MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET

Medical Devices 2014 MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET BY SOLUTION (DOCUMENT SCANNING SOFTWARE, DOCUMENT MANAGEMENT SOFTWARE), BY APPLICATION MEDICAL RECORDS MANAGEMENT), BY MODE OF DELIVERY (WEB-BASED, CLOUD-BASED), BY END-USER (HOSPITALS) GLOBAL FORECASTS TO 2019 R e p o r t D e s c r i p t i o n T a b l e o f C o n t e n t s L i s t o f T a b l e s S a m p l e T a b l e s R e l a t e d R e p o r t s MarketsandMarkets North - Dominion Plaza, 17304, Preston Road, Suite 800, Dallas, TX 75252, U.S. Tel. No.: 1-888-600-6441 Email: sales@marketsandmarkets.com Website: www.marketsandmarkets.com

MarketsandMarkets is a global market research and consulting company based in the U.S. We publish strategically analyzed market research reports and serve as a business intelligence partner to Fortune 500 companies across the world. MarketsandMarkets also provides multi-client reports, company profiles, databases, and custom research services. MarketsandMarkets covers fourteen industry verticals, including aerospace and defence, advanced materials, automotives and transportation, banking and financial services, biotechnology, chemicals, consumer goods, energy and power, food and beverages, industrial automation, medical devices, pharmaceuticals, semiconductor and electronics, and telecommunications and IT. Copyright 2014 MarketsandMarkets All Rights Reserved. This document contains highly confidential information and is the sole property of MarketsandMarkets. No part of it may be circulated, copied, quoted, or otherwise reproduced without the approval of MarketsandMarkets. 1

1 INTRODUCTION 1.1 OBJECTIVES OF THE STUDY To define, describe, and forecast the global medical document management systems market on the basis of product, application, mode of delivery, and end user To provide detailed information regarding major factors influencing growth of the market (drivers, restraints, opportunities, and industry-specific challenges) To strategically analyze micromarkets 1 with respect to individual growth trends, future prospects, and contributions to the overall market To analyze the opportunities in the market for stakeholders and provide details of a competitive landscape for market leaders To forecast the size of the medical document management systems market with respect to four main regions (along with countries), namely, North America, Europe, Asia-Pacific, and Rest of the World To strategically profile key players in the global medical document management systems market and to comprehensively analyze their core competencies 2 and market shares To track and analyze competitive developments such as joint ventures, partnerships, alliances, mergers and acquisitions, new product/technology developments, and research and development activities of the leading players in the global medical document management systems market ----------------------------------------------------- 1. Micromarkets are defined as the further segments and subsegments of the global medical document management systems market included in the report. 2. Core competencies of the companies are captured in terms of their key developments, SWOT analysis, and key strategies adop ted to sustain their position in the market. 2

1.2 MARKET DEFINITION Medical document management systems comprise different software used to convert paper documents into electronic records, and to manage the electronic records of the healthcare organizations to streamline the workflow while maintaining compliance. These systems provide scanning, indexing, archiving, and retrieval of patient records and other medical documents and minimize the use of paper in healthcare systems while increasing their operational efficiency. 1.3 MARKET SCOPE This market study covers different medical document management products including software solutions and services to arrive at the global medical document management systems market size from 2012 to 2019 The application segment covers the total medical document management systems market, including patient medical records management, medical image management, patient admission and registration document management, and patient billing document management In this report, the medical document management systems market is considered for the healthcare industry only, which includes hospitals and clinics, nursing homes/assisted living facilities/long-term care centers, insurance providers, and other healthcare institutions (rehabilitation centers, academic medical centers, and pathological laboratories) Outsource medical document management services are not included in medical document management systems market in this report. 1.3.1 MARKETS COVERED This research report categorizes the medical document management systems market into the following segments: FIGURE 1 GLOBAL MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET Medical Document Management Systems Market By Product By Application By Mode of Delivery Solutions Services Patient Medical Records Management Web-based Solutions Standalone Solutions Document Scanning Software Document Management Software Document Access and Workflow Management Software Implementation and Integration Services Support, Maintenance, and Optimization Services Training and Education Services Admission and Registration Documents Management Patient Billing Document Management Patient Image Management Cloud-based Solutions On-premise Solutions Integrated Solutions *Note: Others in services include litigation services and data destruction services 3

Medical Document Management Systems Market, by End User Hospitals and Clinics Nursing Homes, Assisted Living Facilities, and Long-term Care Centers Insurance Providers Other Healthcare Institutions (Rehabilitation Centers, Academic Medical Centers, and Pathological Laboratories) Medical Document Management Systems Market, by Region North America o o U.S. Canada Europe o o o o o o Germany France U.K. Italy Spain Rest of Europe (RoE) Asia-Pacific (APAC) o o o o China Japan India Rest of APAC Rest of the World (RoW) o o Latin America Middle East and Africa 1.3.2 YEARS CONSIDERED FOR THE STUDY Base Year Base year calculations are done for 2013 Historical Years Forecast Years Historical market calculations are done for 2011 and 2012; however, market numbers for 2011 are not provided in the report Market forecast is provided for the period of 2014 2019 4

1.4 CURRENCY The currency used in the report is U.S. dollars, with market size indicated in $million. For companies reporting their revenue in U.S. dollars, the revenues were picked from their annual reports For companies that reported their revenues in other currencies, the average annual currency conversion rate was used for that particular year to convert the value to U.S. dollars 1.5 STAKEHOLDERS Medical document management software vendors Medical document management service providers Healthcare it solution providers Hospitals and clinics Academic medical centers Nursing homes Assisted living facilities Healthcare insurance providers Market research and consulting firms Venture capitalists and investors 5

2 RESEARCH METHODOLOGY 2.1 RESEARCH DATA This research study involved the extensive usage of primary sources as well as secondary sources. FIGURE 2 RESEARCH DESIGN HISTORICAL DATA FOR MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET Life Cycle Analysis Market Share Technological Trends Competitive Landscape Strategic Benchmarking Geographical Usage Pattern Regulatory Landscape Porter s Analysis INFLUENCING FACTORS (Market Trends and Dynamics) Market Drivers: Regulatory requirements and increasing healthcare reforms Increased adoption of healthcare IT technologies such as EMR systems and HIM systems Increasing need for cost containment in healthcare Market Restraints: Reluctance of nurses and other medical staff to change to new systems Confidentiality concerns High cost for deployment of medical document management systems Market Challenges: Integration of document management systems with existing IT solutions within healthcare organizations Market Opportunities: Mobile platforms for medical document management systems Consolidation in healthcare Partnerships & Agreements: Accounted for XX% of the overall growth developments from 2011 to 2014 Mergers & Acquisitions: Accounted for XX% of the overall growth developments from 2011 to 2014 Product Upgradation: Accounted for XX% of the overall growth developments from 2011 to 2014 FORECAST Historical Data of the Market Impact Analysis of Market Trends Market Size & Forecast, by Product Market Size & Forecast, by Application Market Size & Forecast, by Mode of Delivery Market Size & Forecast, by End User Arrive at the Market Size, Share, and CAGR for the Medical Document Management Systems Market 2.1.1 SECONDARY DATA This research study involved the use of widespread secondary sources; directories; databases such as Hoovers, Bloomberg, Businessweek, Factiva, and OneSource; white papers; annual reports; company house documents; and SEC filings. Secondary research was used to identify and collect information for an extensive, technical, market-oriented, and commercial study of this global market. It was also used to obtain important information about top players, market classification, and segmentation according to industry trends to the bottom-most level, geographic markets, and key developments related to market and technology perspectives. A database of the key industry leaders was also prepared using secondary research. 6

