eHealth Exchange
eHealth Exchange is a 501(c)(3) non-profit operating the oldest and largest U.S. health information network, connecting federal agencies, 70,000 medical groups covering 75% of hospitals, 57 HIEs, 71 public health jurisdictions, and payers across 34 states to exchange 25 billion clinical transactions annually.
- Company typePrivate
- Founded2006
- HeadquartersVienna, United States
- Headcount1–10
- GTM typeB2B
- OfferingSoftware
What eHealth Exchange does
eHealth Exchange is a 501(c)(3) non-profit health information network and the oldest and largest in the United States, operating under the legal name Healtheway LLC from Vienna, Virginia. Established in 2006 as an Office of the National Coordinator for Health IT (ONC) initiative and spun out as an independent non-profit around 2015-2016, the network functions as a "network of networks" — a central hub that securely routes clinical data between participants without persisting patient information. The network uses industry-standard specifications (HL7 FHIR, C-CDA, IHE profiles) and operates as one of the first designated Qualified Health Information Networks (QHINs) under TEFCA, with connectivity to 35+ additional networks via Carequality. Conformance testing runs through The Sequoia Project's Interoperability Testing Platform (ITP).
The network serves five segments: federal agencies (VA, DoD, IHS, FDA, SSA), 57 regional/state health information exchanges, 70,000 medical groups (covering 75% of U.S. hospitals and 90% of dialysis centers), payers in 34 states, and 71 public health jurisdictions. The platform processes 25 billion data exchanges annually covering 300+ million patients at 99.9% uptime, with zero patient data retained. Core technical components include the eHealth Exchange Hub (secure conduit), FHIR Directory API, Validated Product Program (25+ health IT vendors), the multi-party DURSA trust agreement, and HITRUST/NIST-certified security architecture.
Revenue is generated primarily through annual participant fees (federal agencies pay $250,000 base plus volume-based hub service fees of $150,000-$250,000, totaling $400,000-$650,000 annually) with separate schedules for non-profit HIEs, providers, and payers. One-time technology conformance testing fees ($19,000 per onboarding or product validation) contribute additional lumpy revenue. Distribution is direct enterprise sales with no consumer-facing channel, augmented by Carequality/TEFCA connectivity that expands each participant's reach without additional integration work.
eHealth Exchange firmographics
Firmographics- Name
- eHealth Exchange
- Legal name
- Healtheway LLC
- Website
- https://ehealthexchange.org
- Company type
- Private
- Founded year
- 2006
- Operating status
- Operating
- Headcount range
- 1–10 employees
- Short description
- eHealth Exchange is a 501(c)(3) non-profit operating the oldest and largest U.S. health information network, connecting federal agencies, 70,000 medical groups covering 75% of hospitals, 57 HIEs, 71 public health jurisdictions, and payers across 34 states to exchange 25 billion clinical transactions annually.
- Ownership category
- akta.pro rank
eHealth Exchange industry classification
Industry- Product category
- Health Information Exchange
- NAICS
- Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (518)
- SIC
- Services-Health Services (8000), Services-Computer Programming, Data Processing, Etc. (7370)
- akta.pro primary industry
- HIE Platforms & Network Services (Community/Regional/National) (HLACABAB)
- akta.pro secondary industries
- Payer-Provider Data Exchange (X12, prior auth, claims/clinical attachment) (HLACABAK), EHR/EMR Integration & Interoperability Middleware (HL7/FHIR) (HLALAKAD)
Keywords
Where eHealth Exchange is headquartered
LocationHeadquarters
- HQ city
- Vienna
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
eHealth Exchange business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Technology or R&D, Personnel, Operations, Infrastructure, Marketing or Sales
Revenue model
- Annual Participant Fees: eHealth Exchange charges participants annual fees based on their type and varying use of the network. Non-federal participants are charged based on Net Patient Revenue, Adjusted Patient Revenue, or Operating Expenses which correlate to transaction volume. Federal agencies are charged based on actual transaction volumes. Fees range from $250,000 base annual participation for federal agencies, plus volume-based tiers for hub services ranging from $150,000 to $250,000 depending on transaction volume, totaling $400,000 to $650,000 annually for federal agencies. Non-profit HIEs and providers have separate fee schedules.
