etHIN

What etHIN does

Tennessee Health Information Exchange (TnHIE), formerly East Tennessee Health Information Network (etHIN), is a statewide Health Information Exchange (HIE) platform headquartered in Maryville, Tennessee. The organization operates as a non-profit or public-utility entity serving hospitals, health systems, clinics, physician practices, and other healthcare providers across the state of Tennessee. Its core product suite centers on a Clinical Viewer providing consolidated longitudinal cross-community patient records, diagnostic-quality image viewing, lab results, allergies, patient summaries, and social determinants data in a centralized web-accessible portal. Complementary modules include Alerts (real-time care event notifications to reduce hospital readmissions), Single Sign-On (EHR-integrated bi-directional data access supporting MIPS Measure PI_HIE_5), Direct Secure Mail (secure provider-to-provider messaging), Custom Reports (population health reporting built to provider specifications), and Public Health Reporting (electronic case reporting, TennIIS immunization registry reporting, and syndromic surveillance).

The platform's underlying technology is a standard HIE interoperability stack that aggregates data from multiple contributing providers, with recent additions including Summit Medical Group imaging (radiology studies from June 11, 2026 onward), Social Determinants data, and Veteran/Military Service Member records. The organization holds memberships in Civitas for Health, eHealth Exchange (national), and The Sequoia Project, embedding it within federal-grade interoperability governance frameworks.

TnHIE generates revenue through recurring membership and subscription fees paid by participating healthcare providers to access the network, its Clinical Viewer, alerts, reporting capabilities, and EHR integration. Pricing is not publicly disclosed; providers must contact the organization directly for membership terms. The GTM motion is enterprise field sales: direct engagement with hospitals, clinics, and physician practices, combined with onboarding support and EHR integration services. The rebrand from regional (East Tennessee) to statewide scope in 2024 was the most significant strategic repositioning, supported by ongoing data-source onboarding and product module expansion.

Name

etHIN

Legal name

East Tennessee Health Information Network

Website

https://ethin.org

Company type

Private

Founded year

2005

Operating status

Operating

Headcount range

1–10 employees

Short description

Tennessee Health Information Exchange (TnHIE), formerly etHIN, is a statewide HIE platform providing hospitals, clinics, and physician practices across Tennessee with consolidated clinical data, EHR-integrated single sign-on, alerts, public health reporting, and secure provider messaging via recurring membership.

Ownership category

akta.pro rank

Product category

Health Information Exchange

NAICS

Health Care and Social Assistance (62)

SIC

Services-Misc Health & Allied Services, Nec (8090), Services-Health Services (8000)

akta.pro primary industry

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

akta.pro secondary industries

Terminology Services & Semantic Interoperability (SNOMED/LOINC/RxNorm mapping) (HLACABAJ), Health Information Exchange & Public Health Data Integration (HLAJAJAD)

Keywords

• Health information exchange
• Clinical data sharing
• Healthcare interoperability
• EHR integration
• Patient data aggregation

Headquarters

HQ city

Knoxville

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Software

Cost components

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

Revenue model

1. Healthcare Provider Membership/Subscription: TnHIE generates revenue through membership fees from healthcare providers (hospitals, clinics, physician practices) who join the health information exchange. Providers pay to access the network for data exchange, clinical viewer, alerts, and reporting capabilities.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels4 records

Core offering

etHIN (now operating as Tennessee Health Information Exchange / TnHIE) operates a Health Information Exchange (HIE) software platform that enables healthcare providers across Tennessee to share and access patient health records electronically. The platform includes a Clinical Viewer for consolidated longitudinal patient records and diagnostic imaging, Alerts for care event notifications, Single Sign-On for EHR integration, Direct Secure Mail for secure provider-to-provider communication, Custom Reports for population health management, and Public Health Reporting modules covering Electronic Case Reporting, immunization registry submission to TennIIS, and syndromic surveillance.

