Proficient Health

What Proficient Health does

Proficient Health (legal entity: Proficient, Inc.) is a private healthcare technology company headquartered in Greensboro, North Carolina, that develops a cloud-based referral management and provider communication platform designed to function as an EHR companion rather than a replacement for incumbent systems. Founded in 2008 and operating across the United States, the company targets ACOs, CINs, hospital systems, and physician practices that need to coordinate referrals and clinical communication across disparate EHR environments. The platform integrates with Epic, Cerner, and 60+ other EHR systems using HL7, FHIR, or Direct protocols.

The product portfolio is organized around four components: PH Connect for HIPAA-compliant secure messaging, secure calling, and Intelligent Consult Notification; PH Exchange for online referral creation, tracking, and closed-loop management; PH Capture for digital fax and document management (including AI-Powered Automated Document Processing launched in April 2025); and the PH Platform underlying infrastructure. Differentiating technical features include smart routing that directs referrals based on clinical service availability and physician preferences, a centralized community provider directory, real-time network and practice-level analytics dashboards, and AI-driven extraction of referral information from unstructured documents. Notable customers include WakeMed Health & Hospitals (3,200+ providers on PH Connect), HCA Healthcare, Bon Secours Mercy Health, Cone Health, UNC Health, Nicklaus Children's Hospital, Lifepoint Health, and Ann & Robert H. Lurie Children's Hospital of Chicago.

Proficient Health operates a SaaS subscription revenue model with annual billing and quote-based enterprise pricing, selling directly to healthcare organizations through a field sales motion supported by ROI analysis tools. The company reports high customer retention, over 325,000 referrals processed through the platform, and outcome metrics including a 50% reduction in out-of-network referrals for ACO customers and 85% cost reduction per fax page. Leadership is led by founder and CEO Robb Hutchison, with VP of Sales and Marketing Luke Gunter and CTO Jeff Kramer (retiring end of 2025). The company traces its lineage to MD Interconnect, which became part of Proficient Health in 2019 alongside the acquisition of RapidConnect.

Name

Proficient Health

Legal name

Proficient, Inc.

Website

https://proficienthealth.com

Company type

Private

Founded year

2013

Operating status

Operating

Headcount range

11–50 employees

Short description

Proficient Health is a private healthcare technology company that provides a cloud-based referral management and provider communication platform for ACOs, CINs, hospitals, and physician practices, integrating with 60+ EHR systems via HL7, FHIR, and Direct protocols.

Ownership category

akta.pro rank

Product category

Healthcare Referral Management Software

NAICS

Computer Systems Design and Related Services (54151), Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (51821), Health Care and Social Assistance (62)

SIC

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

akta.pro primary industry

Care Navigation, Referral & Digital Front Door Platforms (HLALABAH)

akta.pro secondary industries

EHR/EMR Integration & Interoperability Middleware (HL7/FHIR) (HLALAKAD), Interoperability Standards, Profiles & Implementation (HL7/FHIR/IHE) (HLACABAA), EHR Extensions, APIs, App Marketplaces & SMART-on-FHIR Apps (HLACAAAN)

Keywords

• Healthcare referral management
• Provider communication platform
• Clinical messaging software
• EHR interoperability solutions
• Digital fax healthcare

Headquarters

HQ city

Greensboro

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Software

Cost components

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

Revenue model

1. SaaS Subscription: Cloud-based software-as-a-service model providing referral management, provider communication, and document management solutions on a subscription basis. Pricing is likely tiered based on organization size and module usage.

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels7 records

Core offering

Proficient Health provides a cloud-based referral management platform that functions as an EHR companion, enabling hospitals, physicians, ACOs, and CINs to create, track, and manage patient referrals online. The platform includes PH Connect for HIPAA-compliant provider-to-provider messaging and consult notifications, PH Exchange for referral workflow management with analytics, and PH Capture for electronic fax and document processing. It integrates with 60+ EHR systems using HL7, FHIR, or Direct protocols to bridge communication gaps across incompatible healthcare systems.

Product overview

Proficient Health offers a modular referral management platform built around three core products: PH Connect (provider communication), PH Exchange (referral management), and PH Capture (digital fax/document management), all powered by the PH Platform. The platform serves as an EHR companion designed to bridge communication across incompatible healthcare systems, particularly for ACOs, CINs, physician practices, and health systems. The architecture enables interoperability using HL7, FHIR, and Direct standards, with PH Connect handling secure provider-to-provider messaging and smart routing, PH Exchange managing the referral lifecycle from creation through closed-loop completion, and PH Capture providing AI-powered document processing and electronic faxing. Analytics and Insights module provides network-level reporting on referral patterns and leakage. All products are available via web and mobile platforms (iOS and Android).

