XchangeWorx
XchangeWorx is a private, Albany-based healthcare IT company spun out of Hixny that sells a cloud-based HIE platform — featuring Virtual Private eXchanges, SMART on FHIR, and real-time patient alerting — to HIOs, ACOs, IDNs, and health insurers seeking to advance from basic data exchange to value-based care and population health services.
- Company typePrivate
- Founded2009
- HeadquartersAlbany, United States
- Headcount11–50
- GTM typeB2B
- OfferingSoftware
What XchangeWorx does
XchangeWorx, Inc. is a privately held healthcare information technology company founded in 2009 and headquartered in Albany, New York. It was spun out of Hixny, a New York State Qualified Entity and regional health information exchange (RHIE), to commercialize HIE platform capabilities for healthcare organizations outside Hixny's regional nonprofit footprint. The company serves Health Information Organizations (HIOs), Accountable Care Organizations (ACOs), Integrated Delivery Networks, and health insurers, helping them move beyond basic "HIE 1.0" push/pull services into advanced "HIE 2.0" capabilities that support value-based care, population health, and research.
The company's product portfolio is built around a cloud-based HIE platform and its proprietary Virtual Private eXchanges (VPX) architecture, which layers secure, governed exchange on top of existing public HIE infrastructure without requiring rip-and-replace. Core offerings include XW FHIRWORX (a SMART on FHIR platform with OAuth Single-Sign-On supporting EHR-integrated and consumer-facing applications including Apple Health), XW PATIENTWORX (real-time patient identification, alerting, and eClinical Quality Measures), XW Perform Population Gateway (a deployment of the patient analytics stack for care coordination), and XW SKILLWORX (consulting and staff augmentation for InterSystems HealthShare implementations). The underlying technology emphasizes HL7 FHIR interoperability and an analytical data model for trending and deviation detection.
XchangeWorx generates revenue through a mix of subscription/recurring software licensing (XW Perform Population Gateway and cloud platform deployments), fixed-price managed services for HealthShare implementations, hourly staff augmentation, and advisory consulting engagements that begin with HIE landscape assessments and culminate in strategic roadmaps. Distribution is enterprise field sales targeting HIE operators and risk-bearing provider entities, supported by partnerships with industry associations (SHIEC, IHE, HL7) and the START-UP NY program with the University at Albany. Named reference customers include Hixny, Missouri Health Connection, and Adirondacks ACO, collectively spanning 15 million+ individuals whose clinical data is managed across the platform.
XchangeWorx firmographics
Firmographics- Name
- XchangeWorx
- Legal name
- XchangeWorx, Inc.
- Website
- https://xchangeworx.com
- Company type
- Private
- Founded year
- 2009
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- XchangeWorx is a private, Albany-based healthcare IT company spun out of Hixny that sells a cloud-based HIE platform — featuring Virtual Private eXchanges, SMART on FHIR, and real-time patient alerting — to HIOs, ACOs, IDNs, and health insurers seeking to advance from basic data exchange to value-based care and population health services.
- Ownership category
- akta.pro rank
XchangeWorx industry classification
Industry- Product category
- Healthcare Interoperability / Health Information Exchange Platform
- NAICS
- Computer Systems Design Services (541512), Custom Computer Programming Services (541511), Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (51821)
- SIC
- Services-Prepackaged Software (7372), Services-Computer Integrated Systems Design (7373), Services-Computer Programming Services (7371)
- akta.pro primary industry
- HIE Platforms & Network Services (Community/Regional/National) (HLACABAB)
- akta.pro secondary industries
- Patient-Mediated Exchange & Personal Health Data Access (Blue Button, SMART on FHIR) (HLACABAN), Terminology Services & Semantic Interoperability (SNOMED/LOINC/RxNorm mapping) (HLACABAJ), Payer-Provider Data Exchange (X12, prior auth, claims/clinical attachment) (HLACABAK), Care Navigation, Referral & Digital Front Door Platforms (HLALABAH)
Keywords
Where XchangeWorx is headquartered
LocationHeadquarters
- HQ city
- Albany
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
XchangeWorx business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Personnel, Technology or R&D, Operations, Marketing or Sales, Others
Revenue model
- Advisory Consulting Services: Assessment of HIE landscape and operations, strategic roadmap development, and ongoing advisory consulting services to position HIE clients for growth and service expansion.
- HealthShare Consulting: Hourly staff augmentation for small projects and ongoing integrations or support, and large managed fixed-price fully defined projects for InterSystem HealthShare implementations.
- Software Platform Licensing: Deployment of proprietary platforms including XW Perform Population Gateway for care coordination. Cloud-based services enabling real-time data exchange and population health management.
