Texas Health Services Authority

What Texas Health Services Authority does

Texas Health Services Authority (THSA) is a Texas state government statutory organization established in 2007 under Texas Health and Safety Code Chapter 182 to promote, implement, and facilitate the secure electronic exchange of health information across the state. It operates HIETexas, the statewide health information exchange network, which covers 82% of Texas hospitals and 70% of post-acute facilities and connects 8,200+ healthcare organizations through five regional HIEs and national interoperability frameworks (eHealth Exchange, Carequality, Patient-Centered Data Home, TEFCA). Its core product suite consists of EDEN (real-time ADT encounter notifications supporting CMS Conditions of Participation compliance), PULSE (disaster response patient lookup via national HIE networks), and SECURETexas (a two-year privacy and security certification program under the Texas Medical Records Privacy Act). Alerts are delivered via SFTP, VPN/TLS, Direct Messaging, or the web-based PROMPT tool.

THSA is funded through a combination of state funds from HHSC, federal funds from CMS, and commercial revenue from SECURETexas certification fees ($250-$5,000 per two-year cycle, tiered by employee count) and EDEN subscriptions priced per-patient, billed quarterly. Distribution is channel-led: SECURETexas is delivered through a nine-vendor preferred partner network (including PwC, NCC Group, and Jackson Lewis), while HIE connectivity flows through partnerships with regional HIEs such as C3HIE, Connected Care Exchange, Healthconnect Texas, and PHIX. The November 2025 C3HIE-THSA bidirectional data-sharing agreement is the most significant recent commercial event, creating the largest interoperability network in Texas through a single connection. The organization operates with 1-10 employees from its Austin headquarters and is governed by a board appointed by the Governor with consent of the Texas Senate.

Name

Texas Health Services Authority

Legal name

Texas Health Services Authority

Website

https://thsa.org

Company type

Private

Founded year

2007

Operating status

Operating

Headcount range

1–10 employees

Short description

Texas Health Services Authority (THSA) is a Texas state statutory authority that operates HIETexas, the statewide health information exchange connecting 82% of hospitals and 8,200+ healthcare organizations through EDEN alerts, PULSE disaster response, and SECURETexas privacy certification.

Ownership category

akta.pro rank

Product category

Health Information Exchange Services

NAICS

Web Search Portals, Libraries, Archives, and Other Information Services (519)

SIC

Services-Health Services (8000)

akta.pro primary industry

HIE Platforms & Network Services (Community/Regional/National) (HLACABAB)

akta.pro secondary industries

Health Information Exchange & Public Health Data Integration (HLAJAJAD), Public Health & Immunization Data Exchange (ELR, case reporting, registry reporting) (HLACABAL), Consent, Authorization & Data Sharing Governance (opt-in/opt-out, DS4P) (HLACABAG)

Keywords

• Health information exchange
• Healthcare interoperability
• ADT encounter notifications
• Medical privacy certification
• Disaster health records

Headquarters

HQ city

Austin

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Technology or R&D, Infrastructure, Operations

Revenue model

1. Government Funding: EDEN and PULSE programs are supported by combination of state funds from HHSC (Texas Health and Human Services Commission) and federal funds from CMS (Centers for Medicare & Medicaid Services)
2. SECURETexas Certification Fees: Certification pricing based on covered entity's number of employees, ranging from $250 to $5000 for two-year certification period. In addition to preferred vendor assessment fees.
3. EDEN Subscription Services: EDEN subscriber pricing is set at a per-patient, per-year rate, billed on a quarterly basis. No cost to act as data source.

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels7 records

Core offering

Texas Health Services Authority operates the HIETexas state-level health information exchange network, enabling secure electronic exchange of health information across Texas. Its core offerings include EDEN (real-time ADT notifications), PULSE (disaster-response patient record lookup), and SECURETexas (a two-year privacy and security certification program for covered entities under the Texas Medical Records Privacy Act).

Product overview

Texas Health Services Authority (THSA) operates HIETexas, the statewide health information exchange network covering the entire state across public and private sectors. The HIETexas umbrella encompasses three core products: EDEN (Emergency Department Encounter Notification), which delivers real-time ADT (admission, discharge, transfer) alerts to subscribed healthcare organizations when their patients receive care at participating facilities; PULSE (Patient Unified Lookup System for Emergencies), which provides verified disaster-response users with secure remote access to patient clinical and medication histories by querying national HIE networks; and SECURETexas Certification, a two-year privacy and security compliance certification program for covered entities under the Texas Medical Records Privacy Act. HIETexas also integrates with regional HIEs, national interoperability networks (eHealth Exchange, Carequality, TEFCA, Patient-Centered Data Home), and supports CMS Conditions of Participation compliance. EDEN and PULSE are jointly funded by state funds from HHSC and federal funds from CMS.

Differentiator

Problem solved

Functional benefit

Brands

• HIETexas: State-level health information network operated by THSA that dramatically increases healthcare providers' access to patients' health information across the entire state.
• EDEN
• PULSE
• SECURETexas

Products and services

• HIETexas The umbrella state-level health information exchange network operated by THSA pursuant to Chapter 182 of the Texas Health and Safety Code. HIETexas covers the entire state across public and private sectors, supporting HIEs, hospitals, health plans, ACOs, and other healthcare organizations with connectivity, data-sharing, and interoperability services.
• EDEN (Emergency Department Encounter Notification) A statewide, standardized real-time ADT (admission, discharge, transfer) alert system. When a subscribed healthcare organization's patient receives care at a participating facility, subscribers receive an alert containing details about that patient's encounter. Supports CMS Conditions of Participation compliance, care coordination, and reduced readmissions. Delivered via SFTP, VPN/TLS, Direct Messaging, and the PROMPT web tool.
• PULSE (Patient Unified Lookup System for Emergencies) A fully supported suite of tools solving critical healthcare coordination problems during declared disasters and public health emergencies. Provides verified users (disaster response volunteers, public health professionals) remote and secure access to patient medication and clinical histories, emergency census management, and missing persons identification, by querying national HIE networks including the eHealth Exchange.
• SECURETexas Certification A state-administered privacy and security certification program offering covered entities a way to demonstrate compliance with Texas and federal medical privacy and security laws. Entities holding SECURETexas Certification at the time of an alleged Texas Medical Records Privacy Act violation may present the certification as a mitigating factor for civil or administrative penalties. Certification is valid for two years, with tiered pricing from $250 to $5,000 based on number of employees.

