“Can a founder-led ambulatory EHR remain the operating system for independent practices as AI-native scribes and RCM automation reshape the category?”
Founded in 1999 to rid doctors' offices of paper, eClinicalWorks grew into one of the largest privately held ambulatory EHR vendors in the US, serving 180,000+ providers. Its embedded finance footprint centers on healow Payment Services (patient payments) and RCM/clearinghouse integrations (Waystar, Trizetto, Optum), rather than a BaaS or lending platform. The 2026 push into AI (Sunoh.ai, healow Genie) targets revenue cycle and clinical documentation rather than new financial products.