Top 10 EHR Software Development Companies in the US (2025 Guide)

Finding the right partner for custom Electronic Health Records (EHR) software development is crucial for healthcare organizations. Whether you’re a startup building a new practice management system or a hospital looking to upgrade your existing infrastructure, choosing the right development company can make or break your project.

We’ve researched and analyzed the top EHR software development companies in the United States based on client reviews, project outcomes, and industry expertise. Here are the companies that stand out for their technical capabilities, healthcare domain knowledge, and proven track records.

Table of Contents

• Top EHR Software Development Companies
• What is an EHR and How Does it Differ from an EMR?
• The Benefits of Custom EHR Development
• Key Features of Modern EHR Software
• Navigating EHR Compliance and Security
• How to Choose the Right EHR Development Partner
• The EHR Development Process: A Step by Step Guide

Top EHR Software Development Companies

1. Arkenea Inc. (Raleigh, North Carolina)

Founded: 2011 | Company Size: 10-49 employees | Hourly Rate: $40-$60

Arkenea sets itself apart as the only 100% dedicated custom healthcare software development company in the market. Since 2011, they’ve focused exclusively on building HIPAA-compliant web and mobile applications for healthcare organizations.

Key Services:

• Custom EHR Development
• Telehealth Platform Development
• Patient Engagement Apps
• Practice Management Software
• Medical Device Integration

What makes Arkenea special:

• Exclusively healthcare-focused development with deep domain expertise
• Proven track record of HIPAA-compliant EHR systems and telehealth platforms
• U.S.-based project management with transparent communication
• Cost-effective solutions tailored for healthcare startups and growing organizations
• Iterative development approach that improves with each cycle

Client feedback consistently highlights Arkenea’s professional approach and healthcare expertise. One client noted, “Arkenea has behaved professionally and concentrated all their attention on my product,” while another praised their responsiveness: “I am pleased with how quickly they respond to our questions.” Their 4.9/5 rating on Clutch reflects the high satisfaction among healthcare clients.

Notable Project: Developed a comprehensive EHR system for a multi-specialty clinic that resulted in 30% faster patient check-in times and improved care coordination between departments.

Looking to hire Arkenea as your EHR software development company? Visit: https://arkenea.com

2. ScienceSoft (Dallas, TX)

Founded: 1989 | Company Size: 250+ employees | Hourly Rate: $35-$70

With over 30 years in business and 17+ years specifically in healthcare IT, ScienceSoft brings veteran expertise to custom EHR development. They hold ISO 13485 certification for medical device software quality and ISO 27001 for information security.

Key Services:

• Custom EHR Development
• EMR Integration
• Medical Analytics Platforms
• Telehealth Solutions
• Healthcare Data Management

Key strengths:

• Extensive healthcare IT experience with regulatory compliance expertise
• Strong security focus with penetration testing capabilities
• Mature project management processes ensuring on-time delivery
• Competitive pricing through blended onshore/offshore model
• Long-term client relationships with 76% of revenue from repeat clients

Clients consistently praise ScienceSoft’s responsiveness and quality. One healthcare client noted they “responded within 24 hours” to requests and concerns, while another highlighted their “proactive approach to identifying and resolving issues.”

Awards: Featured on Clutch’s Top Healthcare Software Developers list and recognized as a leading custom software development company by GoodFirms.

3. Kanda Software (Newton, MA)

Founded: 1993 | Company Size: 250+ employees | Hourly Rate: $50-$99

Founded in 1993, Kanda Software is a mid-sized firm with a strong presence in Boston’s tech scene. They’ve built a solid reputation in healthcare software development with emphasis on quality engineering and security.

Key Services:

• Custom EHR Development
• Healthcare SaaS Platforms
• Clinical Software Solutions
• Medical Device Software
• Healthcare Data Analytics

Notable features:

• 85% of reviewers praise their technical expertise and high-quality results
• Strong track record in physician platforms and clinical software
• Excellent communication and seamless team integration
• Reliable deadline adherence with organized project management
• Great value proposition with transparent pricing

Client testimonials emphasize Kanda’s collaborative approach. Healthcare clients specifically mention their “responsiveness and high-quality work” and describe the team as “adaptable” and effective at incorporating feedback quickly.

