Healthcare Technographic Data: Where to Source It, 9 Providers, and 5 Free Datasets

Here is a failure we see often enough to name. A data team buys a healthcare technographic data feed, wires it into their product, and ships it. Four months later a customer points at a row and says their own hospital is listed on the wrong electronic health record. The vendor column was not broken. It was answering a different question from the one the team thought they had asked.
We all know stale records still happen, and that is not really what goes wrong here. What goes wrong is earlier. Healthcare technographics behave differently from the horizontal kind, and teams buy them using horizontal instincts. A hospital is not one company running one system. It is a corporate parent above facilities that each carry their own federal identifier, an inpatient stack, a separate outpatient stack, and an imaging archive older than both. None of it is on a public website.
There are three things every data team should do before they spend anything on this category. Name which of the three altitudes they are actually shopping at. Build the free federal join first, because for US hospitals it answers more than most people expect. Then price the refresh rather than the record. Do those in order and the shortlist gets short quickly.
What follows is that method, the nine providers worth knowing, and the five public datasets underneath them. We pulled the federal file ourselves while writing this, all 68,446 rows of it, so the numbers below are measured rather than repeated.
Quick Digest
- What the signal is: which clinical and administrative technology a provider organisation runs, across six layers. The electronic health record, imaging and PACS, revenue cycle, health information exchange, telehealth, and patient engagement.
- The obvious field is dead: more than 99 percent of US non-federal acute care hospitals and 91 percent of office-based physicians had adopted a certified electronic health record by 2024. A field true of 99 percent of the market selects the whole market.
- Four source classes: regulatory disclosure, survey and interview research, web detection, and primary research. The collection method predicts the failure mode, so ask which one produced the field you care about.
- Three altitudes: market tells you the shape, account tells you what a named facility runs, moment tells you when it becomes buyable. Most disappointing purchases are altitude errors.
- The free file is better than its reputation: deduplicated correctly, the federal hospital file reproduces the paid market-share numbers to within about two points. Epic 41.6 percent against a reported 43.7 percent.
- There is a trap in it: the file holds 7.66 rows per hospital because hospitals attest to many certified modules. Take one row each and MEDITECH reads 1.6 percent instead of 15.0 percent.
- Module detail is free, not premium: for certified modules you can separate inpatient from ambulatory at 4,627 hospitals without paying anyone.
- What nobody sells: contract renewal timing. It has real monthly search demand and no supply, which is why the moment altitude stays expensive.
What healthcare technographic data actually is, and why the obvious field is dead
Healthcare technographic data records which clinical and administrative technology a provider organisation runs, at which facility, in which version. That is the healthcare case of the same signal business teams buy horizontally, and the definition is the only part that carries over cleanly.
If you have read our explainer on firmographic versus technographic data, the split holds. Firmographics say a hospital has 400 beds inside a three-hospital system. Technographics say those beds are charted in MEDITECH Expanse while the system's two clinics run athenahealth. One sizes the opportunity. The other tells you whether you have anything to sell.
In practice, six layers carry almost all of the commercial signal, and teams routinely buy coverage of one while needing another.
| Layer | What it covers | Who needs it | How visible it is |
|---|---|---|---|
| Electronic health record | The core clinical system. Epic, Oracle Health, MEDITECH, athenahealth, Veradigm, eClinicalWorks and a long ambulatory tail. | Anything that integrates with the chart. | Best documented. Partly public for hospitals. |
| Imaging and PACS | Picture archiving, radiology and cardiology workflow, advanced visualisation, digital pathology. | Imaging vendors, diagnostic AI, archive and storage. | Commercial research only. |
| Revenue cycle | Billing, coding, claims scrubbing, denial management, patient financial engagement. | Revenue cycle software and services. | Poorly documented. Sometimes bundled with the EHR, often not. |
| Health information exchange | Network participation, interface engines, FHIR gateways, exchange frameworks. | Integration platforms, aggregators, network vendors. | Partly inferable from public network membership. |
| Telehealth and virtual care | Video platforms, remote monitoring, virtual triage. | Virtual care vendors, device makers. | Fragmented, and heavily rearranged since 2020. |
| Patient engagement | Portals, scheduling, intake, communications, the digital front door. | Digital health and healthcare marketing vendors. | The one layer web detection genuinely sees. |
Now the part that decides whether any of this is worth buying. Federal reporting shows more than 99 percent of US non-federal acute care hospitals had adopted a certified electronic health record by 2024, up from under 10 percent in 2008. On the ambulatory side the figure is 91 percent of office-based physicians. The variation between hospital types that was visible in 2010 and 2018 had disappeared entirely by 2024.
A field that is true of 99 percent of your market is a constant, not a signal. Every segment built on "has an EHR" returns everybody. The questions that still discriminate are narrower, and they are the ones worth paying for. Which vendor. Which product line. Which version. Which modules they did not buy. And when the contract comes up. That last one is the most valuable and the hardest to get, and we will come back to why.
Quick Summary
Q: What is healthcare technographic data, and why is knowing a hospital has an EHR useless?
A: It records which clinical and administrative technology a provider organisation runs, across six layers: the electronic health record, imaging and PACS, revenue cycle, health information exchange, telehealth, and patient engagement. The bare adoption field is useless because adoption is saturated. Over 99 percent of US non-federal acute care hospitals and 91 percent of office-based physicians had a certified EHR by 2024, so the field selects your entire market. Vendor, product line, version, module gaps and renewal timing are what still carry information.
Expert Insights
The unit of analysis is the facility, not the company, and this breaks more projects than stale data does. A health system sits above facilities that each carry their own CMS Certification Number, and after an acquisition those facilities frequently run different software from one another. A record saying "System X runs Epic" is usually describing the flagship. Build at the facility identifier and roll up to the parent yourself. The systems most worth selling to are the ones mid-consolidation, which are exactly the ones where a parent-level record is most wrong, so the blast radius of this mistake lands on your best accounts first.
