CRISP Shared Services

What CRISP Shared Services does

CRISP Shared Services (CSS) is a 501c3 nonprofit organization headquartered in Columbia, Maryland, that provides modular Health Information Exchange (HIE) infrastructure and shared technology services to state-designated HIEs, public health agencies, and healthcare stakeholders across more than a dozen states and U.S. jurisdictions. The platform architecture includes core infrastructure components such as a Master Patient Index, FHIR/USCDI API Integration Layer, Clinical Data Repository, Data Lake, Integration Engine, and Public Health Registry Infrastructure, with specialized modules including CRISP Event Notification Delivery (CEND), Advanced Consent Management, Social Determinants of Health tools, Medicaid Redetermination Notification, Medication Management, Maternal Health Identification, and a School Absenteeism Program. Built on HL7 FHIR national standards, the platform supports connectivity to national networks including eHealth Exchange and TEFCA.

CSS generates revenue through a shared services nonprofit model with multiple streams: subscription-based affiliate membership and governance fees proportionate to size and complexity; platform and technology services to state-designated HIEs and government agencies under multi-year contracts; managed services under the CDC-funded $255 million National Implementation Center Program to serve public health agencies; custom engineering and professional services for specialized affiliate deployments; and a la carte interoperability services such as PDMP integration, Image Exchange, and Patient Access API. The company participates in content marketing, healthcare technology publications, industry conferences (HIMSS), and association forums (ASTHO Innovation Advisory Council). Customers include CRISP Maryland, Connie (CT), Virginia Health Information, WVHIN, healthEconnect Alaska, CRISP DC, Florida HIE, Maryland Dept. of Health, Alaska Dept. of Health, and the U.S. Virgin Islands. Executive leadership includes CEO Craig Behm, VP & CSO Brandon Neiswender, VP & COO Ryan Bramble, VP & General Counsel Nichole Sweeney, VP & CFO Stacey Benicewicz, VP & CMO Marc Rabner, CTO Mike Banfield, and CISO Bezawit Sumner.

Name

CRISP Shared Services

Legal name

CRISP Shared Services

Website

https://crispsharedservices.org

Company type

Private

Founded year

2008

Operating status

Operating

Headcount range

101–250 employees

Short description

CRISP Shared Services is a 501c3 nonprofit that provides modular Health Information Exchange infrastructure and shared technology services to state-designated HIEs, public health agencies, and healthcare stakeholders across more than a dozen states and U.S. jurisdictions.

Ownership category

akta.pro rank

Product category

Health Information Exchange Infrastructure

NAICS

Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (5182), Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (51821), Services for the Elderly and Persons with Disabilities (62412)

SIC

Services-Health Services (8000), Services-Prepackaged Software (7372), Services-Computer Programming, Data Processing, Etc. (7370), Services-Misc Health & Allied Services, Nec (8090)

akta.pro primary industry

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

akta.pro secondary industries

Interoperability Standards, Profiles & Implementation (HL7/FHIR/IHE) (HLACABAA), Public Health & Immunization Data Exchange (ELR, case reporting, registry reporting) (HLACABAL), Consent, Authorization & Data Sharing Governance (opt-in/opt-out, DS4P) (HLACABAG), Health Information Exchange & Public Health Data Integration (HLAJAJAD), EHR/EMR Integration & Interoperability Middleware (HL7/FHIR) (HLALAKAD), Payer-Provider Data Exchange (X12, prior auth, claims/clinical attachment) (HLACABAK)

Keywords

• Health information exchange
• Healthcare interoperability platform
• Public health data modernization
• Clinical data repository
• Patient event notifications

Headquarters

HQ city

Columbia

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, Others

Revenue model

1. Platform and Technology Services to HIEs and Government Agencies: CRISP Shared Services generates revenue by providing health information exchange technology platforms and operational services to state-designated HIEs and government health agencies. Revenue is derived from multi-year contracts with public health agencies for technology deployment, integration services, and ongoing platform support. The nonprofit model allows for cost-sharing across affiliate organizations.
2. Affiliate Membership and Governance Fees: Affiliate organizations pay fees proportionate to their size and complexity, as determined by the Governance Board. The pricing model is designed to be fair and competitive, with contracting at the organizational level providing negotiation power.
3. Public Health Data Modernization Services: Under the CDC-funded $255 million National Implementation Center Program, CSS provides infrastructure and implementation services to public health agencies across the nation over three years.
4. Custom Engineering and Development Services: Special development and deployment of solutions and tools to fit unique affiliate needs and populations, with custom engineering services for specialized deployments.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels5 records

Core offering

CRISP Shared Services provides a modular, reusable Health Information Exchange (HIE) infrastructure platform and shared services to state-designated HIEs, state and territorial health departments, and public health agencies. Its core offering is the technology platform (including Master Patient Index, FHIR/USCDI API Integration Layer, Clinical Data Repository, Data Lake, Integration Engine, CEND event notifications, and consent management), supplemented by a la carte interoperability services and custom engineering for affiliate-specific deployments.

