What Medweb does

Medweb, legally Nexsys Electronics, Inc., is a privately held healthcare technology company founded in 1989 by a physician and headquartered in San Francisco. The company delivers a web-based, integrated platform spanning RIS/PACS, teleradiology, image exchange, cloud PACS and VNA, telemedicine (synchronous via Medweb LIVE and asynchronous via MedConsult/SmartConsult), and a dedicated teledermatology suite. Its technology emphasizes a patented thin web-based medical image viewer, HL7/FHIR/DICOM interoperability, Epic App Orchard integration, and mobile distribution through iOS and Google Play. Medweb maintains RMF Authority to Operate security certification — held for over 15 years across the Army, Navy, and Air Force — making it the only healthcare software company so certified by the US Military.

The company sells primarily through direct enterprise sales to hospitals, health systems, and federal/defense healthcare organizations, supported by tiered support contracts (Gold, Silver, Bronze) and professional services for implementation and integration. Revenue is generated through software licensing/subscriptions, recurring support and maintenance, and one-time implementation services; pricing is not publicly disclosed. Medweb claims 1,000+ installations across 25 countries, with the DTRS system alone transmitting over 61 million medical images for injured warfighters, and OTN growing to 5,000+ users since 2009.

The company also pursues global health and humanitarian initiatives through partnerships with RAD-AID International, Rotary International, and others, and is expanding its product surface with MedwebX (launched March 2026) while hiring AI engineers to build out workflow automation, computer vision, and generative AI capabilities. The company has no disclosed institutional funding, no parent company, and remains founder-controlled, with named leadership including CEO Peter Killcommons.

Name

Medweb

Legal name

Nexsys Electronics, Inc.

Website

https://medweb.com

Company type

Private

Founded year

1989

Operating status

Operating

Headcount range

51–100 employees

Short description

Medweb, operating as Nexsys Electronics, Inc., provides web-based telemedicine, teleradiology, and RIS/PACS solutions to hospitals, health systems, the US Military, and global health organizations, holding the only healthcare software Authority to Operate security rating from the US Department of Defense.

Ownership category

akta.pro rank

Product category

Medical Imaging Software and Telehealth Platforms

NAICS

Computer Systems Design Services (541512)

SIC

Services-Prepackaged Software (7372)

akta.pro primary industry

Imaging & Diagnostic Interoperability (DICOM exchange, image sharing, VNA connectivity) (HLACABAM)

akta.pro secondary industries

Vendor Neutral Archive (VNA) & Enterprise Imaging Repositories (HLACALAC), Interoperability Standards, Profiles & Implementation (HL7/FHIR/IHE) (HLACABAA), EHR/EMR Integration & Interoperability Middleware (HL7/FHIR) (HLALAKAD)

Keywords

• Medical imaging software
• Teleradiology solutions
• Telemedicine platforms
• Teledermatology software
• RIS/PACS systems

Headquarters

HQ city

San Francisco

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. Software Licenses and Subscriptions: Medweb offers web-based RIS/PACS, teleradiology, and telemedicine software solutions. Based on product descriptions and support tier offerings (Gold, Silver, Bronze plans), the company generates recurring revenue through software licensing and subscriptions.
2. Support and Maintenance Services: Tiered support plans (Gold 24/7, Silver 24/7, Bronze business hours) with varying levels of service including remote monitoring, system administration, and maintenance. These support contracts provide recurring service revenue.
3. Professional Services and Implementation: Implementation, integration, and consulting services for deploying Medweb solutions including EMR integration, system configuration, training, and ongoing technical support.

Pricing tiers

Go-to-market motion3 records

Distribution channels2 records

Marketing channels6 records

Core offering

Medweb develops and sells web-based medical imaging and virtual care software for hospitals, health systems, the US Military, and dermatology practices. Its core offerings include an integrated RIS/PACS platform with teleradiology, image exchange, cloud PACS/VNA archiving, and telemedicine modules (Medweb LIVE for synchronous video visits, MedConsult/SmartConsult for asynchronous store-and-forward, and a Patient Portal). The platform supports HL7, FHIR, and DICOM interoperability with Epic, EHR/EMR, and other clinical systems.