The four places healthcare technographic data comes from
Every record in this category was produced one of four ways, and the method decides everything downstream. Coverage shape, refresh rate, which fields exist at all, and price are consequences of collection, not vendor choices. Once you can name the method behind a dataset, you can predict its failure domain without running a trial.
| Source class | How the data is produced | Coverage shape | Refresh | Cost |
|---|---|---|---|---|
| 1. Regulatory disclosure | Hospitals report the certified software they use to qualify for federal payment programmes. | US hospitals that reported. No ambulatory practices, most federal facilities absent. | Annual, by programme year. | Free. |
| 2. Survey and interview research | Analysts call provider organisations and ask what they run, what they are replacing, and why. | Deep on decision context, sampled rather than complete. | Continuous collection, periodic reports. | Subscription, four to five figures. |
| 3. Web detection | Crawlers read a public website and identify what serves it. | Public web properties only. Marketing stack, not clinical stack. | Continuous. | Low, self-serve. |
| 4. Primary research and inference | Procurement records, job postings, exhibitor lists, press statements, direct collection. | Whatever you scope. | Whatever you pay for. | Highest per record, and the only route to some fields. |
Regulatory disclosure is the class most teams skip. Hospitals in federal payment programmes have to declare the certified health IT they use, and the declaration is published. That produces a hospital-to-vendor mapping with an authority no commercial product can match, because it is the hospital's own filing rather than an estimate. Its limits are equally hard, and we quantify them further down.
Survey research is the only class that captures intent. A filing tells you what a hospital runs today. An analyst who spent an hour with the CIO knows the contract is up in eighteen months and the board has lost patience. That cannot be crawled, filed or inferred. Somebody has to ask.
Web detection is where healthcare technographic projects fail most confidently. Point a crawler at a health system domain and it returns a real, accurate, well-formed answer about the content management system, the analytics tags and the chat widget. It returns nothing about the electronic health record, because the record is not served over the public web. The output validates cleanly and answers a question you did not ask, which is the worst kind of wrong.
What no source gives you, at any price
- Contract renewal dates. The highest-value field in the category is on no price list. Search demand for it is real and steady, and supply is zero. It is assembled from procurement records, board minutes and analyst conversations, or it is not assembled.
- Practice-level ambulatory technographics. No federal file operates at physician-practice level. Commercial coverage of small practices is thin and ages fast.
- Commercial licensing terms. Certified modules are visible. What a hospital actually pays for, and on what terms, is not.
- Anything about a facility that did not report. Absence in a regulatory file is not evidence of absence in reality, and treating it as such quietly shrinks your market.
Quick Summary
Q: Where does healthcare technographic data come from?
A: Four places. Regulatory disclosure, where hospitals declare certified software to qualify for federal payment programmes and the declaration becomes public. Survey and interview research, the only method that captures replacement intent. Web detection, which reads public websites and therefore sees the marketing stack rather than the clinical one. And primary research and inference, the only route to fields nobody publishes, including contract renewal timing.
Expert Insights
Ask any vendor which of the four methods produced the specific field you care about, and the conversation changes shape. Most products here are blends: a regulatory file as the spine, analyst research layered on, inference filling gaps, all presented in one grid with no provenance column. That is fine until a record is wrong and you need to know why. A vendor who can say "the vendor name came from the federal filing, the version from our analyst call, the renewal estimate is modelled" is a vendor you can debug. A vendor who answers "our proprietary methodology" has told you the fields are not separable, which means you cannot tell the filed facts from the guesses, and neither can your customers.
The three altitudes, and the denominator that changes every answer
This category is sold as one thing and bought for three different jobs. Naming the three is the fastest way to stop overpaying, because the most common purchasing error here is buying a market-research subscription to answer an account-level question, then discovering nine months in that no report will ever name your prospect.
| Altitude | The question it answers | What you buy | What it cannot do |
|---|---|---|---|
| Market | What is the shape of this market and who is winning? | Analyst subscriptions and market-share reports. | Name a facility or build a list. |
| Account | What does this named facility run right now? | Record-level databases and public regulatory files. | Tell you whether they are happy, or when they will move. |
| Moment | When does this account become buyable? | Decision and replacement research, contract intelligence, commissioned collection. | Cover the market cheaply. It is narrow by nature. |
Market altitude is the cheapest and the least operational. It earns its place in board decks, territory planning and roadmap decisions. It is no use to someone who needs to know what is in front of them on Thursday.
Account altitude is what most people mean when they say technographic data, and it is where free federal data competes far better than its reputation suggests.
Moment altitude is where the money is and where supply is thinnest. Knowing a system runs a given vendor is worth something. Knowing they are eleven months from a renewal decision is worth an order of magnitude more, and no catalogue sells it.
One number shows why altitude confusion is expensive. In the 2026 KLAS Research acute care report, Epic holds 43.7 percent of hospitals and 56.9 percent of beds. Oracle Health holds 21.9 percent and 20.4 percent. MEDITECH holds 14.7 percent and 12.5 percent. Epic's two figures sit 13 points apart because it is concentrated in large systems. Both are correct. Which one is right for you depends entirely on whether you sell per site or per bed.
It gets sharper. A widely cited vendor analysis puts the same three at 43.9 percent, about 19 percent and 10.7 percent. Two reputable sources, the same market, MEDITECH four points apart. Neither is lying. They count different hospitals and different moments. We are not going to pick a winner here, because the useful lesson is the one you can apply to any vendor: a coverage or share claim without a stated denominator is not a claim you can evaluate.
Worth knowing if you are timing a market entry: KLAS also found the number of hospitals affected by an EHR purchase decision fell roughly 40 percent against 2024 and nearly 50 percent against 2023, as systems deferred transitions amid policy questions and a pivot toward AI. Fewer moments to catch makes catching them worth more.
Quick Summary
Q: Which altitude of healthcare technographic data do I actually need?
A: Market altitude answers what the market looks like and who is winning, bought as an analyst subscription. Account altitude answers what a named facility runs, bought as a record-level database or taken free from federal files. Moment altitude answers when an account becomes buyable, and it is the most valuable and least available of the three. If you are building a target list you need account altitude, and no market-share subscription will get you there.
Expert Insights
The denominator problem generalises well past market share, and it is the single highest-return question in a healthcare data evaluation. Every coverage claim in this category is a fraction, and vendors pick the numerator and denominator that flatter them. "We cover 8,000 hospitals" means nothing until you know whether the denominator includes federal, psychiatric and long-term care facilities, or only short-term acute care, which is a set roughly half the size. Ask every shortlisted vendor for the count restricted to your own market definition, not theirs. In practice the reordering is often dramatic, and the exercise costs one email.
