Co-created the first EMR that customers outside Epic's domain could hope to use. Founded in 1999, eClinical Works targeted practices of 15 or fewer physicians and breathed fresh air into health IT with its web architecture, stellar service, and flat rate pricing. Already growing fast in 2007, when F. Mostashari selected it for New York's public clinics (revenues ramping 70% year-over-year; an HBS case study), the exposure elevated eCW to status of "standard-bearer." In April, Wal-Mart selected eCW and Dell to produce an EMR package sold through Sam's Club stores. eCW will eclipse $100 million in revenues this year. Now finds itself in the enviable, but tough, position of protecting its turf. Newly innovative shops now push "ultra-light" EMRs to solo practitioners that cost even less, and require almost no training at all.

Speaking to emrupdate.com in 2007:

"Doctors are often very sensitive people, and many do not choose the profession for the love of money, but rather, for the love of their patients. Unfortunately, they are surrounded by a healthcare system that is all about dollars. If eCW can make it easier for doctors by putting our pricing on our website, so everyone can see they are paying the same ratio, we can also make it easier for ourselves."