State Health Alliance for Records Exchange

What State Health Alliance for Records Exchange does

State Health Alliance for Records Exchange (SHARE) is Arkansas's state-designated health information exchange, established by 2011 statute and operating under the Office of Health Information Technology within the Arkansas Department of Health. The organization functions as a centralized interoperability hub aggregating clinical data from more than 70 distinct EMR platforms across 118 hospitals, over 3,400 data-contributing clinical facilities, and more than 900 data-receiving facilities, with connections to all 94 county Local Health Units and all 75 Arkansas counties. Its core product surface includes the foundational HIE platform, a Virtual Health Record (VHR) longitudinal patient viewer, DirectTrust Secure Messaging, Continuity of Care Document exchange, ADT notifications, hospitalization reports, 90-day readmission alerts, and a suite of public health reporting modules (immunization, electronic lab reporting, syndromic surveillance, cancer registry, electronic case reporting, newborn screening). SHARE also serves as Arkansas's exclusive gateway to the eHealth Exchange national network and participates in the Patient Centered Data Home, with stated plans to join a QHIN under TEFCA.

SHARE's customer base spans hospitals and health systems, physicians and physician practices, health plans and payers, EMS providers, behavioral health organizations, specialty practices (oncology, gastroenterology, dermatology, women's health), state agencies, and community-based nonprofits. Its go-to-market is direct enterprise field sales, signing multi-year participation agreements with healthcare organizations and providing integration support to connect their EMRs to the statewide network.

Commercially, SHARE is a state-designated nonprofit, not a venture-backed company; it has no equity, no parent company in the private-sector sense, and no funding rounds. Revenue is generated through a mix of state appropriations, federal grants (including HITECH Act funding), and participant fees negotiated directly with participating healthcare organizations. Pricing is not publicly disclosed. In 2024, SHARE was recognized as an emerging Health Data Utility, signaling a strategic evolution from point-to-point clinical data exchange toward broader public health data infrastructure.

Name

State Health Alliance for Records Exchange

Legal name

State Health Alliance for Records Exchange

Website

https://sharearkansas.com

Company type

Private

Founded year

2011

Operating status

Operating

Headcount range

101–250 employees

Ownership category

akta.pro rank

Product category

Health Information Exchange

NAICS

Health Care and Social Assistance (62), Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (518)

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

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

Keywords

• Health information exchange
• Clinical data interoperability
• EMR integration services
• Public health reporting
• Patient care coordination

Headquarters

HQ city

Little Rock

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

Revenue model

1. Public Health Data Services: SHARE operates as a public utility under the Arkansas Department of Health, providing health information exchange services to healthcare providers, payers, and state agencies. The organization appears to be funded through a combination of state appropriations, federal grants (including HITECH Act programs), and participant fees for data exchange services.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels5 records

Core offering

SHARE operates Arkansas' statewide Health Information Exchange (HIE) platform, aggregating and bi-directionally exchanging patient clinical data across 118+ hospitals and 3,400+ clinical facilities statewide. The platform provides a Virtual Health Record viewer, DirectTrust secure messaging, ADT/hospitalization notifications, 90-day readmission alerts, CCD exchange, and automated public health reporting to hospitals, physicians, payers, EMS, behavioral health providers, and state agencies.

Product overview

SHARE (State Health Alliance for Records Exchange) is Arkansas's state-designated Health Information Exchange and emerging Health Data Utility, operating under the Arkansas Office of Health Information Technology within the Arkansas Department of Health. Established by state statute in 2011, it functions as a centralized interoperability hub that connects over 70 different EMR platforms across 118+ hospitals, 3,400+ clinical facilities contributing data, and 900+ facilities receiving data statewide. The core platform is the Health Information Exchange (HIE) Platform, which aggregates clinical data and enables bi-directional exchange. The primary provider-facing tool is the Virtual Health Record (VHR), a web-based longitudinal patient record viewer. Supporting modules include DirectTrust Secure Messaging (encrypted provider-to-provider communication), Continuity of Care Documents (CCD) exchange, Hospitalization Reports, 90-Day Hospital Readmission Notifications, ADT Notifications Service, and Portal Access for network management. Public health capabilities include bi-directional immunization reporting, electronic lab reporting, syndromic surveillance, cancer registry reporting, electronic case reporting, and newborn screening data exchange. Additional services cover Health Plan Clinical Data Delivery, Foster Care Daily Reports, Master Patient Index (MPI) for patient identity resolution, and patient roster management with proactive outreach support. SHARE connects to national networks including eHealth Exchange and Patient Centered Data Home (PCDH), with plans to join a Qualified Health Information Network (QHIN) under TEFCA. The platform also integrates EMS clinical data from ESO EHR systems and supports payers, state agencies, and community-based organizations.

