HSIsolutions

What HSIsolutions does

HSI Solutions is a privately held, member-governed healthcare services organization headquartered in Bismarck, North Dakota, founded in 1963 and serving healthcare providers across the Upper Midwest (North Dakota, South Dakota, and surrounding states). The company operates four interconnected service lines: (1) Medical Collections - end-to-end accounts receivable management covering early-out self-pay through bad debt recovery with HIPAA-compliant patient communication; (2) Supply Chain Optimization - group purchasing organization services delivered through a core partnership with Vizient, providing negotiated contracts across Med/Surg, Pharmacy, Food, and Capital Equipment categories with documented 10-15% cost savings, supported by spend analysis, utilization review, and performance benchmarking; (3) Peer Review Network - a digital platform facilitating external clinical expert assessment for Medicare regulatory compliance, particularly built for critical access hospitals; and (4) Strategic Partner Program - a vetted vendor marketplace with 10+ specialized partners spanning payments, workforce, pharmacy, IT/security, and financial services. Over 200 facilities reportedly benefit from HSI's programs.

The business model blends professional services fees (Medical Collections and Peer Review), managed-services revenue from Vizient GPO affiliation (administrative fees and cost-savings pass-through), and affiliate/referral fees from Strategic Partners. HSI does not publish pricing; engagements are quote-based and tailored to facility scope. Go-to-market is direct enterprise field sales targeting Critical Access Hospitals (under 25 beds in communities 60 or fewer miles from another facility) and acute care providers, with mid-funnel engagement through phone, toll-free lines, and contact forms. Marketing emphasizes educational content (articles on healthcare workforce, Gen Z, physician recruitment) and a LinkedIn presence.

Governance is distinctive: HSI's Board of Directors is composed of CEOs from member facilities including West River Health Services, Pembina County Memorial Hospital, Madison Hospital, Sakakawea Medical Center, St. Luke's Medical Center, and the North Dakota Hospital Association. No external investors, private equity ownership, or parent company are disclosed. The firm operates as a working regional cooperative-like entity serving the Dakotas' rural and critical access hospital ecosystem, with revenue, headcount, and financial details not publicly disclosed.

Name

HSIsolutions

Legal name

HSI Solutions

Website

https://hsisolutions.org

Company type

Private

Founded year

1963

Operating status

Operating

Headcount range

11–50 employees

Short description

HSI Solutions is a privately held, member-governed healthcare services firm headquartered in Bismarck, North Dakota, founded in 1963, providing medical collections, Vizient-affiliated group purchasing, digital peer review, and a vetted Strategic Partner Program to over 200 critical access and acute care hospitals across the Upper Midwest.

Ownership category

akta.pro rank

Product category

Healthcare Operations Services

SIC

Services-Health Services (8000)

akta.pro primary industry

Hospital Shared Services, GPOs & System Support Organizations (HLAFAAAO)

Keywords

• Medical collections services
• Healthcare procurement optimization
• Revenue cycle management
• Peer review network
• Group purchasing organization

Headquarters

HQ city

Bismarck

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Medical Collections Services: Comprehensive accounts receivable solutions covering the full revenue cycle from Early Out services through Bad Debt recovery. Revenue generated through professional service fees for collections work performed on behalf of healthcare providers.
2. Supply Chain Optimization: Group purchasing organization services through Vizient partnership. Revenue derived from administrative fees and cost savings pass-through for facilitating procurement contracts and optimization services for healthcare providers across Med/Surg, Pharmacy, Food, and Capital Equipment.
3. Peer Review Network: Digital peer review program providing external clinical assessment and regulatory compliance services. Revenue generated through fees for facilitating peer review processes for Medicare compliance requirements.
4. Strategic Partner Program: Vetted vendor portfolio program connecting healthcare facilities with specialized service providers. Revenue model involves administrative or referral fees for qualifying and connecting vendors with provider needs.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels3 records

Core offering

HSI Solutions delivers four interconnected healthcare operations services to providers in the Upper Midwest: Medical Collections (full-cycle AR recovery from Early Out through Bad Debt with HIPAA-compliant patient communication), Supply Chain Optimization (procurement analytics and group purchasing via the Vizient partnership), Peer Review Network (external clinical assessment for Medicare compliance), and a Strategic Partner Program that curates vetted specialty vendors. Together these services address revenue cycle, procurement, quality assurance, and innovation-adoption needs for rural and critical access hospitals.

Product overview

HSI Solutions provides a suite of four interconnected healthcare operational service products: Medical Collections handles revenue cycle management from early-out through bad debt recovery; Supply Chain Optimization delivers group purchasing through Vizient partnership for Med/Surg, Pharmacy, Food, and Capital Equipment; Peer Review Network provides external clinical assessment for compliance; and Strategic Partner Program acts as a vetted vendor marketplace. Together, these services address the full spectrum of healthcare operations challenges for providers across the Upper Midwest.

