Hawaii Health Information Exchange

What Hawaii Health Information Exchange does

Hawaii Health Information Exchange (HHIE) is a 501(c)(3) non-profit organization founded in 2006 and designated by the State of Hawaii in September 2009 as the exclusive statewide health information exchange. The organization operates the Health eNet platform, whose core product is the Community Health Record (CHR) — a single sign-on portal that consolidates 2.2 million patient records from approximately 30 healthcare organizations across Hawaii. The platform connects all 23 of 23 acute care hospitals statewide, integrates with 35+ different EHR systems, and supports 30 million messages exchanged annually among 1,900+ active provider users. Additional capabilities include the Notify real-time encounter-alert system, an Electronic Referrals Management System, Direct Secure Messaging for HIPAA-compliant provider-to-provider communication, the NextGate Enterprise Master Patient Index for patient matching, the 4medica Health Data Quality Platform for duplicate-record remediation, and FairWarning privacy monitoring.

HHIE generates revenue through three primary streams: (1) annual provider subscriptions with a $680/year base fee for independent providers, (2) hospital and health-system data-sharing agreements (HMSA, Queen's, Hawaii Pacific Health, Kaiser Permanente Hawaii, Castle, and others), and (3) state appropriations and federal grants. Since inception, HHIE has received approximately $12.5 million in federal and private funding, with the Hawaii State Legislature appropriating $825,000 in operational funding for 2014. Customer segments include independent physicians and clinics, hospitals and health systems, health plans and payers, government health agencies (Hawaii Department of Health, VA Pacific Islands, Med-QUEST), and social-services organizations such as the Hawaii Homeless Healthcare Hui.

The organization is governed by a board representing Hawaii's major healthcare stakeholders and led by CEO Rahul Maitra (since September 2024, succeeding Francis Chan), alongside COO Albert Ogata, CMO Dr. Rebecca Burton, and CFO Amy Corbisier. HHIE's strategic priorities are codified in a 2025-2028 Strategic Plan and center on completing statewide hospital coverage (achieved November 2023), expanding data-quality services, supporting public-health surveillance, and extending use cases into community-health and disaster-response scenarios such as the August 2023 Maui wildfires.

Name

Hawaii Health Information Exchange

Legal name

Hawaii Health Information Exchange

Website

https://hawaiihie.org

Company type

Private

Founded year

2006

Operating status

Operating

Headcount range

1–10 employees

Short description

Hawaii Health Information Exchange operates the state-designated health information exchange for Hawaii, connecting all 23 acute care hospitals and 1,900+ providers through its Health eNet Community Health Record platform serving 2.2 million patients.

Ownership category

akta.pro rank

Product category

Health Information Exchange

NAICS

Administration of Public Health Programs (92312), Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (518)

SIC

Services-Health Services (8000)

akta.pro primary industry

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

akta.pro secondary industries

Payer-Provider Data Exchange (X12, prior auth, claims/clinical attachment) (HLACABAK), Public Health & Immunization Data Exchange (ELR, case reporting, registry reporting) (HLACABAL), Health Information Exchange & Public Health Data Integration (HLAJAJAD)

Keywords

• Health information exchange
• Community health records
• Healthcare interoperability
• Electronic referrals
• Secure provider messaging

Headquarters

HQ city

Honolulu

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, Infrastructure, Operations, Marketing or Sales

Revenue model

1. Provider Subscriptions: Annual subscription fees from healthcare providers, clinics, pharmacies, and other healthcare entities for access to the health information exchange platform and services. Base subscription costs $680 per year for independent providers.
2. Hospital Data Sharing Agreements: Revenue from hospitals sharing patient clinical records through Health eNet. Financial details vary by scope of services and are confidential.
3. State/Federal Funding: HHIE received approximately $12.5 million in federal and private funding since its inception, including $825,000 in state operational funding for 2014. Emergency COVID-19 funding from Med-QUEST Division supported increased data sharing during the pandemic.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels8 records

Core offering

Hawaii Health Information Exchange operates the Health eNet platform, a state-designated health information exchange that provides a Community Health Record (CHR) portal consolidating real-time patient data (demographics, labs, medications, discharge summaries) from all 23 Hawaii acute care hospitals and hundreds of provider organizations. It complements the CHR with the Notify real-time encounter alert system, an Electronic Referrals Management System, Direct Secure Messaging, and provider onboarding/training services delivered to subscribing providers, clinics, hospitals, payers, and government health agencies across Hawaii.

Product overview

Hawaii Health Information Exchange operates as a state-designated health information exchange offering a unified platform called Health eNet. The core product is the Community Health Record (CHR), a single sign-on portal providing access to patient data from 23 acute care hospitals and 1,350+ providers across Hawaii. The platform includes the Notify real-time notifications module for care coordination, an Electronic Referrals Management System for seamless referrals, and the HHIE PASS registration portal for provider onboarding. The system unifies disparate medical record systems from nearly 30 healthcare organizations, supporting 30 million messages annually, and provides training, help desk, and consulting services to subscribers.

