Health Samurai

What Health Samurai does

Health Samurai is a privately held healthcare technology company founded in 2004 and headquartered in San Pedro, California, with additional offices in Lisbon, Portugal and Budva, Montenegro. The company builds Aidbox, a FHIR-native healthcare data platform that runs on PostgreSQL and exposes FHIR resources through REST, GraphQL, SQL on FHIR, Bulk Data, and Subscriptions APIs. Around Aidbox, Health Samurai has assembled a modular product suite covering clinical forms (Formbox), terminology services (Termbox), master data management and patient identity (MDMbox), CMS-0057 payer compliance (Payerbox), electronic prescribing via Surescripts (eRxbox), SMART on FHIR application launching (Smartbox), revenue cycle management (RCMbox), and HL7v2 integration (Interbox). The platform is ISO 27001:2022 certified and HIPAA-compliant, and the CTO Nikolai Ryzhikov is identified as an author of the SQL on FHIR specification.

Health Samurai serves health plans, hospitals, EHR vendors, and digital health startups, with named customers including Prenosis, Deep 6 AI, 4medica, Cleo EHR, MedClient EHR, Narus Health, BodyLogicMD, and Keebler Health. The company monetizes through subscription and self-hosted licenses for the Aidbox platform, a freemium developer tier via aidbox.app, professional services for FHIR implementation, and managed enterprise support. Distribution combines product-led growth for developers with direct enterprise field sales for health systems and payers, complemented by strategic partnerships with Databricks, HealthLX, and Emids. The platform manages 1 billion+ FHIR resources across 30+ countries and 100+ customers, and Health Samurai is an HL7 International organizational member.

Operationally, Health Samurai appears to be self-funded, with no disclosed external funding rounds or institutional investors in the source data. The company's strategic agenda in 2026 is dominated by the CMS-0057 payer compliance deadline of January 1, 2027, driving the HealthLX partnership, and the convergence of FHIR data with healthcare AI/analytics via the Databricks Lakebase integration. The combination of regulatory positioning (ISO 27001, HL7, HIPAA), standards authorship, and a broad module portfolio positions Health Samurai as a specialized interoperability infrastructure vendor rather than a horizontal cloud EHR or AI application company.

Name

Health Samurai

Legal name

Health Samurai Inc.

Website

https://health-samurai.io

Company type

Private

Founded year

2004

Operating status

Operating

Headcount range

11–50 employees

Short description

Health Samurai is a privately held healthcare technology company that builds Aidbox, a FHIR-native data platform on PostgreSQL, alongside modular compliance, terminology, forms, and e-prescribing products serving health plans, providers, EHR vendors, and digital health startups across 30+ countries.

Ownership category

akta.pro rank

Product category

Healthcare Interoperability Platform

NAICS

Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (51821), Computer Systems Design and Related Services (54151), Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)

SIC

Services-Prepackaged Software (7372), Services-Computer Programming, Data Processing, Etc. (7370), Hospital & Medical Service Plans (6324)

akta.pro primary industry

Healthcare Data Lakes, Lakehouses & Cloud Warehouses (HLACAIAA)

akta.pro secondary industries

Data Access, Sharing & Marketplace Platforms (incl. TEFCA/QHIN enablement) (HLACAIAL), Revenue Cycle, Coding & Telehealth Compliance Platforms (for provider orgs) (HLALABAM), Medicare Plan Administration & Third-Party Services (TPA/BPO, Enrollment, Billing) (FSAIAGAI)

Keywords

• FHIR server platform
• Healthcare interoperability
• Clinical data infrastructure
• FHIR compliance APIs
• Healthcare terminology management

Headquarters

HQ city

San Pedro

HQ country

United States

HQ region

North America

Offices3 records

Markets served

GTM type

B2B

Offering type

Software

Cost components

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

Revenue model

1. SaaS Subscriptions (Aidbox Cloud): Managed cloud deployment of Aidbox FHIR server with subscription pricing based on usage tiers, offering fully managed infrastructure with no rate limits and high uptime.
2. Self-hosted Licenses: Organizations can deploy Aidbox in their own infrastructure (AWS, GCP, Azure) with perpetual or subscription licensing models, maintaining data control within their environment.
3. Professional Services: Expert consulting services including FHIR system design, custom development, migration and integration, ONC/CMS compliance, and HIPAA/GDPR implementation support.
4. Enterprise Support and Managed Services: Dedicated support packages and managed service offerings for enterprise customers requiring white-glove support and SLA guarantees.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels7 records

