What Bronx RHIO does

Bronx RHIO Inc. is a Bronx-based, non-profit Regional Health Information Organization (RHIO) that operates a secure health information exchange platform connecting hospitals, clinics, physicians, and other healthcare providers across the Bronx borough of New York City. Founded in 2005, the organization enables authorized participants to access and share patient medical records through its Virtual Health Record system, supporting real-time clinical decision-making, care transitions, and care coordination. Its product suite spans Virtual Health Records, alert notifications, COVID-19 Participant Reports (integrating Electronic Clinical Lab Reporting System data and a prominent COVID-19 flag), chronic disease registries for diabetes and hypertension, a patient portal, a participant portal, and an ML-powered advanced analytics layer.

The underlying technology combines FHIR-ready structured data exchange — supporting value-based payment arrangements and quality measurement through the Statewide Health Information Network for New York (SHIN-NY) — with proprietary machine learning models: an emergency department utilization prediction model trained on 770,000+ patients (using demographics, prior utilization, substance-related disorders, nausea/vomiting, and respiratory disease history) and a 30-day unplanned hospitalization readmission classification model trained on 82,000+ encounters (using IP/ED/outpatient visit history, age, and diagnosis history including fluid/electrolyte disorders, heart disease, respiratory disease, and hypertension). A COVID-19 recovery flag adds an anomaly-detection capability that distinguishes active from recovered cases. The organization maintains HIPAA and SHIN-NY privacy compliance, WCAG 2.2 Level AA accessibility, and is governed by the Statewide Common Participation Agreement framework with mandatory execution by June 30, 2026.

Bronx RHIO generates revenue through participation/subscription agreements with provider members, supplemented by grants typical of non-profit regional health information exchanges, with participation governed under SHIN-NY. Its customer base spans large hospital systems (e.g., Montefiore Medical Center — research partner on COVID-19 social-determinants studies), academic institutions (Albert Einstein College of Medicine), community-based organizations (BronxWorks, served via the Facesheet client summary), behavioral health collaboratives, and patients themselves through consent-based data sharing. Go-to-market is sales-led via direct enterprise participation agreements, provider training, and committee engagement rather than marketing-driven demand generation.

Name

Bronx RHIO

Legal name

Bronx RHIO Inc.

Website

https://bronxrhio.org

Company type

Private

Founded year

2005

Operating status

Operating

Headcount range

11–50 employees

Short description

Bronx RHIO operates a secure health information exchange platform connecting Bronx healthcare providers through a Virtual Health Record system with predictive analytics, COVID-19 tracking, and FHIR-ready data exchange under New York's SHIN-NY framework.

Ownership category

akta.pro rank

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

Record Locator Services (RLS) & Longitudinal Record Aggregation (HLACABAH)

akta.pro secondary industry

Real-World Data (RWD) / Real-World Evidence (RWE) & Observational Research Platforms (HLACAOAM)

Keywords

• Health information exchange
• Clinical data sharing
• Population health analytics
• Patient record integration
• Healthcare interoperability

Headquarters

HQ city

Bronx

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Software

Cost components

Technology or R&D, Personnel, Operations, Infrastructure, Others

Revenue model

1. Participant Membership/Subscription: Revenue generated through participation agreements with healthcare providers, hospitals, and clinics that join the Bronx RHIO network to access health information exchange services.

Go-to-market motion1 record

Distribution channels3 records

Marketing channels3 records

Core offering

Bronx RHIO operates a Bronx-wide Regional Health Information Organization providing a unified health information exchange platform. The core offering is the Virtual Health Record system, which integrates clinical data from multiple sources and provides participating healthcare providers with secure access to patient medical records along with ML-powered risk prediction models, COVID-19 tracking, alert notifications, chronic disease registries, and advanced analytics for population health and value-based care.

Product overview

Bronx RHIO operates as a Bronx-wide Regional Health Information Organization providing a unified health information exchange platform. The core offering is the Virtual Health Record system, which integrates clinical data from multiple sources and provides participating healthcare providers with secure access to patient medical records. The platform includes COVID-19 reporting and tracking capabilities, ML-powered risk prediction models for ED utilization and hospital readmission, alert notifications, chronic disease registries, and advanced analytics for population health management and value-based care. The product suite also includes patient-facing and participant-facing web portals, and a Facesheet tool for community-based organizations.

