Executive Summary
AlayaCare's visible post-2021 public-sector footprint is 7 contracts totalling $2.55M, all to ALAYA SOINS INC. (AlayaCare's Quebec entity), all from CIUSSS network buyers in greater Montreal (plus two associated project-management contracts via CIM Conseil totalling $192K, and an OECM standing offer in Ontario co-listed with Vitalhub Corp. — call-up activity against the OECM SA isn't reported in the public award record, so we can't speak to draws against it either way). The surrounding market is much larger and dominated by a class of vendor AlayaCare doesn't compete against on price but must advocate against on specification: hospital EHR vendors whose platform deployments typically include home-care workflow modules as part of broader provincial procurements. Cerner Canada alone holds $1.49B across 5 post-2021 contracts; the Santé Québec dossier santé numérique award ($1.49B, December 2023) dominates. MEDITECH holds $9.1M across 2 multi-year NL hospital EHR maintenance contracts. In typical provincial deployments, home-care workflows are part of the same platform, which means they don't require separate procurement specifications unless the province explicitly carves them out. The direct home-care platform peer, Vitalhub Corp. at $15.3M / 13 post-2021 contracts, is roughly six times larger than AlayaCare in the visible public sector, and is the realistic head-to-head incumbent to displace. Adjacent to home-care SaaS, a Remote Patient Monitoring market of $22.5M is funded and named-as-category in British Columbia. Advocacy work splits into three lines: (1) unbundle home-care platforms from hospital EHR RFPs at the provincial procurement-policy level, (2) activate AlayaCare's OECM SA position ahead of its 2026 renewal, and (3) position AlayaCare as the home-care-native alternative to TELUS Health and Cloud Diagnostics at BC's Provincial Remote Patient Monitoring re-compete.
The Competitive Map in Three Tiers
Tier 1: Hospital EHR incumbents (the bundling risk)
When provinces modernize hospital electronic health records, home-care modules typically deploy as part of the same platform, though the specific scope of Santé Québec's Cerner contract is not visible in the public data and should be confirmed against the published SOW.
| Vendor | 2021+ value | Contracts | Largest single award |
|---|---|---|---|
| Cerner Canada | $1.49B | 5 | $1.49B Santé Québec dossier santé numérique (Dec 2023) |
| MEDITECH | $9.1M | 2 | NL Health Services and NL Centre for Health Information annual EHR maintenance |
The Cerner Santé Québec contract is the single largest digital-health procurement in Canada since 2021. The other four Cerner contracts are small Quebec hospital lab-software support renewals. Epic Systems does not hold a material post-2021 Canadian public-sector EHR contract in the visible data, its large Ontario Plexxus implementation predates the 2021 scope of this brief.
Cerner and MEDITECH are not AlayaCare competitors in a bid-response sense. They compete at the province-wide hospital-platform level. But every Cerner or MEDITECH win reduces the specification space where a standalone home-care platform can be named. The advocacy lever is procurement-category separation, not feature competition.
Tier 2: Adjacent category incumbents (the substitution risk)
| Vendor | 2021+ value | Contracts | Primary category |
|---|---|---|---|
| TELUS Health | $70.8M | 129 | Digital health broadly; $13.1M BC Provincial RPM |
| Think Research | $1.8M | 3 | Clinical decision support |
| Verto Inc. | ~$1M | 2 | Virtual-visit software at BC PHSA + HealthLinkBC |
TELUS Health is the highest-volume adjacent player. Their $13.1M BC Provincial RPM win is the most relevant competitive data point for AlayaCare, it's the category AlayaCare's chronic-care module serves, won by a telecom-infrastructure parent rather than a home-care-native vendor. Verto (Verto Inc., the virtual-visit / chronic-care platform) appears in the visible public-sector record only at BC PHSA and HealthLinkBC for ~$1M combined, so the brief treats Verto as a peripheral, not material, competitor.
Tier 3: Direct home-care platform peers (the real head-to-head)
| Vendor | 2021+ value | Contracts | Where they win |
|---|---|---|---|
| Vitalhub Corp. | $15.3M | 13 | Ontario Solicitor General (EMR), Nova Scotia Community Services (case mgmt), Ontario MCCSS, Manitoba Mental Health |
| AlayaCare (ALAYA SOINS INC.) | $2.55M | 7 | Quebec CIUSSS network home-care |
| PointClickCare | $0 | 1 | Single incidental Ontario contract at $0 declared value |
The Vitalhub-vs-AlayaCare gap is roughly 6:1 in post-2021 visible public-sector revenue. Vitalhub's strength isn't home-care specifically, it's mental health, corrections case management, and EMR, but those wins establish Vitalhub as the pan-Canadian "public-sector health SaaS" default name on pre-approved vendor lists.
