What HealthShare Exchange does

HealthShare Exchange (HSX) is a nonprofit, community-directed health information exchange (HIE) founded in May 2012 in the Greater Philadelphia/Delaware Valley region, operating across Pennsylvania, New Jersey, and Delaware. HSX's core function is the secure electronic aggregation and exchange of patient clinical and claims data across hospitals, health systems, health plans, post-acute facilities, ambulatory practices, and community-based organizations, serving data on more than 13 million patients from over 500 member organizations and 2,200+ facilities. The technology platform is built around a Master Patient Index (MPI)-anchored Clinical Data Repository (CDR) that ingests ADT feeds, Continuity of Care Documents (CCDs), lab results, medications, and claims data, supplemented by an Encounter Notification Service (ENS), Direct Secure Messaging aligned to national Direct Project standards, a Provider Directory with 15,000+ addresses, a Patient Opt Out service, and the Urgent Patient Activity Liaison (uPAL) capability used during large-scale emergencies.

In 2022, HSX restructured its go-to-market around four service pillars — HSX Connect (core exchange), HSX Value (value-based care data integration including NCQA DAV-certified HEDIS supplemental data), HSX Quality (QI and disease management programs), and HSX Access (multi-sided platform connecting health systems and plans with digital health vendors) — alongside two newer lines: HSX Research (data services for IRB-compliant research with 630+ organizations) and PA Navigate (a statewide SDOH closed-loop referral platform launched in January 2024 under a Pennsylvania DHS grant). The revenue model is membership-dues-based, with tiered subscription service levels (Basic, Plus, Select, Accelerate) sold via enterprise field sales to provider and payer organizations. HSX is HITRUST CSF certified, a PA P3N-certified HIO, a New Jersey Trusted Data Sharing Organization, and a participant in the national eHealth Exchange.

Name

HealthShare Exchange

Legal name

HealthShare Exchange

Website

https://healthshareexchange.org

Company type

Private

Founded year

2012

Operating status

Operating

Headcount range

11–50 employees

Short description

HealthShare Exchange (HSX) is a nonprofit health information exchange serving Pennsylvania, New Jersey, and Delaware, aggregating clinical and claims data from 500+ member organizations covering 13+ million patients via encounter notifications, a clinical data repository, and value-based care and SDOH referral platforms.

Ownership category

akta.pro rank

Product category

Health Information Exchange

NAICS

Health Care and Social Assistance (62)

SIC

Services-Health Services (8000), Services-Membership Organizations (8600)

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), Care Team Collaboration, Secure Messaging & Clinical Communication within EHR (HLACAAAK), Patient-Mediated Exchange & Personal Health Data Access (Blue Button, SMART on FHIR) (HLACABAN)

Keywords

• Health information exchange
• Clinical data repository
• Encounter notifications
• Population health analytics
• Healthcare interoperability

Headquarters

HQ city

Philadelphia

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Software

Cost components

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

Revenue model

1. Membership Dues: HSX is a unique, membership-dues-supported nonprofit formed by its medical service area's hospitals/health systems, healthcare insurers, and other healthcare organizations. Healthcare organizations pay membership dues to access HSX services including data exchange, notifications, and quality reporting.

Pricing tiers

Go-to-market motion2 records

Distribution channels1 record

Marketing channels6 records

Core offering

HealthShare Exchange is a nonprofit health information exchange that securely links disparate EMR systems across hospitals, health systems, health plans, ACOs, post-acute providers, ambulatory practices, and public health agencies in Pennsylvania, New Jersey, and Delaware, delivering real-time clinical data sharing, encounter notifications, quality measurement support, and analytics covering more than 13 million patients and 500+ member organizations. Its core offerings are organized around four service pillars (HSX Connect, HSX Value, HSX Quality, HSX Access) supported by Direct Secure Messaging, a Provider Directory, a Clinical Data Repository, and the PA Navigate social determinants of health platform.