2. 1. 1. 1 K e y d a t a f r o m s e c o n d a r y s o u r c e s PARAMETER SECONDARY SOURCES 1 Market Size Company Financials, Magazines, Journals, Press Releases, and Paid Databases U.S. Department of Health and Human Services Healthcare Information and Management Systems Society Association of Records Managers and Administrators European Association of Healthcare IT Managers Eurostat Company Press Releases and White Papers MarketsandMarkets Data Repository 2 3 Market Position of Leading Players Qualitative Information (Market Dynamics and Trends) Annual Reports Company Websites Company Product Portfolio Public Databases MarketsandMarkets Data Repository Company Financials, Magazines, Journals, Press Releases, and Paid Databases U.S. Department of Health and Human Services Association of Records Managers and Administrators Eurostat Center for Disease Control and Prevention Healthcare Information and Management Systems Society European Association of Healthcare IT Managers Company White Papers MarketsandMarkets Data Repository 2.1.2 PRIMARY DATA In the primary research process, various sources from both supply and demand sides were interviewed to obtain qualitative and quantitative information for this report. The primary sources from the supply side include industry experts such as CEOs, vice presidents, marketing and sales directors, technology and innovation directors, and related key executives from various key companies and organizations operating in the medical document management systems market. The primary sources from the demand side include industry experts such as insurance providers, physicians and doctors, and other medical staff from hospitals. Primary research was conducted to validate the market segmentation, identify key players in the market, and gather insights on key industry trends and burning issues, technology uptake rates, and key market dynamics, such as market drivers, challenges, and opportunities. Primary research was also conducted to identify dynamics related to the strength of various stakeholders in the value chain of the medical document management systems market. The following illustrative figure shows the market research methodology applied in making this report on the global medical document management systems market. 7

2. 1. 2. 1 K e y d a t a f r o m p r i m a r y s o u r c e s PARAMETERS DATA 1 Geographic Split Overall market and subsegments in 2013 CAGR of each region in the forecast period (2014 2019) North America accounts for XX% of the global medical document management systems market in 2013 The Asia-Pacific market is expected to grow at the fastest rate 2 Global Market Size Global market size for 2013 CAGR for the forecast period (2014 2019) Global medical document management systems market was valued at $XX million in 2014 This market is expected to grow at a CAGR of XX% to XX% in the next five years 3 Market Split Products such as standalone and integrated solutions, and services Applications such as patient medical records management, admission and registration documents management, and patient billing document management Modes of delivery such as webbased solutions, cloud-based solutions, and on-premise solutions End users such as hospitals and clinics; nursing homes, assisted living facilities, and long-term care centers; Insurance providers; and other healthcare institutions Integrated solutions accounted for the major share of the medical document management systems solutions markets; this market will further grow at a CAGR of XX% in the next five years Web-based solutions accounted for a major share XX% of the medical document management systems market by mode of delivery in 2013, while cloud-based model is expected to grow at the fastest CAGR of XX% in the next five years Hospitals and clinics dominated the end-user market 2. 1. 2. 2 K e y i n d u s t r y i n s i g h t s Increased adoption of EHR/EMR systems is driving the demand for medical document management systems. CEO, Leading Software Company Improved clinical studies and research with the managed patient casenotes and information through the effective document management systems is providing significant growth opportunities for this market. Head Clinical Excellence, Leading Healthcare Company One of the reason behind the major share of the U.S. in the global market is the regulatory requirements and increasing healthcare reforms. Vice President, Leading Software Manufacturing Company Medical Document Management Market Medical Document Management Market The cloud-based model segment will be driven by the increasing demand for cloud-based solutions, and this segment is expected to grow at the highest CAGR. Sales Consultant, Leading Plasma Products Provider Rising demand of integrated solutions by hospitals are driving the demand for medical document management. Director, Leading Medical Document Management Systems Provider 8

After complete market engineering with calculations for market statistics; market size estimations; and market forecasting; further primary research was conducted to verify and validate the critical numbers arrived at. In the complete market engineering process, both top-down and bottom-up approaches were extensively used, along with several data triangulation methods, to perform market estimation and market forecast for the overall market segments and subsegments listed in this report. Extensive qualitative and further quantitative analysis was also done from all the numbers arrived at in the complete market engineering process to list key information throughout the report. FIGURE 3 BREAKDOWN OF PRIMARY INTERVIEWS: BY COMPANY TYPE, DESIGNATION, AND REGION NUMBER OF PRIMARIES: BY COMPANY TYPE NUMBER OF PRIMARIES: BY DESIGNATION NUMBER OF PRIMARIES: BY REGION XX XX XX XX XX XX XX XX XX XX Tier 1 Companies Tier 3 Companies Tier 2 Companies C Level Director Level Others North America Asia-Pacific Europe RoW Note 1: *Others include sales managers, marketing managers, and product managers Note 2: The tiers of the companies are defined on the basis of their total revenues. As of 2013: Tier 1 = >$XX billion, Tier 2 = $XX million to $XX billion, and Tier 3 = <$XX million 2.2 MARKET SIZE ESTIMATION Both, top-down and bottom-up approaches were used to anticipate and validate the size of the global medical document management systems market and to estimate the size of various other dependent submarkets. Major players in the market were identified through secondary research, and their revenues from the medical document management systems business were determined through various insights gathered during the primary and secondary research. Secondary research included the study of annual and financial reports of the top market players, whereas primary research included extensive interviews of key opinion leaders such as CEOs, directors, and marketing executives of the key market players. The technology uptake rates, percentage splits, shares, and breakdowns of the product markets were determined using secondary sources and verified through primary sources. All possible factors that affected the market included in this research study have been accounted for, viewed in extensive detail, verified through primary research, and analyzed to get the final quantitative and qualitative data. The market size for the top-level markets and subsegments is normalized, and the effect of inflation, economic downturns, and regulatory and policy changes or other factors are not accounted for in the market forecast. This data is combined and added with detailed inputs and analysis from MarketsandMarkets and presented in this report. The following figure shows an illustrative representation of the overall market size estimation process used for this study. 9