Core offering

Health Samurai develops and sells Aidbox, a FHIR-native server and database built on PostgreSQL, along with a suite of modular products (Formbox, Termbox, MDMbox, Payerbox, eRxbox, Smartbox, RCMbox, Interbox) that enable healthcare organizations to ingest, standardize, store, and exchange clinical data using FHIR. The platform is delivered as managed cloud subscriptions, self-hosted licenses, or through professional services for system design, migration, and regulatory compliance such as CMS-0057 and ONC certification.

Product overview

Health Samurai offers a modular FHIR-native platform with Aidbox as the core FHIR server and database. The platform includes specialized modules: Formbox for clinical forms with AI-assisted features, Termbox for terminology management, MDMbox for master data management, Payerbox and Payerbox PriorAuth for CMS-0057 compliance, eRxbox for e-prescribing, Smartbox for SMART on FHIR apps, RCMbox for billing, and Interbox for HL7v2 integration. Products support FHIR-native data flows from ingestion through consumption, with SQL-on-FHIR analytics capabilities and Databricks integration for healthcare analytics.

Differentiator

Problem solved

Functional benefit

Brands

• Aidbox: FHIR server and platform for healthcare developers - FHIR data powered by PostgreSQL with rich API surface (REST, GraphQL, SQL, Bulk Data, Subscriptions), enterprise-grade security, supports all FHIR versions.
• Smartbox
• Termbox
• MDMbox
• Payerbox
• eRxbox
• RCMbox
• Interbox
• Formbox
• Payerbox PriorAuth

Products and services

• Aidbox FHIR server and database built on PostgreSQL for high-load medical products and integrations. Supports all FHIR versions with REST, GraphQL, SQL on FHIR, Bulk Data, and Subscriptions APIs, OAuth 2.0 security, and multitenant architecture.
• Formbox Clinical forms platform with a no-code builder, 4,000+ coded templates, reusable libraries, versioning and governance, FHIR Questionnaire/SDC support, multilingual forms, and AI-assisted PDF conversion.
• Termbox FHIR terminology server with preloaded support for SNOMED CT, LOINC, RxNorm, ICD-10, CPT, and UCUM. Provides ValueSet expansion, CodeSystem management, ConceptMap operations, and FHIR Terminology module support.
• MDMbox FHIR-native master data management and identity matching engine acting as a Master Patient Index for Patients, Practitioners, and Organizations, with probabilistic matching, merge/unmerge workflows, and audit history.
• Payerbox CMS-0057 compliance platform for health plans delivering all four mandated FHIR APIs (Patient Access, Provider Access, Prior Authorization, Payer-to-Payer) pre-built on Da Vinci Implementation Guides including CARIN BB, PDex, PAS, and US Core.
• eRxbox FHIR-native electronic prescribing module that integrates with Surescripts, providing mapping between FHIR and NCPDP e-prescription resources, accelerated directory sync, and built-in support for NewRx, CancelRx, RxRenewal, and RxChange.
• Smartbox SMART on FHIR application launcher and authorization platform with pre-built FHIR modules accelerating compliance with ONC certification criteria (g)(10) and CMS-9115 for healthcare payers, including a drag-and-drop form builder with 3,000+ templates.
• Payerbox PriorAuth FHIR-native prior authorization module for delegated entities that streamlines prior authorization workflows as part of CMS-0057 compliance.
• RCMbox Configurable billing platform shaped around workflows, payers, and business models for healthcare revenue cycle management.
• Interbox Integration engine with a durable, queue-driven runtime for HL7v2 modernization and custom workflows, converting legacy healthcare data to FHIR with pipelines and mappings implemented as TypeScript code.
• Professional Services and Consulting Expert consulting services covering FHIR system design, custom development, migration and integration, ONC/CMS compliance implementation, and HIPAA/GDPR implementation support for enterprise healthcare customers.

Quantifiable outcome

• 73.6% of healthcare organizations plan to increase spend on analytical data platforms
• +2 more outcomes

Named customers8 records

Segments4 records

Ideal customer profiles4 records

Technology focussed Yes

API detail

Has API

Yes

API docs

API detail

Core technology

AI maturity

App detail

Integration7 records

AI capability5 records

Feature9 records

Partnerships

Three partnerships are on record, tiered core.