- Technology Conformance Testing Fees: One-time fees for technology conformance testing when organizations initially join or change their technical gateway/interface engine. Federal agencies pay $19,000 for Transport Conformance Testing including up to 10 hours of remote support, with additional supplemental blocks at $1,750 each. Product testing fees are $19,000 per product with some vendors receiving fee waivers for QTS Basic status.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Annual | Federal Agency Base Participation - $250,000 annual base participation fee |
| Subscription | Annual | Tier One Volume - Up to 500,000 individual matches - $150,000 |
| Subscription | Annual | Tier Two Volume - 500,001 to 999,999 individual matches - $100,000 additional |
| Subscription | Annual | Tier Three Volume - Over 1,000,000 individual matches - Volume-based pricing |
| One time/ perpetual license | Multi-year contract | Transport Conformance Testing - $19,000 one-time fee |
| One time/ perpetual license | Multi-year contract | Validated Product Testing - $19,000 per product |
Distribution channels4 records
Marketing channels10 records
eHealth Exchange product offering
Product offeringCore offering
eHealth Exchange operates the largest health information network in the United States, functioning as a 'network of networks' that facilitates secure, standards-based exchange of clinical data among federal agencies, healthcare providers, payers, public health authorities, and regional/state HIEs. The organization provides hub-based connectivity using HL7 FHIR, C-CDA, and IHE specifications, Carequality and TEFCA interoperability frameworks, and a Product Testing and Validation Program, while charging participants annual subscription and volume-based fees.
Product overview
eHealth Exchange is a 501(c)(3) non-profit health information network that operates as a 'network of networks.' It provides the infrastructure for secure health data exchange among healthcare providers, regional/state HIEs, public health authorities, payers, and federal agencies. The core offering is the eHealth Exchange Hub—a secure conduit for data exchange that does not store patient data. The network supports FHIR-based exchange and legacy standards, connects via Carequality and TEFCA frameworks, and provides testing/validation programs for participating products.
Differentiator
Problem solved
Functional benefit
Products and services
- eHealth Exchange Hub The eHealth Exchange Hub is the central infrastructure platform that enables secure health information exchange among network participants. It functions as a conduit (not a repository), temporarily storing encrypted clinical data for up to two hours during transmission to ensure completion. It is the foundational product of the eHealth Exchange network, used by federal agencies, healthcare providers, payers, HIEs, and public health authorities.
- Carequality Connectivity Connectivity service enabling eHealth Exchange participants to exchange health data with 35+ external networks including athenahealth, CommonWell Health Alliance, eClinicalWorks, and Epic via the Carequality framework, with no additional subscription fee. Available to existing network participants.
- TEFCA/QHIN Connectivity TEFCA-based exchange service enabling participants to opt in to exchange under the Trusted Exchange Framework and Common Agreement with eHealth Exchange as a designated Qualified Health Information Network (QHIN). Supports nationwide QHIN-to-QHIN exchange.
- Product Testing and Validation Program Validation service for Health IT vendors to confirm their products conform to eHealth Exchange Performance Specifications and interoperate with other systems. Validated products receive the eHealth Exchange Validated designation and can reduce testing requirements and fees for new participants that onboard using that product.
- Interoperability Testing Platform (ITP) Conformance testing platform (supplied by The Sequoia Project) providing content validation, smoke testing, and security testing tools used by organizations onboarding to the eHealth Exchange network.
- FHIR Directory API FHIR-based API service enabling network participants to access and manage directory information through standardized FHIR interfaces, supporting interoperability for provider and organization data lookup.
- DURSA Trust Agreement The Data Use and Reciprocal Support Agreement (DURSA) is the multi-party trust agreement governing all eHealth Exchange participants. It establishes the legal framework, privacy and security obligations, and data sharing rights among participants, with HIPAA as the foundation for protected health information exchange.
