Institutional investment from Memorial Health System — third-party validated real-world performance
The Healthcare Crisis
Legacy EHRs Are Failing Healthcare
🔥
Provider Burnout
EHRs drive physician fatigue and early retirement. The biggest health system EHRs were never built around patient care — they started as scheduling, pathology, and lab systems in the 1960s–70s.
75%
of surveyed physicians attribute their burnout to their EHR
🏥
Rural Hospitals at Risk
Rural hospitals contribute $220 billion in economic activity to their communities. EHR inefficiencies stretch already limited resources — both cash flow and physician retention.
31%
of rural hospitals are at risk of closing
🔒
Embedded Legacy Systems
Over time, substandard EHRs become so deeply embedded that providers feel stuck — unable to switch without massive disruption, cost, and downtime.
📊
No Data Silos Solved
Legacy EHRs force health systems to hire dedicated build teams just to create forms, resulting in data silos, redundant questions, and unreliable clinical data.
Introducing BOLT™
An EHR Born in a Medical Practice
BOLT was led by a physician-programmer and built by a dedicated team working shoulder-to-shoulder with clinicians in real healthcare environments — not a lab. The result is an EHR that actually works the way care teams think.
🔑
Turn-Key Deployment
BOLT deploys out of the box once integration points are complete. No dedicated build teams required. Supports clinic-by-clinic rollouts instead of disruptive "big bang" launches.
⚡
Extensive Business Logic
BOLT doesn't ask users what the system should already know. Intelligent business logic answers those questions automatically and only prompts the user when truly necessary.
🎓
Hours, Not Days of Training
Intuitive design slashes onboarding time. Nurses at Memorial Health System trained in 4 hours — compared to 4 days with their legacy EHR.
🧩
Bolt-On Implementation
Integrates with legacy EHRs like MEDITECH, lowering adoption risk. Health systems can pilot and scale at their own pace without abandoning existing infrastructure.
📋
Preloaded Clinical Content
Launches with standardized Order Sets, Quick Picks, History Templates, and more. Custom configuration available via BOLT Data Configuration Service.
🤝
Collaborative Product Evolution
Customer Product Teams — nursing, provider, and clerical staff — pool wisdom to innovate together. Instead of each system reinventing the wheel, MedOne crowdsources the best ideas.
👁️
No "Pajama Time" Documentation
When the visit is over, so is the documentation. BOLT's layered interface and minimal-click design means providers finish their notes during the visit — not after hours.
🔄
Continuous Regulatory Updates
MedOne proactively monitors regulations and handles all updates. Customers automatically stay compliant — no dedicated build teams, no version upgrades, no decision fatigue.
📱
Built for Touchscreen, Dictation & Ambient AI Scribing
Designed with minimal clicks and pop-ups, BOLT is optimized for touch screens, dictation, and ambient AI scribing — capturing clinical conversations in real time and flowing documentation directly into the visit note, following the natural rhythm of a clinical encounter.
See It For Yourself
BOLT in Action
Walk through real-time documentation in BOLT — promoting true patient engagement and eliminating after-hours charting.
BOLT vs. Legacy EHRs
Why BOLT Wins
Feature
BOLT™
Legacy EHRs
Turnkey solution with prebuilt forms & preloaded clinical data
✓
✗
Extensive business logic for a brilliantly simple user experience
✓
✗
New users trained in hours — not days
✓
✗
Visit Note flow lets patients follow along & participate
✓
✗
No "pajama time" — documentation completes during the visit
✓
✗
Minimal clicks & pop-ups
✓
✗
No data silos — no redundant questions, increased clinical clarity
✓
✗
Big-picture event timeline tells the patient's story chronologically
✓
✗
Layers provide 1-click access to data without disrupting workflow
✓
✗
Bolt-on implementation alongside legacy systems
✓
✗
Proven Results
The Proof of Concept at Memorial Health System
Since 2012, BOLT has been proven and continuously expanded within a full health system — including three hospitals, more than 30 care sites, and a growing footprint that encompasses emergency departments and urgent care facilities currently in rollout. These aren't projections. They're real outcomes, validated by a third party.
