TrustCommerce

Name

TrustCommerce

Legal name

SphereCommerce, LLC

Website

https://trustcommerce.com

Company type

Private

Founded year

1999

Operating status

Acquired

Headcount range

51–100 employees

Ownership category

akta.pro rank

Product category

Healthcare Payment Processing

NAICS

Financial Transactions Processing, Reserve, and Clearinghouse Activities (522320)

SIC

Finance Services (6199)

akta.pro primary industry

Care Team Collaboration, Secure Messaging & Clinical Communication within EHR (HLACAAAK)

Keywords

• Healthcare payment processing
• Payment tokenization platform
• EHR integrated payments
• Patient payment processing
• PCI validated encryption

Headquarters

HQ city

Irvine

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Software

Cost components

Technology or R&D, Personnel, Marketing or Sales, Infrastructure, Operations

Revenue model

1. Payment Processing Fees: TrustCommerce charges transaction fees for processing healthcare payments across online, mobile, and in-person channels. The platform supports accepting payments via credit cards, digital wallets (Apple Pay, Google Pay, PayPal, Venmo), and NFC/tap-to-pay.
2. Gateway Connectivity Services: Provides enterprise gateway connectivity and EHR-integrated payment processing for healthcare organizations, enabling unified payment infrastructure from patient engagement to back-office reconciliation.
3. Digital Wallet Integration: Integration services enabling PayPal and Venmo payments for healthcare providers, complementing existing payment methods.

Pricing tiers

Go-to-market motion4 records

Distribution channels4 records

Marketing channels8 records

Core offering

TrustCommerce provides a cloud-based integrated payment processing and security platform that enables healthcare organizations to accept, secure, and reconcile patient payments across in-person, online, and mobile channels. The platform combines TC Citadel tokenization, PCI-validated point-to-point encryption (vP2PE), the TC Vault virtual terminal, and a Bring-Your-Own-Merchant gateway that natively integrates with major EHR systems (Epic, athenahealth, Veradigm, Practice Fusion, Raintree Systems) and supports Apple Pay, Google Pay, PayPal, Venmo, and EMV/NFC card-present transactions.

Product overview

TrustCommerce provides an integrated healthcare payment and security platform consisting of Cloud Payments (cloud-based card-present and card-not-present processing), TC Citadel tokenization, TC Vault virtual terminal, and Validated P2PE security. The platform integrates with major EHR systems (Epic, athenahealth, Veradigm, Practice Fusion, Raintree), supports multiple payment processors (Fiserv, Chase, Elavon, Global Payments/TSYS, Worldpay), and enables digital payment methods including Apple Pay, Google Pay, PayPal, and Venmo. AI-powered capabilities include Qure4u FastPay for automated payment collection timing and Health iPASS machine learning-based cost estimation.

Differentiator

Problem solved

Functional benefit

Brands

• TC Vault: Virtual terminal and gateway platform for processing payments, managing BillingIDs, and handling standalone and recurring payments.
• Cloud Payments
• TC Citadel

Products and services

• Cloud Payments Cloud-based payment solution enabling healthcare organizations to accept patient payments in person and online without local software installation. Supports EMV chip cards, NFC contactless (Apple Pay, Google Pay), magstripe, and manual entry. Validated Point-to-Point Encrypted (vP2PE) for security and certified on major US processors.
• TC Citadel Tokenization Proprietary payment tokenization solution that replaces Primary Account Numbers with secure, randomly generated tokens for single-use and multi-use scenarios. Originated in 2001; tokens cannot be reverse engineered to recover the PAN even when systems and tokens are compromised. Sells as a standalone security/compliance offering for merchants and partners.
• TC Vault Virtual Terminal Web-based virtual terminal enabling standalone and recurring payments, BillingID management, and EMV/NFC transaction processing using PAX Pro or A80 devices. Browser-accessible without software installation, with payment reconciliation and reporting.
• Validated Point-to-Point Encryption (vP2PE) PCI-validated P2PE solution that encrypts transaction data at the point of entry and allows card information to be securely stored for future payments through tokenization. Reduces PCI compliance scope for merchants and is P2PE PCI Validated by the PCI Security Standards Council.
• Merchant Processing Bank-agnostic payment processing services that enable healthcare providers to accept payments across online, mobile, and in-person channels while maintaining their existing banking and merchant relationships (Bring-Your-Own-Merchant).
• Patient Engagement Patient-facing payment engagement tools enabling pre-visit, point-of-care, and post-visit payment collection. Includes digital payment options, automated reminders, and flexible payment methods to reduce administrative burden and improve collections.

Quantifiable outcome

• Up to 90% of patients pay before their visit through Qure4u FastPay integration
• +3 more outcomes

Named customers8 records

Segments3 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration18 records

AI capability3 records

Feature5 records

Partnerships

17 partnerships are on record, tiered core and strategic.

