What Rochester RHIO does

Rochester RHIO (Rochester Regional Health Information Organization) is a community health information exchange founded in 2006 and headquartered in Rochester, New York. It is a non-profit, private entity that operates as an accredited Qualified Entity of the Statewide Health Information Network of New York (SHIN-NY), serving healthcare providers and approximately 1.5 million residents across 14 counties in the Finger Lakes and Southern Tier regions. The organization delivers clinical information to hospitals, physician practices, long-term care facilities, home health agencies, public health departments, behavioral health organizations, and more than 300 community-based organizations.

The core technology is a Master Patient Index (MPI) and Record Locator Service (RLS) supporting a query-based clinical messaging architecture and routing of clinical messages. The flagship product is Explore+, an advanced clinical query portal built on the Meridian DAP platform (partner Aigilx Health) that enables real-time patient search across 142+ million clinical documents from 1,100+ data sources and 35+ EHR vendors. Adjacent services include MyResults Delivered (electronic lab, radiology, and clinical document delivery into provider EHRs), DIRECT Secure Messaging (DirectTrust-accredited point-to-point communication), Explore+ Image Exchange with Tomosynthesis, Transfer to PACS, RHIO Alerts (near real-time admission/discharge notifications across 18 hospitals and statewide via SEAS), Contribute (C-CDA data contribution), Subscription/Forwarding data feeds, Custom Reporting, Emergency Preparedness services, and Cures Gateway (powered by Selfiie for patient-facing access under the 21st Century Cures Act).

The business model combines annual public funding from New York State (covering a minimum service set for participants at no charge under SHIN-NY) with subscription-based fees for value-added services such as Image Enable Results Delivery, Secondary Use data requests, Custom Reporting, and data feeds. Go-to-market is executed through Regional Account Managers supporting hospitals and physician practices, alongside an enterprise field sales motion. In 2024 Rochester RHIO combined operations with Common Ground Health, and in 2026 the combined entity merged with Finger Lakes Performing Provider System (FLPPS) under CEO Carol Tegas, broadening scope into population health analytics and community health improvement.

Name

Rochester RHIO

Legal name

Rochester Regional Health Information Organization

Website

https://rochesterrhio.org

Company type

Private

Founded year

2006

Operating status

Operating

Headcount range

11–50 employees

Short description

Rochester RHIO is a non-profit, New York State-accredited health information exchange serving 1.5 million residents across 14 counties in the Finger Lakes and Southern Tier regions. It operates an Explore+ clinical query portal, results delivery, DIRECT messaging, alerts, and patient data access services funded by state appropriations and value-added service fees.

Ownership category

akta.pro rank

Product category

Healthcare Information Exchange

SIC

Services-Health Services (8000)

akta.pro primary industry

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

akta.pro secondary industries

Real-World Data (RWD) Platforms & Clinical Data Curation (HLACAIAJ), Public Health & Immunization Data Exchange (ELR, case reporting, registry reporting) (HLACABAL)

Keywords

• Health information exchange
• Clinical data integration
• Healthcare interoperability
• Patient record access
• Secure clinical messaging

Headquarters

HQ city

Rochester

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, Marketing or Sales, Others

Revenue model

1. Public State Funding: Rochester RHIO receives public funding from New York State to provide a minimum set of technology services to participants at no charge as part of SHIN-NY.
2. Value-Added Services: Additional premium services offered for a fee beyond the minimum required services funded by NY State.

Pricing tiers

Go-to-market motion1 record

Distribution channels5 records

Marketing channels6 records

Core offering

Rochester RHIO operates a community health information exchange that enables authorized healthcare providers across 14 New York counties to securely access, query, and exchange patient clinical records. Its core services include the Explore+ clinical query portal, EHR-integrated results delivery (MyResults Delivered), DIRECT secure messaging for referrals and transitions of care, near real-time RHIO Alerts for admissions/discharges, image exchange, and a patient-facing Cures Gateway for personal health record access.

Product overview

Rochester RHIO is a community health information exchange (HIE) platform offering a comprehensive suite of interconnected services. At its core is the Master Patient Index (MPI) and Record Locator Service (RLS) infrastructure supporting a query-based clinical portal and clinical messaging model. The primary platform is Explore+, an advanced clinical query portal enabling real-time patient searches across 14+ counties for over 3 million patients. This connects to data delivery services including MyResults Delivered (EHR integration for lab/radiology results), DIRECT Secure Messaging (point-to-point care coordination), and Explore+ Image Exchange (diagnostic-quality imaging). Additional modules include RHIO Alerts (admission/discharge notifications), Contribute (data contribution via C-CDAs), Public Health Services, Subscription/Forwarding, and Regional Data Normalization. The platform also includes patient-facing Cures Gateway powered by Selfiie for 21st Century Cures Act compliance. Rochester RHIO connects to over 35 EHR/EMR vendor systems and is built on the Meridian DAP platform technology.