Notable Project: Developed a physician social platform with integrated EHR capabilities, enabling secure communication and patient data sharing among medical professionals.

4. Saritasa (Newport Beach, CA)

Founded: 2005 | Company Size: 50-249 employees | Hourly Rate: $100-$149

Saritasa stands out for delivering innovative healthcare solutions, including cutting-edge technologies like VR therapy applications and IoT integrations. Their track record shows 100% positive client feedback on Clutch.

Key Services:

• Custom EHR Development
• Healthcare VR/AR Solutions
• IoT Healthcare Applications
• Mobile Health Apps
• AI-Powered Healthcare Software

Distinctive capabilities:

• Innovative VR and AR solutions in healthcare
• Perfect on-time delivery record according to client feedback
• Exceptional project management and communication
• High-quality, enduring software solutions
• Strong adaptability to evolving client needs

Clients describe Saritasa as delivering “high-quality, end-to-end software solutions on time and within budget.” Their ability to incorporate emerging technologies while maintaining reliability makes them ideal for forward-thinking healthcare organizations.

Recognition: 99 reviews averaging 4.8/5 on Clutch and featured in multiple “top development companies” lists.

5. Simform (Orlando, FL)

Founded: 2010 | Company Size: 1,000+ employees | Hourly Rate: $25-$49

As a large custom software development company with 1,000+ employees, Simform offers extensive resources and diverse technical capabilities across web, mobile, cloud, and AI technologies.

Key Services:

• Custom EHR Development
• Healthcare Mobile Apps
• Cloud-Based Medical Solutions
• AI/ML Healthcare Applications
• Medical Device Integration

Core advantages:

• Large talent pool with broad technical expertise
• Strong collaboration and integration with client teams
• Competitive mid-range pricing with good value delivery
• Flexibility to scale teams up or down as needed
• 86% positive sentiment on professionalism and deliverables

Healthcare clients praise Simform’s team quality, with one noting “The quality of the people is fantastic… highly experienced and easy to work with.” Their ability to handle complex EHR features while maintaining seamless communication makes them a reliable choice for larger projects.

6. Oracle Cerner

Founded: 1969 | Company Size: 25,000+ employees | Focus: Enterprise EHR Solutions

While primarily known for their enterprise EHR platform, Oracle Cerner also offers custom development services for large healthcare organizations requiring tailored solutions that integrate with their existing infrastructure.

Key Services:

• Enterprise EHR Customization
• Healthcare System Integration
• Population Health Management
• Clinical Decision Support
• Revenue Cycle Management

7. Epic Systems

Founded: 1979 | Company Size: 10,000+ employees | Focus: Enterprise EHR Solutions

Epic is a major player in the EHR space, serving large health systems. While they primarily offer their flagship EHR platform, they also provide extensive customization services for enterprise clients.

Key Services:

• EHR Platform Customization
• Healthcare Interoperability Solutions
• Patient Portal Development
• Clinical Workflow Optimization
• Healthcare Analytics

8. Allscripts Healthcare Solutions

Founded: 1986 | Company Size: 5,000+ employees | Focus: Healthcare IT Solutions

Allscripts offers both off-the-shelf and custom EHR solutions, with a focus on interoperability and practice management integration.

9. athenahealth

Founded: 1997 | Company Size: 5,000+ employees | Focus: Cloud-Based Healthcare Solutions

Known for their cloud-based approach, athenahealth provides custom development services alongside their core EHR platform, particularly for mid-sized healthcare organizations.

10. NextGen Healthcare

Founded: 1974 | Company Size: 3,500+ employees | Focus: Ambulatory EHR Solutions

NextGen specializes in ambulatory care EHR solutions and offers custom development services for specialty practices and healthcare networks.

What is an EHR and How Does it Differ from an EMR?

Understanding the distinction between Electronic Health Records (EHR) and Electronic Medical Records (EMR) is fundamental when planning your healthcare software project.