- Staff Augmentation: Augmentation of client technical, outreach, and marketing resources. Flexible model allowing clients to add services as needed.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Hybrid | Multi-year contract | Flexible model with rates traditional vendors cannot match |
Go-to-market motion3 records
Distribution channels2 records
Marketing channels5 records
XchangeWorx product offering
Product offeringCore offering
XchangeWorx develops and licenses a cloud-based Health Information Exchange (HIE) software platform — anchored by XW FHIRWORX (SMART on FHIR integration), XW PATIENTWORX (real-time patient alerting and population analytics), and the XW Perform Population Gateway — that sits on top of existing public HIE infrastructure via Virtual Private eXchanges (VPX). It also delivers professional services (XW SKILLWORX) for InterSystem HealthShare consulting and staff augmentation to HIOs, ACOs, IDNs, and health insurers.
Product overview
XchangeWorx offers a modular HIE (Health Information Exchange) platform with three core products: XW FHIRWORX provides a SMART on FHIR platform for EHR workflow integration and data access; XW PATIENTWORX delivers real-time patient care analytics, alerting, and population health management; and XW SKILLWORX provides consulting services for InterSystem HealthShare implementations. The products work together to enable healthcare organizations to expand from basic HIE 1.0 services to advanced HIE 2.0 services supporting value-based care and population health, with the XW Perform Population Gateway serving as a specific deployment of the patient analytics capabilities for care coordination.
Differentiator
Problem solved
Functional benefit
Products and services
- XW FHIRWORX (SMART on FHIR Platform) SMART on FHIR platform providing OAuth Single-Sign-On and FHIR Resources integration. Enables any web application to become a SMART on FHIR app with provider-facing workflows (Patient History, Messaging, Alerts, LIS, RIS, payer data) integrated into the EHR, as well as consumer-facing applications with Apple Health integration and patient consent collection. Intended for HIOs, ACOs, and healthcare organizations needing FHIR-native interoperability.
- XW PATIENTWORX (XW Perform Population Gateway) Real-time patient identification and alerting solution with an analytical data model deployed into HIE platforms. Maintains patient profiles updated in real-time, supports trending of prior period values, detects patient matching deviations, and computes standard eClinical Quality Measures and custom-defined demographics/measures. Sold as the XW Perform Population Gateway for care coordination deployments across ACO, IDN, and HIO networks.
- XW SKILLWORX (HealthShare Consulting Services) Consulting, innovation, design, and construction services for organizations running InterSystem's HealthShare platform, including staff augmentation for small projects and large managed fixed-price engagements. Consultants are certified in HL7 FHIR and experienced in HealthShare and Services Oriented Architecture. Targeted at healthcare organizations operating or migrating to InterSystem HealthShare.
Quantifiable outcome
- Enables secure clinical data gathering and analysis for care management and population health analytics
- +2 more outcomes
Companies that use XchangeWorx
Customer profileNamed customers3 records
Segments4 records
Ideal customer profiles3 records
XchangeWorx technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration2 records
AI capability6 records
Feature5 records
XchangeWorx partnerships and signals
Strategic signalPartnerships
Seven partnerships are on record, tiered core and minor.
- START-UP NY / University at AlbanycoreStrategic partnership with University at Albany through START-UP NY program. CEO Joel Ryba sits on the University's Cybersecurity Advisory Board. Partnership focused on developing talent in emerging technologies related to health information and cyber security. Collaboration includes natural language processing and device data projects engaging student interns. XchangeWorx parent company Hixny collaborates with University faculty researchers on HRI/CDC grants.
- Missouri Health ConnectioncoreMaster services agreement where XchangeWorx conducts assessment of MHC's HIE landscape and operations and provides roadmap to advance and deliver greater value to MHC's participants. XchangeWorx is working with MHC participants to understand current services and emerging needs. As a result of the assessment, MHC asked XchangeWorx to continue partnership and provide ongoing advisory consulting services. Project began summer 2016.
- Adirondacks Accountable Care OrganizationcoreContract to implement XW Perform Population Gateway for better care coordination in Northern New York. Adirondacks ACO is working with Medicare to make it easier for doctors and hospitals to work together. Network includes six hospitals and more than 450 primary care and specialty clinicians across seven NY counties and two VT counties. Goal is to provide connection across the vast Adirondack region, hundreds of healthcare locations, and many different EMR systems.
- HixnycoreParent company relationship. XchangeWorx was built on foundation of decade-long product development experience for Hixny. XchangeWorx provides technology services to Hixny, a New York State Qualified Entity. Companies share office space at 80 Wolf Road. XchangeWorx born out of need to serve organizations outside Hixny's regional focus.
- SHIEC (Strategic Health Information Exchange Collaborative)minorProud member of SHIEC, a strategic health information exchange collaborative. Industry association membership providing networking and collaboration with other HIE organizations.
- IHE (Integrating the Healthcare Enterprise)minorProud member of IHE, an initiative by healthcare professionals and industry to improve the way computer systems in healthcare share information. Membership supports interoperability standards alignment.