+33%
Increase in ambulatory provider productivity — equivalent to hiring nearly 100 additional providers at the previous rate
50%
Reduction in nursing documentation time in the acute setting
40%
Reduction in time to administer medications
2×
Same-day/next-day appointments doubled from 10% (FY21) to 20% (FY24)
75th
Primary Care providers now performing above 75th percentile nationally — up from below 25th in 2016
4hrs
Nurse training time — down from 4 days with the legacy EHR
What Our Partners Say
Trusted by Clinicians & Health System Leaders
Our partnership with MedOne represents true innovation with purpose. BOLT helped us lift productivity and revenue. At the same time, it's so efficient that it has helped restore the passion for medicine by giving our providers a better work/life balance. I truly believe that BOLT is the game-changer for rural health.
Scott Cantley
President & CEO, Memorial Health System
In my almost 20-year career in primary care, BOLT is the fifth EMR system that I have used and has been by far the easiest to learn and use. BOLT was designed with the end user in mind, by people who understand that fluency of use must perform synchronously with the flow of the visit. I have also never before felt so valued as that end user.
Heather Straight, DO
Dept. of Primary Care, Memorial Health System
Our Products
A Complete EHR Portfolio
Three core products to meet health systems and independent clinics wherever they are — and take them where they need to go.
BOLT™ Ambulatory
For independent clinics & physician practices
Turnkey EHR for the ambulatory setting
Generates ~400,000 visit notes annually at MHS
Supports 45+ physician specialties
Boosts efficiency and simplifies operations
ONC & Drummond certified
BOLT™ Enterprise
For health systems with legacy EHRs
Integrates with existing legacy EHRs (e.g. MEDITECH)
Bolt-on implementation — no "big bang" cutover
Acute, ED, nursing, and pharmacy modules
Paves the way for full Symphony transition
Supports 3,000+ users across hospitals & clinics
Symphony™
Standalone health system EHR · Coming 2028
Roadmap product — targeted availability 2028. Symphony represents the next evolution of BOLT, delivering a fully standalone health system EHR.
Full standalone health system EHR
Designed for new health systems
Final step for retiring legacy EHRs entirely
Builds on BOLT Enterprise with full Registration domain
The future of community health system EHR
The Opportunity
A Stagnant Market Ready for Disruption
The EHR market hasn't seen a new health system entrant in decades. The timing has never been better.
$18.8B
U.S. EHR Market
$5.3B
U.S. Ambulatory EHR Market
700
Rural hospitals at risk of closure
25K–30K
Independent ambulatory clinics in the U.S.
Our Story
25 Years in the Making
The history of MedOne Systems is what sets us apart from every other company in the EHR space.
2000
Dr. Joseph Mack, M.D. — physician and programmer — founds MedOne Hospital Physicians in Columbus. He combines his medical training and programming skills to build his own EHR from scratch.
2010
Memorial Health System CEO Scott Cantley recruits Dr. Mack to establish and lead their hospitalist program, bringing MedOne Hospital Physicians' innovative EHR with him — beginning a deep, lasting partnership with a real health system.
2012
Dr. Mack sells MedOne Hospital Physicians, transfers EHR rights to MedOne Systems, and relocates to Marietta, Ohio. MedOne Systems and BOLT are officially born.
2015–2017
BOLT expands beyond hospitalists to dietitians, speech therapists, physical and occupational therapists, and hospital-based specialties including Cardiology, Infectious Disease, and Surgery.
2017–2018
MedOne pilots a mini hospital ecosystem at Selby General. Results are transformative: nursing documentation time drops 50%, medication delivery times drop 40%, nurse training shrinks from 4 days to 4 hours.
2019–2020
Memorial's legacy ambulatory EHR is in crisis. Cantley asks MedOne to pivot. BOLT Ambulatory MVP launches in April 2020 during COVID-19. Providers maintain patient volume in week one — unprecedented for an EHR transition.
2022
Third-party validation by ECG Consultants confirms results. Memorial Health System makes a strategic equity investment in MedOne Systems — fueling team growth and accelerating the path to commercialization.
2025–2026
MedOne is completing its acute care roadmap — encompassing emergency, hospital, and ambulatory services across 3 hospitals, 30 care sites, 6 emergency departments, and 2 urgent care facilities — and preparing for commercialization.
