon Denali and Sunrise in the community hospital and mid-size health system segments. Both vendors emphasize cloud-native architecture, lower total cost of ownership, and configurability versus Epic-scale complexity.
• CPSI (Computer Programs and Systems, Inc.): CPSI (TruBridge) competes directly with Paragon Denali in the rural, critical access, and community hospital segment through its Evident Thrive and CPSI platforms. CPSI's buyer profile and IT-resource constraints closely mirror Paragon's target customer, making it Altera's most direct community-hospital competitor.

Broad incumbents

• Veradigm (formerly Allscripts): Veradigm is the post-divestiture remainder of Allscripts and shares product DNA with Altera, given Altera originated as Allscripts' Hospitals and Large Physician Practices business unit. Both target ambulatory and physician practice segments with overlapping customer bases, and Veradigm's FollowMyHealth overlaps with Altera's patient engagement portfolio.
• Epic Systems: Epic is the dominant acute-care EHR vendor, competing directly with Altera's Sunrise platform in mid-size and large hospitals and increasingly in the community-hospital space. Altera explicitly positions Sunrise as an alternative to Epic, citing flexibility, configurability, and lower total cost of ownership as differentiators.
• Oracle Health: Oracle Health (formerly Cerner) is one of the largest acute-care EHR vendors globally, competing head-to-head with Altera's Sunrise and Paragon Denali in hospitals and health systems. Oracle's Millennium platform and Oracle Cloud Infrastructure investment set the competitive bar Altera must clear on cloud-native capabilities.

Emerging players

• WellSky: WellSky competes with Altera's interoperability and care coordination products (CareInMotion, Care Director) in cross-continuum care and post-acute settings. Both vendors aggregate clinical and operational data across care settings to support value-based care, with WellSky having stronger post-acute reach and Altera stronger acute EHR integration.
• Abridge: Abridge is a leading ambient AI scribe vendor that competes with Altera's Sunrise Thread AI in the AI-powered clinical documentation category. Both vendors target clinician burnout reduction and offer ambient listening with structured-note generation, but Abridge is EHR-agnostic while Thread AI is tightly integrated with Sunrise.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat7 records

Key risks5 records

Key highlights7 records

Customer concentration

• Xx.com/AlteraHealth
• YouTubeyoutube.com/c/AlteraDigitalHealth
• Facebookfacebook.com/AlteraHealth
• LinkedInlinkedin.com/company/altera-digital-health-uk
• Instagraminstagram.com/alterahealth

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles14 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Altera Digital Health