systems in West Michigan (including Spectrum Health, Trinity Health, Metro Health, Lakeland Health, and Northern Michigan Regional Health System) agreed to collaborate and not compete on clinical data exchange. In March of 2010 MHC was formally launched as a charitable [509(a)2] non-profit corporation in Michigan. In June of 2014 Michigan Health Connect merged with Great Lakes Health Information Exchange (GLHIE) to form Great Lakes Health Connect. HealthShare Exchange of Southeastern PA HSX is a unique, membership-dues-supported nonprofit formed by the Delaware Valley's hospitals/health systems and healthcare insurers. It makes electronic patient-care information available securely throughout the area's medical system, linking data across hospital systems and healthcare insurers as a service to HSX members and participants. Idaho Health Data Exchange The Idaho Health Data Exchange (IHDE) is the state designated Health Information Exchange (HIE) for Idaho. Health Information Exchange enables doctors, nurses, labs, and other medical providers to securely access their patient's electronic health information quickly, 24/7/365, to improve the speed, quality, safety, and cost of patient care. IHDE is a non-profit 501(c)(6) company. The IHDE is Idaho created, based, and managed. Located in Boise, ID, the staff consists of an Executive Director, Executive Assistant, Sr. Marketing Coordinator, Business Analysts (Implementations), Training/Support Specialists, and IT systems support. The IHDE's mission is to create, and maintain a collaborative effort to improve the coordination and quality of healthcare through the use of Health Information Exchange and Health Information Technology. The IHDE is governed by a voluntary Board of Directors and voluntary Privacy and Security Committee which provides oversight of compliance and best practices. Members of the Board of Directors and Privacy and Security Committee represent the private and public sectors, and health care delivery systems. Indiana Health Information Exchange The Indiana Health Information Exchange (IHIE) operates the U.S.'s largest HIE and one of the oldest with data on more than 7 million patients, connecting hospitals, rehabilitation centers, long term care facilities, laboratories, imaging centers, clinics, community health centers and other healthcare organizations. Created by the Regenstrief Institute, a medical informatics think tank, the Indiana Network for Patient Care (INPC) is a secure network that provides patient records to participating doctors. The IHIE provides current data about admissions, discharges, and transfers to help health plans and accountable care organizations reduce non-urgent emergency department visits. This HIE grew over time from 12 hospitals in the center of the state with approximately 5,000 physicians, to 106