Product overview

CRISP Shared Services is a nonprofit providing a modular Health Information Exchange (HIE) infrastructure platform designed to empower localized healthcare ecosystems. The platform operates as a platform-plus-modules architecture with core infrastructure components including Master Patient Index, FHIR/USCDI API Integration Layer, Data Lake, Clinical Data Repository, Integration Engine, Public Health Registry Infrastructure, and Social Determinants of Health tools. Built on top of this core infrastructure are patient and provider-centric tools including Advanced Consent Management, CRISP Event Notification Delivery (CEND), Care Team/Relationship Service, and Portal/InContext App Integration. Additional specialized modules include Medicaid Redetermination Notification, Medication Management Tool, Maternal Health Identification, and School Absenteeism Program. The platform supports a la carte interoperability services such as National Network Connectivity, Custom Population Health Analytics, HIE Finance Services, State PDMP Integration, Medicaid Claims Data at Point of Care, Patient Access API, Image Exchange, and State-specific Sensitive Data Parsing. The organization supports more than a dozen states and jurisdictions nationwide.

Differentiator

Problem solved

Functional benefit

Brands

• CRISP Event Notification Delivery (CEND): Event notification delivery system that notifies healthcare providers about patient hospital encounters by matching patient rosters with ADT data

Products and services

• CRISP Shared Services HIE Infrastructure Platform Modular Health Information Exchange infrastructure platform serving as the foundational offering for state-designated HIEs and government public health agencies. Provides patient matching, clinical data repository, integration engine, FHIR-based interoperability, real-time event notifications, consent management, and SDOH integration for healthcare ecosystems.
• CRISP Event Notification Delivery (CEND) Real-time alerting solution notifying healthcare providers about patient hospital encounters by matching patient rosters with ADT data and pushing alerts directly into clinical workflows. Sold to HIEs and providers as a deployable notification service.
• Public Health Registry Infrastructure Centralized infrastructure and data management solution for public health agencies supporting disease surveillance, population health reporting, and emergency preparedness; deployed to dozens of public health agencies under the CDC's $255M National Implementation Center Program.
• Patient Access API A la carte interoperability service enabling patients to access their health information through API connectivity.
• Image Exchange A la carte service enabling exchange of medical images across healthcare organizations for improved diagnostic capabilities.
• State PDMP Integration A la carte interoperability service connecting healthcare providers to State Prescription Drug Monitoring Programs to achieve critical prescription data exchange.
• Medicaid Claims Data at Point of Care A la carte integration service enabling access to Medicaid claims data at the point of care for improved care coordination and population health management.
• State-specific Sensitive Data Parsing A la carte tailored public health registry solution for parsing sensitive health data in compliance with state-specific regulations (e.g., 42 CFR Part 2, state HIV and behavioral health rules).
• Custom Engineering and Affiliate-Specific Deployments Custom engineering services for state-designated HIEs to develop and deploy specialized solutions tailored to unique jurisdictional populations and regulatory needs (e.g., Medication Management Tool, Medicaid Redetermination Notification, Maternal Health Identification, School Absenteeism Program).
• National Implementation Center Program Services Federal-contract service delivering HIE and public health data modernization infrastructure and implementation support to dozens of public health agencies nationwide, funded by the CDC Public Health Infrastructure Grant.

Quantifiable outcome

• Nearly 5% increase in hospital bed coverage representing approximately 3,500 additional beds
• +4 more outcomes

Named customers11 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

Feature10 records

Partnerships

23 partnerships are on record, tiered flagship, core, strategic and minor.

