Virginia Health Information

What Virginia Health Information does

Virginia Health Information (VHI) is a 501(c)(3) nonprofit established in 1993 and headquartered in Richmond, Virginia. The organization operates as the Commonwealth of Virginia's designated health data organization under contract with the Virginia Department of Health, and since its 2019 merger with ConnectVirginia has functioned as Virginia's statewide Health Information Exchange (HIE). VHI maintains a portfolio of longitudinal healthcare datasets — Hospital Discharge Data spanning 30+ years from 100+ hospital submitters (850,000+ annual records), an All-Payer Claims Database consolidating medical, pharmacy, and enrollment data for ~65% of Virginia covered lives (6M+ lives, 1B+ claim lines, 20+ health plan submitters), Licensure and Utilization Data from 630+ facilities, and Financial Performance/Efficiency Data — and licenses these datasets to government, research, hospital, and insurer customers. Its HIE platform comprises four modules: the Health Coordination Network (real-time care notifications across 8.9M+ patients and 7,600+ care team members, sending 168k+ notifications and 63k+ patient record views monthly), the Public Health Reporting Pathway (4,000+ facilities, 200M+ annual messages with 99.99% delivery to VDH), the Advance Care Planning Registry (free electronic storage of advance directives via the U.S. Living Will Registry), and the National Exchange providing connectivity to eHealth Exchange and TEFCA. Public dashboards extend VHI's transparency mandate to facility financial performance, prescription drug pricing, ED utilization, charity care, outpatient procedures, and potentially avoidable ED visits.

VHI's revenue is generated through a mix of subscription-based data licensing (tiered by license type — Individual, Site, Commercial, Government Redistribution — with quarterly fees ranging from $1,300 to $8,200 per quarter for Hospital Discharge Data and annual flat-fee tiers of $5,000-$45,000 for APCD plus hourly analytic fees), one-time report and spreadsheet sales ($75-$975 per product), and recurring contracted government work. The organization serves five primary customer segments: healthcare researchers and academics (e.g., Virginia Commonwealth University, Duquesne University), government agencies (Virginia Department of Health, Department of Medical Assistance Services), health systems and hospitals, health insurers, and healthcare providers/care teams (e.g., CrossOver Healthcare Ministry, Ansible Health for post-acute care). Distribution is dominated by direct enterprise sales via formal data-request processes and licensing agreements, supplemented by free self-serve public dashboards. Strategic technology partnerships underpin the platform: PointClickCare for HCN infrastructure, CRISP Shared Services for PHRP data transmission, and the U.S. Living Will Registry for ACPR storage. Leadership is held by CEO Kyle Russell, and the organization is governed by a multi-stakeholder board representing hospitals, physicians, nursing facilities, health insurers, state agencies, and consumer representatives in accordance with the Code of Virginia.

Name

Virginia Health Information

Legal name

Virginia Health Information

Website

https://vhi.org

Company type

Private

Founded year

1993

Operating status

Operating

Headcount range

11–50 employees

Short description

Virginia Health Information (VHI) is the Commonwealth of Virginia's designated nonprofit health data organization, operating the statewide Health Information Exchange and maintaining longitudinal datasets — Hospital Discharge Data, All-Payer Claims Database, Licensure, and Financial Performance data — licensed to government, hospital, insurer, and research customers.

Ownership category

akta.pro rank

Product category

Health Information Exchange and Healthcare Data Services

NAICS

Information (51), Health Care and Social Assistance (62)

SIC

Services-Misc Health & Allied Services, Nec (8090)

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), Healthcare Utilization, Claims & Administrative Data Analytics (HLAJAJAK), Quality Measurement, Reporting & Benchmarking (HEDIS/Stars/CQM) (HLACAHAC)

Keywords

• Health information exchange
• Healthcare data analytics
• All-payer claims database
• Public health reporting
• Care coordination platform

Headquarters

HQ city

Richmond

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, Infrastructure

Revenue model

1. Data Licensing Fees: Tiered licensing fees for accessing healthcare datasets including Hospital Discharge Data, APCD data, Licensure and Utilization Data, and Financial Performance Data. Fees vary by organization type (individual, site, commercial, government) and data volume.
2. Report Sales: Sale of annual data reports including efficiency reports, hospital detail reports, nursing detail reports, and licensure/utilization spreadsheets. Priced individually from $75 to $975 per product.
3. Government Contract: Contracted by Virginia Department of Health (VDH) to maintain statewide health data collection and exchange programs as the designated health data organization.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels6 records

Core offering

Virginia Health Information operates as the Commonwealth's designated health data organization, running Virginia's statewide Health Information Exchange (HIE) for secure health data sharing and licensing comprehensive healthcare datasets including the All-Payer Claims Database (APCD), Hospital Discharge Data, Licensure and Utilization Data, and Financial Performance Data. The organization delivers real-time care coordination notifications, public health reporting automation, and interactive public dashboards covering facility financial performance, prescription drug pricing, and emergency department utilization.

