Electronic health records have become the backbone of modern healthcare, helping providers store patient data securely, streamline workflows, and improve care coordination. With regulations tightening and technology advancing-think AI integration, better interoperability, and cloud-based access-the need for specialized development partners has never been higher. The best companies in this space combine deep healthcare knowledge with strong technical skills to build systems that actually make life easier for doctors, nurses, and admins, rather than adding more headaches.
What sets the top players apart is their focus on compliance, user-friendly design, and real-world results. These firms handle everything from full custom builds and legacy modernizations to integrations with existing tools, telehealth features, and data analytics. They understand that an EHR isn’t just software-it’s a tool that has to fit seamlessly into daily clinical life while protecting sensitive information and enabling better patient outcomes. Whether you’re a startup launching a new platform or an established organization upgrading outdated systems, partnering with experienced developers can speed things up and reduce risks significantly.
1. A-listware
A-listware delivers custom software development services across various industries, including healthcare. The company focuses on implementing technology to support business processes and improve efficiency. Clients come from different sectors, with some notable names in tech and manufacturing standing out in their portfolio. Healthcare appears as one area of expertise, though specific EHR or EMR projects don’t get highlighted in detail on the main pages.
Projects range from full outsourcing to dedicated teams or augmentation setups. Communication stays transparent during development, with options to adjust as needed. The approach emphasizes delivering functional solutions tailored to what clients actually require.
Key Highlights:
- Database with many potential candidates for tech roles
- Low employee turnover rate
- Experience spanning over two decades in software projects
- Focus on secure coding and quality control
Services:
- Software consulting
- Custom software development
- Enterprise software development
- Cloud application development
- Legacy software modernization
- Software support and maintenance
Contact Information:
- Website: a-listware.com
- Phone: +1 (888) 337 93 73
- Email: [email protected]
- Address: North Bergen, NJ 07047, USA
- LinkedIn: www.linkedin.com/company/a-listware
- Facebook: www.facebook.com/alistware
2. Oracle
Oracle Health EHR provides a cloud-based electronic health record system built around AI and automation. The solution aims to fit into daily clinical routines rather than disrupt them, using voice commands and embedded intelligence to handle tasks like generating summaries or pulling up relevant patient details. It’s designed for hospitals, practices, and larger networks, with emphasis on scalability across devices.
Many features center on reducing repetitive work for clinicians while keeping data secure and accessible. Interoperability gets attention through connections to broader health ecosystems, and the platform holds ONC certification along with strong security measures. Updates roll out regularly via SaaS model to stay current with regulations and tech changes.
Key Highlights:
- AI embedded for task automation and insights
- Cloud-based with frequent feature releases
- ONC Health IT certified
- Focus on clinician workflows and patient data organization
Services:
- Ready-to-use EHR platform
- AI-powered clinical tools
- Interoperability support
- Security and compliance features
3. Arkenea
Arkenea concentrates on custom EHR and EMR software for healthcare organizations and HealthTech companies. The firm has spent over fourteen years working exclusively in healthcare tech, building solutions that match specific workflows and specialty needs. Compliance with regulations like HIPAA and ONC standards remains a core part of every project.
Development covers full cycles from planning to ongoing maintenance, often including interoperability via HL7 FHIR for connecting with labs, pharmacies, and other systems. Some solutions incorporate generative AI to handle documentation or analytics, aiming to cut down on admin time. Practices have used these custom builds to improve daily operations where standard systems fell short.
Key Highlights:
- Exclusive healthcare software focus for over fourteen years
- Experience with HL7 FHIR and other standards
- AI integration in some EHR features
- Legacy system modernization options
Services:
- EHR consulting and strategy
- Custom EHR software development
- Legacy EHR modernization and migration
- EHR/EMR integration solutions
- Ongoing support and enhancement
4. ScienceSoft
ScienceSoft builds EHR and EMR solutions for healthcare providers and product companies since 2005 in the healthcare IT space. The company handles everything from initial consulting to full development and later upgrades or modernizations. Standards like HL7, FHIR, ICD-10 get incorporated where needed, backed by relevant certifications for quality and security.
