Provation

What Provation does

Provation is a Minneapolis-based healthcare clinical productivity software provider founded in 1994 and operating as a wholly-owned subsidiary of Fortive Corporation since 2021. The company serves hospitals, ambulatory surgery centers (ASCs), anesthesia groups, and medical offices across three primary procedural specialties: gastroenterology, pulmonology, and (newly) orthopedic surgery, with deep penetration of 43 of the top 50 U.S. hospitals for GI and GI surgery and a user base of 15,000+ physicians and endoscopists. Provation holds a 30+ year operating history, 330+ employees across U.S. and India offices, and an executive leadership team reporting to a Fortive-aligned operating model. The company has been recognized as the #1 AIMS vendor per KLAS Reports (2017-2019) and a Black Book leader in anesthesia and ambulatory EHR surveys, with an overall customer retention rate above 95%.

Name

Provation

Legal name

Provation Software, Inc.

Website

https://provationmedical.com

Company type

Private

Founded year

1994

Operating status

Operating

Headcount range

251–500 employees

Ownership category

akta.pro rank

Product category

Healthcare Clinical Documentation Software

NAICS

Software Publishers (513210)

SIC

Services-Prepackaged Software (7372)

akta.pro primary industry

Perioperative/Anesthesia & Surgical Documentation Systems (HLACAAAF)

Keywords

• Clinical documentation software
• Anesthesia information management
• Procedure documentation platform
• Healthcare productivity software
• Endoscopy software solutions

Headquarters

HQ city

Minneapolis

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, Infrastructure

Revenue model

1. SaaS Subscription: Cloud-based software as a service with subscription licensing. Affordable subscription model with right-sized packages for all facility types, no server maintenance, minimal IT footprint.
2. Professional Services: Implementation services including workflow and hardware assessment, training, go-live support, and ongoing customer success services.

Pricing tiers

Go-to-market motion3 records

Distribution channels4 records

Marketing channels9 records

Core offering

Provation develops and sells cloud-based and on-premise clinical documentation software for healthcare providers, including gastroenterology, pulmonology, orthopedic surgery procedure documentation, and anesthesia information management. Its flagship Provation Apex platform serves hospitals, ambulatory surgery centers, and anesthesia groups with AI-enhanced documentation, automated CPT/ICD-10 coding, EHR interoperability, and quality reporting integrations.

Product overview

Provation is a comprehensive clinical productivity software portfolio spanning the entire patient procedure from pre-op through post-op recovery. The offering is a platform-plus-modules architecture centered on two core products: Provation Apex (cloud-based SaaS platform) and Provation MD (on-premise solution), which serve as the primary documentation engines. The Apex platform includes specialized sub-products for gastroenterology (GI), pulmonology, and orthopedic surgery documentation, plus a patient charting module for nursing documentation. Provation iPro is a dedicated mobile-first AIMS (Anesthesia Information Management System) with multiple add-on modules including Mira iPro Insights (analytics), Mira iPro Assist (AI chatbot), OB/Labor & Delivery, Pre-Op Anesthesia Testing (PAT), PACU, Perfusion, and a Billing Package. Additional solutions include Provation Order Set Advisor for clinical order set management, NACOR Quality Concierge for MIPS/anesthesia quality reporting, Provation Care Plans for evidence-based nursing care plans, and Provation Patient Experience Surveys for anesthesia patient feedback. The portfolio integrates with major EHR systems (Epic, Cerner, MEDITECH, Allscripts, Altera Digital Health) and pathology laboratories, serving hospitals, ASCs, and anesthesia groups.

Differentiator

Problem solved

Functional benefit

Brands

• Provation Apex: Cloud-based clinical documentation platform for physician procedure documentation across gastroenterology, pulmonology, and orthopedics
• Provation MD
• Provation iPro
• Provation Order Set Advisor
• Provation Care Plans
• Quality Concierge
• Provation Apex Patient Charting
• Provation SurgicalValet
• Provation Mira
• Provation iPro Lite
• Provation Patient Experience Surveys

Products and services

• Provation Apex Cloud-based clinical documentation platform for physician procedure documentation across gastroenterology, pulmonology, and orthopedic surgery specialties with automated coding, EHR interoperability, and AI-enhanced features. Used by hospitals, ASCs, and physician practices.
• Provation MD Market-leading on-premise procedure documentation solution trusted by top GI hospitals with anticipatory interface, deep medical content, automated coding, and over 100 standard reports. Used by gastroenterology practices and hospitals.
• Provation iPro Mobile, cloud-based Anesthesia Information Management System (AIMS) designed by practicing anesthesiologists combining AI technology, intelligent automation, and analytics to increase revenue and transform clinical workflows. Used by anesthesiologists and anesthesia groups.
• Provation iPro Lite Fully mobile, intuitive AIMS designed for ambulatory surgery centers and mobile anesthesia groups to capture billable services, reduce compliance risks, and streamline documentation.
• Provation Apex Patient Charting Cloud-based nursing documentation software replacing paper nursing notes, whiteboards, and templates with real-time patient tracking, specimen collection, and patient engagement features. Used by nursing staff at ASCs and hospitals.
• Provation Patient Experience Surveys Anesthesia patient survey solution collecting feedback via text or email with six questions covering patient-reported experience measure AQI 48 for quality reporting.
• Provation Order Set Advisor Clinical order set management software with intelligent content gap analysis that automatically checks existing order sets against latest evidence and best practices, featuring Easy Import for Epic and Cerner.
• NACOR Quality Concierge Quality analytics solution designed in partnership with AQI for anesthesia practices to avoid CMS penalties, optimize MIPS performance, and automate NACOR submission.
• Provation Care Plans Evidence-based care plan management software providing templates derived from Lippincott Solutions with Epic interoperability to drive consistency in nursing care.
• Provation Apex for Orthopedics Cloud-native orthopedic operative documentation using voice-to-note technology to instantly convert natural surgeon dictation into complete, billing-ready operative notes. Targets orthopedic ASCs and surgeons.
• Provation SurgicalValet Patient engagement and surgical care coordination software for healthcare providers.