Healthcare technographic data sources at a glance
Nine providers and five public datasets, with the altitude each one genuinely serves. If you read one block on this page, read this one, then jump to the two or three rows that match your altitude.
| Source | Type | Altitude | Best for |
|---|---|---|---|
| Forage AI | Managed Data Extraction | Account and moment | A field defined by your use case rather than a vendor roadmap, refreshed on your cadence. |
| Definitive Healthcare | Healthcare commercial intelligence | Account | The reference account-level file, holding the former HIMSS Analytics install and contract data. |
| HG Insights | Horizontal technology intelligence | Account | Enterprise IT install and spend, with healthcare as one vertical cut. |
| ZoomInfo | Horizontal B2B data | Account | Breadth and contacts across healthcare organisations. Thin on clinical systems. |
| BuiltWith | Web detection | Account, web layer only | The digital front door, and health tech companies rather than providers. |
| Wappalyzer | Web detection | Account, web layer only | The same job, lighter and API-first. |
| KLAS Research | Survey and interview | Market and moment | Market share, satisfaction, and which vendors are being replaced. |
| Signify Research | Market intelligence | Market | Enterprise health IT, with unusual depth in imaging and digital pathology. |
| Black Book Research | Survey | Market | Vendor-agnostic satisfaction benchmarking across provider and payer technology. |
| ONC Promoting Interoperability file | Free public dataset | Account | The official hospital-to-vendor map. Free, as CSV and API. |
| CHPL | Free public dataset | Product reference | What each certified product is, and what it is certified for. |
| CMS hospital files | Free public dataset | Facility reference | The facility attributes you join a vendor name onto. |
| NPPES and the NPI registry | Free public dataset | Identity reference | Resolving organisations and reaching the clinicians inside them. |
| State attestation and HIE reports | Free public datasets | Regional | The ambulatory tail the federal hospital file never sees. |
Quick Summary
Q: Which healthcare technographic source should I start with?
A: If your market is US hospitals and your question is the EHR vendor, start with the free ONC Promoting Interoperability file, because it answers that completely at no cost. Move to Definitive Healthcare for a healthcare-native account-level file with contacts and purchasing history, to HG Insights for enterprise IT rather than clinical systems, to KLAS for market share and replacement activity, and to BuiltWith or Wappalyzer only for the digital front door. Commission a build when the field you need is renewal timing or practice-level ambulatory.
Expert Insights
Read this table down the altitude column rather than across the rows. Scanning a single provider tells you what one vendor claims. Scanning the column tells you something more useful: nine of the fourteen sources cluster at account altitude, and only three touch moment altitude at all. That distribution is the market. Supply is thick where the question is easy to answer and thin where the answer is worth the most. If your requirement sits in the thin part, no amount of vendor comparison fixes it, and the sooner a team accepts that, the sooner it scopes a build instead of running a procurement that cannot succeed.
The nine healthcare technographic data providers, compared
Grouped by the altitude each genuinely serves rather than the one it markets. Several of these are good products that will disappoint badly if bought for the wrong job.
Built to spec: when the field you need is not sold
The category has a structural hole, and it is the same hole for everyone. Renewal timing, practice-level ambulatory coverage and commercial licensing terms are three fields that often decide a deal, and no catalogue carries them. When a requirement lands in that hole, the choice is to commission the dataset or drop the requirement.
Forage AI
| Attribute | Detail |
|---|---|
| Best for | A healthcare technographic dataset defined by your use case rather than by a vendor's product roadmap. |
| What it actually gives you | Collection built to your specification across facility, vendor, product line and the public-record trail around procurement, delivered on an agreed refresh cadence rather than an annual file drop. |
| Access model | Managed engagement, scoped per project. From sign-off to first dataset in 1-2 weeks. |
| Altitude | Account and moment, the two hardest to buy off the shelf. |
| Watch-out | Commissioning is right only when a catalogue genuinely lacks the field. If the free federal join answers your question, use it. |
Forage AI is the commission-it option rather than another subscription. That distinction matters more in healthcare than in horizontal business data, because the gap between what is sold and what is needed is wider. A seller of imaging AI does not need a general hospital database. They need every facility running a named archive at a named version above a volume threshold, and that combination is not a product anybody lists.
What that looks like in delivery: on one healthcare provider engagement the team delivered more than a million provider profiles across 350,000 practices at 99.7% field-level accuracy on the golden set, cutting the client's data-collection time by 90 percent. Every delivery passes a 3x QA team, and the 200% QA approach means automated checks and human verification both run before anything lands. Person-level and facility-level healthcare records are handled under contractual controls and client-specific handling rules agreed up front.
Who it is for: teams whose target definition includes at least one field they have already failed to find on a price list, and teams needing a cadence faster than an annual regulatory file. Watch-out: a build has a lead time a download does not. If the question is simply which EHR a hospital runs, start free and escalate only when the free data fails you.
Account level: what this facility runs
These answer the question a product team asks before it ships a record. The first is healthcare-native. The rest are horizontal products with healthcare coverage of varying honesty.
Definitive Healthcare
| Attribute | Detail |
|---|---|
| Best for | The reference account-level view of US provider organisations and the technology they run. |
| What it actually gives you | Provider and facility records across hospitals, physician groups, ambulatory surgery centres and imaging centres, with technology install data and IT purchasing history alongside firmographics and contacts. |
| Access model | Enterprise annual subscription. |
| Altitude | Account, with some moment-level contract history. |
| Watch-out | Validate coverage against your own market definition before signing, as with every source here. |
One acquisition explains why this is the default name in the category. In January 2019 Definitive Healthcare acquired the data services business of HIMSS Analytics, including the Logic, Predict and Analyze products and the custom research practice. The HIMSS Analytics dataset was the industry reference for healthcare technology install data and IT purchasing contracts, and it was merged into Definitive Healthcare's provider data.