Product overview

Medweb is a technology company offering a unified platform of medical imaging and telehealth solutions. The core portfolio includes: (1) RIS/PACS and Teleradiology solutions for enterprise imaging, (2) Image Exchange for cross-organizational image sharing, (3) Cloud PACS and Cloud VNA for cloud-hosted imaging management, and (4) a Telemedicine suite comprising Medweb LIVE (synchronous video visits), MedConsult/Medweb SmartConsult (asynchronous store-and-forward), and Patient Portal. The products are designed to work as an integrated ecosystem with interoperability support for Epic, HL7, FHIR, DICOM, and various EMR/EHR systems. A dedicated Teledermatology Suite combines synchronous and asynchronous telehealth modes, while MedwebX represents a newer product initiative. The platform emphasizes security (military-grade RMF ATO certification), web-based architecture, and deployment flexibility across hospitals, health systems, and military installations globally.

Differentiator

Problem solved

Functional benefit

Brands

• Medweb LIVE: Video visits with scheduling - live interactive encounters including device streaming and biomedical monitoring peripherals for remote physical examination
• MedConsult
• Patient Portal
• SmartConsult
• MedwebX

Products and services

• Medweb RIS/PACS Enterprise web-based Radiology Information System (RIS) and Picture Archiving and Communication System (PACS) for hospitals, health systems, teleradiology groups, and the US Military. Includes diagnostic viewers, reporting, storage, HL7 messaging engine, multi-modality support, and integrated 3D/4D web-based visualization.
• Medweb Teleradiology and Image Exchange Secure medical image transmission and remote radiology workflow platform for integrated health systems, teleradiology groups, community hospitals, and the US Military (DTRS has transmitted over 61 million medical images for warfighters). Enables cross-organizational image exchange and interoperability.
• Medweb Cloud PACS / Cloud VNA Cloud-hosted Picture Archiving and Communication System and Vendor Neutral Archive allowing hospitals and health systems to retire legacy PACS hardware and store/manage imaging data in a hosted cloud environment with enterprise-wide access.
• Medweb LIVE (Synchronous Telemedicine) HIPAA-compliant synchronous video visit platform for telemedicine encounters with device streaming (examination scopes, ultrasound probes, stethoscopes, EKG, pulse oximeter) and pan-zoom-tilt cameras. Integrates with EHR, RIS/PACS, and scheduling systems.
• MedConsult (Mobile Store-and-Forward App) HIPAA-secure mobile messaging and store-and-forward case management application for iPads and iPhones. Allows physicians to capture diagnostic-quality images and securely submit consults from any iOS device on the go.
• Medweb Patient Portal Patient-facing web portal offering video visits, image upload, and scheduling capabilities with simple website integration for healthcare provider organizations.
• Medweb Teledermatology Suite (SmartConsult + LIVE) Comprehensive teledermatology platform combining synchronous video visits (Medweb LIVE) and asynchronous store-and-forward (SmartConsult) modes. Includes provider-directed high-resolution image capture, EMR integration, and workflow tools designed specifically for dermatology practices.
• MedwebX Extended telehealth platform offering from Medweb expanding the company's virtual care product portfolio.
• Medweb Tele-Clinic Portable medical clinic solution that operates from a laptop computer, enabling telemedicine capabilities in remote and resource-limited environments with intermittent power and connectivity.

Quantifiable outcome

• Reduced radiology wait times from approximately 90 days to less than 7 days at San Francisco Department of Public Health
• +3 more outcomes

Named customers8 records

Segments4 records

Ideal customer profiles4 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration7 records

AI capability5 records

Feature9 records

Partnerships

Eleven partnerships are on record, tiered core and minor.

