Medplum logo

Medplum

Emerging

"Firebase for healthcare" open-source FHIR EHR API infrastructure; YC S22 $550K with $1.2M revenue serving thousands of health tech developers competing with Google Cloud Healthcare API for HIPAA-compliant infrastructure.

38
AI Score
Grade D↑ Trending
AI Visibility Score (Beta)
HealthcareWebsiteUpdated March 2026

Company Overview

About Medplum

Medplum is a San Francisco-based open-source EHR and healthcare API infrastructure company — often described as "Firebase for healthcare" — providing FHIR-compliant API infrastructure, clinical data management, and workflow tools that healthcare developers use to build EMR-adjacent applications, care management platforms, and health tech products without building from scratch the compliance, data modeling, and interoperability layers that healthcare applications require. Founded in 2021 and backed by Y Combinator (S22) with $550,000 raised, Medplum achieved $1.2 million in revenue in 2024 serving thousands of developers globally building on the open-source platform.

Business Model & Competitive Advantage

Medplum's FHIR (Fast Healthcare Interoperability Resources) native data model implements the HL7 FHIR R4 standard — the emerging health data interoperability standard that CMS and ONC federal rules mandate for patient data portability — as the core data layer that all applications built on Medplum share. Healthcare developers building on Medplum inherit FHIR compliance, HIPAA-compliant cloud infrastructure, access control, audit logging, and data export capabilities without building these themselves — the same advantage AWS provides for general-purpose web applications. The open-source release enables self-hosted deployment for organizations with strict data sovereignty requirements alongside Medplum's managed cloud hosting.

Competitive Landscape 2025–2026

In 2025, Medplum competes in the healthcare developer infrastructure and FHIR API platform market with Google Cloud Healthcare API (GOOGL, FHIR-as-a-service), Azure Health Data Services (MSFT), and health-specific infrastructure platforms (Health Gorilla, CommonWell) for healthcare application infrastructure. The CMS Interoperability Rule (2020) and ONC Information Blocking Rule (2021) create regulatory demand for FHIR-based data exchange — applications that connect to payer and provider FHIR APIs need a FHIR server to store and process the received data. Medplum's open-source community and developer-first positioning create organic distribution in the health tech startup community. The 2025 strategy focuses on growing managed cloud hosting revenue from startups that adopt Medplum open-source and need production-grade SLAs, building healthcare-specific workflow primitives (appointment scheduling, prior authorization), and expanding the connector library for EHR integrations.

Founded
2021
Revenue
$1.2M
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Key Differentiators

Emerging Innovator

Medplum is an emerging player bringing innovative solutions to the Healthcare market.

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Estimated Visibility Trend (Beta)

Simulated 8-week rolling score

38
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