Top 10 EHR Software Development Companies in the USA for 2027
Company information is drawn from each company’s own pages and is current as of [publication date]. Verify directly before signing anything.
Introduction
Here’s a number worth sitting with. In KLAS Research’s EHR Implementations report, just 38% of organizations said their recent EHR implementation hit the mark, and 40% of the healthcare leaders interviewed reported significant misses. If you’re planning to build, extend, or modernize an EHR, the stakes are just as high. This system will be what every clinician, biller, and patient touchpoint runs on, and the partner you pick decides whether it launches on time, passes the compliance review, and actually connects to your other systems.
Not every team that builds healthcare software can build an EHR. A good EHR software development company has worked inside Epic, Oracle Health, and athenahealth, moves data over FHIR and HL7 without drama, and designs for HIPAA from the first sprint, not the last. This guide walks through ten EHR software development companies for 2027: what each one builds, where it’s strongest, and what an EHR project costs.
What Is EHR Software Development?
EHR software development is creating or adapting the software that the healthcare provider will use for maintaining and storing patients’ records. Rather than purchasing a ready-to-go product, the business hires software development specialists who create a new EHR solution, enhance the existing one (like Epic or athenahealth), or update it. This developed product should provide HIPAA compliance for patient data and interoperability with other software solutions through such standards as FHIR and HL7. It would be reasonable to engage an EHR software development vendor in case the off-the-shelf solution does not correspond with the business processes or specialization.
How We Selected These Companies?
We checked every one of the EHR software development companies below on its own website against five requirements. All ten meet them.
Companies that missed any of these five were left out, so the entries below focus on what sets each one apart.
The Top 10 EHR Software Development Companies
1. Bacancy Technology
Bacancy Technology is an EHR software development company that offers market-entry consulting, full-cycle development, and modernization of existing EHRs, with 1,050+ developers and an ISO/IEC 27001:2022 certificate listed on its site.
Development capabilities:
- EHR market-entry consulting: feature sets built around care workflows, scalable architecture, tech stack selection and a user engagement strategy
- Full-cycle EHR development: system architecture, UI/UX design and a secure, compliant first release
- EHR evolution: a review of the existing system, then new modules, refined workflows and added features
- Patient care features: scheduling, AI-powered clinical decision support, telemedicine, remote patient monitoring, e-prescriptions and care coordination
- Patient engagement, billing and operations modules: portals, mobile apps, chatbots, eligibility checks, denial management and dashboards
- Multi-tenant SaaS for EHR products: automated updates, scalable cloud hosting, API integrations and subscription billing
- Specialty EHRs: behavioral health, ophthalmology, cardiology, orthopedics, surgery and critical care, dermatology, otolaryngology and oncology
- Six-step delivery from discovery to post-launch support, with HIPAA and GDPR planning, a Business Associate Agreement, and a stack of AWS, Azure, Python, Java, Node.js, FHIR and HL7
Best for: Teams that want one partner from planning through post-launch, organizations modernizing an existing EHR, and startups building a multi-tenant EHR product.
Lighter on: Published proof on the EHR page itself. It has no named EHR case study and no cost range, and it doesn’t name specific EHR platforms (the site has separate Epic and Cerner developer pages), so ask for references and a scoped estimate.
2. Edenlab
Edenlab builds cloud-native, FHIR-native EHR and EMR systems and guides EHR vendors through ONC certification. Its Kodjin FHIR server holds ONC Health IT certification (2015 Edition) through Drummond Group.
Development capabilities:
- End-to-end EHR development with analytics, AI capabilities and clinical decision support
- EHR consulting: roadmapping, workflow optimization and data governance
- EHR integration using HL7, FHIR and custom APIs
- EHR migration: data mapping, cleansing and transfer
- EHR modernization: FHIR-based microservices on top of existing legacy systems
- Turnkey ONC certification: gap analysis, documentation and testing, focused on HTI-1
- Specialty and workflow EHRs, from primary care and mental health to cardiology and oncology, built as cloud-based, FHIR-native, headless or open-source systems
- A stack of Rust, Go, Kubernetes and PostgreSQL, on AWS, Azure or Google Cloud
- Specific named work: Elation Health’s EHR, where Edenlab’s Kodjin FHIR server helped secure ONC certification for 24,000+ clinicians
Best for: EHR vendors and health IT teams going after ONC certification or a FHIR-first architecture.