Electronic Medical Records (EMR)

EMRs are digital versions of paper charts in a clinician’s office. They contain medical and treatment histories of patients within one practice and are primarily used by providers for diagnosis and treatment within that specific healthcare setting.

Electronic Health Records (EHR)

EHRs go beyond the data collected in the provider’s office and include a more comprehensive patient history. EHRs are designed to be shared with other healthcare providers, so they contain information from all the clinicians involved in a patient’s care.

Key differences include:

• Scope: EMRs focus on one practice, while EHRs encompass multiple healthcare settings
• Interoperability: EHRs are built for sharing data across different systems and providers
• Patient Access: EHRs typically include patient portals for direct access to health information
• Care Coordination: EHRs facilitate better coordination among healthcare teams

The Benefits of Custom EHR Development

While off-the-shelf EHR solutions exist, custom development offers significant advantages for many healthcare organizations:

Tailored Workflow Integration

Custom EHRs can be designed to match your specific clinical workflows, rather than forcing your practice to adapt to generic software processes. This leads to higher user adoption and improved efficiency.

Scalability and Future-Proofing

Custom solutions can grow with your organization and adapt to changing healthcare regulations and technologies. You’re not limited by the roadmap of a third-party vendor.

Better Integration Capabilities

Custom EHRs can be built to integrate seamlessly with your existing systems, whether that’s laboratory equipment, imaging systems, or billing software.

Enhanced Security and Compliance

With custom development, you have complete control over security measures and can implement compliance features that meet your specific regulatory requirements.

Cost Effectiveness Over Time

While the initial investment may be higher, custom EHRs eliminate ongoing licensing fees and provide better long-term ROI, especially for larger organizations.

Key Features of Modern EHR Software

Core EHR Functionality

Patient Demographics and Medical History

Comprehensive patient profiles including demographic information, insurance details, emergency contacts, and complete medical histories with chronological organization of health events.

Clinical Charting and Documentation

Digital charting capabilities with customizable templates for different specialties, progress notes, assessment and plan documentation, and support for various note types including SOAP notes.

E-Prescribing (eRx)

Electronic prescription capabilities that connect to pharmacy networks, check for drug interactions, verify insurance formularies, and maintain prescription histories.

Lab and Imaging Integration

Direct integration with laboratory information systems (LIS) and picture archiving and communication systems (PACS) for seamless result delivery and image viewing within the EHR interface.

Patient Portal

Secure patient access to their health information, appointment scheduling, secure messaging with providers, prescription refill requests, and educational resources.

Billing and Revenue Cycle Management

Integrated billing functionality with ICD-10 and CPT coding support, insurance claim processing, payment tracking, and financial reporting capabilities.

Advanced EHR Capabilities

Telemedicine Integration

Built-in video conferencing capabilities for virtual consultations, remote patient monitoring integration, and tools for documenting virtual visits within the same workflow as in-person appointments.

Artificial Intelligence and Machine Learning

AI-powered clinical decision support systems that can identify potential diagnoses, suggest treatment protocols, predict patient risks, and automate routine documentation tasks through natural language processing.

Speech Recognition and Natural Language Processing

Voice dictation capabilities that convert spoken words into structured clinical documentation, with NLP algorithms that can extract coded data from free-text notes for quality reporting and analytics.

Remote Patient Monitoring (RPM)

Integration with IoT devices and wearables to collect patient vitals and health metrics outside the clinical setting, with automated alerts for abnormal values and trend analysis.

Population Health Management

Tools for tracking and managing the health of patient populations, identifying at-risk patients, managing chronic disease programs, and supporting preventive care initiatives.

