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Californias Leading Health Data UtilityDelivering realtime data that powers healthcare transformation As the largest nonprofit health data network in California Manifest MedEx MX is an integral part of the states health data infrastructure combining and delivering crucial health information for more than 38 million Californians across every county throughout the state. 3000 CA Healthcare organizations 140 Hospitals 17 health plans 38 Million Individual Records MX is taking bold steps toward health transformation working with partners on the local and state level to address health equity challenges and support population health management initiatives. As a missiondriven nonprofit QHIO we are committed to supporting all Data Exchange Framework DxF participants regardless of their location technical capabilities or resources to achieve CalAIM and DxF goals by improving efficiency and patient outcomes and enabling whole person care. With the California ADT Network MX is creating a digital health safety net by enabling hospitals health systems skilled nursing facilities and QHIOs participating in the DxF to securely send and receive basic ADT notifications for free to improve patient care and help meet DxF data sharing requirements.