Ready to See BOLT in Action?
Schedule a demo and discover what a truly physician-designed EHR can do for your organization.
✦ AI-Powered EHR
When Everyone Has AI, Workflow Core Is the Differentiator
AI augmentation is quickly becoming an expectation — not a market differentiator. The real question is: what does your AI have to work with?
Integrated AI
AI
Ambient documentation, clinical decision support & intelligent automation
+
BOLT's Clinical Workflow Core
+33%
Proven provider productivity increase — before AI is even added
=
The Result
$$
Unprecedented efficiency gains & dominance in the EHR market
The Core Problem
AI on Top of Bad Workflows Is Still Bad
Every major EHR is racing to add AI. Soon, AI will simply be table stakes — something every EHR vendor offers. When that day arrives, what will set your EHR apart?
The answer lies underneath the AI layer. When artificial intelligence is layered on top of suboptimal, legacy workflows, there's a massive missed opportunity to capture true efficiency gains. The AI can only be as smart as the system it operates within.
BOLT's Clinical Workflow Core Changes Everything
BOLT was conceived and led by a physician-programmer, then built by a dedicated team working in lockstep with real clinicians — with one unwavering goal: eliminate every unnecessary click, question, and workflow friction point. That clinical workflow core — already proven to boost provider productivity by 33% — is the foundation that makes BOLT's AI integration uniquely powerful.
The BOLT Advantage
AI That Works With a Clean Foundation
Because BOLT already eliminates data silos, redundant questions, and workflow dead-ends, AI augmentation doesn't have to fight against a broken underlying system. It amplifies a workflow that already works.
🧠
Smarter Clinical Intelligence
AI suggestions are contextually richer because BOLT's business logic has already structured the clinical data correctly — no silos, no garbage in.
✍️
Ambient Documentation
AI-generated notes flow directly into BOLT's structured visit note format — amplifying an already efficient documentation experience.
📈
Compounding Returns
BOLT already delivers a 33% productivity lift. AI on top of that doesn't just add value — it multiplies it.
How It Works
AI Integrated Directly Into BOLT
Unlike vendors bolting AI onto legacy architectures as an afterthought, MedOne integrates AI natively — built directly into BOLT's clinical workflow core.
01
Ambient Clinical Documentation — No Phone Required
Unlike other EHRs that require providers to prop up a personal phone to record visits, BOLT's ambient AI scribing works directly through the laptop the provider is already using. The AI listens to the provider-patient conversation and generates structured clinical notes in real time — no extra device, no awkward setup, no additional workflow friction.
02
Intelligent Decision Support
BOLT's business logic layer already guides users through the EHR experience — surfacing evidence-based recommendations, clinical alerts, and next-step prompts at exactly the right moment in the workflow. AI deepens this further, making every interaction smarter without adding complexity.
03
No Training Overhead
Because BOLT's core is already intuitive, AI features are adopted naturally. Providers benefit from AI assistance without needing separate training programs or behavior change campaigns.
The BOLT Difference
Why Our AI Hits Harder
AI is only as powerful as the clinical workflow it operates within. BOLT's foundation makes the difference.
🏗️
Built on clean data
No silos means AI has access to complete, structured, reliable clinical data — resulting in better, safer suggestions.
🎯
Context-aware
BOLT's business logic layer provides AI with deep context about where the user is in the workflow — so suggestions appear at exactly the right moment.
⚙️
Natively integrated
AI is woven into BOLT's core flow, not layered on top of legacy code as a disconnected module.
📉
Less burnout, not more
AI that reduces clicks, not adds them. Every AI feature is evaluated against BOLT's "brilliantly simple" standard — if it adds friction, it doesn't ship.