Choosing the Right Technology Stack

Understanding the technology behind EHR systems helps in making informed decisions about your custom development project:

Frontend Technologies

• React: Popular for building responsive, interactive user interfaces
• Angular: Comprehensive framework ideal for large-scale applications
• Vue.js: Lightweight and flexible for rapid development

Backend Technologies

• Python (Django/Flask): Excellent for rapid development with strong healthcare libraries
• Java (Spring): Enterprise-grade solution with robust security features
• C# (.NET): Microsoft ecosystem integration with strong healthcare support
• Node.js: JavaScript-based backend for unified development teams

Database Options

• PostgreSQL: Open-source relational database with strong JSON support
• MySQL: Reliable and widely-used relational database
• MongoDB: NoSQL option for flexible data schemas
• Microsoft SQL Server: Enterprise database with healthcare-specific features

Cloud Infrastructure

• AWS: Comprehensive cloud services with HIPAA-eligible offerings
• Microsoft Azure: Strong healthcare focus with specialized compliance tools
• Google Cloud: Advanced AI/ML capabilities for healthcare applications

Navigating EHR Compliance and Security

Healthcare software operates in one of the most regulated industries, making compliance and security paramount concerns for any EHR development project.

HIPAA and HITECH Compliance

The Privacy Rule

Establishes standards for protecting patients’ medical records and personal health information (PHI). EHR systems must implement access controls, audit logs, and data sharing restrictions that comply with patient privacy rights.

The Security Rule

Requires covered entities to implement administrative, physical, and technical safeguards to protect electronic PHI (ePHI). This includes encryption requirements, access management, and security incident response procedures.

Breach Notification Rule

Mandates reporting procedures for data breaches involving unsecured PHI. EHR systems must include breach detection capabilities and audit trails to support compliance reporting.

Business Associate Agreements (BAAs)

Any EHR development company that will have access to PHI must sign a BAA with the healthcare organization, outlining their responsibilities for protecting patient data.

ONC Certification

The Office of the National Coordinator for Health Information Technology (ONC) certification ensures that EHR systems meet specific technical capabilities, functionality, and security requirements. ONC-certified EHRs are required for healthcare providers to qualify for government incentive programs like the Medicare and Medicaid EHR Incentive Programs.

ISO Certifications

ISO 13485 (Medical Device Software Quality)

Specifies requirements for a quality management system where an organization needs to demonstrate its ability to provide medical devices and related services that consistently meet customer and applicable regulatory requirements.

ISO 27001 (Information Security Management)

Provides a framework for establishing, implementing, maintaining, and continually improving an information security management system (ISMS).

Essential Security Features

End-to-End Encryption

Data must be encrypted both in transit (when moving between systems) and at rest (when stored in databases). Modern EHRs typically use AES-256 encryption standards.

Multi-Factor Authentication (MFA)

Requires users to provide multiple forms of verification before accessing the system, significantly reducing the risk of unauthorized access even if passwords are compromised.

Role-Based Access Control (RBAC)

Ensures that users can only access the information and functionality necessary for their job roles. This includes granular permissions for different types of patient data and system functions.

Audit Trails and Logging

Comprehensive logging of all user activities within the system, including data access, modifications, and system administration actions. These logs are essential for compliance reporting and security incident investigation.

Regular Security Assessments

Ongoing vulnerability assessments, penetration testing, and security audits to identify and address potential security weaknesses before they can be exploited.

Healthcare Standards and Interoperability

Modern EHR systems must support various healthcare standards to ensure interoperability and compliance:

HL7 (Health Level Seven)

A set of international standards for the exchange, integration, sharing, and retrieval of electronic health information. HL7 standards support clinical practice and the management, delivery, and evaluation of health services.

FHIR (Fast Healthcare Interoperability Resources)

A modern standard that describes data formats and elements and an API for exchanging electronic health records. FHIR combines the best features of previous HL7 standards while leveraging modern web technologies.

ICD-10 and CPT Codes

International Classification of Diseases (ICD-10) codes for diagnoses and Current Procedural Terminology (CPT) codes for procedures. EHR systems must support these coding systems for billing and quality reporting.

DICOM (Digital Imaging and Communications in Medicine)

The standard for handling, storing, printing, and transmitting medical imaging information. Essential for EHRs that integrate with radiology and imaging systems.

How to Choose the Right EHR Development Partner

Selecting the right development partner is crucial for the success of your EHR project. Here are the key factors to consider:

Healthcare Domain Expertise

Look for companies with proven experience in medical software development and regulatory compliance. Specialized firms like Arkenea understand healthcare workflows and HIPAA requirements from day one, reducing development time and compliance risks.

