Custom Computing Corporation

Custom Computing Corporation is a Michigan-based EMR/EHR and practice management software vendor that has served ambulatory healthcare providers since 1983. With over 40 years of continuous operation, the company represents one of the longer-tenured independent vendors in the healthcare IT market, having navigated multiple generations of health information technology evolution from early practice management systems through modern cloud-enabled EHR platforms.

The company's flagship product, CustomMD, is designed specifically for small to mid-sized ambulatory practices, including solo practitioners, single-specialty groups, and multi-specialty clinics. The system combines electronic health records functionality with integrated practice management capabilities, offering a unified platform for clinical documentation, patient scheduling, billing, claims management, and e-prescribing. The vendor emphasizes its role as a complete practice solution rather than requiring multiple disparate systems.

Custom Computing Corporation differentiates itself through its regional focus and personalized implementation approach. As a Michigan-based company serving primarily practices in the Midwest and surrounding regions, the vendor offers hands-on training, onsite implementation support, and direct access to technical staff rather than routing support through large call centers. This localized service model appeals to practices seeking vendor relationships characterized by accessibility and continuity of support personnel.

The system maintains ONC 2015 Edition certification for Complete EHR functionality, enabling practices to meet Meaningful Use and MIPS reporting requirements. E-prescribing capabilities include EPCS (Electronic Prescribing of Controlled Substances) certification and Surescripts integration for sending prescriptions to retail and mail-order pharmacies. The platform includes patient portal functionality for secure messaging, appointment scheduling, and access to medical records.

Technically, Custom Computing Corporation has evolved from client-server architecture to offer both on-premise and cloud-hosted deployment options. The cloud model provides browser-based access without requiring practice-maintained servers, while still supporting practices preferring local data control through traditional installation. This dual-deployment flexibility addresses varying practice preferences regarding data location and IT infrastructure management.

The vendor's target market focuses on practices with 1-20 providers, where the combination of comprehensive functionality and personalized support aligns with operational needs. The company does not actively pursue large health system contracts or enterprise deployments, instead concentrating on the independent practice segment where relationship-driven service and system stability take precedence over modern feature development.

Custom Computing Corporation's market position reflects the consolidation dynamics in healthcare IT, where numerous regional vendors from the 1980s and 1990s have been acquired or ceased operations. The company's continued independence and longevity provide both reassurance regarding organizational stability and questions about long-term viability in an increasingly concentrated vendor landscape dominated by Epic, Cerner Oracle, and Meditech in hospitals and Athenahealth, eClinicalWorks, and NextGen in ambulatory settings.