Product overview

HealthShare Exchange operates as a nonprofit health information exchange (HIE) serving the Greater Philadelphia/Delaware Valley region. The company offers a platform-plus-pillars architecture centered on HSX Connect as the core health information exchange platform, supported by four strategic service pillars: HSX Value (value-based care and data aggregation), HSX Quality (quality improvement programs), HSX Access (multi-sided vendor platform), and HSX Connect (core data exchange). Core services include the Encounter Notification Service (ENS), Clinical Data Repository (CDR), Direct Secure Messaging, Provider Directory, and Patient Opt Out Service. Additional offerings include PA Navigate (social services referral platform), Population Health Programs, Public Health Services, and Research Data Services. The company serves over 13 million patients across Pennsylvania, New Jersey, and Delaware.

Differentiator

Problem solved

Functional benefit

Brands

• HSX Value: Value-based care solution serving as a clinical data integrator to help health plans and providers achieve value-based performance goals.
• HSX Quality
• HSX Access
• HSX Connect

Products and services

• HSX Connect HSX Connect is the core clinical data exchange pillar of HealthShare Exchange, providing real-time clinical data sharing, encounter notifications, and connectivity across member hospitals, health systems, health plans, and other healthcare stakeholders in Pennsylvania, New Jersey, and Delaware.
• HSX Value HSX Value is the population health analytics and value-based care pillar of HealthShare Exchange, supporting member organizations with analytics, reporting, and post-acute care programs aimed at reducing avoidable readmissions and improving outcomes across the regional delivery network.
• HSX Quality HSX Quality is the quality measurement and reporting pillar of HealthShare Exchange, supporting HEDIS, STAR, and other quality programs with NCQA Data Aggregator Validation (DAV) certified supplemental data.
• HSX Access HSX Access is a multi-sided platform pillar of HealthShare Exchange that connects regional health systems and health plans with digital health vendor partners, enabling access to clinical data and tools for members through vendor integrations.
• Encounter Notification Service (ENS) Encounter Notification Service (ENS) provides real-time alerts on patient admissions, discharges, and transfers from participating hospitals and health systems to authorized care team members, supporting care transitions and reduced readmissions.
• Clinical Data Repository (CDR) Clinical Data Repository (CDR) is HSX's centralized repository of clinical records with a Master Person Index (MPI), aggregating longitudinal patient information across member organizations for treatment, quality, and analytics use cases.
• Direct Secure Messaging Direct Secure Messaging enables HSX members to send and receive encrypted clinical messages and documents using DirectTrust/Direct Project standards, supporting care coordination across organizational boundaries.
• Provider Directory Provider Directory is HSX's centralized directory of healthcare providers, used to support accurate provider identification, routing of clinical information, and Direct address assignment across the regional network.
• uPAL (Urgent Patient Activity Liaison) Service uPAL (Urgent Patient Activity Liaison) Service provides urgent, hand-off-style communication of critical patient activity to authorized providers, complementing automated ENS alerts.
• PA Navigate PA Navigate is a statewide resource and referral platform that connects healthcare data with social determinants of health (SDOH) resources, enabling providers and care teams to refer patients to community-based services and supports across Pennsylvania.
• HSX Research Data Services HSX Research Data Services provide de-identified and aggregated clinical data to academic institutions and research organizations for approved clinical and translational research studies.
• Public Health Services Public Health Services provide state and local public health agencies with clinical data feeds, syndromic surveillance support, and population health reporting built on HSX's regional data.

Quantifiable outcome

• Over 13 million patients served with real-time clinical information across PA, NJ, DE
• +4 more outcomes

Named customers15 records

Segments10 records

Ideal customer profiles4 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature8 records

Partnerships

27 partnerships are on record, tiered strategic and core.