Differentiator

Problem solved

Functional benefit

Products and services

• Health Information Exchange (HIE) Platform Statewide HIE infrastructure that aggregates clinical data from over 70 EMR platforms across Arkansas and enables bi-directional exchange of patient health information among hospitals, clinics, payers, public health agencies, and other healthcare entities.
• Virtual Health Record (VHR) Web-based clinical viewer that consolidates patient records from multiple providers into a single longitudinal view, enabling authorized providers to query real-time ADT events, lab results, radiology reports, medication histories, discharge summaries, and Continuity of Care Documents.
• DirectTrust Secure Messaging Encrypted Direct secure messaging service enabling point-to-point health information exchange between healthcare providers for care coordination, referrals, and clinical communication over the internet using Direct protocol standards.
• Continuity of Care Documents (CCD) Structured clinical document exchange service enabling providers to share standardized summaries of patient care including diagnoses, medications, allergies, and treatment plans across disparate EHR systems.
• Hospitalization Reports Daily ED and inpatient hospitalization notification reports delivered to participating providers, care managers, and community organizations to support follow-up care, care coordination, and transitions of care management.
• 90-Day Hospital Readmission Notifications Automated alerts identifying patients readmitted within 90 days of a prior hospitalization to support hospital readmission reduction programs, value-based care initiatives, and population health management.
• Public Health Reporting Automated public health reporting services including bi-directional immunization reporting, electronic lab reporting, syndromic surveillance, cancer registry reporting, electronic case reporting, and newborn screening data exchange connecting providers to the Arkansas Department of Health.
• ADT Notifications Service Real-time Admission, Discharge, and Transfer alert delivery to primary care providers, specialists, behavioral health providers, ACOs, CINs, payers, and care management organizations for proactive care intervention across the continuum.
• Master Patient Index (MPI) Statewide patient matching and identity resolution system that consolidates patient records from multiple providers and systems, supporting accurate patient identification across the SHARE network and enabling cross-referencing for public health outreach.
• Health Plan Clinical Data Delivery Delivery of curated clinical data to health plans and payers supporting prior authorization, claims processing, HEDIS reporting, and quality measure requirements, supplying data elements not typically available in claims such as A1C results.
• Patient Roster Management and Outreach SHARE receives rosters from Medicare, Medicaid, and private insurers to track patients and push information to care teams proactively, also used for targeted outreach to eligible beneficiaries such as WIC enrollment identification.
• Health Information Service Provider (HISP) Services HISP infrastructure supporting Direct secure messaging standards for compliant health data exchange over the internet as part of SHARE's broader interoperability service portfolio.
• Foster Care Daily Reports Automated custody change notifications delivered to healthcare providers when children in foster care experience custody transitions, supporting continuity of care for a vulnerable population.
• Portal Access Web-based portal providing authorized healthcare providers access to the SHARE network, VHR results, SHARE Mail (Direct messaging), and administrative functions including enrollment and reporting.

Named customers12 records

Segments6 records

Ideal customer profiles5 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration11 records

Feature6 records

Partnerships

15 partnerships are on record, tiered core.