PointClickCare is invisible in post-2021 public procurement despite being dominant in private LTC homes (where licence fees flow outside competitive procurement award data). Framing PCC as an AlayaCare public-sector competitor in government-facing materials would not survive scrutiny.
Remote Patient Monitoring: the named adjacent market
| Value | Province | Vendor | Award year | Contract |
|---|---|---|---|---|
| $13.1M | BC | TELUS Health Solutions | ≥2021 | Provincial Remote Patient Monitoring |
| $9.4M | BC | Cloud Diagnostics ULC | ≥2021 | Provincial Remote Patient Monitoring (co-award) |
| $0.3M | NL | GE Healthcare | ≥2021 | Health Harmony Licenses for RPM |
| $0 | ON | Future Health Services | 2023 | 2023-28-OP purchase |
| $0 | ON | Cloud DX | 2022 | P-02-2022 RFP |
| $0 | NL | GE Healthcare | ≥2021 | Remote Patient Monitoring (standing-offer) |
British Columbia has named and funded "Provincial Remote Patient Monitoring" as a procurement category, $22.5M across two vendors. Neither TELUS Health nor Cloud Diagnostics is home-care-native. When BC's RPM contracts re-compete (typical 3-5 year term from award), AlayaCare's chronic-care capability maps directly onto the specification.
AlayaCare's Footprint
| Value | Date | Vendor | Buyer | Nature |
|---|---|---|---|---|
| $1,113,976 | 2024-06-18 | ALAYA SOINS INC. | CIUSSS Nord-de-l'Île-de-Montréal | AlayaCare platform for home care |
| $1,099,750 | 2024-07-26 | ALAYA SOINS INC. | CIUSSS Centre-ouest-de-l'Île-de-Montréal | Schedule-management software for home-care attendants |
| $120,000 | 2023-06-19 | ALAYA SOINS INC. | CIUSSS Nord-de-l'Île-de-Montréal | Cloud platform deployment |
| $101,925 | 2022-11-21 | CIM CONSEIL | CIUSSS Nord-de-l'Île-de-Montréal | Project-management services (AlayaCare project) |
| $100,000 | 2021-12-08 | ALAYA SOINS INC. | CIUSSS Nord-de-l'Île-de-Montréal | IT services, pilot + validation, home nursing |
| $90,000 | 2023-04-22 | CIM CONSEIL | CIUSSS Nord-de-l'Île-de-Montréal | Project-management services (AlayaCare project) |
| $48,458 | 2026-03-24 | ALAYA SOINS INC. | CIUSSS Ouest-de-l'Île-de-Montréal | Patient-record licensing (interRAI) |
| $41,171 | 2024-07-29 | ALAYA SOINS INC. | CIUSSS Ouest-de-l'Île-de-Montréal | Patient-record licensing extension |
| $38,841 | 2023-04-18 | ALAYA SOINS INC. | CIUSSS Ouest-de-l'Île-de-Montréal | Patient-record licensing |
| $35,310 | 2022-07-19 | ALAYA SOINS INC. | CIUSSS Ouest-de-l'Île-de-Montréal | Software licensing fees |
| $0 | 2022-03-28 | AlayaCare (with Vitalhub) | OECM | EKO Client Information System VOR (Ontario standing offer, unrestricted call-up) |
All seven ALAYA SOINS contracts and two CIM Conseil project-management contracts trace to the same program area: Quebec home-care digitization through ALAYA SOINS INC. inside the CIUSSS network in greater Montreal (CIUSSS du Nord, du Centre-ouest, and de l'Ouest-de-l'Île-de-Montréal). The two largest awards ($1.11M / June 2024 and $1.10M / July 2024) sit at two different CIUSSS, which is meaningful: AlayaCare has expanded beyond its initial CIUSSS anchor. This is proof of product-market fit at a regional-health-agency scale; it is not yet a pan-Canadian reference story that Ontario or BC procurement teams will cite unless Wellington translates it into English-Canadian vocabulary and buyer relationships.