FIGURE 4 BOTTOM-UP APPROACH Bottom-up Approach (Segmental Analysis) Global Market Value Global Medical Document Management Systems Market Total Market Size ($Million) = North America (Market Size) + Europe (Market Size) + Asia-Pacific (Market Size) + Rest of the World (Market Size) Geographic Splits for the Revenue of Each Product Segment (A) Primary: Demand and Supply Side Experts Secondary: Annual Reports, Presentations, Press Releases, Journals, Paid Databases, and MarketsandMarkets Repository Market Revenue from Sales of Each Product Segment, Globally FIGURE 5 TOP-DOWN APPROACH Top-down Approach (Segmental Analysis) Global Medical Document Management Systems Market ($Million) Global Medical Document Management Systems Market The Global Market Size is Validated through Primaries (Demand and Supply Side Experts) Percentage Splits for the Product Segments of the Global Medical Document Management Systems Market Secondary: Annual Reports, Presentations, Press Releases, Journals, Paid Databases, and MarketsandMarkets Repository Primary: Demand and Supply Side Experts Percentage Splits for the Medical Document Management Systems Market, by Application, Mode of Delivery, and End User Primary: Demand and Supply Side Experts Secondary: Company Websites, Press Releases, and News Articles Geographic Split Regional and Country-wise Market for Each Subsegment Secondary: Annual Reports, Presentations, Press Releases, Journals, Paid Databases, and MarketsandMarkets Repository Primary: Demand and Supply Side Experts 10

Supply Side Demand Side Medical Document Management Systems Market--Global Forecasts To 2019 2.3 MARKET BREAKDOWN AND DATA TRIANGULATION After arriving at the market size from the market size estimation process explained above, the total market was divided into several segments and subsegments. In order to complete the overall market engineering process and to arrive at the exact statistics for all the segments and subsegments, data triangulation and market breakdown procedures were employed wherever applicable. The following figure shows the market validation sources structure and the data triangulation methodology implemented in the market engineering process for making this report. FIGURE 6 DATA TRIANGULATION METHODOLOGY PRIMARY SOURCES SECONDARY SOURCES Interviews with: Physicians and Doctors Technology Consultants Administrative and Other Medical Staff in the Hospitals Insurance Providers MnM KNOW* Annual Reports, Presentations, Websites and Press Releases of Top Players, News Articles, Journals, and Paid Databases Interviews with: CEOs Presidents Vice Presidents Marketing Managers Business Managers Sales Executives Other medical document management systems marketrelated personnel to get insights into the market size, market growth, key players, and strategies Primary Sources DATA TRIANGULATION Information Sourced Secondary Sources Healthcare Information Management Systems Society (HIMSS) American Health Information Management Association (AHIMA) The Association of Records Management Professionals The Association of Information and Image Management Key Players Competitive Landscape Opportunities/Challenges Market Size (2013) and Market Share (2013) Drivers/Restraints Forecasting Geographical Analysis MnM KNOW* stands for MarketsandMarkets Knowledge Asset Management' framework. In this context, it stands for existing market research knowledge repository of over 5,000 granular markets, our flagship competitive intelligence and market research platform "RT", subject matter experts, and independent consultants. MnM KNOW acts as an independent source that helps us validate information gathered from primary and secondary sources. 2.4 MARKET SHARE ESTIMATION The market share for medical document management systems manufacturing companies was arrived at on the basis of secondary data available through paid and unpaid sources and by analyzing product portfolios of major companies and rating them on the basis of performance and quality. This data was further validated through primary interviews with various industry experts. 11

2.5 RESEARCH ASSUMPTIONS 2.5.1 ASSUMPTIONS FOR THE STUDY PARAMETER ASSUMPTION 1 Medical Document Management Systems Market, by Geography The impact of geopolitical issues on the growth of the medical document management systems market, especially in the Middle East and Africa region is considered to be minimal during forecast period. 2 Market Growth The CAGR for the forecast period is assumed to be normalized and the effect of inflation, recession, economic downturn, regulatory or policy changes, currency fluctuations, or other factor during the forecast period are not considered. 12

TABLE OF CONTENTS 1 INTRODUCTION... 18 1.1 OBJECTIVES OF THE STUDY... 18 1.2 MARKET DEFINITION... 19 1.3 MARKET SCOPE... 19 1.3.1 MARKETS COVERED... 19 1.3.2 YEARS CONSIDERED FOR THE STUDY... 20 1.4 CURRENCY... 21 1.5 STAKEHOLDERS... 21 2 RESEARCH METHODOLOGY... 22 2.1 RESEARCH DATA... 22 2.1.1 SECONDARY DATA... 22 2.1.1.1 Key data from secondary sources... 23 2.1.2 PRIMARY DATA... 23 2.1.2.1 Key data from primary sources... 24 2.1.2.2 Key industry insights... 24 2.2 MARKET SIZE ESTIMATION... 25 2.3 MARKET BREAKDOWN AND DATA TRIANGULATION... 27 2.4 MARKET SHARE ESTIMATION... 27 2.5 RESEARCH ASSUMPTIONS... 28 2.5.1 ASSUMPTIONS FOR THE STUDY... 28 3 EXECUTIVE SUMMARY... 29 4 PREMIUM INSIGHTS... 34 4.1 GROWTH POTENTIAL OF THE MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET... 34 4.2 APAC MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET, BY APPLICATION... 35 4.3 MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET: REGIONAL GROWTH OPPORTUNITIES... 36 4.4 MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET, REGIONAL MIX... 37 4.5 MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET: DEVELOPED VS. DEVELOPING MARKETS... 38 5 MARKET OVERVIEW... 39 5.1 INTRODUCTION... 40 5.2 MARKET SEGMENTATION... 40 5.2.1 BY PRODUCT... 40 5.2.2 BY APPLICATION... 41 13

5.2.3 BY MODE OF DELIVERY... 42 5.2.4 BY END-USER... 42 5.3 MARKET DYNAMICS... 42 5.3.1 KEY MARKET DRIVERS... 43 5.3.1.1 Growing regulatory requirements for patient data management... 43 5.3.1.2 Increasing implementation of electronic health record & health information exchange systems... 44 5.3.1.3 Rising need to curtail healthcare costs... 44 5.3.2 KEY MARKET RESTRAINTS... 46 5.3.2.1 Reluctance among medical professionals to adopt advanced healthcare IT tools... 46 5.3.2.2 Lack of IT Professionals in the healthcare industry... 46 5.3.3 KEY MARKET OPPORTUNITIES... 47 5.3.3.1 Increasing consolidation in the healthcare industry... 47 5.3.3.2 Mobile platforms and cloud-based solutions for medical document Management systems... 47 5.3.4 KEY CHALLENGES... 48 5.3.4.1 Integration of document management systems with existing IT solutions within healthcare organizations... 48 6 INDUSTRY INSIGHTS... 50 6.1 INTRODUCTION... 50 6.2 INDUSTRY TRENDS... 50 6.2.1 GROWING NEED FOR SEMANTIC INTEROPERABILITY THROUGH MEDICAL DOCUMENT MANAGEMENT SYSTEMS ACROSS THE HEALTHCARE SECTOR... 50 6.2.2 AVAILABILITY OF MOBILE PLATFORMS FOR MEDICAL DOCUMENT MANAGEMENT SOFTWARE... 51 6.3 PORTER S FIVE FORCES ANALYSIS... 52 6.3.1 THREAT OF NEW ENTRANTS... 52 6.3.2 THREAT OF SUBSTITUTES... 53 6.3.3 BARGAINING POWER OF SUPPLIERS... 53 6.3.4 BARGAINING POWER OF BUYERS... 53 6.3.5 INTENSITY OF COMPETITIVE RIVALRY... 53 6.4 STRATEGIC BENCHMARKING... 54 6.4.1 TECHNOLOGY INTEGRATION & PRODUCT UPGRADES WERE THE MOST ADOPTED STRATEGIES... 54 7 MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET, BY PRODUCT... 56 7.1 INTRODUCTION... 57 7.2 MEDICAL DOCUMENT MANAGEMENT SOLUTIONS MARKET... 58 7.2.1 INTEGRATED MEDICAL DOCUMENT MANAGEMENT SOFTWARE... 60 7.2.2 STANDALONE MEDICAL DOCUMENT MANAGEMENT SOFTWARE... 61 7.2.2.1 Document scanning software... 63 7.2.2.2 Document management software... 64 14