• MANNA (Metropolitan Area Neighborhood Nutrition Alliance)strategicStrategic or Co-development Partner · 1 April 2025MANNA receives real-time hospital admission/discharge notifications as a CBO partner. HSX has documented improved health outcomes including reductions in ED visits, hospital stays, A1C levels, and BMI for MANNA clients receiving medically tailored meals.
• Pathways to Housing PAstrategicStrategic or Co-development Partner · 1 March 2025HSX delivers daily alerts to Pathways when residents are admitted to or discharged from regional hospitals, enabling real-time care coordination for individuals experiencing chronic homelessness. Demonstrated reductions in ED visits and hospital stays.
• PA Navigate ConsortiumcoreStrategic or Co-development Partner · 1 January 2024Under a grant from the Commonwealth of Pennsylvania Department of Human Services, HSX launched PA Navigate in January 2024 as a statewide program hosted in partnership with other Health Information Organizations (HIOs) across Pennsylvania. The platform connects residents with social services addressing Social Determinants of Health.
• Pennsylvania Patient & Provider Network (P3N)coreTechnology or IntegrationHSX participates in P3N, the secure statewide health information exchange facilitating data exchange between all six Pennsylvania HIEs. This partnership gives HSX members access to data from healthcare organizations directly integrated with other Pennsylvania HIEs including Central Pennsylvania HIE, Clinical Connect HIE, KEYHIE, Lehigh Valley Health Network, and MountNittany HIE.
• New Jersey Health Information Network (NJHIN)coreTechnology or IntegrationHSX partnership with NJHIN promotes data exchange across state lines supporting transitions of care between New Jersey and Pennsylvania. Particularly beneficial for southeastern Pennsylvania region patients receiving care in New Jersey.
• Delaware Health Information Network (DHIN)coreTechnology or IntegrationHSX shares limited data with DHIN supporting patients and transitions of care in Delaware. Patient emergency encounters are transmitted between organizations through the Encounter Notification Service.
• eHealth ExchangecoreTechnology or IntegrationHSX participates in eHealth Exchange, the nation's largest information network providing access to over 20,000 healthcare organizations across all 50 states. HSX connects members with both federal and non-federal organizations through this partnership.
• Robert Wood Johnson FoundationcoreStrategic or Co-development PartnerHSX supports Health Data for Action (HD4A), a signature RWJF program designed to leverage health data for actionable insights. Drexel University and Temple University have leveraged HSX data for RWJF-funded research projects.
• HSX Access Vendor PartnerscoreTechnology or IntegrationHSX Access is a multi-sided platform connecting health systems, health plans, and healthcare entities to innovative product partners. Vendor partners develop products, applications, and services employing health data and healthcare integration through HSX.
• Philadelphia Department of Public HealthcoreStrategic or Co-development PartnerHSX partners with the City of Philadelphia's Department of Public Health on COVID-19 response, Community Health Needs Assessment, and public health surveillance activities.
• PA Department of Aging / PACE Screening CenterstrategicStrategic or Co-development PartnerHSX identifies older adults who may qualify for PACE (low-cost drug coverage program) and refers them for potential outreach. As of August 2024, identified 2,087 eligible households totaling $2.8 million in annual benefits.
• Amazon Web Services (AWS)coreTechnology or IntegrationTechnology partner providing cloud infrastructure supporting HSX's health information exchange platform and services.
• NextGen HealthcarecoreTechnology or IntegrationTechnology partner collaborating with HSX to sustain and deliver health information exchange services.
• Audacious InquirycoreTechnology or IntegrationTechnology partner collaborating with HSX on health information exchange technology and delivery.
• Diameter HealthcoreTechnology or IntegrationTechnology partner supporting HSX's data aggregation and clinical data repository services.
• Meditology IT ServicescoreTechnology or IntegrationTechnology partner providing IT security services supporting HSX's HITRUST compliance and security posture.
• American Diabetes AssociationstrategicStrategic or Co-development PartnerHSX partnered with ADA on Know Diabetes by Heart quality improvement collaborative among regional health systems, providing regional population health data on patients with diabetes, cardiovascular disease, and kidney disease.
• American Heart Association (AHA)strategicStrategic or Co-development PartnerHSX partners with AHA to study disease burden of heart failure across the region to improve post-hospital discharge care coordination.
• Jefferson School of Population HealthstrategicStrategic or Co-development PartnerHSX is a partner in the Philadelphia Diabetes Prevention Collaborative run by Jefferson School of Population Health. HSX mined CDR data to identify patients with prediabetes and mapped prevalence by zip code.
• PAE (Pennsylvania eHealth Partnership)coreStrategic or Co-development PartnerHSX is a proud member of PAE, supporting statewide health information exchange initiatives.
• CEO Council for GrowthstrategicStrategic or Co-development PartnerHSX is a proud member supporting regional economic growth initiatives in the Greater Philadelphia area.
• Philadelphia Chamber of CommercestrategicStrategic or Co-development PartnerHSX is a proud member supporting the Philadelphia business community.
• DirectTrustcoreTechnology or IntegrationHSX is a proud member supporting national Direct Project standards for secure health messaging.
• Greater Philadelphia Business Coalition on Health (GPBCH)strategicStrategic or Co-development PartnerHSX is a proud member supporting workplace health initiatives in the Greater Philadelphia region.
• Civitas Networks for HealthcoreStrategic or Co-development PartnerHSX is a proud member supporting Civitas Networks for Health, a national collaborative of health information exchanges.
• HIMSS Delaware ValleystrategicStrategic or Co-development PartnerHSX is a proud member supporting health IT advancement in the Delaware Valley region.
• HIMSS New JerseystrategicStrategic or Co-development PartnerHSX is a proud member supporting health IT advancement in New Jersey.