Lighter on: Named EHR platform integrations. Its page names Elation Health as a client but no other EHR vendors.
3. ScienceSoft
ScienceSoft has provided EHR and EMR software development since 2005 and lists HL7 FHIR certifications, ISO 27001, ISO 13485 and ISO 9001 on its EHR page.
Development capabilities:
- EHR market-entry consulting: care-workflow feature design, high-level architecture and tech stack, a business case with ROI, and a user adoption strategy
- Full-cycle EHR development: feature set design, UX/UI, an MVP with core features, iterative improvements, QA and help with certifications
- EHR evolution: analysis of a legacy EHR, new features and advanced modules, UI/UX redesign, code refactoring, and compliance and security audits
- Feature set: patient records, treatment planning, telemedicine, speech recognition, clinical decision support, e-prescribing, remote patient monitoring, a patient portal, HIE integration, billing and claims, and SaaS management for EHR products
- Specialty EHRs, including urgent care, long-term care, mental health, oncology, radiology, general surgery and OB/GYN
- Six-step build from discovery to launch, support and evolution, including help submitting the EHR to an ONC-Authorized Testing Laboratory
- Compliance work across HIPAA, GDPR, ONC, FDA, MDR, MACRA, MIPS, CEHRT, SAFER, NCPDP and SAMHSA
- Case studies (clients not named): a redesign of a US chiropractic provider’s custom EHR, a health information exchange system with a patient app, and an iOS app for a provider’s custom-built EHR
Best for: Large organizations with heavy regulatory documentation needs.
Lighter on: Named EHR clients, and specific EHR platforms on its EHR page.
4. Mindbowser
Mindbowser builds AI-native, FHIR-native custom EHRs for hospitals, virtual care platforms and specialty clinics.
Development capabilities:
- Three build models: extend commercial EHRs such as Epic, Cerner and eClinicalWorks with SMART on FHIR apps and APIs; build headless EHRs on open-source backends such as Medplum, OpenEMR or Canvas Medical; or build from-scratch platforms for specialized workflows
- FHIR R4, HL7 and SMART on FHIR support, with HIPAA-ready cloud infrastructure, secure APIs and built-in patient consent layers
- AI-based documentation and coding: clinical note generation, smart charting and ICD and CPT code suggestions
- Specialty modules, from OB/GYN and oncology to elderly care
- Wearable and device integration (Fitbit, Dexcom, Apple Health and others) through HIPAA-compliant data pipelines
- An open integration layer for labs, payors, wearables and billing systems, delivered in four steps: discovery and design, configuration, integrations, and rollout with support
- Work shown on the page: an AI-based labor prediction platform integrated with Epic, a remote monitoring system for elderly care, and a decision support tool for pre-op testing
Best for: Digital health companies extending Epic or athenahealth with apps, or still deciding which build model to use.
Lighter on: Full from-scratch EHR examples. The work shown on its EHR page is mostly Epic-connected apps and clients it doesn’t name.
5. Itransition
Itransition offers a full range of EMR and EHR services and lists 25+ years of healthcare software experience, with integration expertise across Epic, Cerner, Meditech and Allscripts.
Development capabilities:
- EHR consulting: choosing between an EHR and an EMR, planning functionality, and auditing the current system
- Custom EHR development: functionality and UX designed for the practice, integration with selected modules, and a scalable build
- EHR integration through APIs, middleware, RPA, unified access and common data services
- EHR implementation for off-the-shelf or custom systems: project planning, customization, development, change management, installation, training and ongoing support
- Feature set: patient and clinical management, analytics and reporting, financial management, voice recognition, chatbots, e-prescriptions, device integration, multi-factor authentication and encryption
- EHRs for specialties and care settings, including primary care, cardiology, oncology, pediatrics, behavioral health, nursing and long-term care, and dental
- Compliance and standards: HIPAA, GDPR, OWASP, FHIR and DICOM
- Work shown on the page (clients not named): a telemedicine-ready EHR with voice recognition, smartpen and clinical text analysis, and an RPM and mHealth suite for rural telehealth
Best for: Organizations that haven’t settled the custom-versus-platform question, and multi-system environments.
Lighter on: Named EHR clients. Its EHR page describes projects without naming the client.