Quantifiable outcome
- 25 billion data exchanges processed annually
- +6 more outcomes
Companies that use eHealth Exchange
Customer profileNamed customers13 records
Segments6 records
Ideal customer profiles5 records
eHealth Exchange technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration2 records
Feature6 records
eHealth Exchange partnerships and signals
Strategic signalPartnerships
Twelve partnerships are on record, tiered core and minor.
- b.well Connected HealthcoreeHealth Exchange partnered with b.well Connected Health to demonstrate secure, standards-based patient access capabilities at a CMS-hosted event in Washington, DC. The demonstration showcased a kidney patient retrieving medical records through the b.well app, with eHealth Exchange serving as the network intermediary via the Carequality framework.
- DaVitacoreDaVita partnered with eHealth Exchange and b.well Connected Health for the CMS-hosted patient access demonstration. DaVita is a major dialysis provider with 90% of dialysis centers nationally connected to the network.
- Social Security AdministrationcoreSocial Security Administration selected eHealth Exchange as its QHIN to support government benefits determination. SSA retrieves patients' medical information for disability benefit claims processing through the network.
- MyDirectivesminorMyDirectives and HIT Commons partnered with eHealth Exchange to enable nationwide access to validated Oregon POLST forms through Carequality and eHealth Exchange, integrated within healthcare workflows using Epic EHR.
- HIT CommonsminorHIT Commons partnered with MyDirectives and eHealth Exchange for Oregon POLST Registry access nationwide through Carequality integration.
- Indian Health ServicecoreIndian Health Service (IHS) selected eHealth Exchange as its Designated QHIN under TEFCA, becoming the first federal health agency to join TEFCA. IHS has been working with eHealth Exchange since 2011 and has been a participant since 2020. IHS operates 45 hospitals, 59 health centers, and 32 health stations serving 2.8 million American Indians and Alaska Natives.
- CarequalitycoreeHealth Exchange participates in the Carequality initiative, which allows Carequality Implementers to exchange electronic health records. eHealth Exchange Participants may choose to exchange with Carequality-enabled networks. This connectivity provides access to 35+ health networks including athenahealth, CommonWell Health Alliance, eClinicalWorks, and Epic.
- The Sequoia ProjectcoreThe Sequoia Project operates the Interoperability Testing Platform (ITP) used by eHealth Exchange for validation testing. All testing is done using the ITP supplied by The Sequoia Project. The organization also maintains content validators and provides testing infrastructure support.
- FDA (Biologics Effectiveness and Safety Innovative Methods Team)coreThe FDA's BEST Innovative Methods team partnered with eHealth Exchange to pilot an HL7 FHIR-based Exchange Platform to automate adverse event detection, validation, and reporting for biologics. The partnership developed a FHIR Implementation Guide for vaccine and transfusion adverse event reporting. FDA received 2024 FORUM Innovation Award for this work.
- Epic SystemscoreEpic is accessible via Carequality connectivity through eHealth Exchange. Epic's Care Everywhere product is an eHealth Exchange Validated Product.
- Oracle Health (Cerner)coreOracle Health (Cerner) Cerner HIE is an eHealth Exchange Validated Product awarded QTS Basic status with $19,000 in testing fees waived.
- InterSystemscoreInterSystems HealthShare is an eHealth Exchange Validated Product. InterSystems is a Platinum Sponsor of eHealth Exchange Annual Meetings.
Scale indicators15 records
Recent moves6 records
Expansion highlights6 records
eHealth Exchange competitors and assessment
Company assessmentEmerging players
- Kno2: Designated QHIN under TEFCA offering interoperability services targeted at smaller providers, payers, and HIEs. Competes for the same TEFCA-aligned participants, particularly ambulatory practices and post-acute care.
- DirectTrust: Standards and trust framework for secure health information exchange, including Direct messaging and digital certificates. Provides complementary interoperability infrastructure referenced by eHealth Exchange for security certificates.
Direct peers
- CommonWell Health Alliance: A nationwide health information network offering cross-EHR interoperability services. Directly comparable to eHealth Exchange as a competing QHIN under TEFCA serving providers, payers, and HIEs with similar FHIR-based exchange capabilities.
