{
 "company": "modernizing-medicine",
 "as_of": "2026-10-05",
 "choices": [
  {
   "id": "modernizing-medicine-p01",
   "business": "Specialty practice electronic health records and practice software",
   "category": "product",
   "dimension": "Clinical prototype",
   "statement": "Sherling and Cane developed the initial dermatology record together before the 2010 launch.",
   "event_date": "2010-12-31",
   "date_precision": "day",
   "evidence_kind": "participant_account",
   "sources": [
    "MM1"
   ]
  },
  {
   "id": "modernizing-medicine-g01",
   "business": "Specialty practice electronic health records and practice software",
   "category": "go_to_market",
   "dimension": "Initial specialty",
   "statement": "The company began with dermatology before entering other specialties.",
   "event_date": "2010-12-31",
   "date_precision": "day",
   "evidence_kind": "participant_account",
   "sources": [
    "MM3"
   ]
  },
  {
   "id": "modernizing-medicine-p02",
   "business": "Specialty practice electronic health records and practice software",
   "category": "product",
   "dimension": "Specialty content",
   "statement": "The record supplied medical content for the common work of each supported specialty.",
   "event_date": "2014-11-21",
   "date_precision": "day",
   "evidence_kind": "participant_account",
   "sources": [
    "MM1"
   ]
  },
  {
   "id": "modernizing-medicine-p03",
   "business": "Specialty practice electronic health records and practice software",
   "category": "product",
   "dimension": "Anatomical interface",
   "statement": "Physicians could document findings by touching an anatomical diagram on an iPad.",
   "event_date": "2014-11-21",
   "date_precision": "day",
   "evidence_kind": "participant_account",
   "sources": [
    "MM1"
   ]
  },
  {
   "id": "modernizing-medicine-p04",
   "business": "Specialty practice electronic health records and practice software",
   "category": "product",
   "dimension": "Connected clinical outputs",
   "statement": "Selections in the examination generated a note, billing information and prescriptions.",
   "event_date": "2014-11-21",
   "date_precision": "day",
   "evidence_kind": "participant_account",
   "sources": [
    "MM1"
   ]
  },
  {
   "id": "modernizing-medicine-p05",
   "business": "Specialty practice electronic health records and practice software",
   "category": "product",
   "dimension": "Adaptive defaults",
   "statement": "The software learned recurring physician preferences such as sutures and anesthetics.",
   "event_date": "2014-11-21",
   "date_precision": "day",
   "evidence_kind": "participant_account",
   "sources": [
    "MM1"
   ]
  },
  {
   "id": "modernizing-medicine-p06",
   "business": "Specialty practice electronic health records and practice software",
   "category": "product",
   "dimension": "Cloud record storage",
   "statement": "Patient information resided in the cloud rather than being stored on the iPad.",
   "event_date": "2014-11-21",
   "date_precision": "day",
   "evidence_kind": "participant_account",
   "sources": [
    "MM1"
   ]
  },
  {
   "id": "modernizing-medicine-p07",
   "business": "Specialty practice electronic health records and practice software",
   "category": "product",
   "dimension": "Structured clinical data",
   "statement": "Structured observations supported analysis across encounters and practices.",
   "event_date": "2014-11-21",
   "date_precision": "day",
   "evidence_kind": "participant_account",
   "sources": [
    "MM1"
   ]
  },
  {
   "id": "modernizing-medicine-g05",
   "business": "Specialty practice electronic health records and practice software",
   "category": "go_to_market",
   "dimension": "Reported adoption",
   "statement": "Sherling reported about 4,800 providers using the software.",
   "event_date": "2014-11-21",
   "date_precision": "day",
   "evidence_kind": "participant_account",
   "sources": [
    "MM1"
   ]
  },
  {
   "id": "modernizing-medicine-g06",
   "business": "Specialty practice electronic health records and practice software",
   "category": "go_to_market",
   "dimension": "Specialty expansion",
   "statement": "The company reported serving eight specialties by the interview date.",
   "event_date": "2014-11-21",
   "date_precision": "day",
   "evidence_kind": "participant_account",
   "sources": [
    "MM1"
   ]
  },
  {
   "id": "modernizing-medicine-p08",
   "business": "Specialty practice electronic health records and practice software",