Features often include patient record management, treatment planning, specialty-specific tools, and extras like telemedicine or clinical decision support. Security stays front and center with encryption and compliance to rules such as HIPAA or GDPR. Usability gets attention through research-based design so medical staff can actually use the system without frustration.
Key Highlights:
- Healthcare IT work dating back to 2005
- Certifications including ISO 27001 and HL7 FHIR
- Expertise in multiple compliance standards
- Support for various care settings and specialties
Services:
- EHR market entry consulting
- Full-cycle EHR software development
- EHR evolution and modernization
- Feature design and UX/UI work
- Compliance and security audits
5. Kanda Software
Kanda Software works on healthcare software that handles compliance needs and system connections. The company builds solutions for clinical workflows and patient data management. Integration with major EHR systems like Epic, Cerner, and others comes up often in their work, along with standards such as FHIR and HL7.
Focus stays on security frameworks and industry protocols for things like billing codes or imaging. Projects include custom development alongside modernization of older setups. It’s the kind of setup that fits organizations dealing with complex data flows in healthcare.
Key Highlights:
- Knowledge of HITRUST and HIPAA compliance
- Experience with EHR integration partners
- Support for DICOM and various coding standards
- Emphasis on secure scalable software
Services:
- Healthcare software product development
- Custom healthcare software development
- Interoperability solutions
- Healthcare legacy software modernization
- EHR/EMR development and integration
- Healthcare data engineering
- AI solutions for healthcare
6. XB Software
XB Software provides custom healthcare software with help from their own UI libraries like Webix and DHTMLX. Development covers frontend interfaces for things like appointment scheduling or patient booking tools. Cloud migration and modernization of existing systems also form part of what they handle.
UI/UX improvements aim to make medical platforms easier for staff and patients. Demos show features for doctors checking schedules or admins managing personnel. The approach suits providers looking to update or build specific healthcare tools without starting entirely from scratch.
Key Highlights:
- Use of proprietary frontend components
- Demos for medical booking systems
- Cloud-based access focus
Services:
- Custom healthcare software development
- Frontend development for medical interfaces
- Cloud software development
- Application modernization
- UI/UX design and development
7. Computools
Computools creates custom software for hospitals, telehealth setups, and digital health companies. Solutions often involve EHR/EMR builds, telemedicine platforms, and workflow automation. Interoperability and compliance with rules like HIPAA get built in from the start.
AI features appear in diagnostics or data analytics parts. Remote patient monitoring and personal health apps round out some offerings. The work targets reducing manual tasks while keeping data secure across systems.
Key Highlights:
- Custom telehealth and patient engagement tools
- AI-driven analytics and diagnostics
- Legacy system modernization
- Medical device software compliance
Services:
- Custom EHR/EMR software development
- Telemedicine app development
- Healthcare workflow automation
- Custom RPM software development
- Healthcare data analytics
- Medical device software development
- Personal health apps development
8. Vention
Vention handles healthcare software from consulting through full custom builds and integrations. Consulting includes roadmaps and compliance advice for regulations like HIPAA or GDPR. Custom development often focuses on mHealth apps and EHR management.
Data integration connects telemedicine, payments, or analytics tools. Modernization updates legacy systems with cloud moves or architecture changes. Evaluation services lead to adding new tech like AI or IoT where it fits.
Key Highlights:
- Consulting on project roadmaps
- Compliance guidance for healthcare regs
- Integration with third-party systems
- Legacy software reengineering
Services:
- Healthcare software development consulting
- Custom healthcare software development
- Healthcare data integration services
- Healthcare software modernization
- Healthcare software evaluation
9. Simform
Simform builds healthcare solutions using cloud setups and data analysis to handle clinical information securely. The focus includes keeping things HIPAA compliant while making workflows smoother for providers. Telehealth features and EMR/EHR development show up as regular parts of what they do.