The Hard Truth
AI on a Bad Foundation vs. AI on BOLT
AI on Legacy EHRs
✗AI layered on top of broken, click-heavy workflows
✗Siloed data produces incomplete AI context
✗AI suggestions interrupt existing poor UX
✗Providers need separate training for AI features
✗Incremental gains on an already inefficient baseline
✗"Garbage in, garbage out" — AI is only as good as its data
AI on BOLT's Clinical Workflow Core
✓AI amplifies workflows already proven to boost productivity 33%
✓Unified, silo-free data gives AI complete clinical context
✓AI fits naturally into BOLT's minimal-click, intuitive UX
✓AI adoption requires no extra training — it just works
✓Multiplying gains on an already highly efficient foundation
✓Clean, structured data = smarter, safer AI outputs
The Future of Healthcare EHR Is Here
BOLT's clinical workflow core combined with native AI integration isn't just a better EHR. It's a new category.
Get In Touch
Let's Transform Healthcare Together
Whether you're a health system leader, an independent clinic, or a potential investor or partner — we'd love to hear from you.
Drummond Group is an ONC-Authorized Certification Body (ONC-ACB). BOLT has earned Drummond certification — one of the most rigorous independent validations available in health IT — confirming that our platform meets federal standards for interoperability, safety, and clinical performance.
This Health IT Module is compliant with the ONC Certification Criteria for Health IT and has been certified by an ONC–ACB in accordance with the applicable certification criteria adopted by the Secretary of Health and Human Services. This certification does not represent an endorsement by the U.S. Department of Health and Human Services. Drummond Group is accredited by ANSI and approved by ONC for the ONC Health IT Certification Program to certify Health IT Module(s) and Certification of other types of Health IT for which the Secretary has adopted certification criteria under Subpart C of 45 CFR.
Electronic Clinical Quality Measures
Supported eCQM Programs
BOLT V3.5 is certified for the following Clinical Quality Measures across four reporting programs. Please refer to the CHPL listing for the complete and most current list.
CMS 111: Median Admit Decision Time to ED Departure Time for Admitted Patients
v7
CMS 113: Elective Delivery
v4
CMS 114: Incidence of Potentially-Preventable Venous Thromboembolism
v7
CMS 127: Pneumococcal Vaccination Status for Older Adults
v8
CMS 147: Preventive Care and Screening: Influenza Immunization
v11
CMS 161: Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
Note: Please refer to the CHPL listing for the complete and most current list of certified eCQMs.
AI & Responsible Innovation
Ambient AI Scribing — Powered by Nabla
MedOne Systems is proud to announce our partnership with Nabla to bring an AI-powered scribe solution to our providers — helping reduce documentation burden and allowing clinicians to focus on what matters most: patient care. As part of our commitment to responsible AI adoption, MedOne Systems ensures that all AI tools meet rigorous standards for privacy, security, and clinical safety.
To support compliance with applicable regulatory requirements for Predictive Decision Support Interventions (Predictive DSI), including those outlined in b.11, MedOne Systems has completed an independent internal review of Nabla's Intervention Risk Management (IRM) practices. This review assessed whether Nabla's documented risk management approaches — encompassing risk analysis, mitigation, governance, validity, reliability, robustness, fairness, intelligibility, safety, security, and privacy — align with certification standards and best practices for responsible AI use in healthcare.
Attached below, is a summary of MedOne Systems' internal review findings confirming IRM-compliant practices based on the information provided by Nabla. Note: The underlying IRM documentation and details were obtained directly from Nabla (via their Trust Center at trust.nabla.com). This summary reflects MedOne Systems' own assessment and evaluation for our internal compliance purposes and does not constitute any modification or independent verification of Nabla's original materials beyond the scope of our review.
MedOne Systems submits Real World Testing plans and results in accordance with ONC certification requirements. Documents are made available below as they are submitted.
ONC Enforcement Discretion Notice: Real world testing reporting was not required for certain program years. MedOne Systems did not submit reports for years in which ONC exercised enforcement discretion and reporting was not mandated. For more information, see ONC Enforcement Discretion Notices ↗
2022 Real World Testing Plan
Plan submitted per ONC requirements · Signed November 30, 2021
BOLT deploys out of the box. Once integration points are complete, you're up and running — without the armies of consultants, dedicated build teams, or multi-year implementation timelines that legacy EHRs demand.
Zero
Dedicated build teams required
Clinic-by-Clinic
Rollout — no disruptive "big bang"
Automatic
Regulatory updates via subscription
How It Works
Everything Handled. Nothing Left to Build.