• DatabrickscoreStrategic or Co-development Partner · 28 May 2026Health Samurai and Databricks jointly developed a FHIR-native health data platform where Aidbox runs natively on Databricks Lakebase, enabling FHIR data to be instantly available for Spark analytics, ML models, and AI without ETL or data movement. The platform integrates Aidbox to standardize clinical data from HL7v2, C-CDA, and X12 formats into FHIR at ingestion.
• HL7 InternationalcoreStrategic or Co-development Partner · 28 April 2026Health Samurai became an organizational member of HL7 International, the global community behind healthcare interoperability standards such as FHIR. This membership reflects commitment to contributing to the healthcare interoperability community and taking an active role in conversations and initiatives that shape the future of health data exchange.
• HealthLXcoreStrategic or Co-development Partner · 30 March 2026HealthLX and Health Samurai partnered to deliver FHIR-based interoperability infrastructure helping healthcare organizations comply with the CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F). The combined solution integrates HealthLX's Custos platform with Health Samurai's Aidbox FHIR technology to enable payers to meet new interoperability API requirements by January 1, 2027.

Scale indicators4 records

Recent moves6 records

Expansion highlights6 records

Broad incumbents

• Google Cloud Healthcare API: Google Cloud Healthcare API offers managed FHIR, HL7v2, and DICOM data services as part of Google Cloud Platform. It competes with Aidbox as a hyperscaler FHIR data platform with strong bundling into analytics (BigQuery) and AI tooling.
• InterSystems: InterSystems offers HealthShare and IRIS for Health as a healthcare interoperability and FHIR platform used by large health systems, payers, and governments. It is a broad incumbent comparable to Aidbox for enterprise healthcare data integration, terminology, and FHIR server deployments.
• AWS HealthLake: AWS HealthLake is a managed FHIR service on Amazon Web Services, integrated with analytics (QuickSight, SageMaker) and broader AWS ecosystem. It is a broad incumbent competing with Aidbox for cloud-hosted FHIR workloads in health systems and payers.
• Microsoft Azure Health Data Services: Microsoft Azure Health Data Services (including Azure API for FHIR) provides managed FHIR services tightly integrated with Azure analytics and identity. It competes with Aidbox as part of a broader cloud platform that many health systems and payers already standardize on.

Direct peers

• 1upHealth: 1upHealth is a FHIR-native healthcare data platform focused on payer CMS interoperability compliance (Patient Access, Provider Access, Payer-to-Payer, Prior Auth). Directly comparable to Payerbox as a CMS-0057-F compliance offering for health plans.
• Firely: Firely is the maintainer of the reference .NET FHIR server (Vonk) and a major contributor to the FHIR specification, serving healthcare organizations and developers with FHIR tooling and consulting. Highly comparable to Health Samurai as a developer-focused FHIR platform vendor with deep standards involvement.
• Redox: Redox provides a healthcare API integration platform that connects EHRs, payers, and digital health applications. It is a comparable middleware/interoperability vendor to Aidbox, addressing similar healthcare data exchange pain points across providers and digital health startups.
• Health Gorilla: Health Gorilla is a healthcare interoperability network that aggregates clinical data via FHIR APIs for payers, providers, and digital health developers. Directly comparable as a FHIR-based data-sharing platform addressing similar regulatory-driven use cases.
• Smile CDR: Smile CDR provides a commercial FHIR-based clinical data repository ( Smile CDR / Smile FHIR) used by health systems, payers, and government health agencies. It is the closest direct competitor to Aidbox, competing head-to-head on FHIR server, terminology, and data-sharing capabilities.
• Particle Health: Particle Health operates a healthcare data API network for payers, providers, and digital health companies, with strong emphasis on FHIR-based record retrieval and patient access. Comparable to Health Samurai as a FHIR-native API platform serving payers and digital health.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights6 records

Customer concentration

• GitHubgithub.com/HealthSamurai
• YouTubeyoutube.com/@HealthSamurai
• LinkedInlinkedin.com/company/health-samurai
• Xx.com/health_samurai
• Facebookfacebook.com/healthsamurai

Compliance4 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 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 Health Samurai