- Health Gorilla: A designated QHIN under TEFCA providing nationwide clinical data exchange, lab connectivity, and FHIR-based interoperability. Directly competes with eHealth Exchange in payer-provider, provider, and individual access use cases.
- Carequality (operated by The Sequoia Project): A national interoperability framework connecting 35+ networks including Epic, athenahealth, and eClinicalWorks. Operates under the same parent (The Sequoia Project) and provides overlapping connectivity—eHealth Exchange's participants can also exchange via Carequality.
Regional players
- Manifest MedEx: California-based HIE network connecting providers, payers, and HIEs. Comparable regional HIE with similar service offerings (longitudinal records, event notifications, public health reporting) and is an eHealth Exchange participant.
- CRISP (Chesapeake Regional Information System for our Patients): Regional HIE serving Maryland, DC, and West Virginia. Operates as both a participant on eHealth Exchange and a regional exchange with similar provider query, public health reporting, and care coordination use cases.
Broad incumbents
- Epic Systems (Care Everywhere): Largest EHR vendor's native interoperability network connects Epic-using health systems directly. While a Validated Product on eHealth Exchange, Epic's Care Everywhere offers overlapping provider-to-provider exchange within its dominant installed base.
- Surescripts: National health information network primarily focused on e-prescription and clinical messaging. Operates as a broader healthcare data intermediary with comparable scale, federal relationships, and multi-stakeholder network architecture.
Others
- Civitas Networks for Health: National nonprofit industry association representing HIEs and health information organizations. Lisa Bari (CEO) sits on eHealth Exchange's board; the two organizations are adjacent ecosystem participants with overlapping memberships.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat6 records
Key risks6 records
Key highlights7 records
Customer concentration
eHealth Exchange social profiles
Digital presenceeHealth Exchange compliance and trust
Trust signalCompliance4 records
eHealth Exchange financial estimates
Financial estimateRevenue estimate
Valuation estimate
eHealth Exchange leadership team
Management profileNumber of profiles
Profiles3 records
eHealth Exchange funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
eHealth Exchange M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about eHealth Exchange
What does eHealth Exchange do?
eHealth Exchange operates the largest health information network in the United States, functioning as a 'network of networks' that facilitates secure, standards-based exchange of clinical data among federal agencies, healthcare providers, payers, public health authorities, and regional/state HIEs. The organization provides hub-based connectivity using HL7 FHIR, C-CDA, and IHE specifications, Carequality and TEFCA interoperability frameworks, and a Product Testing and Validation Program, while charging participants annual subscription and volume-based fees.
Is eHealth Exchange a public or private company?
eHealth Exchange is a private company. It is classified as nonprofit foundation owned and is currently operating.
When was eHealth Exchange founded?
eHealth Exchange was founded in 2006. It employs 1 to 10 people.
Where is eHealth Exchange based?
eHealth Exchange is headquartered in Vienna, United States, in the North America region.
How does eHealth Exchange make money?
Two revenue lines are on record. Annual Participant Fees are the primary driver. The others are technology Conformance Testing Fees.
Who are eHealth Exchange's main competitors?
Emerging players on record are Kno2 and DirectTrust. Direct peers are CommonWell Health Alliance, Health Gorilla and Carequality (operated by The Sequoia Project). Regional players are Manifest MedEx and CRISP (Chesapeake Regional Information System for our Patients). Broad incumbents are Epic Systems (Care Everywhere) and Surescripts. Civitas Networks for Health is listed as an others.
Does eHealth Exchange have an API?
No public API is recorded for eHealth Exchange.
What industry is eHealth Exchange in?
eHealth Exchange's product category is Health Information Exchange. Its primary akta.pro industry code is HLACABAB, HIE Platforms & Network Services (Community/Regional/National), with a secondary code of HLACABAK, Payer-Provider Data Exchange (X12, prior auth, claims/clinical attachment). Its NAICS code is 518 and its SIC code is 8000.