Differentiator

Problem solved

Functional benefit

Products and services

• Virtual Health Record A web-based centralized health record system that integrates ECLRS COVID-19 data with Bronx RHIO's own clinical data and includes a COVID-19 flag prominently displayed alongside clinical indicators of infection. Used by authorized Bronx healthcare providers for real-time, secure access to comprehensive patient health information.
• COVID-19 Participant Report Self-service and automated report available to Bronx RHIO members that identifies COVID-19 positive patients and provides patient identity, contact information, COVID-19 lab test details, current hospitalization status, high-risk comorbidities (hypertension, diabetes, pulmonary disease), and recent emergency department and inpatient encounter details including discharge disposition.
• Alert Notifications Real-time clinical alerts delivered to participating providers about COVID-19 cases and other clinical indicators, with workflow integration tailored to member organization capabilities.
• Advanced Analytics Population health analytics capabilities for providers including quality measurement and value-based payment arrangement support through FHIR-ready structured data exchange.
• Risk Prediction Models Machine learning-powered predictive models integrated into the Virtual Health Record that identify high-risk patients for emergency department utilization (trained on 770,000+ patients) and 30-day readmission (trained on 82,000+ encounters) based on demographic, clinical, and social determinants of health data.
• Chronic Disease Registries Registries for chronic diseases such as diabetes and hypertension that help Bronx providers prioritize primary care interventions for patients who need them most.
• Facesheet A new-client summary that combines clinical, demographic, and social data with risk predictions, designed to help community-based organizations manage client care during intake. Used by BronxWorks and other CBOs in the Bronx.
• Patient Portal A web-based portal that allows Bronx patients to access their Protected Health Information maintained by Bronx RHIO, with options for viewing through Bronx RHIO's own portal or through Participants' portals.
• Participant Portal Web-based portal for Bronx RHIO participant organizations to access patient data, clinical information, alerts, and reports from the health information exchange.

Quantifiable outcome

• Predictive models for ED utilization using clinical and demographic data from 770,000+ patients
• +2 more outcomes

Named customers3 records

Segments3 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

AI capability4 records

Feature6 records

Partnerships

Nine partnerships are on record, tiered core and minor.

• Montefiore Medical CentercoreStrategic or Co-development Partner · 1 January 2020Research collaboration on COVID-19 study investigating factors related to high rate of infection and disease severity in the Bronx, including social determinants of health. Study underwent expedited IRB approval.
• Albert Einstein College of MedicinecoreStrategic or Co-development Partner · 1 January 2020Research partner with Montefiore on COVID-19 study examining social determinants of health in the Bronx.
• IMAT SolutionscoreTechnology or IntegrationTechnology partner providing solutions infrastructure for Bronx RHIO's health information exchange platform.
• PKF O'Connor DaviesminorOthersAudit and financial advisory services for Bronx RHIO corporate operations.
• RSM USminorOthersCompliance and information security advisory services for ensuring regulatory compliance.
• Ten Insurance ServicesminorOthersInsurance services for corporate risk management.
• Garfunkel Wild, P.C.minorOthersLegal counsel for corporate and regulatory matters.
• BronxWorkscoreStrategic or Co-development PartnerCommunity-based organization specializing in housing and other social services. Partnering with Bronx RHIO to incorporate risk predictions into the Facesheet client summary, allowing better understanding of clinical risk factors for their clients.
• Behavioral Health Care Collaborative (NYC)coreStrategic or Co-development PartnerNYC-based collaborative partnership to improve care coordination, quality management, population health management and alternative/value based payments.

Scale indicators3 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Rochester RHIO: Another New York State-designated Qualified Entity under SHIN-NY, providing health information exchange across the greater Rochester region. Comparable mission, governance, and participation-based revenue model.
• Hixny: Albany/Capital Region QE under SHIN-NY delivering clinical data exchange, predictive analytics, and population health tools. Closely analogous in structure, technology stack, and participant base.
• Healthix: The largest public HIE in the nation, serving NYC and Long Island. Direct competitor to Bronx RHIO within New York, operating under the same SHIN-NY framework with overlapping value-based care analytics capabilities.
• HEALTHeLINK: Western New York QE providing health information exchange services to providers across the Buffalo region under SHIN-NY. Comparable HIE operating model, subscription revenue, and analytics offering.

Broad incumbents

• Collective Medical Technologies (PointClickCare): Real-time care coordination and HIE platform focused on ED and inpatient notifications — overlapping directly with Bronx RHIO's alert notification and ED utilization prediction capabilities.
• New York eHealth Collaborative (NYeC): Statewide coordinating body for SHIN-NY that sets policy and standards across all NY QEs including Bronx RHIO. Not a direct competitor but the umbrella organization governing the HIE ecosystem Bronx RHIO operates within.
• Epic Care Everywhere: Epic's cross-organization health record exchange functionality embedded in the EHR platform. Increasingly a substitute for regional HIEs as health systems consolidate on Epic, posing a competitive threat to standalone QEs.

Regional players

• Manifest MedEx: California-based nonprofit HIE providing clinical data exchange, analytics, and notifications across the state. Comparable nonprofit HIE operating model serving a defined geographic region with subscription-based participation.

Emerging players

• Health Gorilla: A next-generation HIE and clinical data API platform enabling FHIR-based interoperability across providers. Comparable technology foundation and shift toward standardized APIs that Bronx RHIO's FHIR exchange aligns with.
• 1upHealth: FHIR-native health data platform connecting providers, payers, and app developers. Overlaps with Bronx RHIO's FHIR-ready data exchange capabilities and represents the broader trend toward cloud-native interoperability.

Market position

Strengths4 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/bronxrhio

Compliance4 records

Revenue estimate

Valuation estimate

Number of profiles

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 Bronx RHIO