• Florida Agency for Health Care Administration (AHCA)flagshipStrategic or Co-development Partner · 24 June 2026CSS selected as the data exchange technology platform for Florida Health Information Exchange. CSS has been working to transition Florida HIE over the past year to provide enhanced care coordination, consent management, and improved interoperability. The transition will go live July 1, 2026, with expanded healthcare entity participation including nearly 5% more hospital beds and 200% more skilled nursing facilities.
• U.S. Virgin IslandsflagshipStrategic or Co-development Partner · 14 November 2024Landmark agreement signed by Governor Albert Bryan Jr. to establish the USVI Health Information Exchange, marking a major milestone in building an integrated healthcare network in the territory. CSS partnered with USVI to launch the USVI HIE, a critical step toward building an integrated healthcare network.
• Centers for Disease Control and Prevention (CDC)coreStrategic or Co-development Partner · 11 July 2024CSS selected as one of three Implementation Center awardees under the $255 million CDC-funded National Implementation Center Program. CSS is tasked with providing infrastructure and implementation services to dozens of public health agencies across the nation over three years, funded through the Public Health Infrastructure Grant (PHIG).
• eHealth ExchangecoreTechnology or Integration · 8 January 2024In partnership with eHealth Exchange, CSS helped engineer a custom portal that successfully demonstrated TEFCA utilization for the first public health use case in Maryland. CSS tech also supported Alaska Dept. of Health and Fairfax County Dept. of Health as CDC's early demonstrators of TEFCA.
• Association of State and Territorial Health Officials (ASTHO)strategicStrategic or Co-development Partner · 8 January 2024CSS named to ASTHO's inaugural Innovation Advisory Council, a multisector forum designed to drive collaboration between state and territorial health leaders and private sector executives. CSS serves alongside industry leaders including CVS Health, Amazon Web Services, Deloitte, and Leanos to address critical public health challenges.
• Maryland Dept. of HealthcoreStrategic or Co-development Partner · 8 January 2024CSS selected by Maryland Dept. of Health to support the state's public health technology and data modernization needs as it became the first in the nation to implement TEFCA. CSS, in partnership with eHealth Exchange, helped engineer a custom portal for first public health TEFCA use case.
• Alaska Dept. of HealthstrategicStrategic or Co-development Partner · 8 January 2024CSS supported Alaska Dept. of Health as one of CDC's early demonstrators of TEFCA, with CSS tech enabling the state's public health data exchange capabilities.
• Fairfax County Dept. of HealthstrategicStrategic or Co-development Partner · 8 January 2024CSS supported Fairfax County Dept. of Health as one of CDC's early demonstrators of TEFCA, demonstrating CSS's ability to serve diverse jurisdictions at county and local levels.
• CRISP Maryland (Maryland's state-designated HIE)coreStrategic or Co-development PartnerCSS supports CRISP Maryland, the state's designated HIE and Health Data Utility. CRISP Maryland is one of the longest-operating HIEs in the nation.
• Connie (Connecticut's HIE)coreStrategic or Co-development PartnerCSS supports Connie, Connecticut's state-designated HIE. Connie worked with CSS for custom deployment of medication management and data parsing tool utilizing framework developed by Connecticut's Medication Reconciliation and Polypharmacy Work Group.
• Virginia Health InformationcoreStrategic or Co-development PartnerCSS supports Virginia Health Information, the state-designated health data organization in Virginia, facilitating interoperability among 122 hospitals and payers.
• West Virginia Health Information Network (WVHIN)coreStrategic or Co-development PartnerCSS supports WVHIN, which serves as West Virginia's only HIE and state-designated health information exchange.
• healthEconnect AlaskacoreStrategic or Co-development PartnerCSS supports healthEconnect Alaska, Alaska's state-designated HIE. healthEconnect and CRISP worked with CSS and state Medicaid for custom deployments of the Medicaid Redetermination Notification Project across Alaska.
• CRISP DCcoreStrategic or Co-development PartnerCSS supports CRISP DC, Washington D.C.'s designated HIE. CRISP DC partnered with CSS to implement School Absenteeism Program with DC Public Schools and Children's National Hospital.
• The Sequoia ProjectstrategicTechnology or IntegrationThe Sequoia Project focuses on advancing health information technology interoperability for public benefit. Debbie Condrey, CIO and COO of The Sequoia Project, serves on CSS's Board of Directors representing Virginia.
• LifeBridge HealthstrategicStrategic or Co-development PartnerLifeBridge Health (including Sinai Hospital of Baltimore, Northwest Hospital, Levindale Hebrew Geriatric Center, Grace Medical Center) is represented on CSS's Board by Tressa Springmann, CIO and Board Chair.
• Johns Hopkins MedicinestrategicStrategic or Co-development PartnerJohns Hopkins Medicine is represented on CSS's Board by Doug Hall (Executive Director, Market Planning) and Edward Grogan (Executive Director IT, National Capital Region).
• Premera Blue CrossstrategicStrategic or Co-development PartnerPremera Blue Cross (2.7 million members, 38,000 physician network) is represented on CSS's Board by Colt Courtright, who leads Corporate Data & Analytics. Premera also serves on the Board of Directors of Alaska State Healthcare Information Exchange (healtheconnect Alaska).
• MedStar HealthstrategicStrategic or Co-development PartnerMedStar Health (10-hospital, 300-outpatient site health system with 32,000 employees) is represented on CSS's Board by Dr. Jessica Galarraga, Assistant Vice President of Health Equity.
• Yale New Haven HealthstrategicStrategic or Co-development PartnerYale New Haven Health System is represented on CSS's Board by Dr. Allen Hsiao, Chief Health Information Officer (CHIO) for the Yale School of Medicine and Yale New Haven Health System.
• Vandalia HealthstrategicStrategic or Co-development PartnerVandalia Health (representing West Virginia Health Information Network) is represented on CSS's Board by Jeff Sandene, Executive Vice President and CFO who will become President & CEO following Dave Ramsey's retirement in July 2026.
• Children's National HospitalstrategicStrategic or Co-development PartnerChildren's National Hospital partnered with CRISP DC and DC Public Schools on the School Absenteeism Program. Dr. Marc Rabner, CSS's CMO, practices at Children's National Hospital.
• DC Public SchoolsminorStrategic or Co-development PartnerDC Public Schools partnered with CRISP DC and Children's National Hospital on the School Absenteeism Program, leveraging existing CSS processes and technology.