The practical consequence is that a dataset many buyers still request by name has not existed independently since 2019. When somebody on a team says "let us just get the HIMSS Analytics install file", they are describing something that is now a capability inside another company's platform. That is the most useful structural fact in this market, and it explains why a healthcare-native account-level file is harder to shop for than the vendor count suggests.
Who it is for: teams that need firmographics, technology installs and contacts on US providers in one place. Watch-out: ask whether the technology record sits at the facility or the parent, which is the failure mode described earlier and applies to any account-level source.
HG Insights
| Attribute | Detail |
|---|---|
| Best for | Modelled technology install and IT spend, with healthcare as one vertical cut of a horizontal dataset. |
| What it actually gives you | More than 20,000 technology products, over 100 million verified technology installs, and IT spend modelled across 140 categories. |
| Access model | Enterprise annual contract. |
| Altitude | Account, strongest on the enterprise IT layer. |
| Watch-out | Built for enterprise technology buying generally. Clinical-system depth is not its design centre. |
This is the strongest horizontal option precisely because it does not rely on web detection. It models installs and spend rather than reading page source, so it can say something about systems that never touch the public internet. For the enterprise IT layer inside a health system, meaning security, infrastructure, communications and general enterprise software, that is a real capability.
Who it is for: vendors selling enterprise technology into health systems where the buyer is the CIO rather than the chief medical information officer. Watch-out: the closer your product sits to the chart, the thinner this gets. Test it on fifty accounts where you already know the clinical answer before relying on it.
ZoomInfo
| Attribute | Detail |
|---|---|
| Best for | Breadth across healthcare organisations plus contacts, where technographics are a secondary requirement. |
| What it actually gives you | Large-scale company and contact coverage with bundled technographic attributes derived largely from web-facing and general business signals. |
| Access model | Annual subscription, seat and credit based. |
| Altitude | Account, general business layer. |
| Watch-out | Its technographic attributes are horizontal. Clinical systems are not what it was built to observe. |
It earns a place here on breadth rather than depth. If a motion needs named contacts at thousands of healthcare organisations plus a rough technology picture, one subscription does that, and the contact data is the reason to buy it. We cover its horizontal technographic layer in more detail in our guide to B2B data enrichment tools.
Who it is for: teams whose primary need is reach, with technographics as a filter rather than the thesis. Watch-out: do not build a clinical segmentation on it. The attributes populate, they look plausible, and their provenance is not clinical.
BuiltWith
| Attribute | Detail |
|---|---|
| Best for | The digital front door: portals, scheduling, marketing and analytics stacks on public healthcare websites. |
| What it actually gives you | Detection across more than 126,000 internet technologies, with a per-domain history showing when a site adopted or dropped a tool. |
| Access model | Self-serve subscription, tiered. |
| Altitude | Account, web layer only. |
| Watch-out | Cannot see any system not served over the public web, which is every clinical system. |
It is genuinely useful for exactly one of the six layers. If you sell patient engagement, scheduling, digital intake or healthcare marketing technology, what you sell against is on the public website, and the history lets you see what a system already tried and abandoned.
Who it is for: digital health and healthcare marketing vendors, and anyone selling to health tech companies rather than to providers. Watch-out: the failure mode is not inaccuracy, it is category error. A crawl of a hospital domain returns a clean answer about a content management system and nothing about the chart.
Wappalyzer
| Attribute | Detail |
|---|---|
| Best for | The same web-layer job at a lighter, API-first price point. |
| What it actually gives you | Technology lookup on any URL, lead lists filtered by technology or keyword, and alerts when a monitored site changes. Dataset size is not published. |
| Access model | Self-serve subscription, API and browser extension. |
| Altitude | Account, web layer only. |
| Watch-out | No published coverage figures, and the same hard ceiling. |
This is the practitioner tier of web detection. It began as a browser extension and still behaves like one, which makes it the cheapest way to put a web-layer field into your own pipeline through an API rather than a platform.
Who it is for: small teams wanting a web-stack signal inside an existing workflow. Watch-out: no coverage number is published, so there is nothing to test the claim against. Run your own account list through it and count how many resolve before building on it.
Market and moment: the shape of the market, and who is replacing what
None of these three will build a target list, and none pretends otherwise. What they carry is the context record-level files cannot: satisfaction, replacement intent, and direction of travel.
KLAS Research
| Attribute | Detail |
|---|---|
| Best for | The authoritative read on healthcare IT market share, satisfaction and replacement activity. |
| What it actually gives you | Market share reporting plus Decision Insights, which has tracked since 2017 which vendors are replaced, considered and purchased, and what drove each decision. |
| Access model | Membership. Provider organisations that contribute feedback get access; vendors, investors and agencies pay. |
| Altitude | Market, and the closest thing to moment that is purchasable. |
| Watch-out | Reports describe the market, not your prospect. |
This is where the numbers everyone quotes come from. The 2026 acute care report puts Epic at 43.7 percent of hospitals and 56.9 percent of beds, Oracle Health at 21.9 and 20.4 percent, MEDITECH at 14.7 and 12.5 percent. In 2025 Epic added 77 hospitals and 18,679 beds while Oracle Health lost 56 hospitals and 14,676 beds, its third consecutive year of major net losses, and Epic was the only vendor selected by health systems with more than ten hospitals.
Those movement figures are the most useful decay estimate available. Roughly 130 hospitals changed acute care EHR in a single year, before counting version migrations. On the forward view, KLAS researchers wrote that "2026 will be a critical year for Oracle Health customers, as the new AI-enabled EHR becomes a reality", noting its "success will be imperative to restoring confidence among both existing customers and the broader market." The same report found 84 percent of MEDITECH legacy customers migrating to Expanse, a reminder that running MEDITECH and running MEDITECH Expanse are different conversations.
Who it is for: product, strategy and territory planning. Watch-out: buying it to answer an account question is the altitude error described above, and it is an expensive one.
Signify Research
| Attribute | Detail |
|---|---|
| Best for | Enterprise health IT market intelligence with unusual depth in imaging. |
| What it actually gives you | Rolling coverage of the global enterprise health IT market across acute and ambulatory, plus imaging IT, archiving, advanced visualisation and digital pathology, built on primary data from vendors and their customers. |
| Access model | Subscription with analyst support time included. Bespoke research available. |
| Altitude | Market, global. |
| Watch-out | Market level. Analyst time is the route to anything account-specific. |
It answers a question the EHR-centric sources cannot. If you sell into imaging, then archives, visualisation and pathology are your market, and that layer is barely visible in EHR market-share reporting. Signify covers it as a first-class subject, and covers it globally rather than US-only.