7.2.2.3 Document access and workflow management software... 65 7.3 MEDICAL DOCUMENT MANAGEMENT SERVICES MARKET... 66 7.3.1 MAINTENANCE, SUPPORT, AND OPTIMIZATION SERVICES... 68 7.3.2 EDUCATION & TRAINING SERVICES... 69 7.3.3 IMPLEMENTATION AND INTEGRATION SERVICES... 71 8 MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET, BY APPLICATION... 72 8.1 INTRODUCTION... 73 8.2 PATIENT BILLING DOCUMENT MANAGEMENT... 75 8.3 PATIENT MEDICAL RECORDS MANAGEMENT... 76 8.4 MEDICAL IMAGE MANAGEMENT... 77 8.5 PATIENT ADMISSION AND REGISTRATION DOCUMENT MANAGEMENT... 79 9 MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET, BY MODE OF DELIVERY... 81 9.1 INTRODUCTION... 82 9.2 WEB-BASED SOLUTIONS... 82 9.3 ON-PREMISE SOLUTIONS... 83 9.4 CLOUD-BASED SOLUTIONS... 85 10 MEDICAL DOCUMENT MANAGEMENT MARKET, BY END USER... 88 10.1 INTRODUCTION... 89 10.2 HOSPITALS & CLINICS... 90 10.3 NURSING HOMES, ASSISTED LIVING FACILITIES, AND LONG-TERM CARE CENTERS... 92 10.4 INSURANCE PROVIDERS... 94 10.5 OTHER HEALTHCARE INSTITUTIONS... 95 11 MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET, BY REGION... 97 11.1 INTRODUCTION... 98 11.2 NORTH AMERICA... 99 11.2.1 U.S.... 104 11.2.2 CANADA... 108 11.3 EUROPE...112 11.3.1 GERMANY... 117 11.3.2 U.K.... 121 11.3.3 FRANCE... 124 11.3.4 ITALY... 128 11.3.5 SPAIN... 131 11.3.6 REST OF EUROPE... 135 11.4 ASIA-PACIFIC...138 11.4.1 JAPAN... 143 11.4.2 CHINA... 147 15

11.4.3 INDIA... 150 11.4.4 REST OF ASIA-PACIFIC... 154 11.5 REST OF THE WORLD (ROW)...157 11.5.1 LATIN AMERICA... 161 11.5.2 MIDDLE EAST AND AFRICA... 164 12 COMPETITIVE LANDSCAPE... 169 12.1 OVERVIEW...169 12.2 MARKET SHARE ANALYSIS...170 12.3 COMPETITIVE SITUATION AND TRENDS...172 12.3.1 AGREEMENTS, PARTNERSHIPS, AND ALLIANCES... 173 12.3.2 NEW PRODUCT LAUNCHES... 174 12.3.3 PRODUCT UPGRADES AND ENHANCEMENTS... 175 12.3.4 MERGERS AND ACQUISITIONS... 176 12.3.5 EXPANSIONS... 177 13 COMPANY PROFILES... 178 13.1 MCKESSON CORPORATION...179 13.2 HYLAND SOFTWARE INC....181 13.3 CERNER CORPORATION...183 13.4 SIEMENS HEALTHCARE (SIEMENS AG)...186 13.5 KOFAX LIMITED...188 13.6 GE HEALTHCARE...190 13.7 TOSHIBA AMERICA BUSINESS SOLUTIONS, INC. (TOSHIBA CORPORATION)...193 13.8 3M COMPANY...196 13.9 QUEST DIAGNOSTICS, INC....198 13.10 ALLSCRIPTS HEALTHCARE SOLUTIONS, INC....200 *Details On Financials, Products & Services, Key Strategy, & Recent Developments Might Not Be Captured In Case Of Unlisted Companies. 14 APPENDIX... 202 14.1 INSIGHTS OF INDUSTRY EXPERTS...202 14.2 DISCUSSION GUIDE...202 14.3 RECENT DEVELOPMENTS, BY MARKET PLAYER, 2011 2014...208 14.4 INTRODUCING RT: REAL-TIME MARKET INTELLIGENCE...210 14.5 AVAILABLE CUSTOMIZATIONS...211 14.6 RELATED REPORTS...212 16

U Medical Document Management Systems Market--Global Forecasts To 2019 LIST OF TABLES TABLE 1 TABLE 2 TABLE 3 TABLE 4 TABLE 5 TABLE 6 TABLE 7 TABLE 8 TABLE 9 TABLE 10 TABLE 11 TABLE 12 TABLE 13 TABLE 14 TABLE 15 TABLE 16 TABLE 17 TABLE 18 TABLE 19 TABLE 20 TABLE 21 TABLE 22 REGULATORY REQUIREMENTS AND HEALTHCARE REFORMS TO BOOST THE MARKET GROWTH 45 SHORTAGE OF ON-SITE IT SUPPORT & LACK OF IN-HOUSE IT DOMAIN KNOWLEDGE TO RESTRAIN MARKET GROWTH 47 MOBILE TECHNOLOGY AND CLOUD-BASED SYSTEMS PROVIDE SIGNIFICANT GROWTH OPPORTUNITIES FOR THE MARKET 48 INTEGRATION OF MEDICAL DOCUMENT MANAGEMENT SYSTEMS WITH OTHER HEALTHCARE IT SYSTEMS IS A MAJOR CHALLENGE 49 GLOBAL MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY PRODUCT, 2012 2019 ($MILLION) 58 GLOBAL MEDICAL DOCUMENT MANAGEMENT SOLUTIONS MARKET SIZE, BY TYPE, 2012 2019 ($MILLION) 59 GLOBAL MEDICAL DOCUMENT MANAGEMENT SOLUTIONS MARKET SIZE, BY REGION, 2012 2019 ($MILLION) 60 GLOBAL INTEGRATED MEDICAL DOCUMENT MANAGEMENT SOLUTIONS MARKET SIZE, BY REGION, 2012 2019 ($MILLION) 61 GLOBAL STANDALONE MEDICAL DOCUMENT MANAGEMENT SOFTWARE MARKET SIZE, BY TYPE, 2012 2019 ($MILLION) 62 GLOBAL STANDALONE MEDICAL DOCUMENT MANAGEMENT SOFTWARE MARKET SIZE, BY REGION, 2012 2019 ($MILLION) 62 GLOBAL DOCUMENT SCANNING SOFTWARE MARKET SIZE, BY REGION, 2012 2019 ($MILLION) 64 GLOBAL DOCUMENT MANAGEMENT SOFTWARE MARKET SIZE, BY REGION, 2012 2019 ($MILLION) 65 GLOBAL DOCUMENT ACCESS AND WORKFLOW MANAGEMENT SOFTWARE MARKET SIZE, BY REGION, 2012 2019 ($MILLION) 66 GLOBAL MEDICAL DOCUMENT MANAGEMENT SERVICES MARKET SIZE, BY TYPE, 2012 2019 ($MILLION) 67 GLOBAL MEDICAL DOCUMENT MANAGEMENT SERVICES MARKET SIZE, BY REGION, 2012 2019 ($MILLION) 68 GLOBAL SUPPORT, MAINTENANCE, AND OPTIMIZATION SERVICES MARKET SIZE FOR MEDICAL DOCUMENT MANAGEMENT SYSTEMS, BY REGION, 2012 2019 ($MILLION) 69 GLOBAL TRAINING & EDUCATION SERVICES MARKET SIZE FOR MEDICAL DOCUMENT MANAGEMENT SYSTEMS, BY REGION, 2012 2019 ($MILLION) 70 GLOBAL IMPLEMENTATION & INTEGRATION SERVICES MARKET SIZE FOR MEDICAL DOCUMENT MANAGEMENT SYSTEMS, BY REGION, 2012 2019 ($MILLION) 71 GLOBAL MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY APPLICATION, 2012-2019 ($MILLION) 74 GLOBAL MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE FOR PATIENT BILLING DOCUMENT MANAGEMENT, BY COUNTRY/REGION, 2012 2019 ($MILLION) 76 GLOBAL MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE FOR PATIENT MEDICAL RECORDS MANAGEMENT, BY COUNTRY/REGION, 2012 2019 ($MILLION) 77 GLOBAL MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE FOR MEDICAL IMAGE MANAGEMENT, BY COUNTRY/REGION, 2012 2019 ($MILLION) 78 17