Quantifiable outcome

• 10-minute reduction in physician documentation time per procedure
• +8 more outcomes

Named customers11 records

Segments6 records

Ideal customer profiles4 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration35 records

AI capability9 records

Feature9 records

Partnerships

Twelve partnerships are on record, tiered regional and core.

• Al Naghi Medical Company LLCregionalChannel Partner/ Reseller/ DistributorPartnership agreement allows Al Naghi Medical to sell and distribute Provation MD (gold standard GI and respiratory procedure documentation software) throughout the UAE market.
• PE GI SolutionscoreChannel Partner/ Reseller/ DistributorMaster Subscription Agreement for cloud-based Provation Apex enabling PE GI Solutions' ASC physicians and nurses to standardize documentation, increase reporting accuracy, minimize IT burden, and improve data protection.
• Allied Digestive HealthcoreChannel Partner/ Reseller/ DistributorAgreement provides ADH's 150+ board-certified gastroenterologists spanning over 30 facilities with Provation's leading cloud-based procedure documentation and charting solutions.
• MEDITECHcoreTechnology or IntegrationSeamless clinical records and billing integration between Provation iPro AIMS and MEDITECH EHR systems.
• Altera Digital HealthcoreTechnology or IntegrationInterface with Altera Digital Health for seamless clinical records and billing integration.
• EpiccoreTechnology or IntegrationEHR interoperability for seamless data exchange. Easy Import feature for Epic order sets integration.
• CernercoreTechnology or IntegrationEHR interoperability for seamless data exchange. Easy Import feature for Cerner order sets integration.
• American Society of Anesthesiologists (ASA)coreStrategic or Co-development PartnerPartnership for anesthesia quality reporting, MIPS optimization, and NACOR integration through Quality Concierge.
• Anesthesia Quality Institute (AQI)coreStrategic or Co-development PartnerPartnership in partnership to deliver NACOR Quality Concierge solution for anesthesia quality reporting and analytics.
• Lippincott SolutionscoreTechnology or IntegrationSource of evidence-based care plan templates for Provation Care Plans software.
• GIQuIC RegistrycoreTechnology or IntegrationGIQuIC Quality Submission integration for automated endoscopy quality indicator reporting and benchmarking.
• Day Hospitals AustraliaregionalChannel Partner/ Reseller/ DistributorMember of DHA for market presence in Australia.

Scale indicators12 records

Recent moves7 records

Expansion highlights7 records

Direct peers

• Surgical Information Systems (SIS): SIS provides clinical documentation and anesthesia information management software for ASCs and surgical hospitals, directly competing with Provation Apex, Provation MD, and Provation iPro across the surgical and anesthesia documentation workflow.
• Modernizing Medicine (ModMed / gMed): ModMed's gMed EHR is the other leading specialty EHR for gastroenterology, directly competing with Provation MD and Provation Apex in GI procedure documentation, with comparable specialty content depth and cloud delivery model.
• HST Pathways: HST Pathways specializes in ASC management software including clinical documentation and patient charting, competing directly with Provation Apex Patient Charting and SurgicalValet in the ASC segment.

Broad incumbents

• Epic Systems: Epic is the dominant inpatient EHR and offers expanding native procedure documentation modules that compete with Provation's specialty workflows. Provation's Easy Import for Epic order sets and EpicCare integration depend on this partnership.
• Oracle Health (Cerner): Oracle Health (formerly Cerner) is a broad EHR incumbent with its own procedure documentation capabilities, integrating with Provation via Easy Import but also competing for the same hospital IT budgets and workflow ownership.
• MEDITECH: MEDITECH is a broad EHR incumbent serving hospitals and ambulatory sites; Provation iPro AIMS integrates natively with MEDITECH and Altera Digital Health, positioning both as partners and potential competitors for specialty documentation.
• Veradigm (Allscripts): Veradigm, formerly Allscripts, is a broad ambulatory and hospital EHR vendor whose clients overlap with Provation's hospital and ASC target market, making it both an integration partner and a competitor for clinical documentation spend.

Emerging players

• Microsoft (Nuance DAX Copilot): Microsoft's Nuance DAX Copilot is a leading ambient AI medical scribe that competes directly with Provation's voice-to-note and Mira AI documentation features, backed by Microsoft's enterprise distribution and capital scale.
• Abridge: Abridge is a venture-backed AI medical scribe that competes in the same ambient documentation category as Provation's voice-to-note technology, targeting physician burnout and documentation efficiency across specialties.
• Suki AI: Suki AI is a generative AI assistant for clinicians that competes with Provation Mira iPro Assist and voice-to-note, offering ambient documentation and dictation capabilities integrated with major EHRs.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks5 records

Key highlights6 records

Customer concentration

• Xx.com/provationmed
• Facebookfacebook.com/119867582568
• LinkedInlinkedin.com/company/provation-medical

Compliance5 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles10 records

Funding overview

Funding rounds

Investors

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

M&A4 records

Investments

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

Frequently asked questions about Provation