Differentiator

Problem solved

Functional benefit

Brands

• Explore+: Advanced clinical query portal providing secure, real-time patient health information search across the 14-county service area.
• MyResults Delivered
• DIRECT
• Contribute
• RHIO Alerts
• Transfer to PACS
• Cures Gateway
• Statewide Encounter Alert Services (SEAS)

Products and services

• Explore+ Clinical Query Portal Advanced clinical query portal providing secure, real-time patient health information search across 14+ counties, including lab results, radiology reports and images, clinical documents, and hospital records for over 3 million patients.
• MyResults Delivered Electronic delivery of lab, radiology, and clinical documents directly into physician practice EHR systems, eliminating manual portal access and interfaces with multiple data providers.
• DIRECT Secure Messaging Secure point-to-point messaging service for referrals, transitions of care documents, and clinical event notifications, accredited by DirectTrust and connected to all certified HISPs nationwide.
• Explore+ Image Exchange Diagnostic-quality medical imaging access including X-rays, MRIs, and Tomosynthesis (3-D Mammograms) viewable from any computer across the Rochester RHIO region.
• Transfer to PACS Automatic transfer of external imaging studies into clinicians' local PACS systems, eliminating need for CDs and manual reconciliation.
• RHIO Alerts Near real-time notifications for patient admission and discharge from regional hospitals and emergency departments, supporting care transitions and reducing hospital readmissions.
• Contribute Service enabling participating providers to share patient data via C-CDAs through their EHRs to build more complete patient health records.
• Public Health Services Secure access for public health department staff to patient records for contact tracing, public health research, and emergency preparedness with disaster planning capabilities.
• Subscription and Forwarding Data Feeds Data feed services delivering clinical data associated with consented patients (Subscription) or based on contractual relationships (Forwarding) for value-based care.
• Image Enable Results Delivery (IERD) One-click message delivery with direct link to diagnostic-quality imaging study, integrated with practice EHR for additional cost.
• Secondary Use Data Services Data request services supporting community initiatives, grants, public health, research, and healthcare operations reviewed by Rochester RHIO's Secondary Use Committee.
• Regional Data Normalization Standardization of lab test codes using LOINC terminology enabling healthcare providers to compare test results from regional labs more efficiently.
• Custom Reporting Routing of public health information to NYS- and NYC-designated locations including cancer registries, immunizations, newborn screening, and syndromic surveillance.
• Emergency Preparedness Services Basic system access activated during declared emergencies enabling family reunification and ensuring care for individuals with chronic conditions.
• Cures Gateway Patient Portal Patient-controlled repository powered by Selfiie app enabling patients to access, download, and share health information from multiple sources including data outside Epic/MyChart for 21st Century Cures Act compliance.
• Statewide Encounter Alert Services (SEAS) Statewide alert service enabling participants to receive notifications when patients are admitted or discharged across New York State, part of SHIN-NY migration.
• Master Patient Index and Record Locator Service Core infrastructure identifying, locating, and presenting medical information including lab, radiology reports and images, and clinical documents for consented patients across the 14-county service area.
• Cross-Sector Data Exchange Framework enabling data sharing between health, education, and social services sectors based on legal and privacy analysis.

Quantifiable outcome

• Reduces hospital readmissions - supported by peer-reviewed research published in professional journals
• +5 more outcomes

Named customers10 records

Segments8 records

Ideal customer profiles5 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration45 records

Feature6 records

Partnerships

Ten partnerships are on record, tiered core and minor.