TABLE 23 TABLE 24 TABLE 25 TABLE 26 TABLE 27 TABLE 28 TABLE 29 TABLE 30 TABLE 31 TABLE 32 TABLE 33 TABLE 34 TABLE 35 TABLE 36 TABLE 37 TABLE 38 TABLE 39 TABLE 40 TABLE 41 TABLE 42 TABLE 43 TABLE 44 TABLE 45 TABLE 46 TABLE 47 GLOBAL MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE FOR PATIENT ADMISSION AND REGISTRATION DOCUMENT MANAGEMENT, BY COUNTRY/REGION, 2012 2019 ($MILLION) 80 GLOBAL MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY DELIVERY MODE, 2012-2019 ($MILLION) 82 WEB-BASED MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY REGION, 2012-2019 ($MILLION) 83 ON-PREMISE MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY REGION, 2012 2019 ($MILLION) 84 CLOUD-BASED MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY REGION, 2012 2019 ($MILLION) 87 GLOBAL MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY END USER, 2012 2019 ($MILLION) 89 GLOBAL MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE FOR HOSPITALS AND CLINICS, BY REGION, 2012 2019 ($MILLION) 91 GLOBAL MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE FOR NURSING HOMES, ASSISTED LIVING FACILITIES, AND LONG-TERM CARE CENTERS, BY REGION, 2012 2019 ($MILLION) 93 GLOBAL MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE FOR INSURANCE PROVIDERS, BY REGION, 2012 2019 ($MILLION) 94 GLOBAL MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE FOR OTHER HEALTHCARE INSTITUTIONS, BY REGION, 2012 2019 ($MILLION) 96 GLOBAL MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY REGION, 2012-2019 ($MILLION) 98 NORTH AMERICA: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY COUNTRY, 2012-2019 ($MILLION) 101 NORTH AMERICA: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY PRODUCT, 2012-2019 ($MILLION) 101 NORTH AMERICA: MEDICAL DOCUMENT MANAGEMENT SOLUTIONS MARKET SIZE, BY TYPE, 2012-2019 ($MILLION) 101 NORTH AMERICA: STANDALONE MEDICAL DOCUMENT MANAGEMENT SOLUTIONS MARKET SIZE, BY TYPE, 2012-2019 ($MILLION) 102 NORTH AMERICA: MEDICAL DOCUMENT MANAGEMENT SERVICES MARKET SIZE, BY TYPE, 2012-2019 ($MILLION) 102 NORTH AMERICA: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY APPLICATION, 2012-2019 ($MILLION) 103 NORTH AMERICA: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY MODE OF DELIVERY, 2012-2019 ($MILLION) 103 NORTH AMERICA: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY END USER, 2012-2019 ($MILLION) 104 U.S.: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY PRODUCT, 2012-2019 ($MILLION) 105 U.S.: MEDICAL DOCUMENT MANAGEMENT SOLUTIONS MARKET SIZE, BY TYPE, 2012-2019 ($MILLION) 105 U.S.: STANDALONE MEDICAL DOCUMENT MANAGEMENT SOLUTIONS MARKET SIZE, BY TYPE, 2012-2019 ($MILLION) 106 U.S.: MEDICAL DOCUMENT MANAGEMENT SERVICES MARKET SIZE, BY TYPE, 2012-2019 ($MILLION) 106 U.S.: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY APPLICATION, 2012-2019 ($MILLION) 107 U.S.: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY MODE OF DELIVERY, 2012-2019 ($MILLION) 107 18

