Consortium for State and Regional Interoperability

What Consortium for State and Regional Interoperability does

The Consortium for State and Regional Interoperability (CSRI) is a nonprofit consortium founded in February 2021 and headquartered in Indianapolis, Indiana, that brings together six of the largest nonprofit health data networks in the United States: Contexture, CRISP, CyncHealth, Indiana Health Information Exchange, Manifest MedEx, and New York eHealth Collaborative. Collectively, these member organizations connect over 100 million patient records across multiple states and provide health information exchange, care coordination, public health reporting, and analytics services to providers, payers, public health agencies, Medicaid programs, researchers, and patients. CSRI's stated mission is to ensure that every state has a statewide Health Data Utility enabling better population health.

CSRI's core deliverables are two standardized frameworks rather than software products. The Health Data Utility (HDU) Maturity Model, launched in April 2023 at HIMSS23, is a three-tiered structure for states and health data organizations to clarify and apply the HDU concept. The more granular HDU Capability Model, launched in October 2025 and refined in May 2026, maps over 170 capabilities across five stakeholder groups (providers, payers, public health agencies, researchers, and patients) and four advancement levels (Emerging, Foundational, Advanced, Aspirational), supported by a weighted scoring methodology for comparing HDU performance. Both the Capability Model and related resources are distributed publicly at no cost; HDU self-assessments are offered free to member organizations and available to other HIEs on inquiry.

CSRI is funded through membership dues from its six anchor member organizations, with functional roles (CEO, marketing, legal, finance, multi-state initiatives) staffed by executives seconded from those member networks. The organization extends its reach through partnerships—most notably with Civitas Networks for Health and eHealth Exchange (for TEFCA participation)—and pursues a thought-leadership go-to-market via industry conferences, webinars, media coverage, and active social channels. Leadership transitioned in January 2026 with the appointment of J. Marc Overhage, M.D., Ph.D. as CEO.

Name

Consortium for State and Regional Interoperability

Legal name

Consortium for State and Regional Interoperability

Website

https://thecsri.org

Company type

Private

Founded year

2021

Operating status

Operating

Headcount range

11–50 employees

Short description

CSRI is a nonprofit consortium of six large U.S. health data networks collectively managing 100+ million patient records. It develops standardized frameworks—the HDU Maturity Model and HDU Capability Model—to assess and advance Health Data Utilities across states.

Ownership category

akta.pro rank

Product category

Healthcare Interoperability Services

NAICS

Business Associations (813910), Computer Systems Design and Related Services (5415)

SIC

Services-Membership Organizations (8600), Services-Health Services (8000)

akta.pro primary industry

Data Access, Sharing & Marketplace Platforms (incl. TEFCA/QHIN enablement) (HLACAIAL)

akta.pro secondary industries

Data Governance, Standards & Interoperability (ICD, HL7/FHIR, LOINC, SNOMED) (HLAJAJAM), Data, Surveillance & Digital Public Goods Partnerships for Global Health (HLAJAOAN), Consent, Authorization & Data Sharing Governance (opt-in/opt-out, DS4P) (HLACABAG)

Keywords

• Health data interoperability
• Health information exchange
• Health data utility
• Healthcare interoperability standards
• Clinical data exchange

Headquarters

HQ city

Denver

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Membership Dues: CSRI is funded through membership contributions from its member nonprofit health data networks (Contexture, CRISP, CyncHealth, Indiana Health Information Exchange, Manifest MedEx, and NYeC).

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels6 records

Core offering

CSRI is a member-driven nonprofit consortium of the nation's largest nonprofit health data networks that develops and disseminates interoperability frameworks, most notably the Health Data Utility (HDU) Maturity Model and the HDU Capability Model. These frameworks standardize how state and regional health data utilities are characterized and assessed across five stakeholder groups, providing public-good thought leadership, assessment tools, and policy advocacy rather than commercial software.

Product overview

The Consortium for State and Regional Interoperability (CSRI) is a collection of nonprofit health data networks that has developed two key frameworks for standardizing Health Data Utilities (HDUs). The HDU Maturity Model (Version 1.0, April 2023) provides a three-tiered framework for assessing HDU advancement, while the HDU Capability Model (October 2025, updated May 2026) offers a more detailed stakeholder-driven approach with over 170 capabilities mapped across four levels (Emerging, Foundational, Advanced, Aspirational) to five stakeholder groups (providers, payers, public health agencies, researchers, patients). These frameworks serve as industry standards and assessment tools rather than software products.