The OECM standing offer (co-listed with Vitalhub, 2022) is the critical non-Quebec asset. OECM call-up activity isn't visible in the public award record, so we can't speak to what has or hasn't been bought through it, but the procurement vehicle is in place, AlayaCare is on it, and any OECM-eligible Ontario buyer (large municipalities, hospitals, regional public-health units, school boards with home-care-adjacent services, university health services) can purchase against it without running a new RFP. That makes it the cleanest, fastest pickup path Wellington has for AlayaCare in English Canada: a roadshow of OECM-eligible buyers introducing AlayaCare as a ready-to-buy option.
Target Accounts
Target 1: Unbundle home-care from hospital EHR (the meta play)
- Cerner's $1.49B Santé Québec dossier santé is the largest single post-2021 digital-health procurement in Canada; typical Cerner provincial deployments include home-care workflow modules, though the specific Santé Québec SOW scope should be confirmed against published documentation
- MEDITECH's NL footprint follows a similar hospital-platform pattern at smaller scale
- When provinces specify EHR as a province-wide platform decision, home-care platforms can't compete, even if they're better
- The angle: Procurement-policy advocacy at Canada Health Infoway, Santé Québec / MSSS, Ontario Health, BC Ministry of Health, NS Health, and Alberta Health to specify home-care platforms as a separately procured category from hospital EHR. Not bid-response work. The single highest-leverage play on the brief. 18-36 month horizon.
Target 2: Activate the OECM SA in Ontario (the near-term play)
- AlayaCare on the OECM SA co-listed with Vitalhub since 2022
- Public award data doesn't capture OECM call-up activity, so the underlying draw-down volume against AlayaCare specifically isn't observable from the procurement record, but the vehicle is in place and pre-competed
- 4-year default term → 2026 renewal window (status of any extension to be confirmed with OECM directly)
- The angle: Three-pronged.
- (1) Buyer roadshow. Wellington introduces AlayaCare to OECM-eligible Ontario buyers, large municipalities (Toronto, Ottawa, Peel, York, Durham, Halton, Hamilton, Waterloo) running home-care-adjacent services; Ontario hospitals with home-and-community-care programs; regional public-health units; university and college health services; school boards with school-health-nursing partnerships, positioning AlayaCare as the ready-to-buy option that doesn't require a new RFP.
- (2) Reference-customer creation. Convert the first one or two roadshow conversations into draw-down call-ups; even a single mid-five-figure Ontario customer creates the English-Canadian reference story the brief currently lacks.
- (3) Defend the renewal. Make sure AlayaCare's position on the renewed SA is preserved when the 2026 window opens, regardless of how the 2022-2026 cycle played out commercially.
This is the only near-term lever where AlayaCare can demonstrate English-Canadian commercial traction without winning a new RFP, and the procurement friction has already been paid.
Target 3: BC Provincial Remote Patient Monitoring re-compete
- BC has $22.5M funded across TELUS Health + Cloud Diagnostics
- Multi-year terms typical; re-compete window likely 2026-2028
- TELUS Health is the incumbent to unseat; Cloud Diagnostics is secondary
- The angle: Position AlayaCare as the home-care-native RPM platform. Requires product-positioning work (mapping AlayaCare's chronic-care module to BC's RPM specification) alongside advocacy. Engagement with BC Ministry of Health and BC PHSA clinical leadership.
Target 4: Ontario Health Teams + Ministry of Long-Term Care
- Ontario's Connecting Care Act (2019) created 54+ OHTs now specifying their own digital toolkits
- Home-care platform selection within OHTs is decentralized, no single provincial home-care platform SA at Ontario Health level
- Vitalhub is the default for adjacent categories (mental health, corrections, EMR)
- The angle: Policy advocacy at MLTC and Ontario Health to specify AlayaCare on pre-approved home-care platform lists. 12-24 month build.
Target 5: Alberta AHS + Ministry of Seniors, Community and Social Services
- Alberta's 2023 Continuing Care Act created provincial mandates for digital home-care platform specification
- AHS continuing-care review identified platform modernization as a 2026-2028 priority
- No visible AlayaCare, Vitalhub, or Cerner-home-care wins in AB, three-way open field
- The angle: Early relationship-building at AHS + Ministry level. Advocate for provincial-scale SAs over site-by-site procurement.
Target 6: BC Regional Health Authorities
- BC home-support services run through 5 regional health authorities (Fraser, Vancouver Coastal, Interior, Island, Northern), each procuring IT independently
- BC's 2024 home-care funding expansion created platform-modernization budget headroom
- None of the 5 authorities has a visible AlayaCare or Vitalhub contract
- The angle: Pan-BC relationship work at each authority's CIO and home-care program director. Target Fraser Health first (largest population, most advanced digital-health procurement).
