Epiphany Healthcare

What Epiphany Healthcare does

Epiphany Healthcare was a Midlothian, Virginia-based healthcare technology company founded in 2004 that developed Cardio Server, a web-based, multi-modality ECG management platform serving hospital cardiology departments, integrated delivery networks (IDNs), and critical access hospitals. The company's core technology is a standards-based, HTML-driven application deployed on standard IIS web servers (no ActiveX, Flash, or .NET dependencies), available as either a single-tenancy cloud service on Microsoft Azure or an on-premise installation, and accessible from iOS or Android devices via a responsive mobile interface that does not persist patient data locally. Cardio Server unifies more than 25 diagnostic modalities — including resting ECG, 12-lead ECG, Holter, stress testing, PFT, CPET, event monitoring, pacemaker follow-up, cardiac rehab, defibrillator checks, ambulatory blood pressure, EEG, and non-invasive vascular — across 260+ device types from over 80 vendors, and exchanges data bidirectionally with all major EMRs (Epic, Meditech, Cerner, McKesson, Allscripts, NextGen, Siemens, Athenahealth) using an internally developed, customizable HL7 interface. The product held ISO 27001 certification across products and locations at the time of acquisition, a posture no other ECG management vendor in the niche matched, and supported HIPAA-compliant data handling with 24/7/365 US-based support.

The business model relied primarily on recurring software subscription revenue (annual billing for cloud and on-premise licenses, with cloud subscriptions bundling hardware, upgrades, patches, third-party software updates, and disaster recovery) plus professional-services fees for implementation, project management, and on-site training. Go-to-market was enterprise field sales direct to hospitals and IDNs, complemented by the Welch Allyn distributor network and cloud infrastructure on Microsoft Azure; pricing was quote-based rather than publicly listed. Cardio Server had been deployed at 1,100+ healthcare facilities across North America, Europe, Asia and Australia, and Latin America. Epiphany Healthcare was acquired by Baxter International, and Cardio Server now operates within Baxter's diagnostic cardiology portfolio under the Hillrom brand.

Name

Epiphany Healthcare

Legal name

Epiphany Healthcare

Website

https://epiphanyhealthdata.com

Company type

Private

Founded year

2004

Operating status

Acquired

Headcount range

51–100 employees

Short description

Epiphany Healthcare, founded in 2004 in Midlothian, Virginia, developed Cardio Server — a web-based, multi-modality ECG and diagnostic cardiology management platform integrating 260+ devices from 80+ vendors with major EMRs, serving hospitals and IDNs globally before being acquired by Baxter International.

Ownership category

akta.pro rank

Product category

Diagnostic Cardiology Software

NAICS

Software Publishers (5132)

SIC

Services-Prepackaged Software (7372)

akta.pro primary industry

EHR Extensions, APIs, App Marketplaces & SMART-on-FHIR Apps (HLACAAAN)

akta.pro secondary industry

ePrescribing, Lab/Imaging Orders & Results Integration (HLALAKAJ)

Keywords

• ECG management software
• Diagnostic cardiology platform
• Multi-modality cardiology
• Cardiac data management
• EMR integrated cardiology

Headquarters

HQ city

Midlothian

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, Marketing or Sales, Infrastructure

Revenue model

1. Software Subscription/Licensing: Cardio Server is sold as a software solution with cloud subscription and on-premise deployment options. Cloud subscription includes server hardware, patches, upgrades, third-party software updates, backup and disaster recovery. Support agreements include all upgrades with professional service fees for project management and implementation.
2. Professional Services: Implementation services, project management, and on-site training provided as separate professional service fees.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels5 records

Core offering

Epiphany Healthcare develops and sells Cardio Server, a web-based ECG and multi-modality diagnostic cardiology management system that ingests, edits, confirms, and distributes cardiac diagnostic test data from over 260 devices across 80 vendors and 25 modalities. The platform is available as an on-premise deployment or cloud-hosted on Microsoft Azure, integrates bidirectionally with all major EMRs via an internally developed HL7 tool, and includes mobile access for iOS and Android. The product is now part of Baxter International's cardiology portfolio.

Product overview

Epiphany Healthcare (now part of Baxter/Hillrom) offers Cardio Server as a unified ECG and diagnostic cardiology management platform. The core product is the Cardio Server ECG Management System, a multi-modality software solution supporting 25 diagnostic modalities and over 260 devices from 80 vendors. The platform is available in two deployment options: on-premise and Cardio Server Cloud hosted on Microsoft Azure. Key modules include Cardio Server Mobile for iOS/Android mobile access, Rhythm Strip Management (RSM) for automated rhythm strip handling, and Analytica for revenue and billing analytics. Additional features include Modality Worklist for bi-directional device communication, PDF Import Tool for document ingestion, and Intelligent Serial Comparison for ECG change analysis. The platform integrates natively with all major EMR systems including Epic, Meditech, Cerner, and Siemens via internally developed HL7 tools, and supports various device manufacturers including GE, Philips, Welch Allyn, Mortara, and Schiller. The company holds ISO 27001 certification for its products and locations, and offers 24/7/365 customer support.

Differentiator

Problem solved

Functional benefit

Brands

• Cardio Server: ECG management system software for managing diagnostic cardiology modalities, previously branded as Epiphany Cardio Server. Now part of Baxter's cardiology portfolio. Supports over 260 devices from over 80 vendors in 25 diagnostic modalities, available in cloud and on-premise deployments.