6. CapMinds
CapMinds builds custom EHR and EMR platforms that clients fully own, with HL7 and FHIR integration, AI-powered features and HIPAA compliance. Its site shows ISO 9001:2015 and SOC 2 Type 2 badges.
Development capabilities:
- Three delivery models: a dedicated EHR development team, a custom EHR build, and a white-label EHR
- Specialty-specific templates and note structures, custom intake forms, and modules added only as needed
- AI Assist: ambient clinical documentation, smart nursing intake, automated ICD-10 and CPT coding, and front-desk automation
- Scheduling: patient self-scheduling, multi-channel reminders and multi-provider calendars
- Charting, lab and imaging orders with real-time results, and e-prescribing with EPCS
- Billing: clearinghouse integration, superbill generation and revenue cycle visibility
- Patient engagement: a branded portal and mobile app, embedded telehealth and secure messaging
- Integrations with Quest, LabCorp, PACS vendors, Surescripts, clearinghouses, CommonWell and Carequality, plus SAML, OAuth, Okta and Azure AD for sign-in
- Separate site pages for EHR migration, OpenEMR services, Epic, Cerner, athenahealth, eClinicalWorks, and NextGen
- Specific named work: a custom enterprise EMR platform for Westside Behavioral Care, and a two-way Epic integration for a cardiopulmonary device maker
Best for: Integration-heavy builds, OpenEMR customization, and behavioral health EMRs.
Lighter on: Consistent timelines. Its EHR page gives several go-live times (60 days, 3 to 4 months, and 3 to 6 months).
7. Arkenea
Arkenea says it has worked only in healthcare for over 15 years, and offers a full range of EHR and EMR services with SOC 2 Type II compliance and full IP transfer to the client.
Development capabilities:
- EHR consulting and strategy: requirements, evaluation of existing systems, implementation roadmaps, vendor selection guidance and compliance planning
- Custom EHR development: system architecture, user experience, clinical workflow integration and testing
- HL7 FHIR interoperability with labs, pharmacies and imaging centers
- Legacy EHR modernization and migration: assessment, data migration planning, phased implementation and training
- EHR and EMR integration: FHIR interfaces, custom APIs and secure data exchange
- Ongoing support: 24/7 monitoring, security updates and feature enhancements
- Generative AI features: clinical documentation and SOAP notes, ICD-10 code suggestions, prior authorization processing and clinical decision support
- Specialty EHRs, including primary care, cardiology, orthopedics, mental health, emergency medicine, pediatrics, ophthalmology, dermatology, dental, OB/GYN, physical therapy and home healthcare
- Specific named work: a custom EHR for Hamilton Physical Therapy, and a SaaS-based EHR for home healthcare provider HomeHosp
Best for: Healthcare startups and practices that want a healthcare-only partner.
Lighter on: Named EHR platform integrations. The page names labs such as LabCorp and Quest but no EHR vendors.
8. Thinkitive
Thinkitive builds custom EHR and EMR software for healthcare and specialty providers, and says clients own 100% of the code. Its EHR page shows HIPAA, ONC, FHIR and HL7 compliance and SOC 2 Type II and ISO badges.
Development capabilities:
- Custom EHR modules: AI assist (ambient scribing, AI nurse assist, AI medical coding and a virtual receptionist), scheduling, charting, patient engagement, lab and imaging orders, e-prescribing with EPCS, billing with clearinghouse integration, and admin and reporting
- Specialty EHRs, including primary care, mental health and psychiatry, urgent care, physical therapy, wound care, ophthalmology, orthopedics, internal medicine, chiropractic, dermatology, pediatrics, gastroenterology, oncology, cardiology and neurology
- Patient portal and mobile health app, embedded telehealth and secure messaging
- EHR data migration and third-party integrations, with Epic integration on a separate page
- Predictive analytics and clinical decision support
- Specific named work: EHRs for Bright Care in Oklahoma, Human Care Center, Primary Health Partners, and Sozen Health, among the clients on its page
Best for: Specialty practices that need workflows tuned to one clinical area.
Lighter on: Independent proof. The results shown on the page are self-reported.
9. OSP Labs
OSP Labs builds cloud-ready, interoperable EHR and EMR systems and says it builds custom systems, not an off-the-shelf EHR product.