TABLE 48 TABLE 49 TABLE 50 TABLE 51 TABLE 52 TABLE 53 TABLE 54 TABLE 55 TABLE 56 TABLE 57 TABLE 58 TABLE 59 TABLE 60 TABLE 61 TABLE 62 TABLE 63 TABLE 64 TABLE 65 TABLE 66 TABLE 67 TABLE 68 TABLE 69 TABLE 70 TABLE 71 TABLE 72 TABLE 73 U.S.: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY END USER, 2012-2019 ($MILLION) 108 CANADA: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY PRODUCT, 2012-2019 ($MILLION) 109 CANADA: MEDICAL DOCUMENT MANAGEMENT SOLUTIONS MARKET SIZE, BY TYPE, 2012-2019 ($MILLION) 109 CANADA: STANDALONE MEDICAL DOCUMENT MANAGEMENT SOLUTIONS MARKET SIZE, BY TYPE, 2012-2019 ($MILLION) 110 CANADA: MEDICAL DOCUMENT MANAGEMENT SERVICES MARKET SIZE, BY TYPE, 2012-2019 ($MILLION) 110 CANADA: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY APPLICATION, 2012-2019 ($MILLION) 111 CANADA: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY MODE OF DELIVERY, 2012-2019 ($MILLION) 111 CANADA: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY END USER, 2012-2019 ($MILLION) 112 EUROPE: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY COUNTRY, 2012-2019 ($MILLION) 113 EUROPE: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY PRODUCT, 2012-2019 ($MILLION) 114 EUROPE: MEDICAL DOCUMENT MANAGEMENT SOLUTIONS MARKET SIZE, BY TYPE, 2012-2019 ($MILLION) 114 EUROPE: STANDALONE MEDICAL DOCUMENT MANAGEMENT SOLUTIONS MARKET SIZE, BY TYPE, 2012-2019 ($MILLION) 115 EUROPE: MEDICAL DOCUMENT MANAGEMENT SERVICES MARKET SIZE, BY TYPE, 2012-2019 ($MILLION) 115 EUROPE: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY APPLICATION, 2012-2019 ($MILLION) 116 EUROPE: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY MODE OF DELIVERY, 2012-2019 ($MILLION) 116 EUROPE: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY END USER, 2012-2019 ($MILLION) 117 GERMANY: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY PRODUCT, 2012-2019 ($MILLION) 118 GERMANY: MEDICAL DOCUMENT MANAGEMENT SOLUTIONS MARKET SIZE, BY TYPE, 2012-2019 ($MILLION) 118 GERMANY: STANDALONE MEDICAL DOCUMENT MANAGEMENT SOLUTIONS MARKET SIZE, BY TYPE, 2012-2019 ($MILLION) 119 GERMANY: MEDICAL DOCUMENT MANAGEMENT SERVICES MARKET SIZE, BY TYPE, 2012-2019 ($MILLION) 119 GERMANY: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY APPLICATION, 2012-2019 ($MILLION) 120 GERMANY: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY MODE OF DELIVERY, 2012-2019 ($MILLION) 120 GERMANY: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY END USER, 2012-2019 ($MILLION) 121 U.K.: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY PRODUCT, 2012-2019 ($MILLION) 122 U.K.: MEDICAL DOCUMENT MANAGEMENT SOLUTIONS MARKET SIZE, BY TYPE, 2012-2019 ($MILLION) 122 U.K.: STANDALONE MEDICAL DOCUMENT MANAGEMENT SOLUTIONS MARKET SIZE, BY TYPE, 2012-2019 ($MILLION) 122 19

TABLE 74 TABLE 75 TABLE 76 TABLE 77 TABLE 78 TABLE 79 TABLE 80 TABLE 81 TABLE 82 TABLE 83 TABLE 84 TABLE 85 TABLE 86 TABLE 87 TABLE 88 TABLE 89 TABLE 90 TABLE 91 TABLE 92 TABLE 93 TABLE 94 TABLE 95 TABLE 96 TABLE 97 TABLE 98 TABLE 99 U.K.: MEDICAL DOCUMENT MANAGEMENT SERVICES MARKET SIZE, BY TYPE, 2012-2019 ($MILLION) 123 U.K.: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY APPLICATION, 2012-2019 ($MILLION) 123 U.K.: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY MODE OF DELIVERY, 2012-2019 ($MILLION) 124 U.K.: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY END USER, 2012-2019 ($MILLION) 124 FRANCE: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY PRODUCT, 2012-2019 ($MILLION) 125 FRANCE: MEDICAL DOCUMENT MANAGEMENT SOLUTIONS MARKET SIZE, BY TYPE, 2012-2019 ($MILLION) 125 FRANCE: STANDALONE MEDICAL DOCUMENT MANAGEMENT SOLUTIONS MARKET SIZE, BY TYPE, 2012-2019 ($MILLION) 126 FRANCE: MEDICAL DOCUMENT MANAGEMENT SERVICES MARKET SIZE, BY TYPE, 2012-2019 ($MILLION) 126 FRANCE: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY APPLICATION, 2012-2019 ($MILLION) 127 FRANCE: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY MODE OF DELIVERY, 2012-2019 ($MILLION) 127 FRANCE: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY END USER, 2012-2019 ($MILLION) 128 ITALY: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY PRODUCT, 2012-2019 ($MILLION) 129 ITALY: MEDICAL DOCUMENT MANAGEMENT SOLUTIONS MARKET SIZE, BY TYPE, 2012-2019 ($MILLION) 129 ITALY: STANDALONE MEDICAL DOCUMENT MANAGEMENT SOLUTIONS MARKET SIZE, BY TYPE, 2012-2019 ($MILLION) 129 ITALY: MEDICAL DOCUMENT MANAGEMENT SERVICES MARKET SIZE, BY TYPE, 2012-2019 ($MILLION) 130 ITALY: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY APPLICATION, 2012-2019 ($MILLION) 130 ITALY: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY MODE OF DELIVERY, 2012-2019 ($MILLION) 131 ITALY: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY END USER, 2012-2019 ($MILLION) 131 SPAIN: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY PRODUCT, 2012-2019 ($MILLION) 132 SPAIN: MEDICAL DOCUMENT MANAGEMENT SOLUTIONS MARKET SIZE, BY TYPE, 2012-2019 ($MILLION) 132 SPAIN: STANDALONE MEDICAL DOCUMENT MANAGEMENT SOLUTIONS MARKET SIZE, BY TYPE, 2012-2019 ($MILLION) 133 SPAIN: MEDICAL DOCUMENT MANAGEMENT SERVICES MARKET SIZE, BY TYPE, 2012-2019 ($MILLION) 133 SPAIN: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY APPLICATION, 2012-2019 ($MILLION) 134 SPAIN: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY MODE OF DELIVERY, 2012-2019 ($MILLION) 134 SPAIN: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY END USER, 2012-2019 ($MILLION) 135 ROE: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY PRODUCT, 2012-2019 ($MILLION) 136 20

