Are an
Ensemble Health Partners Company.

Transforming Healthcare with Technology.

Our Teams in India leverage our platform for services, technology, BI & Analytics,
to deliver the best financial results for our healthcare partners.

We support EnsembleIQ (EIQ®), a cloud-based analytics-driven revenue cycle operating platform that enables a highly efficient and intelligent workflow automation.

We are a leading technology acceleration company which identifies business process optimization by implementing system integration and automation. We were founded in 2012 and acquired by Ensemble Health Partners in 2020. Our goal is to relentlessly seek breakthrough innovation in technology that will shape the healthcare of tomorrow.

Together, Ensemble and fifthnote are redefining the possible in healthcare by empowering people to be the difference.


Technology Patents Awarded


Annual Investment


Artificial Intelligence

Learn Who We Are & What We Do

Learn Who We Are & What We Do
Data Engineering
Data Engineering

Data Engineering builds systems to collect, manage and convert data into usable information.

Data Integrations
Data Integrations

Data Integrations interact with client-host systems such as EHRs, patient registration, and payer systems.

BI Engineering
BI Engineering

BI Engineering connects to enterprise data and creates self-service reports using Power BI and other tools.

Product Engineering
Product Engineering

Product Engineering supports solutions and automation capabilities for our internal operators

Creating Value.
Making Impact.

Unlock your Growth

We aren’t just a technology company, we are an ideas factory. We’re creating and enabling some of the most innovative healthcare technology solutions. Here, ideas are always brewing.

Unlock your Growth

We aren’t just a technology company, we are an ideas factory. We’re creating and enabling some of the most innovative healthcare technology solutions. Here, ideas are always brewing.

Discover Opportunities that make the Impact!


It has been an enriching experience with the fifthnote Team. It’s a great learning experience for me, where I got the platform to enhance my Knowledge and Skills. Special thanks to Purab, Charan Sir, and Rajat for giving an opportunity to me to learn new things. Looking forward to new challenges this year.

Ramandeep Mehra, Database Developer

I am feeling proud to be a part of the fifthnote. I have enjoyed a lot during this period of time and the work environment is also too good. One of the best things which I have seen in this period of time is that everyone stands with each other irrespective of good or bad times. We always feel a part of this family.

Anand Mishra, Software Development Engineer

Well, it’s been a great journey. I have completed my 5 years in this fast-growing organization. I remember 5 years back, I joined as a Software Engineer and within the organization, got an opportunity to be in a managerial role and experienced new things regularly. I feel culture is the direct reflection of the company and the unique individuals that make it. I felt the same here. The environment and culture are quite flexible & friendly. We have the right to express our opinion and suggestions. There is transparent top-down communication to keep the employees informed about the organization. People are also very nice & cooperative. I learned new things from my team members. I am happy to be a part of this company.

Paras Kharbanda, Manager-EIQ

I Learnt from the Experience of my Seniors. It gave me and my career a huge boost and I would want to thank “fifthnote” for giving me this opportunity. People are friendly here and help each other to reach the goal. Looking forward to many more years of association.

Venkat Ramana, Database Developer

My journey with the fifthnote has been great! All my team members and the leaders are extremely helpful and supportive. We all know that due to the pandemic, we are working from home, but hopefully, this will end soon. I am waiting to see and meet all my colleagues.

Thank you so much for giving me this wonderful place to work. I am happy to be a part of the “fifthnote” family.

Manmeet Singh Randhawa, Technical Support Engineer