• Qure4ucoreTechnology or Integration · 2 December 2025TrustCommerce partnered with Qure4u to integrate Qure4u FastPay AI-powered payment collection with TrustCommerce payment technology. The integration enables providers using athenaIDX to collect payments earlier, reduce manual work, and improve patient experience through automated payment prompts via text or email before visits, supporting up to 90% pre-visit payment collection rates.
• PAX TechnologycoreTechnology or Integration · 23 October 2025TrustCommerce Chief Product Officer John Welch joined PAX Technology's Technology & Innovation Steering Committee, a forum of payments industry experts reviewing product roadmaps and evaluating emerging technologies including AI and new payment modalities. Cloud Payments is certified on PAX A920 Pro mobile terminals and A80 countertop devices.
• FinMed PartnersstrategicStrategic or Co-development PartnerTrustCommerce and FinMed Partners co-developed a white paper titled 'Demystifying Healthcare Payments: A Practical Overview' examining the complex interactions among patients, providers, insurers, and financial institutions in U.S. healthcare payments. Also delivered joint webinar exploring why healthcare payments are different and trends transforming the future.
• Epic SystemscoreTechnology or IntegrationTrustCommerce is listed in Epic's App Orchard and provides integrated payment processing for Epic MyChart. Supports payments via Resolute/Tapestry, Willow Ambulatory, and Welcome Kiosk. Enables Epic-integrated organizations to accept Apple Pay and Google Pay within patient portals. Also supports Epic Community Connect program for extending payment functionalities.
• athenahealthcoreTechnology or IntegrationTrustCommerce integrates with athenahealth (athenaIDX) enabling healthcare providers to process patient payments within existing athenahealth workflows through the Qure4u FastPay integration.
• VeradigmcoreTechnology or IntegrationTrustCommerce integrates with Veradigm EHR system, enabling healthcare providers using Veradigm to accept payments through the TrustCommerce platform.
• Practice FusioncoreTechnology or IntegrationTrustCommerce integrates with Practice Fusion EHR, providing streamlined payment processing for small practices. Case study with Lifetime Neurodevelopmental Care (LiNC) demonstrates simplified patient billing through the integration.
• Raintree SystemscoreTechnology or IntegrationTrustCommerce integrates with Raintree Systems EHR, enabling cloud-based payment solutions to work seamlessly within Raintree's therapy and rehab management software.
• PayPalcoreTechnology or IntegrationTrustCommerce enables merchants to add PayPal and Venmo as payment options, leveraging PayPal's 400+ million active accounts and Venmo's 92 million active users to improve patient payment collection rates. 50% of PayPal users report they would pay bills more quickly if PayPal were offered by healthcare providers.
• MastercardstrategicTechnology or IntegrationTrustCommerce partnered with Mastercard for the 'Road to Patient Payment Wellness' fireside chat exploring improving the patient payment experience through price transparency, proactive communication, and personalization.
• Health iPASSstrategicTechnology or IntegrationHealth iPASS (a Sphere solution) provides cost estimator tools that integrate with TrustCommerce payment processing, enabling providers to send cost estimates to patients based on insurance benefits and eligibility.
• Kyruus HealthstrategicTechnology or IntegrationRevSpring's recent acquisition of Kyruus Health complements the TrustCommerce acquisition as part of a broader strategy to integrate more elements of the patient journey into a unified digital ecosystem.
• FiservcoreTechnology or IntegrationTrustCommerce Cloud Payments is certified on Fiserv payment processing platform, enabling seamless transaction processing.
• ChasecoreTechnology or IntegrationTrustCommerce Cloud Payments is certified on Chase payment processing platform, enabling seamless transaction processing.
• ElavoncoreTechnology or IntegrationTrustCommerce Cloud Payments is certified on Elavon payment processing platform, enabling seamless transaction processing.
• Global Payments / TSYScoreTechnology or IntegrationTrustCommerce Cloud Payments is certified on Global Payments/TSYS payment processing platform, enabling seamless transaction processing.
• WorldpaycoreTechnology or IntegrationTrustCommerce Cloud Payments is certified on Worldpay payment processing platform, enabling seamless transaction processing.

Scale indicators4 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• RevSpring: Acquirer of TrustCommerce (Feb 2026) and operator of a Best in KLAS patient financial experience platform. Directly comparable as a healthcare-focused patient engagement and payments platform serving the same health system buyers.
• Phreesia: Public healthcare patient intake, engagement, and payments platform used by large health systems. Overlaps directly with TrustCommerce's EHR-integrated patient payment workflows and pre-visit collection use cases.
• Cedar: Healthcare-focused patient financial experience platform with EHR-integrated billing, payments, and engagement. Targets the same large health system buyers and competes on patient payment collection uplift.
• InstaMed (J.P. Morgan): Healthcare payments network owned by J.P. Morgan, combining gateway, merchant processing, and patient billing workflows. Directly comparable as a healthcare-specialized payments and collections platform.
• Rectangle Health: Healthcare-focused payment processing and patient engagement platform serving medical practices. Comparable in serving practices with EHR-integrated card-present and card-not-present payment workflows.
• HealthPay24: Patient payment and billing platform for hospitals and health systems with EHR-integrated workflows. Closely comparable in vertical focus and provider-facing payment collection use cases.

Broad incumbents

• Waystar: Large healthcare revenue cycle management platform covering patient estimation, billing, and payments. Overlaps with TrustCommerce on patient payment workflows but operates at a much broader RCM scope.
• Stripe: Horizontal payments leader with a growing healthcare vertical. Comparable as a payment gateway and processing provider, though not healthcare-specialized and lacking TrustCommerce's depth of EHR integration.
• Block (Square): Major horizontal payment processor with healthcare offerings and developer-friendly APIs. Comparable as a payment gateway competitor, though not specialized in healthcare EHR integration.

Emerging players

• Tebra (PatientPop): Cloud-based practice management and patient experience platform for independent practices with built-in payments. Competes with TrustCommerce in mid-market and small-practice healthcare payment workflows.

Market position

Weaknesses5 records

Competitive moat5 records

Key highlights7 records

Customer concentration

• Xx.com/trustcommerce
• YouTubeyoutube.com/@trustcommerce
• LinkedInlinkedin.com/company/30756
• Facebookfacebook.com/194500987347822

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles3 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about TrustCommerce