Product overview

TnHIE is a Health Information Exchange (HIE) platform that serves as a centralized hub for consolidated patient health information across healthcare providers. The platform operates as an integrated suite of products comprising the core Clinical Viewer for consolidated longitudinal patient records and diagnostic imaging, complemented by Alerts for care event notifications, Custom Reports for population health management, Single Sign-On for EHR integration, Direct Secure Mail for secure provider communication, and Public Health Reporting for electronic case reporting, immunization registry, and syndromic surveillance. The ecosystem enables real-time data exchange, reduces duplicate testing, and supports interoperability goals including MIPS Measure PI_HIE_5.

Differentiator

Problem solved

Functional benefit

Products and services

• Clinical Viewer

Quantifiable outcome

• Reduce likelihood of hospital readmissions through patient event alerts
• +3 more outcomes

Named customers2 records

Segments1 record

Ideal customer profiles1 record

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature6 records

Partnerships

Four partnerships are on record, tiered core.

• Summit Medical GroupcoreTechnology or Integration · 11 June 2026Summit Medical Group provides imaging data to TnHIE, with radiology studies from June 11, 2026 onwards available in the Clinical Viewer for participating providers to access diagnostic images.
• Civitas for HealthcoreOthersProud member of Civitas for Health, a health information exchange advocacy and policy organization supporting HIE adoption and interoperability standards across the healthcare industry.
• eHealth ExchangecoreTechnology or IntegrationProud member of eHealth Exchange, a national health information exchange network enabling interoperability and data sharing across healthcare organizations nationwide.
• The Sequoia ProjectcoreStrategic or Co-development PartnerProud member of The Sequoia Project, a public-private collaborative focused on advancing health IT interoperability. TnHIE participates in initiatives to improve health data exchange standards and implementation.

Scale indicators1 record

Recent moves6 records

Expansion highlights5 records

Direct peers

• Health Current (Arizona HIE): Arizona's statewide HIE providing clinical information exchange, notifications, and analytics to providers across the state — same statewide HIE utility positioning as TnHIE.
• CORHIO: Colorado's designated HIE delivering bidirectional clinical data exchange, alerting, and public health reporting through a provider-membership model highly comparable to TnHIE's Tennessee operations.
• Healthix: One of the largest HIEs in the U.S. serving New York providers with longitudinal records, alerts, and population health tools — operates an analogous membership-based HIE model targeting hospital and ambulatory providers.
• Indiana Health Information Exchange (IHIE): One of the largest and longest-running statewide/regional HIEs in the U.S., operating a similar provider-membership model with clinical data exchange, alerts, and population health reporting capabilities that directly parallel TnHIE's offerings.
• Delaware Health Information Network (DHIN): Statewide HIE serving Delaware providers with a comparable community records utility model, including clinical viewer, results delivery, and public health reporting — structurally similar to TnHIE's service set.
• Vermont Information Technology Leaders (VITL): Designated statewide HIE for Vermont operating a comparable nonprofit/public-utility structure delivering clinical data exchange, results delivery, and quality reporting to Vermont providers.
• CRISP (Chesapeake Regional Information System for our Patients): Regional HIE covering Maryland and contiguous regions, offering clinical data exchange, alerts, care coordination, and public health reporting — a directly comparable multi-state HIE model to TnHIE.
• Georgia Health Information Network (GaHIN): Statewide HIE for Georgia offering exchange services, alerts, and connectivity to the national eHealth Exchange — a peer regional/statewide HIE utility in a Southeastern U.S. footprint.

Broad incumbents

• eHealth Exchange: The largest national health information network connecting federal agencies, providers, and HIEs (including TnHIE itself as a member) — represents the broader national-scale interoperability layer that competes for the same provider connectivity budget.
• CommonWell Health Alliance: A national interoperability network backed by major EHR vendors offering cross-vendor record location, retrieval, and exchange — competes with regional HIEs by enabling nationwide data sharing without a state-specific utility.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks5 records

Key highlights5 records

Customer concentration

• Xtwitter.com/ethin_hieintn?lang=en
• LinkedInlinkedin.com/company/east-tennessee-health-information-network-ethin-
• Facebookfacebook.com/sharer.php

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 etHIN