- HL7 InternationalminorProud member of HL7 International, the global authority on standards for interoperability of health information technology. Supports HL7 FHIR standards implementation in products.
Scale indicators7 records
Recent moves6 records
Expansion highlights7 records
XchangeWorx competitors and assessment
Company assessmentDirect peers
- Health Catalyst: Healthcare data and analytics platform serving health systems, ACOs, and HIEs with population health, value-based care, and interoperability analytics. Highly comparable to XchangeWorx's PATIENTWORX/XW Perform Population Gateway offering, though at significantly greater scale.
- Particle Health: Provides a FHIR-based API platform for clinical data retrieval and exchange across national HIE networks, enabling payers, providers, and digital health apps to access patient records. Closely comparable to XchangeWorx's VPX and FHIRWORX interoperability layer.
- Diameter Health: Clinical data interoperability company that ingests, normalizes, and enriches clinical records (often from HIE sources) for payer and provider analytics use cases. Overlaps directly with XchangeWorx's data normalization and FHIR-based exchange capabilities.
- 1upHealth: FHIR-native health data aggregation and API platform connecting providers, payers, and app developers via SMART on FHIR. Closely comparable to XW FHIRWORX's SMART on FHIR and patient-mediated exchange positioning.
- Health Gorilla: Operates a clinical data exchange network that aggregates records from HIEs, labs, and EHRs to enable care coordination and population health. Directly comparable to XchangeWorx's VPX layer sitting on top of public HIE infrastructure.
Emerging players
- Redox: Healthcare API platform that simplifies EHR/HIE integrations for digital health developers and providers. Adjacent to XchangeWorx's FHIR/interoperability stack, with broader developer-tool focus.
- Zus Health: Shared health data platform offering a FHIR-native 'data fabric' that aggregates records for providers and digital health developers. Comparable in spirit to XchangeWorx's interoperability/PATIENTWORX stack but oriented toward ambulatory digital health apps.
Broad incumbents
- InterSystems: Vendor of the HealthShare platform on which XchangeWorx's SKILLWORX consulting is built. A broader incumbent that competes with XchangeWorx for HIE 2.0 deployments but also relies on partners like XchangeWorx for delivery.
- Epic Systems: Dominant EHR vendor whose Care Everywhere and Cosmos offerings provide native HIE-style data exchange and population analytics. A broad incumbent that competes indirectly with XchangeWorx for HIE 2.0 budgets.
- Oracle Health (Cerner): Major EHR and HIE vendor (formerly Cerner) with HealtheIntent population health and aggregated HIE data capabilities. A broad incumbent whose embedded interoperability competes with XchangeWorx's value proposition.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights6 records
Customer concentration
XchangeWorx social profiles
Digital presenceXchangeWorx financial estimates
Financial estimateRevenue estimate
Valuation estimate
XchangeWorx leadership team
Management profileNumber of profiles
Profiles3 records
XchangeWorx funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
XchangeWorx 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 XchangeWorx
What does XchangeWorx do?
XchangeWorx develops and licenses a cloud-based Health Information Exchange (HIE) software platform — anchored by XW FHIRWORX (SMART on FHIR integration), XW PATIENTWORX (real-time patient alerting and population analytics), and the XW Perform Population Gateway — that sits on top of existing public HIE infrastructure via Virtual Private eXchanges (VPX). It also delivers professional services (XW SKILLWORX) for InterSystem HealthShare consulting and staff augmentation to HIOs, ACOs, IDNs, and health insurers.
Is XchangeWorx a public or private company?
XchangeWorx is a private company. It is classified as corporate owned and is currently operating.
When was XchangeWorx founded?
XchangeWorx was founded in 2009. It employs 11 to 50 people.
Where is XchangeWorx based?
XchangeWorx is headquartered in Albany, United States, in the North America region.
How does XchangeWorx make money?
Four revenue lines are on record. Advisory Consulting Services are the primary driver. The others are healthShare Consulting, software Platform Licensing and staff Augmentation.
Who are XchangeWorx's main competitors?
Direct peers on record are Health Catalyst, Particle Health, Diameter Health, 1upHealth and Health Gorilla. Emerging players are Redox and Zus Health. Broad incumbents are InterSystems, Epic Systems and Oracle Health (Cerner).
Does XchangeWorx have an API?
No public API is recorded for XchangeWorx.
What industry is XchangeWorx in?
XchangeWorx's product category is Healthcare Interoperability / Health Information Exchange Platform. Its primary akta.pro industry code is HLACABAB, HIE Platforms & Network Services (Community/Regional/National), with a secondary code of HLACABAN, Patient-Mediated Exchange & Personal Health Data Access (Blue Button, SMART on FHIR). Its NAICS code is 541512 and its SIC code is 7372.