Legacy EHRs hand health systems a toolbox and walk away. BOLT is different — MedOne handles the heavy lifting so your team can focus on patient care.
📦
Out-of-the-Box Deployment
Once integration points are completed, BOLT is ready to go. No months of configuration, no internal build team standing it up — just a working EHR from day one.
🔀
Clinic-by-Clinic Rollout
BOLT supports a phased, clinic-by-clinic implementation approach. Go live on your schedule — not a vendor-forced "big bang" that disrupts your entire organization at once.
🔄
Subscription-Based Updates
Our subscription model delivers continuous updates that automatically align with evolving regulations and emerging opportunities — no version upgrades, no decision fatigue, no falling behind.
🛠️
Zero-Code Flexibility
While BOLT's core is fully managed by MedOne, we also provide zero-code maintenance tools so your team can build supplemental forms and adjust Decision Support Intervention (DSI) functionality on your own terms.
📋
Preloaded Clinical Content
BOLT launches loaded with standardized data for everyday care — Order Sets, Quick Picks, History Templates, and more. Personalize further with our intuitive tools or subscribe to the BOLT Data Configuration Service for expert ongoing management.
👥
Customer Product Team
As a partner, you designate nursing, provider, and clerical staff to join our Customer Product Team — pooling collective wisdom across health systems. Instead of each organization reinventing the wheel, MedOne crowdsources the best ideas and leverages the full technology stack to build truly delightful workflows for everyone.
A Real-World Example
CMS Inpatient Restraint Rules: Two Very Different Responses
When CMS mandated new and complex rules for inpatient restraints, legacy EHR customers had very different experiences. Here's what that looked like in practice.
Legacy EHR Approach
You're on your own.
✗
Health systems must independently track regulatory changes — no proactive monitoring from the vendor.
✗
Internal staff — who are not UX experts — must specify requirements for new forms using limited "maintenance tools."
✗
The result: unintelligent, spreadsheet-style forms that create data silos and frustrate users.
✗
All nursing staff require expensive training on the new forms before go-live.
✗
Nurses end up "clicking anything" to get through the form and return to real patient care.
✗
Reports are marginally useful — siloed data leads to the classic "garbage in, garbage out" problem.
The Bottom Line
The vendor does nothing. Each health system handles everything independently, with limited tools — resulting in inefficiency, provider frustration, and unreliable data.
BOLT Approach
MedOne handles it. You just use it.
✓
MedOne proactively monitors CMS regulations and identifies required updates — before your team even knows a change is coming.
✓
MedOne UX experts, guided by the "brilliantly simple" design mantra, build a seamless, intelligent form that eliminates data silos from the start.
✓
MedOne developers use the full technology stack to bring the design to life — not limited "maintenance tools."
✓
The intuitive design requires little to no training. If training is needed, MedOne creates and provides all educational assets — at no extra effort to your team.
✓
Nursing staff use a form that's genuinely easy, meets CMS requirements, and captures reliable, structured data.
✓
MedOne builds on-demand reports that deliver real operational insights — because the underlying data is clean.
The Bottom Line
MedOne handles everything with powerful, purpose-built code — delivering an efficient user experience, reliable data, and zero burden on your internal teams.
Always Getting Better
Collaborative Product Evolution
Compliance is just the baseline. At MedOne, we're relentlessly iterating BOLT to eliminate friction and unlock new value for every partner we serve.
The Customer Product Team
As a MedOne partner, you designate nursing, provider, and clerical staff to join our Customer Product Team. These clinicians pool their collective wisdom across health systems — and instead of each organization reinventing the wheel with limited tools, MedOne crowdsources the best ideas and leverages the full technology stack to build truly delightful workflows for everyone.
Data Configuration: Preloaded & Personalizable
BOLT launches with rich, standardized clinical data out of the box — Order Sets, Quick Picks, History Templates, and more — so you're never starting from scratch. Need further customization? Use our intuitive self-service tools, or subscribe to the BOLT Data Configuration Service for expert, ongoing data management by the MedOne team.
Ready to Leave the Build Teams Behind?
See how BOLT's turn-key model can simplify your EHR transition and free your team to focus on what matters most — patient care.