Integration with existing systems gets attention along with medical IoT connections and decision support tools. Usability matters too – interfaces aim to stay straightforward on web and mobile. Scalability comes into play for handling varying patient volumes without slowdowns.
Key Highlights:
- Microsoft Gold partner status
- Compliance with HIPAA and FHIR standards
- Emphasis on data encryption
- Intuitive user interfaces
Services:
- Real-time telehealth solutions
- EMR/EHR development
- Medical IoT development
- Clinical decision support software
- EHR integration
10. Itransition
Itransition offers services around EMR and EHR systems from initial consulting through development and ongoing support. The company deals with both types – full EHR setups that share data across providers and more localized EMR records for specific practices. Audits of current systems happen when upgrades make sense.
Integration stands out with connections to platforms like Epic or Cerner. Compliance checks cover HIPAA along with ONC certification needs. Some projects add telemedicine capabilities or patient portals to the mix.
Key Highlights:
- Experience with Epic and Cerner integrations
- Familiarity with ONC-ATCB requirements
- Use of DICOM and FHIR standards
- Telemedicine-enabled EHR examples
Services:
- EHR consulting
- Custom EHR development
- EHR integration
- EHR implementation
- EHR migration
- EHR modernization
11. Andersen
Andersen develops custom EHR and EMR solutions with attention to interoperability and clinical workflows. The company sticks to standards like HL7, FHIR, and various coding systems for medical data. Certification testing for ONC-ATCB compliance forms part of the process in many cases.
Customization adjusts systems to fit particular facilities while integration links up with hospital software or devices. Projects sometimes extend into related areas like telehealth or remote monitoring. Security and data handling stay consistent priorities.
Key Highlights:
- Adherence to HL7 and FHIR standards
- ONC-ATCB certification focus
- Integration with HIS and medical devices
- Customization for specific facilities
Services:
- Custom EHR/EMR development
- EHR/EMR customization
- EHR/EMR integration
- TeleHealth development
- Remote patient monitoring software
- Health information exchange software
12. Code & Brew
Code & Brew works on AI-driven healthcare applications that often tie into EHR and EMR processes. The company handles automation for electronic records alongside tools like telemedicine platforms or remote monitoring. Diagnostic features using AI appear frequently in their offerings.
Integration with current systems allows adding AI capabilities without full replacements. Chatbots and analytics platforms help manage patient interactions and data insights. Workflow improvements target things like reducing admin load or predicting readmissions.
Key Highlights:
- AI for EHR automation
- Telemedicine with AI diagnostics
- Remote monitoring analytics
- Predictive models for patient outcomes
Services:
- AI-powered telemedicine app development
- AI chatbots for patient support
- Remote patient monitoring solutions
- AI-based diagnostic tools
- EHR & EMR automation solutions
- Healthcare data analytics platforms
- AI integration with existing systems
13. eClinicalWorks
eClinicalWorks delivers a cloud-based EHR system with heavy AI integration for handling documentation and patient interactions. The platform includes ambient listening through Sunoh.ai to turn conversations into draft notes automatically. Features like healow Genie handle patient engagement via voice or text in multiple languages.
Interoperability comes via PRISMA for pulling records from various sources into one view. Specialties get tailored support from dental to behavioral health. The system runs on Microsoft Azure with ONC certification in place.
Key Highlights:
- AI-powered medical scribe functionality
- Conversational EHR interface
- Fax management with Image AI
- Patient portal and contact center tools
Services:
- Cloud-based EHR platform
- AI documentation tools
- Interoperability solutions
- Telehealth integration
- Revenue cycle management support
14. MEDITECH
MEDITECH offers Expanse as a web-based EHR that adapts to different care settings with cloud hosting options. The system emphasizes interoperability through networks like Traverse Exchange for sharing patient histories. AI tools include ambient listening for notes and Navigator for searching records with natural language processing.