Development capabilities:
- Workflow assessment first: mapping clinical, administrative and billing workflows into a requirements map and project scope
- Electronic charting with specialty-specific templates, structured fields and automatic carryover of demographics and vital signs
- Scheduling and resource management, including room and equipment allocation and patient reminders
- E-prescribing with medication history, drug interaction and allergy checks, and routing to the patient’s pharmacy
- Billing and revenue cycle linkage, analytics and reporting dashboards, and a patient portal with telehealth
- HL7, FHIR and DICOM-aware interfaces for labs, pharmacies, billing systems and patient apps, with deeper interface work handled on separate integration pages
- Role-based access, audit logs and PHI encryption, with cloud, on-premise or hybrid deployment on AWS
- Testing against HIPAA, HL7 and FHIR, and SOC 2 standards, then post-launch support and module enhancements
- Incremental modernization of existing EHR and EMR systems without a full rebuild
Best for: Providers, healthtech teams and care coordination groups that want a custom EMR or EHR built around their own workflows.
Lighter on: Named clients and published cost. Its EHR page shows no client names, and cost is scoped through a discovery assessment.
10. Chetu
Chetu offers custom EHR and EMR software development and consulting, including EHR implementation and data migration.
Development capabilities:
- EMR modules: CPOE, charge capture coding (ICD-10-CM, HCPCS and CPT), HL7 integration, clinical decision support, health information exchange and e-prescribing
- EHR software: customizable chart templates, clinical dashboards, appointment scheduling, patient profiles, prescription management, secure access control, billing and RCM, and laboratory information systems
- EHR data migration and data integration across electronic software solutions
- Integrations with DrChrono, Veradigm, Kareo, CareCloud, CureMD, Epic, athenahealth and OpenEMR
- Mobile apps for providers and patients, patient portals, and telemedicine with wearable, sensor, and IoT integration
- Healthcare analytics using machine learning and AI, generative AI, and personal health record (PHR) software
- Standards and compliance: HIPAA, GDPR, CCD, CCR, CCA, DICOM, SNOMED, FHIR, and HL7
Best for: Large organizations running work across multiple EHR platforms.
Lighter on: Named EHR case studies. We found none on its EHR page, so ask for recent healthcare references.
How do the 10 EHR Software Development Companies Compare?
Each fact in this table is sourced from the company’s website, primarily the dedicated EHR development section, and verified in September 2026, not from any secondary listicle. Certifications expire, customers leave, and case studies are removed, so always verify everything before using it to make a decision.
What EHR Development Costs?
Most published ranges for a custom EHR fall between $50,000 and $500,000, and large multi-function systems run higher. Treat everything below as a starting point, not a quote.
Conclusion
Selection of the EHR software development company depends on just one factor – what the partnership is required for. Creation of the new EHR, integration with the existing EHR, or upgrading of the old system requires completely different sets of skills from the software development company, and not all the companies from the list of ten above will be suitable for all the tasks. When matching the company with the task, make sure that the website offers a dedicated EHR development page, HIPAA compliance, HL7/FHIR capabilities, and development in the area of your specialty.
Frequently Asked Questions
How long does it take to create a customized EHR?
Formal documentation provides timeframes ranging from 2-4 months for a basic release, 6-18 months for a complete build, and up to 3 years for the biggest systems. More integrations, data migration, and certification will take longer.
Shall I build a custom EHR, buy one, or add new functionality to the existing one?
The closer your processes are to everyone else’s, the easier it is to adopt an off-the-shelf solution. Otherwise, customization is your choice. If you already have a perfectly working EHR system, customize it with custom applications and an API.
Can the developer move my data from my current EHR to a new one?
Yes. Some of the vendors listed above also provide EHR migration services. They will help map your data, run a pilot load test, and reconcile it so nothing is left behind.
Do I need ONC certification?
It depends. If you plan to distribute the EHR to providers who have to use certified technology, you probably will. An internal EHR system might not need the certification, although it must be compliant with HIPAA and information blocking requirements.
How should I select the EHR software development company?
First of all, determine your needs: either you need a completely new EHR solution, or some additional functionality to your current EHR, or an update of your existing solution. Ask every company what EHR systems they have developed, whether they have experience working with your EHR system, how they protect patient information according to HIPAA, and who is the owner of the code.
