Medical Information Technology, Incorporated (Meditech), is a Massachusetts-based software and service company selling information systems for health care organizations. The privately-held company was founded around 1969 by A. Neil Pappalardo. In 1969, Antonio Neil Pappalardo began development of the programming language MIIS. This was one of several proprietary implementations of MUMPS, a programming language which at the time had not been standardized. MIIS users and developers later influenced efforts toward MUMPS standardization during the early 1970s; the MUMPS standard was complete by 1974 and approved by 1977. Between 1971 and 1979, Pappalardo developed various other systems, but those associated with integrated health care information remained his primary focus. In 1982, Meditech adopted the then-new MAGIC programming language for its health care information systems. In 1994, the company adopted client/server, a second software platform. While client/server utilized the same programming language, MAGIC runs all code on a central server, and clients are in effect dumb terminals. Client/server executes the code on a users PC, although all code remained centralized. Client-server supports only Microsoft Windows-based operating systems. Meditech announced its version 6.0 in 2006. In 2003, Howard Messing was named president, and in 2010 also became chief executive officer. After peaking in 2012 at almost $580 million, revenues fell to about $476 million by 2015.