Differentiator

Problem solved

Functional benefit

Products and services

• Medical Collections Comprehensive accounts receivable solutions for healthcare providers, covering the full revenue cycle from Early Out services through Self-Pay follow-up and Bad Debt recovery, with HIPAA-compliant patient communication across phone, mail, and digital channels designed to preserve patient-provider relationships while recovering owed revenue.
• Supply Chain Optimization Healthcare procurement optimization delivered through the Vizient Strategic Marketing Affiliate partnership, providing spend analysis, contract optimization, utilization review, market intelligence, and performance benchmarking across Med/Surg, Pharmacy, Food, and Capital Equipment categories for hospitals in the Upper Midwest.
• Peer Review Network Digital peer review platform built for critical access hospitals in North Dakota that facilitates external expert clinical assessment against accepted standards, supporting quality assurance and Medicare compliance through a rigorous review process.
• Strategic Partner Program Innovation scout program acting as a dedicated curator of specialized vendors for healthcare facilities across the Upper Midwest, providing vetted access, needs matching, risk reduction, and expanded reach to clinical and operational tools.

Quantifiable outcome

• 10-15% cost savings across healthcare operations through Vizient contract optimization
• +1 more outcomes

Named customers6 records

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature6 records

Partnerships

Eleven partnerships are on record, tiered core and minor.

• VizientcoreStrategic or Co-development PartnerHSI is a Vizient Strategic Marketing Affiliate, providing healthcare providers access to negotiated contracts and advisory support that drive 10-15% cost savings. This partnership combines Vizient's national scale with HSI's local expertise across Med/Surg, Pharmacy, Food, and Capital Equipment categories.
• AblePayminorStrategic or Co-development PartnerStrategic partner included in HSI's vetted portfolio providing payment solutions to healthcare facilities.
• Jackson Physician SearchminorStrategic or Co-development PartnerStrategic partner in HSI's network addressing physician and provider recruitment needs for healthcare facilities.
• MCAGminorStrategic or Co-development PartnerStrategic partner in HSI's vetted vendor portfolio serving healthcare operational needs.
• Medical SolutionsminorStrategic or Co-development PartnerWorkforce solutions partner addressing healthcare staffing and talent ecosystem needs, featured in HSI articles on workforce topics.
• Modern CapitalminorStrategic or Co-development PartnerFinancial services partner in HSI's Strategic Partner Program portfolio.
• SunRxminorStrategic or Co-development PartnerPharmacy-focused partner in HSI's vetted portfolio providing pharmaceutical services to healthcare facilities.
• Modus One HealthminorStrategic or Co-development PartnerHealth technology partner in HSI's Strategic Partner Program ecosystem.
• PaymerangminorStrategic or Co-development PartnerAccounts payable automation partner in HSI's vetted vendor portfolio.
• LumifiminorStrategic or Co-development PartnerIT/security partner in HSI's Strategic Partner Program providing cybersecurity solutions.
• VertminorStrategic or Co-development PartnerPartner in HSI's vetted portfolio addressing healthcare technology or operational needs.

Scale indicators2 records

Recent moves5 records

Expansion highlights4 records

Broad incumbents

• Optum (UnitedHealth Group): Optum operates one of the largest healthcare services and analytics platforms, including revenue cycle, population health, and provider enablement. Competes with HSI in revenue cycle management but as part of a much broader healthcare portfolio.
• Parallon: Parallon, a HCA Healthcare subsidiary, offers a broad suite of healthcare shared services including revenue cycle, supply chain, and workforce solutions to hospitals nationwide. Overlaps with HSI across collections, procurement, and operational support but at significantly larger scale.
• Symplr: Symplr provides healthcare governance, risk, compliance, and workforce management software. Adjacent to HSI's Peer Review Network for clinical compliance but at much broader scope and scale across larger hospital systems.

Direct peers

• Premier Inc: Premier is one of the two largest US healthcare GPOs, offering group purchasing, supply chain analytics, and performance services to hospitals and health systems—directly competing with HSI's Vizient-enabled supply chain offering for hospital procurement contracts.
• CIOX Health: CIOX Health provides healthcare information management, release of information, and clinical data services for hospitals and providers. Comparable to HSI in supporting hospital compliance and information workflow needs in a relationship-led, regional model.
• Vizient: Vizient is the largest GPO and healthcare performance improvement company in the US. HSI operates as a Vizient Strategic Marketing Affiliate, so Vizient is both partner and direct counterpart for supply chain and performance benchmarking services to hospitals, making it the most directly comparable peer.
• R1 RCM: R1 RCM is a leading provider of technology-driven revenue cycle management solutions for hospitals and healthcare providers. Directly comparable to HSI's Medical Collections and revenue cycle services for healthcare facilities.
• Conifer Health Solutions: Conifer provides revenue cycle management, patient access, and value-based care services for hospitals and health systems. Directly comparable to HSI's Medical Collections offering covering early-out through bad debt recovery.
• HealthTrust Performance Group: HealthTrust is a GPO serving hospitals and ambulatory providers with group purchasing, supply chain, and workforce solutions. Comparable to HSI's supply chain optimization product targeting community and critical access hospitals.

Emerging players

• Quadax: Quadax provides healthcare revenue cycle, claims management, and remittance solutions with a particular focus on smaller hospitals and provider organizations—an emerging peer with overlapping RCM functionality to HSI's Medical Collections service for community facilities.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/company/hsisolutions
• Facebookfacebook.com/HSIsolutions

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles11 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 HSIsolutions