Physician and nurse workflows get mobile access with voice commands or pocket-friendly devices. Genomics integration provides DNA data handling alongside precision medicine features. Patient engagement happens via portals and virtual care options.
Key Highlights:
- Cloud-hosted subscription model
- Predictive analytics for patient surveillance
- Mobile access for clinicians
- Genomics and precision medicine support
Services:
- Intelligent EHR platform
- Interoperability network
- AI-based documentation
- Virtual care and patient portal
- Mobile clinician tools
15. Veradigm
Veradigm provides an ambulatory EHR with tools to cut down on admin work through templates and smart lists. Ambient scribe captures conversations to build notes directly in the system. Features include HCC alerts for risk coding and prescription price comparisons.
Specialty workflows cover areas like cardiology or orthopedics with custom views. Telehealth integration allows virtual visits. Mobile access lets physicians check schedules or refill prescriptions on the go.
Key Highlights:
- One-click templates for visits
- PDMP integration for controlled substances
- Care plan tracking
- Telehealth capabilities
Services:
- Ambulatory EHR system
- Ambient clinical documentation
- Prescription management tools
- Specialty-specific workflows
- Mobile EHR access
16. athenahealth
athenahealth provides athenaOne as a fully integrated platform combining EHR, medical billing, practice management, and patient engagement features. The system uses native AI to handle tasks like automating data exchange and surfacing relevant information during encounters. Workflows adapt to specialties with options for web, mobile, or voice input.
Clinical data pulls from a large network of integrations including labs and pharmacies for real-time updates. Billing side focuses on reducing denials through rules engines and expert review before submission. Patient tools include a portal for self-service, telehealth visits, and automated outreach to keep schedules full.
Key Highlights:
- High clean claim submission rate
- Reduction in document processing time with AI
- MIPS performance above industry average
- Extensive clinical integrations available
Services:
- Electronic Health Record with AI features
- Medical billing and practice management
- Patient engagement portal and app
- Telehealth integration
- Automated wellness reminders
17. NextGen Healthcare
NextGen Healthcare offers an AI-powered EHR platform designed for practices of different sizes from small independent ones to larger organizations. The system includes features like ambient listening through NextGen Ambient Assist that turns conversations into structured SOAP notes on a smartphone. It suggests codes, medications, and orders to cut down on documentation time.
Practice management ranks high in some industry surveys particularly for physician groups. The platform differentiates between EMR as practice-specific records and EHR as shareable comprehensive patient histories. Onboarding involves consultants learning about the practice to tailor workflows and provide ongoing support.
Key Highlights:
- Ambient AI for converting conversations to notes
- Suggestions for ICD-10 coding and orders
- Tailored support for small and larger practices
- Focus on reducing physician documentation burden
Services:
- AI-powered EHR platform
- Practice management solutions
- Ambient clinical documentation
- Implementation and training support
- Workflow optimization consulting
Conclusion
Picking the right EHR software development partner in the USA really comes down to what your practice (or your product idea) actually needs right now – and probably a year or two down the road. Some situations call for a ready-to-go platform with strong AI already baked in, while others need a completely custom build that fits quirky workflows or specific specialties without compromise. The market has plenty of solid options; the trick is matching the approach to your budget, timeline, compliance headaches, and how much control you want over the final result.
One thing stays constant though: good EHR work isn’t just about writing code that checks HIPAA boxes. The decent players understand clinician frustration, patient data flow, interoperability nightmares, and the endless regulatory updates that never seem to slow down. When you find someone who listens to those pain points instead of pitching features, projects tend to go smoother and actually get used instead of gathering digital dust.
If you’re shopping around in 2026, spend time on real conversations – ask about recent integrations they’ve done, how they handle change requests mid-project, and what happens when something breaks at 3 a.m. The upfront effort pays off. A system that truly fits can cut documentation time, reduce burnout, and let providers focus on people instead of screens. That’s still the whole point, isn’t it?