• Community Quality Alliance (CQA)coreStrategic or Co-development Partner · 30 June 2026Community Quality Alliance, one of Arkansas' leading Clinically Integrated Networks representing 500+ providers across 130 clinics, partners with SHARE HIE to strengthen care coordination and population health initiatives. Through integration with SHARE, CQA providers receive real-time ADT alerts and Continuity of Care Documents, enabling improved care coordination across multiple healthcare settings and support for value-based care delivery.
• CARTIcoreStrategic or Co-development Partner · 15 June 2026CARTI's integration with SHARE HIE via Flatiron OncoEMR creates a seamless, real-time clinical information network for cancer patients across Arkansas. CARTI receives alerts when patients experience ED visits or hospitalizations at any SHARE-connected hospital, and external providers caring for CARTI patients have access to current clinical information in real time.
• ProMed AmbulancecoreTechnology or Integration · 21 May 2026ProMed Ambulance connects to SHARE HIE enabling EMS clinical run data from their electronic medical record system to flow securely into the statewide HIE. This integration allows participating providers and hospitals to access valuable EMS encounter information in near real-time through the SHARE Virtual Health Record.
• Western Arkansas Counseling and Guidance CentercoreStrategic or Co-development Partner · 7 May 2026Western Arkansas Counseling and Guidance Center partnered with SHARE to improve behavioral health care coordination through interoperable data exchange. This partnership was recognized with the 2026 KLAS Points of Light Award for achieving measurable improvements in post-discharge follow-up performance.
• Arkansas Total CarecoreStrategic or Co-development Partner · 7 May 2026Arkansas Total Care, a managed care organization, partnered with SHARE for behavioral health interoperability initiatives. Arkansas Total Care was recognized as part of the 2026 KLAS Points of Light Award for their role in the behavioral health value-based care framework.
• Centauri Health SolutionscoreStrategic or Co-development Partner · 7 May 2026Centauri Health Solutions partnered with SHARE for behavioral health care coordination initiatives. Their collaboration was recognized with the 2026 KLAS Points of Light Award for streamlining behavioral health care coordination through interoperable data exchange.
• Restore HopecoreStrategic or Co-development Partner · 22 December 2025Restore Hope, a nonprofit helping families in crisis, partnered with SHARE HIE to receive real-time ED and inpatient notification reports. This enables Restore Hope's care coordinators to identify when a participant has an acute medical event and follow up with support services through their HopeHub case management system.
• ARORA (Arkansas Regional Organ Recovery Agency)coreTechnology or Integration · 6 December 2024ARORA uses daily access to SHARE HIE to enhance organ donation processes by receiving real-time notifications about potential donor events across the state.
• Metropolitan Emergency Medical Services (MEMS)coreTechnology or Integration · 28 June 2024MEMS became the first EMS provider to integrate their ESO EHR system with SHARE HIE. This pioneering integration enables critical patient information collected during emergency responses to be shared with hospitals, clinics, and other healthcare providers in real-time.
• Arisa HealthcoreStrategic or Co-development Partner · 30 May 2024Arisa Health Behavioral Health System connects to SHARE HIE to enhance care coordination and interoperability. The partnership enables Arisa Health to receive daily hospitalization reports and exchange patient data with primary care physicians, hospitals, and specialists.
• ARcarecoreStrategic or Co-development Partner · 30 January 2024ARcare, a community health center network with locations across Arkansas including Northwest Arkansas, has deepened their integration with SHARE HIE. The partnership provides ARcare clinics with seamless access to patient health records across the SHARE network.
• Arkansas Department of HealthcoreStrategic or Co-development PartnerSHARE operates under the Arkansas Department of Health and maintains extensive integration with ADH for public health reporting, disease surveillance, immunization tracking, and coordination of health programs. SHARE provides ADH's exclusive connection to the eHealth Exchange national network.
• Arkansas MedicaidcoreStrategic or Co-development PartnerSHARE works closely with Arkansas Medicaid for health plan clinical data delivery and coordination of care programs including ARHOME and Medicaid redetermination processes.
• UAMS (University of Arkansas for Medical Sciences)coreStrategic or Co-development PartnerUAMS partners with SHARE for health information exchange and innovation. The UAMS IDHI Brain Injury Program uses SHARE hospitalization alerts to track ED and inpatient discharges for TBI survivors.
• eHealth ExchangecoreTechnology or IntegrationSHARE provides Arkansas' exclusive connection to the eHealth Exchange national network, enabling exchange with other state HIEs and healthcare organizations nationwide.

Scale indicators5 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Manifest MedEx: California's statewide nonprofit HIE providing clinical data exchange, ADT alerts, and health plan reporting. Comparable in operating model, participant mix, and product scope to SHARE's Arkansas footprint.
• Healthix: One of the largest public HIEs in the U.S., serving New York State providers with bidirectional clinical data exchange, ADT alerts, and population health tools. Directly comparable to SHARE as a state/regional HIE operating a Virtual Health Record, Direct messaging, and public health reporting.
• Indiana Health Information Exchange (IHIE): One of the oldest and largest U.S. HIEs, operating an Indiana-wide network with clinical results delivery, ADT alerts, and population health analytics. Directly comparable as a mature, designated statewide HIE with similar clinical and payer-facing services.
• CyncHealth: Regional HIE serving Nebraska and Iowa with bidirectional clinical exchange, ADT notifications, and public health data delivery. Comparable in scale and in operating as a designated, multi-stakeholder nonprofit HIE utility.
• Arizona Health-e Connection (Health Current): Arizona's designated HIE operating ADT alerts, VHR, and HIE-to-HIE connectivity. Comparable as a state-level statutory HIE with public health and payer data delivery.
• CRISP (Chesapeake Regional Information System for our Patients): State-designated HIE for Maryland and surrounding regions, operating a similar interoperability stack including ADT notifications, panel management, and public health reporting. Highly comparable as a statutory state HIE with payer and public health integration.

Broad incumbents

• eHealth Exchange: National network for health information exchange — and a TEFCA-designated QHIN — that SHARE already connects to. Comparable as a higher-level interoperability layer but operates at a national rather than single-state scope.
• CommonWell Health Alliance: National interoperability network connecting EHR vendors and providers across the U.S. Comparable as an adjacent interoperability utility but operates at vendor-network scale rather than as a single state HIE.

Emerging players

• Health Catalyst: Healthcare data and analytics platform serving health systems with interoperability, analytics, and population health tools. Comparable in operating adjacent to HIEs for payer and provider analytics, but commercial rather than state-mandated.
• Orion Health: Vendor of HIE, population health, and care coordination technology used by state and regional HIEs globally. Comparable as an enabling technology layer that powers HIEs functionally similar to SHARE.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/SHAREarkansas
• Facebookfacebook.com/SHAREarkansas
• LinkedInlinkedin.com/company/ar-share

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 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 State Health Alliance for Records Exchange