24 : Systems Made Simple Inc.
| Location: | Syracuse, N.Y. |
| Annual growth rate: | 107.59% |
| 2011 revenue: | $79,850,000 |
| 2010 revenue: | $41,400,000 |
| 2009 revenue: | $33,800,000 |
| 2008 revenue: | $17,100,000 |
| 2007 revenue: | $4,300,000 |
| Leadership: | Ronald S. Fishbeck, CEO |
| Number of employees: | 425 |
| Lines of business: | Healthcare IT, Program Management, Systems & Software Engineering, Infrastructure Services, IT Services |
| Major customers: | Department of Veterans Affairs, Department of Health and Human Services, United States Air Force, Social Security Administration, NAPHSIS |