• Secure Exchange SolutionscoreTechnology or Integration · 5 October 2021Partnership to streamline DIRECT secure messaging, enabling enhanced interoperability for clinical messaging services supporting referrals and transitions of care.
• Ciitizen (Invitae)coreTechnology or Integration · 16 August 2021Rochester RHIO partnered with Ciitizen (now Invitae) to launch Cures Gateway, enabling patients to securely access their community health data from multiple sources across the region and state. This partnership supports compliance with the 21st Century Cures Act information blocking rules.
• Common Ground HealthcoreStrategic or Co-development PartnerCommon Ground Health and Rochester RHIO combined operations in 2024, bringing together expertise in health information exchange, health data analytics, and community health improvement under a unified board.
• Aigilx HealthcoreTechnology or IntegrationTechnology partnership for the Meridian DAP platform, the foundational technology underlying the Explore+ clinical query portal developed specifically for complex HIE data environments.
• Greater Rochester Health FoundationcoreOthersFunding support for the Regional Data Normalization project and the Health Data Equity Project focused on improving quality of race, ethnicity, and gender data across the region.
• Finger Lakes Performing Provider System (FLPPS)coreStrategic or Co-development PartnerFLPPS and Rochester RHIO combined operations in 2026 to create a stronger regional organization dedicated to improving healthcare delivery, advancing population health, and fostering community collaboration.
• SelfiiecoreTechnology or IntegrationPartnership for Cures Gateway patient-facing application enabling patients to securely view, download, and share their Electronic Health Information (EHI) in compliance with federal Cures Act requirements.
• Statewide Health Information Network of New York (SHIN-NY)coreStrategic or Co-development PartnerRochester RHIO is an accredited Qualified Entity of SHIN-NY, participating in statewide health information exchange including the Statewide Encounter Alert Services (SEAS) and statewide data query capabilities.
• New York eHealth Collaborative (NYeC)coreStrategic or Co-development PartnerCollaboration with NYeC on SHIN-NY initiatives, including standardization of health data equity standards and statewide consent policies.
• Harter Secrest & Emery LLPminorOthersLegal advisory partnership for the Cross-Sector Data Exchange white paper examining legal and privacy frameworks for data sharing between health, education, and social services sectors.

Scale indicators11 records

Recent moves8 records

Expansion highlights5 records

Direct peers

• HEALTHeLINK: Western New York's regional health information exchange serving providers and patients across eight counties. Operates the same SHIN-NY Qualified Entity model as Rochester RHIO and is the most direct intra-state counterpart for HIE services in New York.
• Healthix: One of the largest public HIEs in the U.S., serving the greater New York City region. A fellow SHIN-NY Qualified Entity operating the same query-based clinical portal and alerts model at much larger scale, making it the closest large-volume HIE peer.
• Hixny: New York State HIE serving the Capital Region and surrounding counties under the SHIN-NY Qualified Entity program. Direct peer in terms of regional HIE services, query portal, alerts, and EHR-integrated results delivery.
• Bronx RHIO: Regional HIE serving the Bronx under the SHIN-NY framework. Operates the same community HIE model focused on cross-provider data exchange, MPI/RLS, and clinical messaging, making it a direct SHIN-NY cohort peer.
• CRISP (Chesapeake Regional Information System for our Patients): State-designated HIE for Maryland and surrounding regions, offering MPI/RLS, encounter alerts, results delivery, and population health analytics. Closely comparable in scope, regulatory posture, and value-added service mix to Rochester RHIO.
• Manifest MedEx: California-based nonprofit HIE combining the Inland Empire HIE and Orange County HIE assets. Comparable in offering a query portal, alerts, EHR-integrated results delivery, and analytics to a regional network of hospitals, providers, and CBOs.
• CORHIO: Colorado's state-designated HIE providing clinical data exchange, alerts, and analytics to hospitals, providers, and behavioral health organizations. A direct functional peer in the nonprofit regional HIE category.

Broad incumbents

• Audacious Inquiry: A national health information technology and policy firm that builds and operates HIE-adjacent platforms (e.g., the SANER project for public health, encounter notification services). Comparable as a technology and services partner competing for HIE infrastructure and alerting workloads.
• New York eHealth Collaborative (NYeC): The statewide convener and policy organization behind SHIN-NY. While not a single-region HIE, NYeC sets standards and operates components of the statewide exchange that Rochester RHIO connects into, making it both a coordinator and an indirect competitor at the policy layer.

Others

• PointClickCare: Post-acute and broader care coordination platform (acquired Collective Medical, which powers ADT/encounter alerting networks). Functions as an enabling ecosystem player whose alerting capabilities complement — or compete with — RHIO alerts for hospitals and care managers.

Market position

Strengths5 records

Weaknesses4 records

Competitive moat6 records

Key risks5 records

Key highlights6 records

Customer concentration

• Xx.com/RochesterRHIO

Compliance10 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles7 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 Rochester RHIO