Target 7: Federal Indigenous Services Canada (ISC) Home & Community Care
- ISC runs the First Nations and Inuit Home and Community Care Program (FNIHCC) across 600+ communities
- Current platform procurement is fragmented; federal policy favours Indigenous-led delivery partners
- The angle: Federal ISC + BC FNHA (largest provincial FN health authority). Requires AlayaCare to build or leverage Indigenous delivery partnerships. High federal-mandate alignment, longer sales cycle.
Target 8: Quebec expansion beyond ALAYA SOINS
- Current Quebec footprint runs through ALAYA SOINS INC. with CIM Conseil as PM partner
- Quebec's CIUSSS and CISSS network has not broadly adopted AlayaCare, current wins are a single home-care program, not the full provincial network
- Santé Québec's Cerner dossier santé raises the stakes: if AlayaCare doesn't expand within Quebec before Cerner's home-care modules deploy, the provincial spec locks in
- The angle: Work MSSS + CIUSSS network to position AlayaCare for pan-provincial adoption as Quebec's home-care digitization mandate expands. Time-sensitive given Cerner deployment timeline.
Incumbent Dynamics and Positioning
- Vs. Vitalhub (direct peer): Vitalhub wins through government-relations depth at provincial ministries. AlayaCare wins through product depth in home care specifically. Lean on specialization, Vitalhub's breadth dilutes its home-care product focus.
- Vs. TELUS Health (in RPM): TELUS has telecom-parent pan-Canadian infrastructure but weaker home-care workflow integration. AlayaCare's chronic-care workflow is the product advantage.
- Vs. Cerner (hospital EHR bundling): Don't fight on features. Fight on procurement specifications, if home-care platforms are specified separately from hospital EHR RFPs, AlayaCare wins; if bundled, Cerner wins by default.
- Vs. MEDITECH: Smaller hospital EHR player ($9.1M), mostly NL. Same structural dynamic as Cerner but thinner footprint.
- Vs. PointClickCare, MatrixCare: Not visible competitors in post-2021 public procurement. Don't frame as such in government-facing materials.
Advocacy Levers
- Unbundle home-care from hospital EHR RFPs. Single most important advocacy goal. Provincial ministries shape procurement specifications; if home-care platforms are named as a separate procurement category, AlayaCare can compete.
- Quebec → English-Canada proof-point translation. Quebec wins become procurement-spec references. Policy work at Ontario Health, BC Ministry of Health, and AHS to have Quebec reference architecture cited in RFP specifications.
- Home-care as a named procurement category. Currently home-care platforms are bundled under broader EMR, RPM, or case-management RFPs. Advocacy for "home-care platform" as a distinct named category gives AlayaCare purpose-built advantage.
- Canadian ownership and data residency. AlayaCare is Montreal-headquartered with Canadian-resident data. In 2025-2026, federal and provincial procurement policy has tightened on digital-health data residency. Structural advantage against Cerner (US-owned), PointClickCare (US-owned), and MatrixCare (US-owned).
- Value-based home care. AlayaCare's outcomes-reporting aligns with CIHI and provincial quality-council directions. Policy work on outcomes-based RFP scoring shapes the playing field.
- Community paramedicine expansion. 6 visible Ontario + BC community paramedicine contracts represent an emerging category where AlayaCare's mobile-first field-clinician workflow is a direct product fit.
- Indigenous + Northern accessibility. Federal ISC procurement favours low-bandwidth, mobile-first platforms. AlayaCare's architecture fits; Indigenous-partnership investment is the gating factor.
- Language parity. Federal (OCOL) and New Brunswick (officially bilingual) procurements weight French-English product parity as a mandatory criterion, a category AlayaCare can credibly compete in, subject to confirming current product capability against each RFP's language requirements.
Methodology
Data source: aggregated Canadian public-sector procurement award records (federal, provincial, municipal) from January 2021 onward. Scope: all awards dated 2021-01-01 through today, excluding amendments. Vendor totals reflect records where the vendor name directly matches the named firm. Contract-title matches (e.g. "AlayaCare" in a contract description held by a different vendor) are counted separately as distribution-partner records.
Numbers represent public procurement visible in the API. Private-sector LTC revenue, operating-budget expenditures not flowing through competitive procurement, and grant-funded digital-health pilots (SIF, NRC IRAP, Infoway) do not surface here. Re-compete windows are either drawn from explicit contract end-date fields where available, or inferred from typical Canadian standing-offer term lengths (3-5 years).
Prepared by Wellington Advocacy, for AlayaCare.