Differentiator

Problem solved

Functional benefit

Brands

• PH Connect: Secure provider-to-provider communication platform enabling secure messaging, secure calling, and consult notifications via mobile app (iOS, Android) and web.
• PH Exchange
• PH Capture
• PH Platform

Products and services

• PH Connect HIPAA-compliant provider communication platform that enables secure text messaging, voice calling, group chat, and Intelligent Consult Notification (ICN) between healthcare providers across different organizations and EHR systems. Features smart routing technology that automatically directs messages to appropriate specialists based on availability, time of day, and preferences. Available on iOS, Android, and web.
• PH Exchange Cloud-based referral management solution that functions as an EHR companion, enabling healthcare providers to create, manage, and track referrals online with HIPAA-compliant messaging, document sharing, and built-in analytics. Bridges the technology divide across incompatible EHRs.
• PH Capture

Quantifiable outcome

• 50% reduction in out-of-network referrals for ACO customers
• +10 more outcomes

Named customers11 records

Segments3 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration5 records

AI capability7 records

Feature8 records

Partnerships

Five partnerships are on record, tiered core and minor.

• Epic SystemscoreTechnology or IntegrationIntegration partnership enabling seamless data flow between Proficient Health platform and Epic EHR. EPIC Consult Orders & Notifications feature automatically sends consult orders as real-time messages to consulted services.
• Cerner (Oracle Health)coreTechnology or IntegrationIntegration partnership providing interoperability between Proficient Health referral management solutions and Cerner EHR platforms.
• HIMSS (Healthcare Information & Management Systems Society)minorGTM or Marketing PartnerProficient Health sponsors and exhibits at HIMSS Georgia 2025 Conference and HIMSS NC Annual Conference to connect with healthcare technology leaders.
• National Association of ACOs (NAACOS)minorGTM or Marketing PartnerProficient Health attends NAACOS Fall Conference to engage with ACO executives and demonstrate referral management solutions.
• Florida Association of ACOs (FLAACOs)minorGTM or Marketing PartnerProficient Health sponsors and exhibits at FLAACOs Annual Fall Conference to connect with ACO leaders in Florida.

Scale indicators24 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• PerfectServe: Direct competitor offering secure provider-to-provider communication, clinical communication, and care coordination solutions to hospitals and health systems. Overlaps directly with PH Connect's secure messaging and call-routing capabilities for inpatient and ambulatory workflows.
• TigerConnect: Healthcare-specific secure messaging and clinical communication platform used by health systems for provider coordination, on-call scheduling, and patient communication. Direct overlap with PH Connect on HIPAA-compliant messaging, smart routing, and consult notifications.
• ReferWell: Referral management and care navigation platform focused on closing referral loops for ACOs, health systems, and payers. Directly comparable to PH Exchange for online referral creation, tracking, and leakage reduction in value-based care arrangements.

Broad incumbents

• Spok: Publicly traded healthcare communication company offering secure messaging, on-call scheduling, and care team coordination across large hospital systems. Competes with PH Connect as a broader, more established incumbent in clinical communications.
• Vocera (Stryker): Now part of Stryker's Medical division, Vocera provides clinical communication and workflow solutions including badges, secure messaging, and care team coordination. Competes with PH Connect in inpatient communication at large health systems.
• Bamboo Health (formerly PatientPing): Real-time care intelligence and care coordination platform sharing patient event notifications across providers, payers, and ACOs. Adjacent competitor for PH Exchange's referral and care-coordination use cases across value-based care networks.
• Collective Medical (PointClickCare): Now part of PointClickCare, Collective Medical provides real-time care coordination notifications across EDs, ACOs, and post-acute providers. Competes indirectly with PH Connect on cross-organization provider communication and event notification, especially in ACO/ED avoidance use cases.

Emerging players

• Luma Health: Patient engagement and referral management platform for health systems focused on access, scheduling, and closed-loop referrals. Overlaps with PH Exchange on referral workflow automation, particularly for outpatient access to specialty care.
• QliqSOFT: Healthcare-specific secure messaging, patient communication, and telehealth platform serving hospitals and physician practices. Competes with PH Connect for HIPAA-compliant secure texting and consult routing in mid-market health systems.
• CipherHealth: Patient communication and care coordination platform offering outreach, follow-up, and care navigation solutions. Adjacent to Proficient Health's referral and care coordination offerings, particularly for post-discharge and follow-up workflows.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/ProficientHTeam
• LinkedInlinkedin.com/company/proficient-health

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles4 records

Funding overview

Funding rounds2 records

Investors

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

M&A1 record

Investments

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

Frequently asked questions about Proficient Health