Who it is for: imaging and diagnostics vendors, device makers, and anyone whose market the EHR analysts treat as adjacent. Watch-out: the deliverable is understanding. Budget the included analyst time deliberately, because that is where anything account-shaped comes from.
Black Book Research
| Attribute | Detail |
|---|---|
| Best for | Vendor-agnostic user satisfaction benchmarking across provider and payer technology. |
| What it actually gives you | Survey data from users and decision-makers across clinical, administrative and financial technology markets since 2003, with published methodology. |
| Access model | Subscription and client dashboards. |
| Altitude | Market, satisfaction dimension. |
| Watch-out | Survey-based, so it reflects who responded. It is a satisfaction instrument, not an install file. |
It measures the dimension the others leave out. Market share tells you who won the deal. Satisfaction data tells you whether the people living with that decision would make it again, which is the leading indicator of the replacement activity that shows up in market-share reporting two years later.
Who it is for: vendors positioning against an incumbent, and provider organisations doing diligence before a selection. Watch-out: read the sample size on a category before quoting it, because survey depth varies a lot by segment and a thin segment is a thin signal.
Quick Summary
Q: Which healthcare technographic data provider should I shortlist?
A: It depends on the altitude and the layer. For account-level records on US providers, Definitive Healthcare is the healthcare-native reference and holds the former HIMSS Analytics install and contract data. For enterprise IT rather than clinical systems, HG Insights models installs and spend without relying on web detection. For the digital front door only, BuiltWith or Wappalyzer. For market share and replacement activity, KLAS, with Signify Research for imaging and Black Book for satisfaction. When the field is renewal timing or practice-level ambulatory, no catalogue carries it and it has to be built.
Expert Insights
Run the same fifty-account test on every candidate, using accounts where you already know the truth. Take fifty facilities your team has sold into or lost in, where you know the vendor, ideally the version, and roughly when the contract moved. Submit them to each vendor and score three things separately: how many resolved at all, how many resolved to the right facility rather than the parent, and how many carried the specific field you are buying for. In practice vendors are strong on the first, weaker on the second, and the third is where shortlists collapse. The test costs a day, and it is the only evaluation in this category that a curated demo list cannot game.
The five free datasets, and the one that does most of the work
Before buying anything, spend an afternoon here. For a US hospital use case these five sources, joined, produce a target list with the vendor name attached, at no cost, from official filings. We ran this while writing the article, so the numbers below are measured rather than quoted. The limits are stated just as plainly.
1. The ONC Promoting Interoperability certified health IT file
| Attribute | Detail |
|---|---|
| What it carries | For every hospital that reported: the CMS Certification Number, name and full address, the developer name and product name, the CEHRT ID, the CHPL product ID, the performance period, and whether the hospital met the interoperability criteria. |
| Coverage | Programme years 2023 and 2024. 68,446 rows in total, 35,438 of them for 2024, covering 4,627 hospitals across 56 state and territory codes. |
| Format | CSV of roughly 18 MB, plus a live JSON API. |
| Updated | Last updated January 2026. |
| Cost | Free. |
This is the closest thing to an official hospital-to-vendor map, and it is a download. It exists because hospitals must declare the certified software they use to qualify under federal payment programmes, so the vendor name is the hospital's own filing rather than an analyst's estimate. It is published by ONC at healthit.gov.
The headline finding, and the reason to read this section before a procurement: deduplicated correctly, this free file reproduces the paid market-share numbers to within about two points.
| Developer | Federal file, 2024 | Reported by KLAS, 2026 | Gap |
|---|---|---|---|
| Epic Systems Corporation | 41.6% (1,925 of 4,627 hospitals) | 43.7% | 2.1 points |
| Oracle Health | 20.2% (936) | 21.9% | 1.7 points |
| MEDITECH | 15.0% (692) | 14.7% | 0.3 points |
The residual gap is explained by the file covering only hospitals that reported. For a team that needs the shape of the market and a list to work from, that is a subscription's headline output, reproduced in an afternoon.
Pull the file and compute vendor share correctly
import json, urllib.request
from collections import Counter, defaultdict
URL = ("https://healthit.gov/data/open-api"
"?source=hospital-promoting-interoperability-chpl-linkage.csv")
rows = json.load(urllib.request.urlopen(URL)) # 68,446 rows, 17 columns
latest = [r for r in rows if r["year"] == "2024"] # 35,438 rows
by_ccn = defaultdict(set)
for r in latest: # Facility.ID IS the CCN
by_ccn[r["Facility.ID"]].add(r["developer_name"].strip())
hospitals = len(by_ccn) # 4,627
share = Counter(d for devs in by_ccn.values() for d in devs if d)
for dev, n in share.most_common(3):
print(f"{dev:<34} {n:>5} {100*n/hospitals:.1f}%")
# Epic Systems Corporation 1925 41.6%
# Oracle Health 936 20.2%
# MEDITECH 692 15.0%The set() on line nine is the whole article in one line. Use a list there and you reintroduce the error below.
The trap that makes people conclude this data is useless
- The file holds 7.66 rows per hospital. 35,438 rows describe 4,627 hospitals, because hospitals attest to many certified modules from many developers, not to one EHR. Some hospitals have a single row; others run past twelve.
- Take one arbitrary row per hospital and the answer changes shape. Epic reads 37.7 percent instead of 41.6. Oracle Health reads 16.5 instead of 20.2. MEDITECH reads 1.6 percent instead of 15.0, an order-of-magnitude error.
- Module vendors get promoted into looking like EHR vendors. On the naive load, Surescripts appears at 4.5 percent and Imprivata at 2.4 percent. They are e-prescribing and identity, not charts.
- 569 hospitals, 12.3 percent of the file, carry no developer name at all. They reported, and the vendor field is blank. Any honest coverage claim from this file subtracts them first.
