Comprehensive Healthcare Systems

Name

Comprehensive Healthcare Systems

Legal name

Comprehensive Healthcare Systems Inc.

Website

https://comphealthcare.com

Company type

Public

Founded year

2015

Operating status

Operating

Headcount range

51–100 employees

Ownership category

akta.pro rank

Headquarters

HQ city

New York

HQ country

United States

HQ region

North America

Offices3 records

Markets served

GTM type

B2B

Offering type

Software

Cost components

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

Revenue model

1. SaaS Platform Subscription: Annual and multi-year SaaS subscription revenue from the Novus360 platform, generating over 90% recurring revenue with customer retention exceeding 95%. Contracts typically range from 3-5 years, with recent deals like Amalgamated Life Insurance expected to increase annual revenue by approximately 25%.
2. Professional Services and Implementation: Implementation services and professional services associated with platform deployment and client onboarding, including new client implementation methodology for accelerated 3-month deployments.
3. Licensing and Maintenance: Software licensing and maintenance fees for healthcare administrative software deployed to insurance companies, employers, hospitals, doctors, and labor unions.

Go-to-market motion2 records

Distribution channels3 records

Marketing channels6 records

Core offering

Comprehensive Healthcare Systems develops and sells Novus360, a fully integrated cloud-based SaaS platform for healthcare benefits administration, claims processing, pension administration, utilization management, and member engagement. The platform serves self-insured employers, Taft-Hartley labor unions, third-party administrators, and insurance carriers, processing more than 1.6 billion transactions annually and supporting over 1 million lives. The company also delivers related professional services including implementation, cloud hosting, and third-party administration outsourcing.

Product overview

Comprehensive Healthcare Systems offers the Novus 360 platform, a fully integrated cloud-based SaaS solution for healthcare and retirement benefits administration. The platform operates as a unified modular system combining core administration capabilities with specialized modules: core modules include Benefits Administration Software, Pension Administration, Life Insurance Administration, Claims Processing, Data Analytics, COBRA Administration, Web Portals, and Novus Mobile; specialized sub-modules include Price Transparency (No Surprises Act compliant), Utilization Management (with Prior Authorization, Medical Necessity Review, and Case Management components), Third Party Administration services, Tax Reporting, and Cloud Hosting. The platform supports over 1 million lives, processes over $1.8 billion in healthcare claims, and handles more than 1.6 billion transactions annually with over 90% recurring revenue.

Differentiator

Problem solved

Functional benefit

Brands

• Novus360: Cloud-based healthcare benefits administration software platform offering comprehensive solutions for third-party administrators, self-insured employers, and union trust funds including claims processing, provider management, and member portal capabilities.

Products and services

• Novus 360 Benefits Administration Software Streamlined benefits administration software that automates claims processing, billing, and eligibility management for self-funded healthcare benefits programs, serving unions, TPAs, and self-insured employers.
• Novus 360 Pension Administration Software Software for administering and overseeing pension plans, including member enrollment, payroll reporting, contribution tracking, benefit calculations, disbursements, and reporting compliance.
• Novus 360 Claims Processing Industry-leading claims processing solution providing efficient and accurate review and resolution of requests for payment or reimbursement in healthcare benefits programs.
• Novus 360 Utilization Management Medical management solution backed by physicians and nurses, focusing on identifying, facilitating, and implementing best practices in quality, cost-controlled care, including Prior Authorization, Medical Necessity review, and Case Management.
• Novus 360 Price Transparency Solution supporting the No Surprises Act, enabling members to understand out-of-pocket expenses and comparison-shop procedure costs across facilities, integrating with existing systems.
• Novus 360 Third Party Administration Services Full-service benefits administration management for organizations needing TPA support, with scalable training and ongoing support for self-funded benefits programs.
• Novus Mobile App Mobile application enabling members to access and manage their healthcare benefits on the go, with digital self-service capabilities.
• Novus 360 Cloud Hosting Secure and scalable cloud hosting infrastructure services for the deployment of the Novus 360 platform.
• Novus 360 Life Insurance Administration Policy administration and management, underwriting automation, reporting, and compliance functions for life insurance operations.
• Novus 360 AI Initiative Artificial intelligence initiative integrated into the Novus 360 platform for process automation, predictive analytics, and natural language processing, targeting smarter automation and decision-making for healthcare benefits administration.
• Novus 360 Data Analytics Data-driven analytics framework enabling employers, administrators, and healthcare organizations to optimize benefit plan performance, control costs, and improve member outcomes through actionable insights and predictive intelligence.