   "category": "product",
   "dimension": "Clinical development team",
   "statement": "Cane said 18 practicing physicians across specialties helped code clinical content.",
   "event_date": "2015-04-14",
   "date_precision": "day",
   "evidence_kind": "participant_account",
   "sources": [
    "MM2"
   ]
  },
  {
   "id": "modernizing-medicine-p09",
   "business": "Specialty practice electronic health records and practice software",
   "category": "product",
   "dimension": "Broader practice tools",
   "statement": "The company had acquired billing, inventory and group-purchasing capabilities at the end of 2014.",
   "event_date": "2015-04-14",
   "date_precision": "day",
   "evidence_kind": "participant_account",
   "sources": [
    "MM2"
   ]
  },
  {
   "id": "modernizing-medicine-g07",
   "business": "Specialty practice electronic health records and practice software",
   "category": "go_to_market",
   "dimension": "Practice-level expansion",
   "statement": "The broader software portfolio supported selling more of the practice workflow to specialty customers.",
   "event_date": "2015-04-14",
   "date_precision": "day",
   "evidence_kind": "participant_account",
   "sources": [
    "MM2"
   ]
  },
  {
   "id": "modernizing-medicine-g08",
   "business": "Specialty practice electronic health records and practice software",
   "category": "go_to_market",
   "dimension": "Federal settlement",
   "statement": "The company agreed to pay $45 million to resolve federal allegations involving kickbacks and electronic-record certification, with no determination of liability.",
   "event_date": "2022-11-01",
   "date_precision": "day",
   "evidence_kind": "documented_offer_or_action",
   "sources": [
    "MM4"
   ]
  },
  {
   "id": "modernizing-medicine-p10",
   "business": "Specialty practice electronic health records and practice software",
   "category": "product",
   "dimension": "Practicing medical directors",
   "statement": "Specialty medical directors continued practicing and used the software in their clinical work.",
   "event_date": "2024-10-24",
   "date_precision": "day",
   "evidence_kind": "participant_account",
   "sources": [
    "MM3"
   ]
  },
  {
   "id": "modernizing-medicine-g09",
   "business": "Specialty practice electronic health records and practice software",
   "category": "go_to_market",
   "dimension": "Reported later reach",
   "statement": "The Yale interview described about 35,000 providers across 11 specialties.",
   "event_date": "2024-10-24",
   "date_precision": "day",
   "evidence_kind": "participant_account",
   "sources": [
    "MM3"
   ]
  },
  {
   "id": "modernizing-medicine-g10",
   "business": "Specialty practice electronic health records and practice software",
   "category": "go_to_market",
   "dimension": "Completed majority investment",
   "statement": "Clearlake completed its majority investment; Warburg Pincus retained a significant minority interest.",
   "event_date": "2025-04-30",
   "date_precision": "day",
   "evidence_kind": "company_described_offering",
   "sources": [
    "MM5"
   ]
  },
  {
   "id": "modernizing-medicine-g02",
   "business": "Specialty practice electronic health records and practice software",
   "category": "go_to_market",
   "dimension": "Physician demonstrations",
   "statement": "Sherling retrospectively described demonstrating the early software to physician groups.",
   "event_date": null,
   "date_precision": "unknown",
   "evidence_kind": "participant_account",
   "sources": [
    "MM3"
   ]
  },
  {
   "id": "modernizing-medicine-g03",
   "business": "Specialty practice electronic health records and practice software",
   "category": "go_to_market",
   "dimension": "Physician backing",
   "statement": "The early demonstrations led to a group of roughly 30 physician investors.",
   "event_date": null,
   "date_precision": "unknown",
   "evidence_kind": "participant_account",
   "sources": [
    "MM3"
   ]
  },
  {
   "id": "modernizing-medicine-g04",
   "business": "Specialty practice electronic health records and practice software",
   "category": "go_to_market",
   "dimension": "Initial customer acquisition",
   "statement": "Sherling linked the initial physician relationships to the first 50 practices; the year is approximate in this retrospective sequence.",
   "event_date": null,
   "date_precision": "unknown",
   "evidence_kind": "participant_account",
   "sources": [
    "MM3"
   ]
  }
 ]
}