| Abridge Pittsburgh, $5.3B val. |
Epic-first U.S. health systems |
Cloud SaaS only U.S. data centers, BAA |
Deep Epic ("Pal") + Oracle Health, athenahealth, eCW, AllScripts, NextGen |
Strong JAMIA 2025 Kansas cohort; multi-system QI study (PMC 2025); Wisconsin trial |
150+ systems Kaiser 24,000 clinicians / 40 hospitals |
U.S. cloud only Not for province-bound PHI |
Opaque 7-figure+ enterprise |
| Ambience Healthcare San Francisco |
Enterprise systems wanting coding + scribe bundle |
Cloud SaaS only BAA, HIPAA |
Strong Epic + Oracle Health AutoRefer surface for referrals |
Medium Vendor case studies; emerging multi-site outcomes |
Multi-system UCSF, Cleveland Clinic, John Muir Health |
U.S. cloud only |
Opaque Enterprise contract |
| Augmedix Now part of Commure (2024) |
Safety-conservative orgs preferring human-in-the-loop |
Hybrid AI + human reviewer Go / Live / Notebuilder tiers |
Broad coverage Epic, Oracle Health, athena, others |
Thin 12+ yr operating history; no public RCT on Go autonomous tier |
Sutter, CommonSpirit, Dignity, CHI Pre-acquisition $54M run-rate |
U.S. cloud + reviewer geography |
Opaque Service-priced |
| Commure Ambient Athelas + Commure + Augmedix |
Systems wanting one strategic AI-native platform |
Cloud SaaS only Platform-embedded, K8s-class infra |
Epic, Oracle Health, athena, eCW |
Thin No peer-reviewed RCT; inherits Augmedix operating history |
HCA Healthcare exclusive 180+ hospital network |
U.S. cloud only |
Opaque Multi-product platform contract |
| DeepScribe San Francisco |
Multi-specialty groups wanting broad EHR coverage |
Cloud SaaS only SOC 2 Type 2, BAA |
9 EHRs Epic, athena, Cerner, OptiMantra, others |
Medium Vendor case studies; clinician-survey data; growing reference base |
Multi-specialty Across primary care, specialty groups |
U.S. cloud only |
Opaque Enterprise contract |
| Microsoft Dragon Copilot DMO + DAX, since Mar 2025 |
Microsoft-standardized orgs |
Microsoft Cloud for Healthcare on Azure BAA, SOC 2, HITRUST |
Embedded in Epic + Microsoft 365 Also Cerner, Meditech, athena, eCW |
Strong UCLA NEJM AI RCT 2025: −1.7% time-in-note, n.s. (p=0.66) |
600+ orgs on DAX 150+ Epic-embedded systems |
Azure regions (verify in contract) |
Opaque Per-clinician subscription, MS EA |
| Freed San Francisco |
U.S. ambulatory clinicians + small groups |
Cloud SaaS, browser-first Audio deleted post-note |
athenahealth + light push Not Epic-embedded |
Thin Clinician-survey data; BAA scale signal but no RCT |
BAA in 100s of systems Strong U.S. primary-care adoption |
U.S. cloud only |
Published $39 / $84 / $99 per clinician/month |
| Heidi Health Melbourne, AU |
AU / NZ / UK ambulatory + ED |
Cloud SaaS, multi-region BAA / DPA / AU Privacy Act |
Browser + lightweight push 200+ specialty templates |
Thin Hawke's Bay ED trial reported gains; full peer-reviewed publication in progress |
2M consults/wk NZ Te Whatu Ora rolling out 16 EDs |
Multi-region cloud Verify Canadian region contractually |
Published Free tier; $1,800/yr Clinician |
| Nabla Paris |
Rigor-first buyers; data-minimal defaults |
Cloud SaaS No audio retained by default; 14-day med-data retention |
Epic Haiku + 6 EHRs Including Oracle Health |
Strong UCLA NEJM AI RCT 2025: −9.5% time-in-note (p=0.02) |
85,000 clinicians 130+ orgs including CVS Health, Permanente |
Multi-region cloud |
Opaque Enterprise contract |
| Suki Redwood City, CA |
Voice-command-friendly clinicians; MEDITECH shops |
Cloud SaaS BAA, HIPAA |
MEDITECH integration + Epic, Oracle Health, athena, eCW, NextGen, others |
Medium Multi-specialty deployments; coding-accuracy case studies |
Multi-specialty Specialty-coverage breadth strong |
U.S. cloud only |
Opaque Enterprise contract |
| WalledCare (on-prem) Moneli Automation |
Residency-bound or multi-workflow buyers |
On-prem hospital network No outbound API |
HL7 / FHIR sidecar Tighter for Oscar, MEDITECH, custom EHRs |
Internal Internal pilot evaluation against same metrics rubric; no public RCT yet |
Pilot scale Canadian hospital pilots in progress |
Inside hospital data center Satisfies PHIPA / HIA / Quebec Law 25 |
Capex + ops Reference architecture in blog |