Quantifiable outcome

• Claims processing time reduced by 75% from 30-60 minutes to average 7 minutes per claim
• +6 more outcomes

Named customers10 records

Segments7 records

Ideal customer profiles5 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

AI capability4 records

Feature12 records

Partnerships

Four partnerships are on record, tiered major and core.

• IFEBP (International Foundation of Employee Benefit Plans)majorStrategic or Co-development Partner · 22 May 2026CHS participated in the IFEBP Trustees and Administrators conference in San Diego from June 15-17, 2026, as part of its strategy to increase market engagement and brand awareness among union trustees, benefit administrators, and third-party administrators in the United States.
• RedChip CompaniescoreGTM or Marketing Partner · 13 January 2026Engaged to lead investor relations efforts, including hosting exclusive live investor webinars and Q&A sessions featuring CEO Chris Cosgrove. RedChip provides access to institutional and retail investors through presentations covering Novus 360 platform strategy and healthcare benefits administration market opportunity.
• Professional Benefit Administrators West, LLC (Benveo)coreStrategic or Co-development Partner · 12 January 2023Target acquisition candidate. CHS announced non-brokered private placement to potentially fund acquisition of Professional Benefit Administrators West, LLC (Benveo), a third-party administrator service provider to enhance healthcare benefits administration platform.
• ClaimReturn Inc.majorStrategic or Co-development Partner · 15 February 2022CHS announced non-binding letter of intent to acquire ClaimReturn Inc., a healthcare AI provider based in California, effective February 10, 2022. The acquisition aimed to expand capabilities in healthcare analytics and payment integrity solutions.

Scale indicators18 records

Recent moves9 records

Expansion highlights6 records

Direct peers

• WEX Health: WEX Health is a leading cloud-based healthcare benefits administration platform serving employers, TPAs, and health plans. It is the closest direct competitor to Novus360 in benefits administration, claims processing, and consumer-directed healthcare accounts.
• bswift (CVS Health): bswift provides benefits administration software and exchange technology for employers and TPAs. Now owned by CVS Health, it competes directly with CHS in the same buyer segments (self-insured employers, TPAs, and health plans) with overlapping cloud-based administration capabilities.
• Benefitfocus (Voya Financial): Benefitfocus is a benefits administration SaaS platform serving employers, health plans, and TPAs. Acquired by Voya Financial in 2025, it offers benefits marketplace, enrollment, and core administration capabilities highly comparable to Novus360.
• PlanSource: PlanSource is a cloud-based benefits administration and enrollment platform for employers of all sizes. It overlaps with CHS in serving TPAs and self-funded employers with benefits administration technology.
• BenefitHub: BenefitHub is a benefits engagement and administration platform used by employers, health plans, and TPAs. It competes in adjacent benefits administration and member engagement functionality.

Broad incumbents

• Workday: Workday's HCM and benefits administration suite serves large enterprises with payroll, benefits, and HR. It is a broad incumbent that overlaps with Novus360 in benefits administration for self-insured employers, though it is not focused on Taft-Hartley unions or TPAs.
• ADP: ADP provides payroll, HR, and benefits administration services to employers of all sizes. It competes broadly with Novus360 in benefits administration, particularly through ADP's mid-market and large employer offerings, though ADP is much broader in scope.
• HealthEdge: HealthEdge provides next-generation core administrative processing systems for health plans. While it operates more on the payer side than CHS, it is comparable as a healthcare-specific software platform addressing claims processing, utilization management, and member engagement.

Emerging players

• Virgin Pulse (Personify Health): Personify Health (formed from the merger of Virgin Pulse and HealthComp) is a health benefits and well-being platform serving employers, health plans, and TPAs. It competes with Novus360 in member engagement, benefits navigation, and integrated administration for self-funded plans.
• League: League is a healthcare consumer experience platform that partners with payers, providers, and employers to deliver benefits navigation and member engagement. It intersects with Novus360's member engagement and self-service capabilities, particularly for self-insured employer segments.

Market position

Strengths4 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/comphealthcare_
• LinkedInlinkedin.com/company/comprehensive-healthcare-systems

Compliance4 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles13 records

Subsidiaries1 record

Funding overview

Funding rounds8 records

Investors1 record

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

M&A3 records

Investments

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

Frequently asked questions about Comprehensive Healthcare Systems