Scale indicators5 records

Recent moves8 records

Expansion highlights5 records

Direct peers

• 1upHealth: 1upHealth is a FHIR-based health data platform focused on payer-provider data exchange, patient access APIs, and CMS interoperability rule compliance. It overlaps with CSS's Patient Access API, payer-provider data exchange, and CMS-aligned interoperability services.
• Redox: Redox is a healthcare integration platform offering a FHIR-native API network that connects EHRs, HIEs, and digital health applications. It is comparable to CSS's FHIR/USCDI API Integration Layer and Integration Engine components, particularly for cross-organization clinical data exchange.
• Particle Health: Particle Health provides a healthcare data exchange API platform that aggregates patient records from a national network for payers, providers, and digital health companies. It is a direct competitor in the FHIR-based clinical data exchange and patient-mediated access space where CSS also operates.
• Health Gorilla: Health Gorilla is a health information network and interoperability platform that enables clinical data exchange between providers, HIEs, payers, and public health agencies. It overlaps directly with CSS's FHIR-based interoperability, MPI, and clinical data repository capabilities for state-designated HIE and public health use cases.
• Orion Health: Orion Health is a global HIE and population health management platform vendor serving state, regional, and national health information exchanges. It is one of the closest commercial competitors to CSS for state-designated HIE platform contracts and population health infrastructure.
• Bamboo Health: Bamboo Health (formerly Collective Medical + Appriss Insights) operates a real-time care coordination and event notification platform that directly competes with CRISP Shared Services' CEND (CRISP Event Notification Delivery) product. Both serve hospitals, SNFs, and care teams with ADT-driven alerts and care coordination across state HIE networks.

Broad incumbents

• PointClickCare: PointClickCare acquired Collective Medical and operates a care coordination and real-time notification network widely used by hospitals and post-acute care providers. It overlaps with CSS's event notification and care coordination capabilities, particularly for skilled nursing facility networks like those being added in Florida.
• InterSystems: InterSystems HealthShare is a long-established HIE and interoperability platform used by large hospital systems and national health networks. As a much broader incumbent with deep EHR-adjacent positioning, it competes with CSS for state HIE and large health system data exchange contracts.
• Health Catalyst: Health Catalyst is a healthcare data and analytics platform serving health systems, payers, and public health agencies with data warehousing, population health, and analytics capabilities. It is comparable to CSS's Data Lake and population health reporting offerings, but at a broader enterprise scale.
• Rhapsody (Rhapsody International / Verdane): Rhapsody (formerly Infor Cloverleaf) provides healthcare integration engines and interoperability middleware used by hospitals and HIEs. It competes with CSS's Integration Engine and FHIR/USCDI API Integration Layer, particularly in traditional hospital-system integration contexts.

Market position

Strengths1 record

Weaknesses1 record

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/crisp-shared-services

Compliance4 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles10 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 CRISP Shared Services