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The Vermont Health Data Monopoly
How a 41-person nonprofit built a $4.8M health data empire in a single state
In an industry dominated by giants like Epic and Cerner, VITL has quietly built something impossible to replicate: a complete health data monopoly for an entire state. With just 41 employees and $4.8M in revenue, they've become the nervous system of Vermont's healthcare ecosystem.
"They don't compete with healthcare giants—they become the infrastructure they can't ignore."
The Network Effect in Action
VITL's traffic tells a story of institutional dependency. With 50% direct traffic and 'vitl' as their top keyword at 4,110 monthly searches, their users aren't browsing—they're logging in. The 'vital login' keyword (480 monthly searches) confirms this is a daily-use platform, not a research destination. This is the mark of infrastructure: indispensable, invisible, and impossible to replace.
The Vermont Playbook
While competitors chase scale across 50 states, VITL doubled down on one. Their revenue-per-employee ratio ($117K) suggests a lean, efficient operation that doesn't need to scale nationally to be profitable. The 41-person team isn't a limitation—it's a strategic moat. They know every hospital, every clinic, and every regulatory nuance in Vermont. That's a level of local intimacy no national player can match.
The tech stack reveals a pragmatic approach: jQuery, Bootstrap, and Tailwind CSS—no bleeding-edge frameworks. They use Google Analytics and reCAPTCHA, standard tools for a standard problem. This isn't a tech company pretending to be in healthcare; it's a healthcare company that happens to use technology. Their Facebook and LinkedIn presence is modest but professional, focused on partnerships rather than marketing.
- Monopoly by design: Vermont's only health information exchange
- Revenue stability: $4.8M from institutional contracts, not venture capital
- Low customer acquisition cost: 50% direct traffic means organic growth
- High switching costs: Once integrated, providers can't leave
- Regulatory moat: Compliance creates barriers to entry
The Unsexy Billion-Dollar Play
VITL proves that in healthcare data, depth beats breadth every time. They're not building a unicorn—they're building an indispensable utility.
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VITL - Vermont Health Information Exchange - VITL
VITL operates the Vermont Health Information Exchange. We aggregate patient health data to create a more complete health record for each Vermonter and we bring all of those records together to help our partners provide better patient care, understand the health of our population, and improve the effectiveness and efficiency of our health care system.
VITL - Vermont Health Information Exchange
VITL is a Vermont nonprofit that shares health information responsibly to help providers care for their patients
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About vitl.net
VITL operates the Vermont Health Information Exchange. We aggregate patient health data to create a more complete health record for each Vermonter and we bring all of those records together to help our partners provide better patient care, understand the health of our population, and improve the effectiveness and efficiency of our health care system.
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vitl.net uses 12 technologies across their website including Adobe Fonts, Google Fonts, reCAPTCHA, PHP, and more.
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vitl.net receives approximately 3.3K monthly visitors and ranks #4,687,427 globally. The website has a bounce rate of 42% with visitors viewing an average of 2.3 pages per visit. Users spend an average of 1:08 on the site.
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