Quantifiable outcome

• 82% of Texas hospitals connected to HIETexas network
• +3 more outcomes

Named customers4 records

Segments6 records

Ideal customer profiles5 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature5 records

Partnerships

Ten partnerships are on record, tiered core and minor.

• C3HIEcoreTechnology or Integration · 21 November 2025Historic bidirectional data-sharing agreement for real-time exchange of encounter event messages between C3HIE and THSA networks. Creates unified interoperability fabric enabling subscribers of either organization to receive notifications from both networks, establishing the largest interoperability network in Texas.
• Audacious InquirycoreTechnology or IntegrationTechnology partner for PULSE (Patient Unified Lookup System for Emergencies). Audacious Inquiry developed PULSE Enterprise which Texas adopted to support disaster response capabilities.
• eHealth ExchangecoreTechnology or IntegrationPrimary data source for PULSE. Largest query-based health information exchange in the country connecting federal agencies and non-federal organizations. PULSE connects to eHealth Exchange and requires signing the Data Use and Reciprocal Support Agreement (DURSA).
• SECURETexas Preferred VendorscoreImplementation/ SI/ Consulting PartnerNetwork of approved assessment vendors including Citiscape IT, Jacobian Engineering, Jackson Lewis, Latitude Information Security, NCC Group Security Services, Online Business Services, Orbzen, PwC, and Third Rock. These vendors conduct assessments against SECURETexas standards.
• NAHAM (National Association of Healthcare Access Management)minorStrategic or Co-development PartnerCollaboration to standardize newborn naming conventions following AHIMA guidance. Joint initiative to eliminate preventable medical errors in infant patient identification through standardized temporary newborn naming.
• AHIMA (American Health Information Management Association)minorStrategic or Co-development PartnerTHSA adopted AHIMA's 2023 recommended naming guidance for newborns through its Interoperability Collaborative's Newborn Informatics Workgroup to standardize infant patient identification.
• Connected Care ExchangecoreTechnology or IntegrationRegional HIE submitting C-CDAs via HIETexas to Medicaid. Part of the statewide HIE connectivity network.
• Healthconnect TexascoreTechnology or IntegrationRegional HIE participating in HIETexas network, currently onboarding to submit ADTs via EDEN to Medicaid and MCOs.
• PHIXcoreTechnology or IntegrationRegional HIE participating in HIETexas network for statewide health information exchange connectivity.
• The Sequoia ProjectminorStrategic or Co-development PartnerTHSA hosted Texas Mini Interoperability Symposium featuring Sequoia Project leadership discussing Interoperability Matters Initiatives.

Scale indicators5 records

Recent moves5 records

Expansion highlights5 records

Broad incumbents

• Audacious Inquiry: Health technology company that developed the PULSE Enterprise platform adopted by Texas; broader portfolio of ADT/ENS and care coordination tools positions it as an incumbent vendor in the same category.
• eHealth Exchange: Largest query-based HIE in the United States connecting federal agencies and non-federal organizations; serves as THSA's primary PULSE data source and competes for cross-state interoperability workloads.

Direct peers

• Healthix: One of the largest public HIEs in the United States serving the New York metro area. Comparable state-level public HIE model with similar ADT alerting, patient lookup, and consent governance offerings.
• PHIX (Paso del Norte Health Information Exchange): Regional Texas HIE participating in HIETexas for statewide health information exchange connectivity, with comparable ADT and clinical document exchange services.
• Indiana Health Information Exchange (IHIE): Statewide non-profit HIE operating across Indiana with comparable ADT notification, clinical messaging, and population health analytics services. Closely analogous in mission and scale.
• Healthconnect Texas: Regional HIE participating in the HIETexas network, onboarding to submit ADTs via EDEN to Medicaid and MCOs. Directly comparable mission and Texas footprint.
• CORHIO (Colorado Regional Health Information Organization): Statewide non-profit HIE for Colorado offering ADT alerts, clinical data exchange, and HIE connectivity services — a close operational analog to HIETexas.
• C3HIE (formerly HASA): Regional health information exchange serving Texas; now a unified partner with THSA under the November 2025 bidirectional agreement. Operates the same ADT/EDEN-style services and shares the same Texas provider base.
• CRISP (Chesapeake Regional Information System for our Patients): State-designated HIE serving Maryland, DC, and West Virginia with ADT notifications, ENS, and PULSE-style disaster response — comparable statutory HIE model to THSA.

Others

• The Sequoia Project: Non-profit that manages the eHealth Exchange, Carequality, and other interoperability frameworks; a key ecosystem steward whose initiatives shape the competitive context for state HIEs like THSA.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/thsa_healthit
• LinkedInlinkedin.com/company/thsa

Revenue estimate

Valuation estimate

Number of profiles

Profiles3 records

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 Texas Health Services Authority