One more thing this file quietly contains: module-level detail, for free. Certified products are named, not just vendors. Epic ships eight distinct products here, MEDITECH lists 30, Oracle Health 21. The base products separate care settings directly, with EpicCare Inpatient Base listed at 1,893 hospitals and EpicCare Ambulatory Base at 1,171, and 1,139 hospitals carrying both. Module-level targeting is usually described as unbuyable. For certified modules at hospitals, it is already public.
2. CHPL, the Certified Health IT Product List
| Attribute | Detail |
|---|---|
| What it carries | Every health IT product certified under the federal programme, what it was certified for, which testing laboratory and certification body handled it, and its certification history. |
| Coverage | All certified health IT products, US. |
| Format | Web interface, plus a REST API returning JSON or XML. |
| Updated | Continuously, as certifications change. |
| Cost | Free. The API needs a free registered key, the web interface does not. |
CHPL is the product dimension the hospital file points at. The hospital file says which product a facility runs and hands you a CHPL product ID; CHPL says what that product is, which version, and what it was certified to do. Together you get vendor, product and version, which is two fields more than many commercial records carry. In the 2024 data, 34,869 of 35,438 rows carry both a CEHRT ID and a CHPL ID, so the join lands on 98 percent of rows.
A practical correction, since most write-ups skip it. The CHPL API is public but not open. We tested it while writing this: calls without credentials return HTTP 400, and calls with an invalid key return 401. Register for a free key first at chpl.healthit.gov, or your pipeline will fail on its first run for a reason the error message does not make obvious.
It is also the cleanest list of who is in the market at all, including the long ambulatory tail that never appears in market-share reporting because individually none of those products clears a reporting threshold.
3. CMS hospital files, and the CMS Certification Number that joins everything
| Attribute | Detail |
|---|---|
| What it carries | Facility-level attributes keyed on the CCN: name, address, ownership type, facility category, bed counts, and quality measures depending on the file. |
| Coverage | Medicare-certified facilities nationally. |
| Format | CSV downloads and APIs. |
| Updated | Varies by file, generally quarterly to annually. |
| Cost | Free. |
These carry no technology information whatsoever, and they are what makes the technology information usable. Joined on the CCN, they turn "this hospital runs product X" into "this 340-bed non-profit short-term acute care hospital in this state runs product X", which is the difference between a data point and a target list.
Isolate care setting, then prepare the CCN join
inpatient = {ccn for ccn, rs in by_ccn_rows.items()
if any("Inpatient Base" in r["product_name"] for r in rs)} # 1,893
# CCN joins straight to CMS Hospital General Information on "Facility ID".
# Zero-pad it. CCNs are strings ("010001"), not integers. Casting to int drops
# the leading zero and silently fails the join for every hospital in a state
# with a low CMS prefix, which looks like a coverage gap rather than a bug.
targets = [{"ccn": r["Facility.ID"].zfill(6),
"name": r["Facility.Name"],
"state": r["State"],
"vendor": r["developer_name"],
"product": r["product_name"],
"chpl_id": r["chpl_id"]}
for r in latest if r["Facility.ID"] in inpatient]Facility category matters more than teams expect. Short-term acute care, critical access, psychiatric, rehabilitation and long-term care hospitals all sit in these files and behave nothing like each other commercially. Filter deliberately, and use the same filter when you ask a vendor for a coverage count. We ranked the public provider sources in more detail in our guide to US healthcare provider data sources.
4. NPPES and the NPI registry
| Attribute | Detail |
|---|---|
| What it carries | The National Provider Identifier for every individual clinician and organisation, with taxonomy, practice address and organisational affiliation. |
| Coverage | All US providers holding an NPI. |
| Format | Full monthly file download, plus a public API. |
| Updated | Monthly full file, weekly incrementals. |
| Cost | Free. |
NPPES is the identity layer underneath everything else. It carries no technology field at all and is still load-bearing, because it connects a facility to the clinicians practising there and resolves organisations that appear under three different names across three files.
Watch-out: NPPES is self-reported, and deactivated records arrive as sparse rows rather than clean deletions, so a naive load produces silent gaps. We covered the tooling around this in our comparison of NPI data tools.
5. State attestation lists and state HIE connectivity reports
| Attribute | Detail |
|---|---|
| What it carries | Two things. State Medicaid programmes publish the EHR products attested by in-state providers. State health information exchanges publish which EHR vendors are live in production on the exchange. |
| Coverage | Per state. Reaches ambulatory providers the federal hospital file never sees. |
| Format | PDF and CSV, varies by state. North Carolina exports its vendor list directly to CSV. |
| Updated | Irregular. The North Carolina report was last updated 7 July 2025. |
| Cost | Free. |
This is the layer almost nobody cites, and it is the only free route into ambulatory territory. Louisiana's Medicaid programme publishes the EHR products used in-state from its incentive attestation system. North Carolina's health information exchange authority publishes more than 80 EHR vendors live in production on NC HealthConnex, exportable as CSV.
Be honest about what these are. Both are usually vendor-level rather than facility-to-vendor maps, and coverage is uneven state to state. They will not replace the federal file. What they do is tell you which products have real regional presence, which is exactly the question the national market-share reports cannot answer, and they surface the small ambulatory vendors that never clear a national reporting threshold.
The join, in order
- Start with the Promoting Interoperability file. You now have facility, vendor, product and a CHPL ID.
- Join CHPL on the product ID, with your registered key. You now have version and certified capabilities.
- Join the CMS hospital files on the zero-padded CCN. You now have beds, ownership, facility type and location.
- Join NPPES on the organisational NPI. You now have the people.
- Add state sources where your market is regional or ambulatory.
- Filter to your actual market definition, then count. That count is your denominator, and it is the number to hold every commercial coverage claim against.
Quick Summary
Q: Is there a free dataset showing which EHR a hospital uses?
A: Yes. The ONC Promoting Interoperability certified health IT file lists the CMS Certification Number, developer name and product name for every hospital that reported, as a free CSV and API covering programme years 2023 and 2024, with 4,627 hospitals in the 2024 data. Deduplicated correctly it reproduces paid market-share figures to within about two points. Join it to CHPL for version, to CMS hospital files for facility attributes, and to NPPES for people. It covers hospitals only, only those that reported, and 12.3 percent of its hospitals carry no vendor name.