Product overview

Virginia Health Information (VHI) operates as the Commonwealth's designated health data organization, providing a comprehensive suite of data collection, exchange, and reporting products. The core offering includes the All-Payer Claims Database (APCD) consolidating claims data for ~65% of Virginia covered lives, Hospital Discharge Data with 30+ years of records, Licensure and Utilization Data from 630+ facilities, and Financial Performance Data. VHI serves as Virginia's statewide Health Information Exchange (HIE) through four integrated modules: the Health Coordination Network (HCN) providing real-time care notifications for 8.9M patients, the Public Health Reporting Pathway (PHRP) handling 200M+ annual messages, the Advance Care Planning Registry (ACPR), and National Exchange connectivity to eHealth Exchange and TEFCA. Public-facing dashboards provide transparency on facility financial performance, prescription drug pricing, ED utilization, charity care, outpatient procedures, and potentially avoidable ED visits. Data products are available for licensing with varying access levels.

Differentiator

Problem solved

Functional benefit

Products and services

• All-Payer Claims Database (APCD) Virginia's comprehensive claims database consolidating medical claims, pharmacy claims, and enrollment data for Medicare, Medicaid, and commercially insured lives. Represents approximately 65% of Virginia covered lives with 20+ health plan submitters, 1 billion+ claim lines, and 6 million+ covered lives. Licensed to researchers, government agencies, insurers, and policymakers with tiered pricing based on record volume and license type.
• Hospital Discharge Data Comprehensive records of every inpatient admission and discharge from state-licensed hospitals dating back to 1993. Contains patient demographic, administrative, clinical, and financial information with 100+ hospital submitters, 30+ years of discharge records, and 850k+ annual discharge records. Available under Individual, Site, Commercial, and Government Redistribution licenses released quarterly.
• Licensure and Utilization Data Annual licensure and utilization information collected from 630+ licensed healthcare facilities, organized into comprehensive spreadsheets including Ancillary, Bed Utilization, Cardiac Catheterization, Diagnostic Services, Emergency, Labor and Delivery, Lithotripsy, Nursing Utilization, and Surgical Services workbooks. Priced individually from $75 (Ancillary) to $975 for the full set.
• Financial Performance and Efficiency Data Annual comparison data for healthcare providers across Virginia including hospital and nursing facility efficiency rankings, financial indicators, and performance metrics with data dating back to 1998. Includes standalone Hospital Detail Report, Nursing Detail Report, and Efficiency Report products.
• Hospital Detail Report Comprehensive financial and operational dataset for all licensed hospital types in Virginia, including revenue by payer type, contractual allowances, charity care, operating expenses, balance sheet, cash flow, admissions, and FTE data.
• Nursing Detail Report Precise financial and operational data for Virginia nursing facilities including income, expenses, balance sheet, cash flow, statistics on patient days and licensed beds by payer type, and full-time equivalents. Priced at $250 per report.
• Efficiency Report Rankings of healthcare providers by efficiency, productivity, and care outcomes using key financial data from hospitals and nursing homes across Virginia based on efficiency indicator metrics such as charges, costs, productivity/utilization, financial viability, and community support. Priced at $95.
• Health Information Exchange (HIE) Virginia's designated statewide Health Information Exchange enabling secure, near real-time health data sharing to support care coordination, public health efforts, and informed decision-making. Comprises the Health Coordination Network, Public Health Reporting Pathway, Advance Care Planning Registry, and National Exchange. Available to Virginia healthcare organizations through participation agreements.
• Health Coordination Network (HCN) Statewide system connecting hospitals, health plans, providers, and community partners with real-time notifications, secure web portal, and shared patient insights. Supports 8.9M patients, 7.6k care team members, 168k monthly notifications, and 63k monthly patient record views. Built on PointClickCare infrastructure.
• Public Health Reporting Pathway (PHRP) Secure pathway for moving public health data between providers and state entities (VDH, DGS DCLS). Supports bi-directional immunizations, cancer, dried blood spot newborn screenings, electronic case reporting, electronic lab reporting, syndromic surveillance, HEDIS measures, and national data exchange. 4k+ facilities use the PHRP, 99.99% message delivery rate, 200M+ messages sent annually.
• Advance Care Planning Registry (ACPR) Free and secure electronic registry for Virginia residents to store advance care planning documents such as healthcare powers of attorney and portable medical order forms. Documents are stored in the U.S. Living Will Registry database with HIPAA compliance.
• National Exchange Secure connection for Virginia providers to query and retrieve data from national networks including eHealth Exchange and TEFCA (Trust Exchange Framework and Common Agreement), enabling cross-state bi-directional data sharing with federal agencies, providers, payers, public health authorities, and other HIEs.

