Lexmark International, a vendor of printing services and document workflow products spanning multiple industries, has acquired health care integration firm PACSGEAR for $54 million.

PACSGEAR sells software enabling any picture archiving and communication system to integrate with any electronic health record, passing documents, film, video, visible light and other images, according to the vendors. PACSGEAR, which touts clients in more than 50 nations including about half of U.S. hospitals, will become part of Lexmark’s Perceptive Software unit offering document imaging and management, and workflow software.

The acquisition is at least the third health information technology buy for Lexmark during the past year. The company in January paid $45 million for Acuo Technologies, which sells a vendor neutral imaging archive with imaging management software. In August, Lexmark bought Germany-based Saperion AG, a vendor of enterprise content management and business process management software for $72 million, expanding its European market share. Both companies became part of Perceptive Software.

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