Prime Healthcare

Prime Healthcare is an award-winning health system operating 51 hospitals and more than 360 outpatient locations across 14 states, delivering over 2.5 million patient visits annually. As the organization grows through acquisitions, it faces the complex challenge of unifying diverse health IT systems under one cohesive infrastructure.

Since 2007, Prime has relied on Iguana as its integration engine, now maintaining over a thousand interfaces across 30 production servers — spanning both on-premise deployments and centralized datacenters. These servers process tens of millions of messages each day, connecting systems that include Epic, Cerner, and Meditech, and supporting a wide range of message formats like HL7v2, C-CDA, X12, and XML.

After each new hospital acquisition, Prime replaces the facility’s legacy integration engine, often Cloverleaf, with Iguana. Thanks to Iguana’s flexibility and efficiency, the integration team is able to migrate 80 to 100 interfaces in under a month, allowing the new facility to quickly standardize its data exchange. Once the legacy EMR is phased out, a centralized Epic instance is deployed, and Iguana seamlessly adapts the interfaces to support the new Epic workflows.

Today, Prime’s cloud-based Epic environment is supported by three dedicated integration servers managing over 350 interfaces, all operating within a High Availability architecture. This setup ensures reliability and gives the integration team flexibility to perform maintenance without disrupting operations or depending on Epic’s downtime windows.

With a compact team and enterprise-wide reach, Prime continues to rely on Iguana as its core integration engine, scaling reliably with every new facility, every new system, and every new interface added to its growing healthcare network.