Differentiator

Problem solved

Functional benefit

Products and services

• Health Data Utility Capability Model A stakeholder-driven framework that maps over 170 capabilities across five stakeholder groups (providers, payers, public health agencies, researchers, and patients) across four advancement levels (Emerging, Foundational, Advanced, Aspirational), used by health data utilities and state agencies to assess and benchmark HDU performance; publicly available at no cost via thecsri.org.
• Health Data Utility Maturity Model A three-tiered maturity framework launched in April 2023 that provides a simplified structure for states and health data organizations to clarify, advance, and apply the Health Data Utility concept, used as a strategic communication and guidance tool for HDU advancement.

Quantifiable outcome

• 100+ million patient records connected across member networks
• +2 more outcomes

Named customers6 records

Segments6 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Two partnerships are on record, tiered core and flagship.

• Civitas Networks for HealthcoreStrategic or Co-development Partner · 6 October 2025CSRI and Civitas maintain a collaborative relationship critical to advancing the HDU model. CSRI members participate in Civitas Governance, Government Relations and Advocacy Council, and the HDU Steering Council. Civitas serves as a platform enabling unified voice for health data exchange best practices across its 160+ member organizations, including CSRI members.
• eHealth ExchangeflagshipStrategic or Co-development Partner · 24 January 2023CSRI announced partnership intentions with eHealth Exchange to participate in ONC's TEFCA (Trusted Exchange Framework and Common Agreement) as a Qualified Health Information Network (QHIN). The five founding CSRI member organizations intend to participate in TEFCA through eHealth Exchange once designated.

Scale indicators4 records

Recent moves6 records

Expansion highlights5 records

Broad incumbents

• HIMSS: Largest global health IT membership and convening organization. CSRI presents at HIMSS conferences and shares overlapping audiences; HIMSS is a broader incumbent (events, education, advocacy) where CSRI is a niche specialist in HIE/HDU frameworks.

Direct peers

• Carequality: Multistakeholder interoperability framework that operationalizes record-sharing agreements among HIEs, EHRs, and networks. Directly comparable to CSRI's role in convening exchange frameworks for clinical data across heterogeneous members.
• Manifest MedEx: Largest nonprofit health data network in California and a CSH qualified HIO; founding CSRI member. Directly comparable as a large, state-scale nonprofit HIE/HDU operationalizing the very capabilities CSRI's model defines.
• Civitas Networks for Health: National nonprofit association of 160+ HIE/HDU organizations and health data networks. CSRI participates in Civitas's governance and advocacy councils, and the two co-host webinars - making Civitas the closest functional peer (industry association for HIEs) to CSRI's consortium model.
• Contexture: Umbrella nonprofit operating health data networks in Colorado and Arizona; a founding CSRI member. Comparable as a multi-state nonprofit HIE/HDU that delivers the operational data services modeled in CSRI's framework.
• CommonWell Health Alliance: Vendor-led HIE interoperability consortium providing nationwide person-data exchange across EHR platforms. Comparable to CSRI as a multi-stakeholder health-data exchange consortium, although CommonWell is technology-vendor governed rather than nonprofit-HIE governed.
• The Sequoia Project: Nonprofit that operates the eHealth Exchange QHIN and previously incubated TEFCA policy work. Directly comparable as the policy-and-framework convener adjacent to CSRI's TEFCA pathway; CSRI's eHealth Exchange partnership mirrors Sequoia's broader network-design role.

Emerging players

• DirectTrust: Nonprofit standards and trust-framework body for health information exchange (Direct exchange, directories, accreditation). Comparable in mission (standards/assurance for health data exchange) and adjacent to CSRI's framework-publishing role, though focused on identity and trust versus HDU capability assessment.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks5 records

Key highlights6 records

Customer concentration

• Xx.com/HlthDataUtility
• LinkedInlinkedin.com/company/csri-the-consortium-for-state-and-regional-interoperability

Revenue estimate

Valuation estimate

Number of profiles

Profiles12 records

Funding overview

Funding rounds

Investors

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M&A

Investments

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Frequently asked questions about Consortium for State and Regional Interoperability