Differentiator

Problem solved

Functional benefit

Brands

• Health eNet Suite of Services: Complete suite of health information exchange services including Community Health Record, electronic referrals, and Direct Secure Messaging.
• HHIE
• Hawai'i HIE

Quantifiable outcome

• Portal usage doubled from 37,000 to 75,000 patient charts viewed per month during COVID-19 pandemic
• +5 more outcomes

Named customers14 records

Segments5 records

Ideal customer profiles4 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration5 records

Feature7 records

Partnerships

Eight partnerships are on record, tiered minor and core.

• Maui Healthcare Providers (Wildfire Response)minorChannel Partner/ Reseller/ Distributor · 1 August 2023No-cost access offered to providers on Maui and others serving affected residents for six months following August 2023 wildfires. Enables providers to access patient demographics, insurance, clinical history, lab results, and medication histories to deliver optimal care.
• 4medicacoreTechnology or Integration · 14 February 2023Partnership with 4medica's cloud-based Health Data Quality Platform to identify and reduce duplicate patient records. 4medica found to resolve duplicate record differences down to 1%. Addresses the finding that 20% of Hawaii's total records are duplicates, accounting for 1.4 million people.
• FairWarningcoreTechnology or Integration · 1 May 2019Implementation of FairWarning proactive privacy monitoring solution to monitor each user's Health eNet activity. Ensures compliance with healthcare regulations and Health eNet Operational Policies, helping reduce unauthorized access to patient information.
• IllumiCarecoreTechnology or Integration · 1 January 2019IllumiCare developed HHIE app on Smart Ribbon platform for Queen's Medical Center, providing clinicians with full patient history from all Hawaii hospitals via EMR integration. App designed as toolbar hovering over EMR screen, reducing clicks to access Community Health Record. Expanding to other Hawaii health systems.
• Hawaii Homeless Healthcare Hui (H-4)coreStrategic or Co-development Partner · 1 January 2019HHIE provides real-time patient information for H-4 team to deliver quality preventive care and management to Honolulu's homeless. H-4 is public-private partnership with funding from state/city government and private contributions. H-4 provides transitional housing and healthcare services for homeless patients to prevent hospital readmissions.
• NextGatecoreTechnology or Integration · 31 October 2018Partnership to implement NextGate's Enterprise Master Patient Index (EMPI) Patient Matching as a Service and cloud-based Provider Registry. Solution creates sustainable statewide system of accurate patient and provider data by resolving duplicate and incomplete records for enhanced care collaboration. NextGate manages patient identities for more than two-thirds of the U.S. population.
• DirectTrust.orgminorStrategic or Co-development PartnerAffiliation with DirectTrust.org, a non-profit entity supporting Direct exchange for provider-to-provider and patient-to-provider health information exchange. DirectTrust fosters widespread public confidence in Direct exchange consistent with HITECH Act and NwHIN governance rules.
• eHealth ExchangeminorStrategic or Co-development PartnerAffiliation with eHealth Exchange, a rapidly growing network of exchange partners securely sharing clinical information across the U.S. using standardized approach. Spans all 50 states and is the largest health data sharing network in the U.S.

Scale indicators16 records

Recent moves9 records

Expansion highlights6 records

Direct peers

• Indiana Health Information Exchange (IHIE): One of the largest and longest-operating community HIEs in the US, connecting hospitals, physicians, and labs across Indiana. Comparable as a non-profit HIE providing clinical messaging, results delivery, and population health services to a defined regional provider base.
• CORHIO (Colorado Regional Health Information Organization): Colorado's state-designated HIE offering clinical data exchange, notifications, and analytics to hospitals, providers, and payers. Comparable as a non-profit statewide HIE with subscription-based provider participation model.
• Health Current (Arizona): Arizona's state-designated HIE, providing a Community Health Record and analytics services to participating providers. Directly comparable in mission, structure, and value proposition to HHIE.
• Nebraska Health Information Initiative (NEHII): Nebraska's statewide HIE providing clinical information exchange, prescription drug monitoring, and analytics. Comparable as a non-profit, state-designated HIE serving providers and payers in a defined geographic region.
• Michigan Health Information Network (MiHIN): Michigan's statewide HIE providing health information exchange services to providers, hospitals, and payers. Comparable as a non-profit, state-designated HIE with Active Care Relationships, notifications, and quality measurement services.
• Vermont Information Technology Leaders (VITL): Vermont's state-designated HIE operating a statewide clinical data exchange. Comparable as a small-state, non-profit HIE with state funding and provider subscription model similar to HHIE.
• Delaware Health Information Network (DHIN): Delaware's state-mandated HIE, the first operational statewide HIE in the US. Highly comparable to HHIE as a small-state non-profit HIE designated by state government with hospital connectivity mandates.
• Chesapeake Regional Information System for Patients (CRISP): State-designated HIE serving Maryland, DC, and West Virginia with similar statewide hospital connectivity mandate and subscription-based provider access model. CRISP is the most direct analog to HHIE's role as a state-mandated health information exchange.

Broad incumbents

• eHealth Exchange: The largest US health data sharing network spanning all 50 states. HHIE is already an affiliate; eHealth Exchange is comparable as a peer network operator, though it serves a national rather than single-state footprint.

Others

• Medicity (Health Catalyst): Provides the Notify platform powering HHIE's real-time notifications, and is part of Health Catalyst. Comparable as a technology vendor enabling HIE functionality and care coordination across provider networks.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/hawaii-health-information-exchange

Compliance2 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 Hawaii Health Information Exchange