Products and services

• Cardio Server ECG Management System Web-based multi-modality diagnostic cardiology management system for hospitals and IDNs that ingests, edits, confirms, and distributes ECG and other cardiac diagnostic test data, integrates bidirectionally with all major EMRs, and supports 3 to 250 concurrent users and millions of ECGs.
• Cardio Server Cloud Cloud-hosted deployment of Cardio Server on Microsoft Azure with single-tenancy architecture per hospital system, including server hardware, periodic upgrades, patches, backup/disaster recovery, and third-party software updates, converting capital expense to operating expense.
• Cardio Server Mobile Mobile companion to Cardio Server using responsive web technology that allows physicians to securely access, view, edit, and confirm ECG studies from iOS and Android devices anywhere without storing patient data on the device.

Quantifiable outcome

• Physicians receive results three times faster than before
• +3 more outcomes

Named customers5 records

Segments3 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

Yes

API docs

API detail

Core technology

AI maturity

App detail

Integration27 records

Feature6 records

Partnerships

Eight partnerships are on record, tiered core.

• Microsoft AzurecoreTechnology or IntegrationCloud infrastructure provider for Cardio Server Cloud deployment. Provides single-tenancy architecture with servers centrally located to customer hospital systems. Manages backups and disaster recovery with production environment and storage maintained at alternate Azure location.
• EpiccoreTechnology or IntegrationEMR integration partner. Cardio Server has bidirectional HL7 interface with Epic for order receipt and result distribution including waveforms.
• MeditechcoreTechnology or IntegrationEMR integration partner. Cardio Server supports bidirectional HL7 integration with Meditech systems.
• CernercoreTechnology or IntegrationEMR integration partner. Cardio Server has deployed HL7 integration to Cerner EMR systems.
• GE HealthcarecoreTechnology or IntegrationMajor cardiograph vendor partner. Supports modality worklists with GE cardiographs including wireless transfer from MAC 5000/5500 cardiographs. GE DICOM Gateway Pro may be required for interface.
• Philips HealthcarecoreTechnology or IntegrationMajor cardiograph and patient monitoring partner. Supports Philips PIIC Classic and PIIC iX Information Centers. Philips patient monitoring exports to MUSE via Datamed format.
• SchillercoreTechnology or IntegrationCardiograph vendor partner with modality worklist support for Schiller cardiographs.
• Nihon KohdencoreTechnology or IntegrationCardiograph vendor partner with modality worklist support for Nihon Kohden cardiographs.

Scale indicators5 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• GE Healthcare MUSE: MUSE is the legacy incumbent ECG management system from GE Healthcare, widely deployed in large hospital systems. Cardio Server explicitly positions itself as a multi-vendor alternative and supports data migration from MUSE — making it the most directly comparable competitor.
• Philips IntelliSpace ECG: Philips IntelliSpace ECG is the ECG management counterpart to Philips cardiographs and PIIC monitoring, offering tightly integrated ECG storage and review for hospitals. It overlaps directly with Cardio Server in cardiology departments using Philips equipment.
• Cardiac Science: Cardiac Science manufactures cardiology diagnostic devices (ECGs, stress, Holter) with associated management software. Cardio Server integrates with Cardiac Science via Datamed translators, positioning them as adjacent peers competing for the same hospital cardiology spend.
• Nihon Kohden ECG Management: Nihon Kohden provides cardiology devices and accompanying ECG management software, with modality worklist support that Cardio Server integrates with. Competes for hospital cardiology contracts, particularly in Asia and Europe.
• Welch Allyn / Mortara (now part of Baxter): Mortara (acquired by Hillrom, now Baxter) historically offered ECG management solutions tied to Welch Allyn/Mortara cardiographs. As sibling products now within Baxter's portfolio, they are the most strategically aligned peers with overlapping device ecosystems.
• iCardio (Optum / UnitedHealth): iCardio was a cloud-native ECG management platform acquired by Optum. It is a direct functional competitor to Cardio Server, particularly for ambulatory and remote ECG interpretation use cases.
• Schiller Medilog DARWIN: Schiller's Medilog DARWIN platform provides ECG and Holter management tightly coupled to Schiller cardiographs. It competes for the same cardiology-department workflow as Cardio Server, especially in European hospital networks.

Emerging players

• Epic (EpicCare ECG module): Epic's EHR increasingly embeds native ECG viewing and ordering workflows. While not a standalone ECG management product, Epic's roadmap represents the most significant long-term competitive threat to third-party ECG management layers like Cardio Server.

Broad incumbents

• Baxter International (Cardiology portfolio): Baxter now owns Cardio Server via its Hillrom acquisition and is also the parent of competing ECG device/management assets (legacy Welch Allyn, Mortara). It is both the acquirer and a broader incumbent shaping the competitive landscape for the Cardio Server product line.
• Spacelabs Healthcare (OSI Systems): Spacelabs offers patient monitoring and cardiology diagnostic solutions including ECG management within a broader hospital monitoring portfolio. It competes for similar cardiology and patient monitoring RFPs as Cardio Server.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/epiphhealth
• YouTubeyoutube.com/user/HillRomVideo
• Facebookfacebook.com/BaxterInternational
• LinkedInlinkedin.com/company/baxter-healthcare
• Instagraminstagram.com/baxter_intl

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

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 Epiphany Healthcare