TABLE 100 TABLE 101 TABLE 102 TABLE 103 TABLE 104 TABLE 105 TABLE 106 TABLE 107 TABLE 108 TABLE 109 TABLE 110 TABLE 111 TABLE 112 TABLE 113 TABLE 114 TABLE 115 TABLE 116 TABLE 117 TABLE 118 TABLE 119 TABLE 120 TABLE 121 TABLE 122 TABLE 123 TABLE 124 TABLE 125 ROE: MEDICAL DOCUMENT MANAGEMENT SOLUTIONS MARKET SIZE, BY TYPE, 2012-2019 ($MILLION) 136 ROE: STANDALONE MEDICAL DOCUMENT MANAGEMENT SOLUTIONS MARKET SIZE, BY TYPE, 2012-2019 ($MILLION) 136 ROE: MEDICAL DOCUMENT MANAGEMENT SERVICES MARKET SIZE, BY TYPE, 2012-2019 ($MILLION) 137 ROE: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY APPLICATION, 2012-2019 ($MILLION) 137 ROE: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY MODE OF DELIVERY, 2012-2019 ($MILLION) 138 ROE: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY END USER, 2012-2019 ($MILLION) 138 ASIA-PACIFIC: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY COUNTRY, 2012-2019 ($MILLION) 140 ASIA-PACIFIC: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY PRODUCT, 2012-2019 ($MILLION) 140 ASIA-PACIFIC: MEDICAL DOCUMENT MANAGEMENT SOLUTIONS MARKET SIZE, BY TYPE, 2012-2019 ($MILLION) 140 ASIA-PACIFIC: STANDALONE MEDICAL DOCUMENT MANAGEMENT SOLUTIONS MARKET SIZE, BY TYPE, 2012-2019 ($MILLION) 141 ASIA-PACIFIC: MEDICAL DOCUMENT MANAGEMENT SERVICES MARKET SIZE, BY TYPE, 2012-2019 ($MILLION) 141 ASIA-PACIFIC: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY APPLICATION, 2012-2019 ($MILLION) 142 ASIA-PACIFIC: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY MODE OF DELIVERY, 2012-2019 ($MILLION) 142 ASIA-PACIFIC: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY END USER, 2012-2019 ($MILLION) 143 JAPAN: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY PRODUCT, 2012-2019 ($MILLION) 144 JAPAN: MEDICAL DOCUMENT MANAGEMENT SOLUTIONS MARKET SIZE, BY TYPE, 2012-2019 ($MILLION) 144 JAPAN: STANDALONE MEDICAL DOCUMENT MANAGEMENT SOLUTIONS MARKET SIZE, BY TYPE, 2012-2019 ($MILLION) 145 JAPAN: MEDICAL DOCUMENT MANAGEMENT SERVICES MARKET SIZE, BY TYPE, 2012-2019 ($MILLION) 145 JAPAN: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY APPLICATION, 2012-2019 ($MILLION) 146 JAPAN: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY MODE OF DELIVERY, 2012-2019 ($MILLION) 146 JAPAN: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY END USER, 2012-2019 ($MILLION) 147 CHINA: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY PRODUCT, 2012-2019 ($MILLION) 148 CHINA: MEDICAL DOCUMENT MANAGEMENT SOLUTIONS MARKET SIZE, BY TYPE, 2012-2019 ($MILLION) 148 CHINA: STANDALONE MEDICAL DOCUMENT MANAGEMENT SOLUTIONS MARKET SIZE, BY TYPE, 2012-2019 ($MILLION) 148 CHINA: MEDICAL DOCUMENT MANAGEMENT SERVICES MARKET SIZE, BY TYPE, 2012-2019 ($MILLION) 149 CHINA: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY APPLICATION, 2012-2019 ($MILLION) 149 21

TABLE 126 TABLE 127 TABLE 128 TABLE 129 TABLE 130 TABLE 131 TABLE 132 TABLE 133 TABLE 134 TABLE 135 TABLE 136 TABLE 137 TABLE 138 TABLE 139 TABLE 140 TABLE 141 TABLE 142 TABLE 143 TABLE 144 TABLE 145 TABLE 146 TABLE 147 TABLE 148 TABLE 149 TABLE 150 TABLE 151 CHINA: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY MODE OF DELIVERY, 2012-2019 ($MILLION) 150 CHINA: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY END USER, 2012-2019 ($MILLION) 150 INDIA: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY PRODUCT, 2012-2019 ($MILLION) 151 INDIA: MEDICAL DOCUMENT MANAGEMENT SOLUTIONS MARKET SIZE, BY TYPE, 2012-2019 ($MILLION) 152 INDIA: STANDALONE MEDICAL DOCUMENT MANAGEMENT SOLUTIONS MARKET SIZE, BY TYPE, 2012-2019 ($MILLION) 152 INDIA: MEDICAL DOCUMENT MANAGEMENT SERVICES MARKET SIZE, BY TYPE, 2012-2019 ($MILLION) 152 INDIA: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY APPLICATION, 2012-2019 ($MILLION) 153 INDIA: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY MODE OF DELIVERY, 2012-2019 ($MILLION) 153 INDIA: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY END USER, 2012-2019 ($MILLION) 154 ROAPAC: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY PRODUCT, 2012-2019 ($MILLION) 155 ROAPAC: MEDICAL DOCUMENT MANAGEMENT SOLUTIONS MARKET SIZE, BY TYPE, 2012-2019 ($MILLION) 155 ROAPAC: STANDALONE MEDICAL DOCUMENT MANAGEMENT SOLUTIONS MARKET SIZE, BY TYPE, 2012-2019 ($MILLION) 155 ROAPAC: MEDICAL DOCUMENT MANAGEMENT SERVICES MARKET SIZE, BY TYPE, 2012-2019 ($MILLION) 156 ROAPAC: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY APPLICATION, 2012-2019 ($MILLION) 156 ROAPAC: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY MODE OF DELIVERY, 2012-2019 ($MILLION) 157 ROAPAC: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY END USER, 2012-2019 ($MILLION) 157 ROW: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY REGION, 2012-2019 ($MILLION) 158 ROW: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY PRODUCT, 2012-2019 ($MILLION) 158 ROW: MEDICAL DOCUMENT MANAGEMENT SOLUTIONS MARKET SIZE, BY TYPE, 2012-2019 ($MILLION) 159 ROW: STANDALONE MEDICAL DOCUMENT MANAGEMENT SOLUTIONS MARKET SIZE, BY TYPE, 2012-2019 ($MILLION) 159 ROW: MEDICAL DOCUMENT MANAGEMENT SERVICES MARKET SIZE, BY TYPE, 2012-2019 ($MILLION) 159 ROW: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY APPLICATION, 2012-2019 ($MILLION) 160 ROW: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY MODE OF DELIVERY, 2012-2019 ($MILLION) 160 ROW: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY END USER, 2012-2019 ($MILLION) 161 LATIN AMERICA: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY PRODUCT, 2012-2019 ($MILLION) 162 LATIN AMERICA: MEDICAL DOCUMENT MANAGEMENT SOLUTIONS MARKET SIZE, BY TYPE, 2012-2019 ($MILLION) 162 22

TABLE 152 TABLE 153 TABLE 154 TABLE 155 TABLE 156 TABLE 157 TABLE 158 TABLE 159 TABLE 160 TABLE 161 TABLE 162 TABLE 163 LATIN AMERICA: STANDALONE MEDICAL DOCUMENT MANAGEMENT SOLUTIONS MARKET SIZE, BY TYPE, 2012-2019 ($MILLION) 162 LATIN AMERICA: MEDICAL DOCUMENT MANAGEMENT SERVICES MARKET SIZE, BY TYPE, 2012-2019 ($MILLION) 163 LATIN AMERICA: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY APPLICATION, 2012-2019 ($MILLION) 163 LATIN AMERICA: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY MODE OF DELIVERY, 2012-2019 ($MILLION) 164 LATIN AMERICA: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY END USER, 2012-2019 ($MILLION) 164 MIDDLE EAST & AFRICA: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY PRODUCT, 2012-2019 ($MILLION) 165 MIDDLE EAST & AFRICA: MEDICAL DOCUMENT MANAGEMENT SOLUTIONS MARKET SIZE, BY TYPE, 2012-2019 ($MILLION) 166 MIDDLE EAST & AFRICA: STANDALONE MEDICAL DOCUMENT MANAGEMENT SOLUTIONS MARKET SIZE, BY TYPE, 2012-2019 ($MILLION) 166 MIDDLE EAST & AFRICA: MEDICAL DOCUMENT MANAGEMENT SERVICES MARKET SIZE, BY TYPE, 2012-2019 ($MILLION) 166 MIDDLE EAST & AFRICA: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY APPLICATION, 2012-2019 ($MILLION) 167 MIDDLE EAST & AFRICA: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY MODE OF DELIVERY, 2012-2019 ($MILLION) 167 MIDDLE EAST & AFRICA: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY END USER, 2012-2019 ($MILLION) 168 TABLE 164 GROWTH STRATEGY MATRIX, 2011 2014 170 TABLE 165 AGREEMENTS, PARTNERSHIPS, AND ALLIANCES, 2011 2014 173 TABLE 166 NEW PRODUCT LAUNCHES, 2011 2014 174 TABLE 167 PRODUCT UPGRADES AND ENHANCEMENTS, 2011 2014 175 TABLE 168 MERGERS AND ACQUISITIONS, 2011 2014 176 TABLE 169 EXPANSIONS, 2011 2014 177 23