Join Our Team
Build the Future of Healthcare with Us
We're on a mission to transform healthcare by saving community hospitals and restoring the passion for medicine. If that resonates with you, we want to hear from you.
Why MedOne
A Mission Worth Showing Up For
MedOne Systems isn't a typical software company. We were born out of a medical practice — and that origin shapes everything about how we work and why we do it. Our software is used every day by physicians, nurses, and clinical staff to deliver better patient care. The work is real, the impact is measurable, and the mission matters.
We're a fast-growing team building something that has never existed before: the first new Health System EHR in decades, and the first one ever designed from the ground up in a medical practice. Rural hospitals are at risk. Provider burnout is a crisis. We're part of the solution.
What to Expect
How We Work
We've built a culture where talented people can do their best work — without unnecessary bureaucracy, rigid hierarchy, or big egos getting in the way. Here's what you'll find when you join MedOne:
💰
Competitive Compensation
Salary and total compensation commensurate with your experience and skill set — we pay for talent.
🏥
Comprehensive Benefits
Medical, dental, and a 401(k) with a generous company match, plus PTO that lets you recharge and show up at your best.
🎯
Work That Matters
Your work directly contributes to better patient care, healthier communities, and a healthcare system that works for everyone — providers and patients alike.
🚀
Growth Opportunity
We're preparing for commercialization and growing fast. Joining now means growing with the company and shaping what MedOne becomes.
🤝
Collaborative Culture
No dress code, no unnecessary hierarchy, no politics. Just smart people working together toward a common goal — with a little fun along the way.
🏙️
Onsite & Remote Roles
We hire both onsite (Marietta, Ohio) and remote positions, with a focus on developers and technologists ready to make an impact.
Open Positions
Current Opportunities
Applied Artificial Intelligence Engineer
Full-time · Onsite or Remote · Click to view full description ▾
MedOne Systems is bringing to market the first new Health System EHR in decades — the first ever born out of a medical practice. We are nearing completion of our roadmap and preparing for commercialization. As a 28-member team, we are agile, flat, and mission-driven. As our AI Engineer, you will be part of a small, high-impact team working directly with our physician founder to integrate AI into BOLT — delivering capabilities that were previously impossible in a pre-AI era.
The Role — You Will:
→Augment and automate workflows — prioritizing chokepoints that impact the pace of software development and product delivery
→Build, maintain, and evolve our ecosystem to support agentic coding so that Product Owners can function as software "builders"
→Collaborate directly with our physician founder to integrate AI into BOLT, delivering advanced capabilities to end users
Core Responsibilities:
✓Architect and deploy LLM-based applications using leading providers (OpenAI, Anthropic, Azure, Grok) with seamless EHR integration
✓Design, optimize, and maintain AI/ML pipelines using LangChain, Semantic Kernel, AutoGen — including RAG, embeddings, and vector databases
✓Evaluate emerging AI models and frameworks; deploy those that meaningfully improve product capability or engineering velocity
✓Implement secure, HIPAA-compliant data handling for sensitive healthcare information
✓Foster an agentic AI culture — automating repetitive tasks and enabling autonomous agents that amplify capabilities organization-wide
Core Technical Skills:
✓Proven experience building and integrating LLM applications (OpenAI, Anthropic, Azure) into production systems
✓Expertise in AI/ML frameworks and orchestration (LangChain, Semantic Kernel, AutoGen)
✓Strong grasp of prompt engineering, RAG pipelines, embeddings, and vector databases
✓Solid software engineering foundations: API design, async patterns, clean architecture
Nice to Have:
★.NET/C# experience (bonus: Semantic Kernel)
★Familiarity with agentic frameworks or MCP (Model Context Protocol)
★Model fine-tuning or evaluation expertise
★Background in healthcare/regulatory data or multi-tenant SaaS
Mindset We're Looking For:
You thrive in dynamic, ambiguous settings with a bias for action and rapid iteration. You can demystify complex AI concepts for both engineers and non-technical stakeholders. Most importantly, you want to do meaningful work — and you understand that here, it genuinely matters.
MedOne Systems is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive and accessible workplace. 2349 State Route 821, Building 7A, Marietta, Ohio 45750