Expert Insights
Build the free join first even when you are certain you will buy something. It costs a day and it changes the purchase in three ways. You arrive with your own denominator, so a coverage claim becomes checkable rather than impressive. You know which accounts the free file already answers, so you pay only for the gap. And you can run the fifty-account test against a vendor using facilities where you hold an authoritative federal answer, which is a far harder test than the one they are expecting. What we have seen is that teams who do this buy smaller, more precisely scoped contracts than teams who walk in cold, and they renew them, because the contract matches what they actually lacked.
Every healthcare technographic source compared side by side
All fourteen sources on the six decisive columns. Altitude sits first, because it explains more disappointing purchases than price does.
| Source | Type | Altitude | Layer coverage | Access model | Best for |
|---|---|---|---|---|---|
| Forage AI | Managed and custom | Account and moment | Whatever you scope | Managed engagement, project-priced | Fields no catalogue sells: renewal timing, practice-level ambulatory, commercial terms |
| Definitive Healthcare | Healthcare commercial intelligence | Account | Broad clinical and administrative | Enterprise annual | The healthcare-native account-level reference file |
| HG Insights | Horizontal technology intelligence | Account | Enterprise IT, thinner on clinical | Enterprise annual | Selling enterprise technology to the CIO rather than the chart |
| ZoomInfo | Horizontal B2B data | Account | General business layer | Annual, seat and credit | Reach and contacts where technographics are a filter |
| BuiltWith | Web detection | Account, web only | Digital front door only | Self-serve, tiered | Patient engagement, scheduling and healthcare marketing technology |
| Wappalyzer | Web detection | Account, web only | Digital front door only | Self-serve, API-first | The same job, lighter, inside your own pipeline |
| KLAS Research | Survey and interview | Market and moment | Broad health IT | Membership; contributors get access | Market share and which vendors are being replaced |
| Signify Research | Market intelligence | Market | Enterprise health IT, deep on imaging | Subscription with analyst time | Imaging, PACS, archiving and digital pathology markets |
| Black Book Research | Survey | Market | Provider and payer technology | Subscription and dashboards | Satisfaction benchmarking and incumbent vulnerability |
| ONC Promoting Interoperability file | Free public dataset | Account | EHR and certified modules, hospitals only | Free CSV and API | The official hospital-to-vendor map, and your denominator |
| CHPL | Free public dataset | Product reference | All certified health IT | Free API, key required | Product identity, version and certified capabilities |
| CMS hospital files | Free public dataset | Facility reference | No technology data | Free CSV and API | The facility attributes you join a vendor name onto |
| NPPES and NPI | Free public dataset | Identity reference | No technology data | Free monthly file and API | Resolving organisations and reaching clinicians |
| State attestation and HIE reports | Free public datasets | Regional | EHR, often vendor-level only | Free, format varies | Regional presence and the ambulatory tail |
Quick Summary
Q: How do the healthcare technographic sources compare?
A: They separate on altitude and layer rather than on price. Five free public datasets cover US hospitals at account altitude for the EHR and certified-module layer and cost nothing. Definitive Healthcare, HG Insights and ZoomInfo compete at account altitude with progressively less clinical depth. BuiltWith and Wappalyzer are web-layer only. KLAS, Signify Research and Black Book operate at market altitude and will not build a target list. Only commissioned collection reaches the fields nobody sells.
Expert Insights
The column that should decide a shortlist is layer coverage, and it is the one vendors say least about. Altitude is usually visible from a product page. Layer coverage is not, because a product excellent on the EHR layer and empty on imaging and revenue cycle will still describe itself as covering healthcare technology. Send every shortlisted vendor the same written question naming your layer: what share of my market do you carry this field for, and which of the four source classes produced it. In practice, two of those three answers are where a shortlist gets shorter.
The four gates, and what building it actually costs
Run these in order. Most teams start at gate four, comparing vendors, which is why the comparison feels impossible. The first three usually eliminate most of the field before anyone takes a call.
Gate 1: which altitude is the question?
Write down the sentence somebody will actually say when they use this data. If it is "the market is moving toward X", that is market altitude and an analyst subscription. If it is "Memorial in Springfield runs X", that is account altitude and a record-level file. If it is "Memorial is replacing X in the third quarter", that is moment altitude, and there are perhaps two routes to it.
A market subscription cannot be made to answer an account question by paying more for it. This is the most expensive mistake in the category and it is entirely avoidable at gate one.
Gate 2: hospitals only, or ambulatory too?
This gate decides whether free is on the table. Hospitals are federally documented. Ambulatory practices are not, at practice level, by anybody, for free. If your market is health systems and hospitals, the public join gets you a long way. If it includes physician groups, urgent care, ambulatory surgery centres or specialty clinics, you are in commercial or commissioned territory from the start, with state sources as partial relief.
In practice most teams discover their market is both, which usually means a free spine for the hospital half and a paid or built layer for the ambulatory half, rather than one product covering everything at uniform quality.
Gate 3: is the free federal join enough?
Build it before deciding, because the answer is yes more often than the market would suggest. If the requirement is the EHR vendor at US hospitals refreshed annually, the public files answer it completely, and the honest recommendation is to stop there. Escalate past this gate only for a reason you can name: you need ambulatory, you need faster than annual, you need version or satisfaction context, or you need non-EHR layers like imaging and revenue cycle.
Gate 4: does anybody actually sell the field you need?
List the required fields and mark each against the four source classes. Fields no class produces are the ones that decide buy or build. Renewal timing, practice-level ambulatory coverage and commercial licensing terms come up most, and all three sit outside the catalogue.
Here is the number worth having before that conversation. A healthcare data provider covering 6,000 hospital sites ran an RPA-class license at around $200,000 a year plus five to seven offshore engineers, roughly $400,000 to $500,000 all-in. It reached 15 to 20 percent coverage, and the crawlers kept breaking. That is not an argument against building. It is an argument for pricing the build honestly, because the license was the small half of the cost and the coverage was the part that never arrived.
When a required field is genuinely unsold, the choice is to commission it or drop the requirement, and dropping it is a legitimate answer. What does not work is buying the nearest available product and hoping the field is in there somewhere. It is not, and the discovery usually happens nine months into a subscription.