LIST OF FIGURES FIGURE 1 GLOBAL MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET 19 FIGURE 2 RESEARCH DESIGN 22 FIGURE 3 BREAKDOWN OF PRIMARY INTERVIEWS: BY COMPANY TYPE, DESIGNATION, AND REGION 25 FIGURE 4 BOTTOM-UP APPROACH 26 FIGURE 5 TOP-DOWN APPROACH 26 FIGURE 6 DATA TRIANGULATION METHODOLOGY 27 FIGURE 7 FIGURE 8 FIGURE 9 FIGURE 10 FIGURE 11 FIGURE 12 FIGURE 13 FIGURE 14 INTEGRATED DOCUMENT MANAGEMENT SOFTWARE SEGMENT WILL CONTINUE TO DOMINATE THE MARKET DURING THE FORECAST PERIOD 30 PATIENT IMAGE MANAGEMENT APPLICATION SEGMENT TO REGISTER HIGHEST GROWTH DURING THE FORECAST PERIOD 31 HOSPITALS & CLINICS END-USER SEGMENT HAS HIGHEST GROWTH POTENTIAL DURING THE FORECAST PERIOD 32 NORTH AMERICA DOMINATED THE GLOBAL DOCUMENT MANAGEMENT SYSTEMS MARKET IN 2013 33 ATTRACTIVE GROWTH OPPORTUNITIES IN THE MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET 34 PATIENT BILLING DOCUMENT MANAGEMENT ACCOUNTS FOR A MAJOR SHARE IN THE APAC REGIONAL MARKET 35 THE U.S. COMMANDS OVER HALF OF THE GLOBAL MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET 36 NORTH AMERICA TO DOMINATE THE MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET IN THE FORECAST PERIOD 37 FIGURE 15 DEVELOPING MARKETS TO REGISTER HIGHER GROWTH IN THE FORECAST PERIOD 38 FIGURE 16 MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET, BY PRODUCT 41 FIGURE 17 MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET, BY APPLICATION 41 FIGURE 18 MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET, BY MODE OF DELIVERY 42 FIGURE 19 MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET, BY END USER 42 FIGURE 20 FIGURE 21 REGULATORY REQUIREMENTS, GOVERNMENT INITIATIVES FOR E-HEALTH, & GROWING BURDEN TO REDUCE OPERATING COSTS TO DRIVE THE DEMAND FOR MEDICAL DOCUMENT MANAGEMENT SYSTEMS 43 INTEROPERABILITY AMONG HEALTHCARE ORGANIZATIONS THROUGH DOCUMENT MANAGEMENT SYSTEMS IS THE RISING TREND IN THE INDUSTRY 50 FIGURE 22 PORTER S FIVE FORCES ANALYSIS 52 FIGURE 23 FIGURE 24 FIGURE 25 FIGURE 26 FIGURE 27 STRATEGIC BENCHMARKING: HYLAND SOFTWARE, INC. LARGELY ADOPTED INORGANIC GROWTH STRATEGIES FOR TECHNOLOGY INTEGRATION AND PRODUCT UPGRADES 55 MEDICAL DOCUMENT MANAGEMENT SERVICES MARKET WILL CONTINUE TO DOMINATE THE MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET 57 INTEGRATED MEDICAL DOCUMENT SOFTWARE ACCOUNTED FOR THE LARGEST SHARE IN THE MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET IN 2014 59 MEDICAL DOCUMENT MANAGEMENT SERVICES MARKET IN APAC REGION IS EXPECTED TO GROW AT THE HIGHEST CAGR IN THE FORECAST PERIOD 67 PATIENT BILLING DOCUMENT MANAGEMENT SEGMENT WILL CONTINUE TO DOMINATE MARKET 74 FIGURE 28 CLOUD-BASED SOLUTIONS TO PROVIDE HIGHEST GROWTH OPPORTUNITIES 86 24

FIGURE 29 FIGURE 30 FIGURE 31 FIGURE 32 FIGURE 33 FIGURE 34 FIGURE 35 FIGURE 36 FIGURE 37 GLOBAL MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SIZE, BY END USER, 2014 VS. 2019 90 HEIGHTENED REGUALATORY REQUIREMENTS AND NEED TO CURTAIL HEALTHCARE DELIVERY COSTS WILL CONTINUE TO DRIVE THE MARKET FOR HOSPITALS AND CLINICS SEGMENT 92 REGIONAL SNAPSHOT (2013) RAPID GROWTH MARKETS EMERGING AS NEW HOT SPOTS 99 NORTH AMERICA: MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SNAPSHOT 100 GERMANY A MAJOR MARKET FOR MEDICAL DOCUMENT MANAGEMENT SYSTEMS 113 ASIA-PACIFIC MEDICAL DOCUMENT MANAGEMENT SYSTEMS MARKET SNAPSHOT: CHINA, INDIA AND AUSTRALIA ARE THE MOST LUCRATIVE MARKETS 139 COMPANIES ADOPTED TECHNOLOGY INTEGRATION THROUGH PARTNERSHIPS & AGREEMENTS AS THEIR KEY GROWTH STRATEGY 169 GLOBAL MEDICAL DOCUMENT MANAGEMENT MARKET SHARE, BY KEY PLAYER, 2013 171 BATTLE FOR MARKET SHARE: PARTNERSHIPS, AGREEMENTS, AND ALLIANCES WAS THE KEY STRATEGY 172 FIGURE 38 GEOGRAPHIC REVENUE MIX OF MAJOR MARKET PLAYERS 178 FIGURE 39 MCKESSON CORPORATION: COMPANY SNAPSHOT 179 FIGURE 40 CERNER CORPORATION: COMPANY SNAPSHOT 183 FIGURE 41 SIEMENS AG: COMPANY SNAPSHOT 186 FIGURE 42 KOFAX LTD. : COMPANY SNAPSHOT 188 FIGURE 43 GE COMPANY: COMPANY SNAPSHOT 190 FIGURE 44 TOSHIBA CORPORATION: COMPANY SNAPSHOT 193 FIGURE 45 3M COMPANY: COMPANY SNAPSHOT 196 FIGURE 46 QUEST DIAGNOSTICS INC.: COMPANY SNAPSHOT 198 FIGURE 47 ALLSCRIPTS HEALTHCARE SOLUTIONS, INC.: COMPANY SNAPSHOT 200 25