Scale indicators13 records

Recent moves8 records

Expansion highlights6 records

Direct peers

• CRISP (Chesapeake Regional Information System for Our Patients): Maryland-based regional HIE serving hospitals, payers, and ambulatory providers with encounter notifications, clinical data repository, and population health services — directly comparable to HSX in operating model, member-driven governance, and value-based care offerings.
• Healthix: One of the largest public HIEs in the U.S., serving the New York City metro area with real-time notifications, longitudinal records, and payer/health system integration — a close analog in scale, customer segments, and services.
• CORHIO: Colorado-based regional HIE offering clinical data exchange, HEDIS reporting support, and population health analytics to hospitals, payers, and providers — a comparable nonprofit HIE with similar payer-provider data aggregation capabilities.
• Indiana Health Information Exchange (IHIE): One of the largest HIEs in the U.S. by population covered, operating in Indiana with clinical data repository, encounter notifications, and population health services — comparable in scale, nonprofit governance, and payer-provider model.
• Manifest MedEx: California-based nonprofit HIE combining the former Cal INDEX and Inland Empire HIE, providing ADT notifications, longitudinal clinical records, and HEDIS supplemental data — closely analogous to HSX in member-driven governance and value-based care positioning.
• Health Current: Arizona's statewide HIE offering HIE platform services, event notifications, and quality reporting — comparable as a regional nonprofit HIE serving hospitals, health plans, and ambulatory providers.
• Maine HealthInfoNet: Statewide HIE in Maine aggregating clinical data from hospitals, labs, and providers and offering encounter notifications, a clinical portal, and analytics — directly comparable as a nonprofit regional HIE with payer integration.

Others

• Civitas Networks for Health: National collaborative of HIEs and health data organizations of which HSX is a member — a peer/ecosystem organization advancing HIE interoperability, policy, and shared services across regional HIEs.

Broad incumbents

• CommonWell Health Alliance: EHR-vendor-led national interoperability network founded by Cerner, athenahealth, and others providing identity management and record location services — competing with HIEs as an alternative exchange backbone, especially for cross-vendor EHR data sharing.

Emerging players

• Audacious Inquiry (now part of PointClickCare): Health IT vendor that partners with HSX and other HIEs on ADT-based care coordination, ENS, and public health notification infrastructure — a comparable technology provider operating in the same HIE ecosystem.

Market position

Strengths4 records

Weaknesses3 records

Competitive moat5 records

Key risks5 records

Key highlights7 records

Customer concentration

• Xx.com/HealthShareExch

Compliance6 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles4 records

Funding overview

Funding rounds1 record

Investors1 record

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 HealthShare Exchange