Smile Digital Health

Smile Digital Health, founded in 2016 and based in Toronto, Canada, operates as a health information technology company focused on data integration and management solutions for the healthcare industry. The company was established by Duncan Weatherston and James Agnew, who met in 2011 while working on health integration projects. They identified a need for a more efficient and secure solution for sharing health data, which led to the creation of Smile Digital Health. Weatherston, the CEO, has over 30 years of experience as an IT professional and entrepreneur, with a background in business development and systems integration. Agnew, the CTO, has over 15 years of experience in healthcare technology and is a significant contributor to the HAPI FHIR (Fast Healthcare Interoperability Resources) project, a key standard in health data exchange.

The company's core business revolves around its Health Data Platform, an enterprise-grade, open-framework data fabric that allows healthcare organizations to ingest, transform, store, enrich, analyze, and share health information. This platform is built on FHIR standards, which enables interoperability between different healthcare IT systems. Smile Digital Health serves a diverse client base that includes healthcare providers, payers (insurance companies), researchers, life sciences organizations, and government agencies across the United States and at least 18 other countries. Revenue is generated by providing these organizations with solutions to modernize their IT infrastructure, improve patient care journeys, boost operational efficiencies, and reduce costs.

The product suite includes a Clinical Data Repository (CDR), tools for clinical reasoning, a marketplace of utilities, and solutions for prior authorization and digital quality measures. The platform is designed to be scalable and secure, offering deployment options in the cloud, on-premises, or in a hybrid environment to avoid vendor lock-in. A key feature is its ability to convert legacy data into FHIR-based outputs for real-time analysis and to support clinical decision-making. The company has achieved significant milestones, including being recognized in the Deloitte Technology Fast 50™ and North America Technology Fast 500™ in 2022. Smile Digital Health has raised a total of $15.9M in funding over 3 rounds, with its latest funding being a debt round of $10.5M in February 2025. The firm has also made strategic acquisitions, such as Alphora in November 2022, to enhance its capabilities.

Keywords: health data platform, FHIR, healthcare interoperability, clinical data repository, data integration, health information exchange, payer solutions, provider solutions, open standards, data fabric, clinical reasoning, digital transformation, health IT, medical records systems, patient data management, prior authorization, HAPI FHIR, data aggregation, healthcare analytics, life sciences data, population health, healthcare compliance, data modernization, clinical quality measures, health data security