Quick Summary
Q: How do I choose a healthcare technographic data source?
A: Four gates, in order. Name the altitude by writing the sentence somebody will say with the data, because a market subscription never answers an account question. Decide whether your market is hospitals only, which are federally documented, or includes ambulatory practices, which are not. Build the free federal join and check whether it already answers you, because for hospital EHR questions it usually does. Then mark each required field against the four source classes and identify the ones nobody sells, because those decide whether you buy or build.
Expert Insights
Price the refresh, not the record. This data has a measurable decay rate and it is public: roughly 130 acute care hospitals changed EHR in 2025, before counting version migrations like the 84 percent of MEDITECH legacy customers moving to Expanse. A one-time file is a depreciating asset with a known schedule. When comparing two quotes, convert both into cost per refreshed record per year rather than cost per record, and the cheaper-looking one-time purchase usually stops being cheaper inside two years. That conversion also decides buy versus build more often than raw price does, because a built pipeline's cost is mostly the first run while a subscription's cost is mostly the renewals.
Frequently asked questions
Where can I find out which EHR a hospital uses? The free ONC Promoting Interoperability certified health IT file lists the developer and product name for every hospital that reported, keyed on the CMS Certification Number, for programme years 2023 and 2024. It is a CSV download with a JSON API and covers 4,627 hospitals in the 2024 data. For hospitals that did not report, for ambulatory practices, or for anything fresher than annual, you need a commercial source or a commissioned build.
Is there a free hospital EHR dataset, and is it any good? Yes, and better than its reputation. Deduplicated correctly it puts Epic at 41.6 percent of reporting hospitals, Oracle Health at 20.2 and MEDITECH at 15.0, against reported figures of 43.7, 21.9 and 14.7. The catch is the deduplication: the file carries 7.66 rows per hospital because hospitals attest to many certified modules, so counting one row each drops MEDITECH to 1.6 percent and promotes e-prescribing vendors into looking like EHRs.
What is the difference between healthcare technographic and firmographic data? Firmographic data describes the organisation: beds, ownership, system affiliation, location. Technographic data describes what it runs: EHR vendor, imaging platform, revenue cycle system, version and modules. In healthcare the two are unusually dependent on each other, because a technographic record is only actionable once attached to a specific facility identifier. Our explainer on firmographic versus technographic data covers the general distinction, and our guide to healthcare data providers covers the wider provider, claims and clinical data market this sits inside.
Which EHR has the largest market share? Epic, on every measure, and the spread between measures is the point. The 2026 KLAS report puts Epic at 43.7 percent of hospitals and 56.9 percent of beds, Oracle Health at 21.9 and 20.4, MEDITECH at 14.7 and 12.5. Epic's 13-point spread reflects concentration in large systems, so the right figure depends on whether you sell per site or per bed. A separate widely cited analysis puts the three at 43.9, about 19 and 10.7 percent, which is a useful reminder to ask what any share number is a share of.
Can BuiltWith or Wappalyzer tell me a hospital's EHR? No, and it is worth being blunt because several ranking pages imply otherwise. Web detection reads what a public website serves to a browser. An electronic health record is an internal clinical system behind the firewall and never appears in a page scan. These tools return confident, accurate answers about a hospital's content management system, analytics and chat widget, which is genuinely useful if you sell patient engagement or healthcare marketing technology, and is not an answer about the chart.
How fast does healthcare technographic data go stale? Faster than the annual cadence of the free files. Epic added 77 hospitals and 18,679 beds in 2025 while Oracle Health lost 56 hospitals and 14,676 beds, so roughly 130 hospitals changed acute care EHR in one year. Version changes move considerably more, with 84 percent of MEDITECH legacy customers migrating to Expanse. Treat any file older than a year as wrong about a predictable share of your list.
Is there a free source for ambulatory or physician-practice technology? Not at practice level nationally. The federal Promoting Interoperability file is hospitals only, CHPL lists every certified ambulatory product without saying who uses it, and NPPES identifies practices with no technology field. State Medicaid attestation lists and state health information exchange connectivity reports are the partial exception, and they are usually vendor-level rather than facility-level. This remains the largest genuine gap in the category.
Why can I not buy contract renewal dates? Because no single party both knows them and will publish them. Hospitals do not disclose contract terms in federal filings, vendors treat them as confidential, and no regulation forces them into the open. What exists instead is inference: procurement and board records for public institutions, analyst conversations that surface replacement intent, hiring signals and public statements. That is why the moment altitude is served by research subscriptions and commissioned collection rather than by a database, and why it stays the most valuable field in the category.
Can I still get the HIMSS Analytics install file? Not as an independent product. The HIMSS Analytics data services business, including Logic, Predict and Analyze, was acquired in January 2019 and its technology install and IT contract data was merged into Definitive Healthcare's provider data. Buyers still ask for it by name, which is worth knowing when somebody on your team proposes it as an option.
Expert Insights
The question we are asked most often has the least satisfying answer, and it is worth stating plainly. People want one healthcare technographic file that covers hospitals and ambulatory practices, carries vendor, version and module, refreshes monthly, and includes renewal timing. That product does not exist, from anybody, at any price, and a vendor implying otherwise is describing a roadmap. What we have seen work is a stack rather than a purchase: a free federal spine for hospitals, one commercial source for the layer you sell into, an analyst subscription for direction, and commissioned collection for the one or two fields that decide your deals. Budgeting for a single product is what makes this category feel disappointing.
What this looks like a year in
A team that runs this method for a year ends up somewhere specific. They hold their own denominator, rebuilt each time the federal file updates, so every vendor claim arrives pre-scored. They know which accounts the free data answers and buy only the gap, which tends to mean smaller contracts that survive renewal. And they have stopped treating the file as a purchase and started treating it as a pipeline with a refresh cost, which is the shift that makes the budget defensible.
The unsolved part stays unsolved, and we would rather say so. Nobody has a good public answer for renewal timing or for practice-level ambulatory coverage. Those are the two fields that would change how this category works, and right now they are assembled by hand or not at all. If your team has found a route into either that holds up at scale, that is a conversation worth having, and it is the part of this problem we are still working on ourselves.