Quantifiable outcome

• 8.9M+ patients represented in care coordination network
• +3 more outcomes

Named customers8 records

Segments5 records

Ideal customer profiles5 records

Technology focussed Yes

API detail

Has API

Yes

API docs

API detail

Core technology

AI maturity

App detail

Integration10 records

Feature6 records

Partnerships

Six partnerships are on record, tiered core and strategic.

• PointClickCarecoreTechnology or IntegrationTechnology partner for the Health Coordination Network (HCN), providing the platform infrastructure that enables collaboration between hospitals, health plans, providers, and community partners for real-time care coordination and patient information sharing.
• CRISP Shared Services (CSS)coreTechnology or IntegrationTechnology vendor partnership for the Public Health Reporting Pathway (PHRP), supporting the secure transfer of public health data between providers and state entities including the Virginia Department of Health and Department of General Services.
• U.S. Living Will RegistrycoreTechnology or IntegrationPartnership providing the database infrastructure for the Virginia Advance Care Planning Registry (ACPR), enabling secure storage and provider access to advance care planning documents for Virginia residents.
• eHealth ExchangecoreTechnology or IntegrationNational health information network enabling Virginia healthcare entities to securely share data with federal agencies, providers, payers, public health authorities, and other HIEs across the nation. VHI facilitates Virginia providers connecting directly to this network.
• Ansible HealthstrategicStrategic or Co-development PartnerPost-acute care provider using the Health Coordination Network to monitor 10,000+ patients nationwide, including 1,000+ in Virginia, enabling real-time intervention during critical post-discharge windows to reduce readmissions.
• Urban Baby BeginningsstrategicStrategic or Co-development PartnerCommunity partner collaborating with the Health Coordination Network to support maternal and infant care through the Emergency Department Care Coordination program.

Scale indicators15 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Manifest MedEx: California's largest nonprofit HIE offering care notifications, ADT feeds, and public health reporting — highly comparable product set and nonprofit/cooperative governance to VHI.
• CORHIO (Colorado Regional Health Information Organization): Statewide HIE and health data organization for Colorado operating care coordination, public health reporting, and data products — same designated-state role as VHI and a direct functional peer.
• Indiana Health Information Exchange (IHIE): One of the largest U.S. HIEs, providing statewide clinical data exchange, results delivery, and analytics for Indiana providers, payers, and the state — comparable in scope and mission to VHI.
• Nebraska Health Information Initiative (NeHII): Statewide HIE designated by Nebraska providing ADT notifications, prescription drug monitoring, and public health exchange — comparable designated-state HIE peer.
• Healthix: One of the largest U.S. HIEs serving the New York metro region with care coordination, public health reporting, and analytics — comparable scale and functionality to VHI's HCN/PHRP.
• CRISP Shared Services (Maryland/Chesapeake Regional Information System for our Patients): State-designated HIE serving Maryland and adjacent DC/regions with comparable functionality: real-time care coordination notifications, public health reporting, and analytics — directly comparable model to VHI's HCN/PHRP stack and a strategic technology partner.

Broad incumbents

• Health Catalyst: Large commercial healthcare analytics and data warehousing vendor with statewide data platform offerings; competes with VHI on analytic/reporting workloads where states opt for commercial solutions.

Emerging players

• New York eHealth Collaborative (NYeC): New York-focused HIE and digital health convener operating the Statewide Health Information Network for New York (SHIN-NY) — same designated-state HIE model as VHI, distinct state mandate.

Others

• Civitas Networks for Health: National membership association for state and regional HIEs and APCDs; VHI is a member/participant. Functions as an industry consortium, not a direct competitor, but shapes standards and policy for VHI's category.
• PointClickCare: VHI's technology partner for the Health Coordination Network (HCN); adjacent enabling platform for care coordination that supplies infrastructure but is not a substitute for the designated HIE role.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/vaHealth
• LinkedInlinkedin.com/company/virginia-health-information
• Xx.com/VAHealthInfo

Compliance1 record

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 Virginia Health Information