Technical Capabilities and Modern Architecture

Ensure your development partner has experience with modern technologies that support scalability, security, and interoperability. This includes cloud-native architectures, API-first design, and mobile-responsive interfaces.

Compliance and Security Track Record

Your development partner should have demonstrable experience with HIPAA compliance, healthcare data security, and relevant certifications. Ask for examples of previous compliance audits and security assessments they’ve supported.

Communication and Project Management

Effective communication is essential for complex healthcare projects. Look for partners who provide regular updates, maintain transparent project tracking, and have experience working with healthcare stakeholders who may not have technical backgrounds.

Post-Launch Support and Maintenance

EHR systems require ongoing maintenance, security updates, and feature enhancements. Choose a partner who offers long-term support relationships rather than one-time development services.

References and Case Studies

Request detailed case studies and speak with previous clients about their experiences. Pay particular attention to how the development partner handled challenges, timeline changes, and post-launch issues.

Budget and Timeline Alignment

Be realistic about budget and timeline expectations. Custom EHR development is a significant investment that typically ranges from $200,000 to $2 million depending on complexity and features. Choose a partner who provides transparent pricing and realistic timelines.

The EHR Development Process: A Step by Step Guide

Understanding the EHR development process helps set realistic expectations and ensures better project outcomes:

Phase 1: Discovery and Requirements Analysis (2-4 weeks)

• Stakeholder interviews with clinicians, administrators, and IT staff
• Current workflow analysis and pain point identification
• Technical requirements gathering and system integration planning
• Compliance requirements assessment and security planning
• Project scope definition and timeline establishment

Phase 2: System Architecture and Design (3-6 weeks)

• Technical architecture design with scalability and security considerations
• Database schema design optimized for healthcare data
• User interface design with healthcare workflow optimization
• Integration planning for existing systems and third-party services
• Security architecture design and compliance framework development

Phase 3: Core Development (12-24 weeks)

• Backend API development with healthcare data standards support
• Database implementation with proper indexing and optimization
• User interface development with responsive design principles
• Integration development for labs, imaging, and billing systems
• Security implementation including encryption and access controls

Phase 4: Testing and Quality Assurance (4-8 weeks)

• Unit testing of individual system components
• Integration testing with external systems and APIs
• User acceptance testing with actual healthcare professionals
• Security testing including penetration testing and vulnerability assessment
• Performance testing under realistic user loads
• Compliance testing against HIPAA and other regulatory requirements

Phase 5: Deployment and Go-Live (2-4 weeks)

• Production environment setup and configuration
• Data migration from existing systems
• User training and system orientation
• Phased rollout with monitoring and support
• Go-live support and issue resolution

Phase 6: Post-Launch Support and Maintenance (Ongoing)

• System monitoring and performance optimization
• Regular security updates and patches
• Feature enhancements based on user feedback
• Compliance updates for changing regulations
• Technical support and user assistance

Conclusion

Selecting the right EHR software development company is a critical decision that will impact your healthcare organization for years to come. The companies listed in this guide have demonstrated expertise in healthcare software development, regulatory compliance, and client satisfaction.

For organizations seeking specialized healthcare expertise and dedicated focus, Arkenea stands out as the only 100% healthcare-focused development company. Their deep domain knowledge and proven track record make them an excellent choice for custom EHR projects of any size.

Larger organizations with complex integration requirements might benefit from the extensive resources of companies like ScienceSoft or Simform, while those seeking innovative technologies should consider Saritasa’s cutting-edge approach.

Remember that successful EHR implementation goes beyond just selecting the right development partner. It requires clear communication of requirements, realistic timeline expectations, and a commitment to ongoing collaboration throughout the development process and beyond.

Take time to evaluate each potential partner against your specific needs, budget constraints, and long-term goals. The investment in thorough partner selection will pay dividends in the form of a robust, compliant, and user-friendly EHR system that serves your organization and patients effectively.