• RAD-AID InternationalcoreStrategic or Co-development Partner · 1 January 2024Preferred technology provider partnership for RAD-AID's global health initiatives. Medweb provides PACS and telemedicine technology for underserved communities. Projects include hardware refresh at Black Lion Hospital Ethiopia, first-ever PACS at Kenyatta Hospital Nairobi, deployments at 37th Military Hospital and Korle Bu Teaching Hospital Ghana, with expansion planned to Ukraine and Cabo Verde.
• American Academy of Dermatology (AAD)coreStrategic or Co-development PartnerPartnership through AAD to advance teledermatology practices and provide expertise on effective teledermatology implementation for dermatology practices.
• EpiccoreTechnology or IntegrationMedweb's suite of products integrated with Epic and available through Epic App Orchard. Enables seamless utilization with provider accounts, patient profiles, and appointments synced automatically.
• IVEL (International Virtual Eldercare League / related health organization)minorStrategic or Co-development PartnerPartnership mentioned as part of Medweb's alliance building to accelerate quality of care through strategic partnerships.
• SIIMfund Global Ambassador ProgramcoreStrategic or Co-development PartnerSIIMfund Global Ambassador Program provided support enabling RAD-AID and Medweb to implement PACS backup server solution at Tikur Anbessa Specialized Hospital in Ethiopia, restoring imaging access for nearly 60,000 patients.
• Rotary InternationalminorStrategic or Co-development PartnerPartnership with Rotary to bring telemedicine to rural Kosovo (2016) addressing need for specialty consultations. Also partnered with La Jolla Golden Triangle Rotary Club for Afghanistan project.
• IBM GlobalminorStrategic or Co-development PartnerIBM Global managed cooperative grant from US Department of State (funded by DoD) for Pakistan healthcare improvement project. Medweb provided in-kind donations of technology and support.
• Shoulder to Shoulder, Inc.minorStrategic or Co-development PartnerNon-profit partnership to provide PACS donation to healthcare clinics in Honduras, enabling clinicians to access specialists in the United States.
• University of Miami / Project MedishareminorStrategic or Co-development PartnerDonated two PACS servers to 240-bed tent hospital at Port-au-Prince airport following Haiti earthquake, enabling transmission of radiological images to University of Miami for remote reading.
• US Department of StatecoreOthersUS DoS (funded by DoD) seeking to improve healthcare, education and public services in Pakistan through public-private partnership with IBM and Medweb providing technology and support.
• US Military (Army, Navy, Air Force)coreOthersMedweb is the only healthcare software company awarded Authority to Operate security rating by US Military. Multiple installations throughout military with battle-tested products operating in austere conditions.

Scale indicators7 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• RamSoft: RamSoft offers cloud-based RIS/PACS and teleradiology platforms for hospitals, imaging centers, and radiology groups. It is a direct peer to Medweb's core RIS/PACS and Teleradiology product lines, with overlapping customer segments and a similar focus on web-based imaging workflows.
• Novarad: Novarad provides RIS/PACS, image exchange, and enterprise imaging solutions to hospitals and health systems. It competes directly with Medweb in RIS/PACS and image exchange, and similarly targets mid-sized and enterprise hospital customers.
• Infinitt North America: Infinitt delivers enterprise PACS, RIS, and AI-enabled imaging platforms to hospitals and radiology groups. It is a direct peer to Medweb's RIS/PACS and Cloud PACS/VNA offerings, with comparable web-based imaging functionality and integration profiles.
• Ambra Health (Intelerad): Ambra Health, part of Intelerad, provides cloud-based medical image exchange, VNA, and PACS solutions. It is a direct peer to Medweb's Image Exchange and Cloud VNA products, with similar DICOM-based interoperability and SaaS delivery models.
• Doxy.me: Doxy.me is a widely used HIPAA-compliant telemedicine and video visit platform for clinicians. It competes directly with Medweb LIVE in the synchronous virtual care space, particularly for individual and small-practice providers.

Broad incumbents

• Carestream Health: Carestream Health is a long-established imaging vendor offering enterprise PACS, RIS, and imaging IT solutions for hospitals and radiology practices. It is a broad incumbent competitor with overlapping RIS/PACS functionality, though it operates at greater scale and a wider portfolio.
• GE HealthCare: GE HealthCare provides enterprise imaging IT, including RIS/PACS, VNA, and imaging AI, as part of a much larger medical imaging and diagnostics portfolio. It is a broad incumbent competitor to Medweb across hospital imaging IT.
• Philips Health Systems: Philips offers enterprise PACS/RIS, imaging informatics, and integrated diagnostic workflows as part of its broader health technology portfolio. It competes with Medweb for enterprise imaging deals and has substantially larger scale and distribution.
• eRAD (RadNet): eRAD, a subsidiary of RadNet, provides web-based RIS/PACS and radiology workflow software to imaging centers and hospitals. It is a broad incumbent peer to Medweb in web-based PACS, with a similar delivery model and customer profile.
• Epic Systems: Epic Systems is the dominant US EHR vendor with embedded imaging, telemedicine, and patient portal capabilities, and is also Medweb's integration partner via App Orchard. It is a broad incumbent that competes and partners simultaneously with Medweb across enterprise imaging and virtual care.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/channel/UCAbCY7rJcgr53Q_JV2c5v_Q
• LinkedInlinkedin.com/company/medweb
• Xx.com/medweb
• Facebookfacebook.com/106631836046486

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

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 Medweb