What Courtemanche does

Courtemanche & Associates (C&A) is a private U.S. healthcare consulting firm specializing in accreditation, regulatory compliance, and survey-readiness services for hospitals, health systems, ambulatory care centers, behavioral health providers, and critical access hospitals. Founded in 1994 by Judy Courtemanche, a former Joint Commission surveyor and registered nurse, the firm operates as a division of SAYAS Alliance, Inc., with operational presence in Charlotte, NC and parent headquarters in Tomball, TX. C&A claims 30+ years in business, 99% customer satisfaction, coverage across 50+ states and territories, and a network of 40+ consultants.

The firm delivers mock surveys, continuous readiness engagements, Life Safety Code and Environment of Care consulting, policy and document development, and survey-preparation training. It complements these services with proprietary technology products including Soar2Success Plus (S2S+) and the Accreditation Resource Companion (ARC), which support clients preparing for surveys by The Joint Commission, HFAP, CIHQ, and other bodies. Revenue is generated primarily through consulting engagements (hourly and project-based fees) supplemented by software subscriptions, sold mainly to mid-market and enterprise healthcare providers.

In June 2024, C&A acquired Medical Resource Network (MRN), expanding consultant capacity and service scope. The firm maintains partnerships with CIHQ, NCHA, and MHEI, and is preparing to launch a C.A.R.E. 2 program in 2026. Leadership under President & CEO Sandeep Goel continues the founder's clinical-compliance legacy while operating within the SAYAS Alliance corporate structure.

Name

Courtemanche

Legal name

Courtemanche & Associates

Website

https://courtemanche-assocs.com

Company type

Private

Founded year

1994

Operating status

Operating

Headcount range

11–50 employees

Short description

Courtemanche & Associates is a private U.S. healthcare consulting firm that prepares hospitals, health systems, ambulatory, and behavioral health providers for accreditation and regulatory compliance surveys through expert consulting and proprietary tools like S2S+ and ARC.

Ownership category

akta.pro rank

Product category

Healthcare Regulatory Consulting

NAICS

Other Management Consulting Services (541618), Environmental Consulting Services (54162)

SIC

Services-Misc Health & Allied Services, Nec (8090), Services-Management Services (8741)

akta.pro primary industry

Risk, Compliance & Internal Controls Consulting (BPAHACAJ)

akta.pro secondary industry

EHS Management Systems & ISO Consulting (ISO 14001/45001) (BPAHAJAF)

Keywords

• Healthcare accreditation consulting
• Regulatory compliance services
• Mock survey services
• CMS compliance consulting
• Joint Commission preparation

Headquarters

HQ city

Charlotte

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Healthcare Accreditation Consulting Services: Core revenue from consulting engagements including mock surveys, survey readiness programs, CMS compliance consulting, resolution services, and interim/transition support. Services are customized per client engagement with pricing based on scope and duration. Professional consulting services provided to hospitals and healthcare organizations nationwide.
2. ARC Subscription (Accreditation Resource Companion): Premium subscription-based access to document library with checklists, templates, and audit tools. Clients can purchase premium subscriptions for the ARC document library providing ongoing access to compliance resources and templates.
3. Education and Training Services: Revenue from customized education and training sessions, webinars, and educational programs related to accreditation/regulatory compliance, quality and patient safety. Targets audiences from bedside staff to board members.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels7 records

Core offering

Courtemanche & Associates is a healthcare accreditation and regulatory compliance consulting firm that helps hospitals, health systems, ambulatory care facilities, behavioral health organizations, and Critical Access Hospitals prepare for, respond to, and recover from accreditation surveys by CMS, TJC, DNV, CIHQ, AAAHC, and AAAASF. Core offerings include mock surveys, Survey 911 immediate onsite support, post-survey corrective action planning, CMS compliance services, ongoing accreditation readiness, focused assessments, and resolution services such as immediate jeopardy support and interim compliance officer coverage, supported by two proprietary tools (Soar2Success Plus and ARC document library).

Product overview

Courtemanche & Associates is a healthcare consulting firm offering a comprehensive suite of accreditation and regulatory compliance services. The company's portfolio includes two core proprietary products: Soar2Success Plus (S2S+), an enhanced mock survey tool with Priority Matrix risk prioritization and Client Action Planning Workbook features delivered through a secure client portal; and the ARC (Accreditation Resource Companion), a document library with checklists, audit tools, and policy templates. Services span the entire survey lifecycle including mock surveys, Survey 911 immediate onsite support, post-survey support, CMS compliance, focused assessments, initial accreditation guidance, and ongoing accreditation readiness programs. Specialized support includes ambulatory care, behavioral health, disease-specific certification, infection control, life safety, emergency management, virtual consulting, leadership development (L.E.A.D. Program), and coaching. The company is launching C.A.R.E. 2, a new continuous partnership model for ongoing operational excellence. Through SAYAS Alliance, they also offer legal nurse consulting via the Medical Resource Network (MRN) division.

Differentiator

Problem solved

Functional benefit

Brands

• C.A.R.E. 2: Continuous Accreditation & Regulatory Executional Excellence - an elevated partnership model focused on helping healthcare organizations build and sustain a true culture of ongoing readiness across both clinical and physical environmental domains.
• Soar2Success Plus
• ARC (Accreditation Resource Companion)

Products and services

• Soar2Success Plus (S2S+) Enhanced mock survey tool that provides real-time mock survey outcomes with a Priority Matrix for risk prioritization across high, moderate, and low-risk areas. Generates detailed reports organized by chapter within 6 business days, accommodates multiple accrediting organizations (TJC, CIHQ, DNV, AAAHC, AAAASF, Quad A), and includes a Client Action Planning Workbook with auto-populated Excel worksheets. Delivered through a secure confidential client portal.
• ARC (Accreditation Resource Companion) Comprehensive toolkit with checklists, audit tools, and policy templates based on CMS Conditions of Participation. Includes 136+ documents covering Ambulatory Care, Behavioral Health, Critical Access Hospital, Disease-Specific Certifications, Home Care and Hospice, Hospital, Office Based Surgery, and a Premium Library. Available via free resources and premium subscription access.
• Mock Surveys Testing organizations' level of readiness for accreditation and regulatory compliance through customized hospital mock surveys, tracer activities, document review, medication management assessment, infection control evaluation, and staff education. Simulates real accreditation reviews.
• Survey 911 Immediate onsite support during active unannounced surveys. Consultants arrive within hours to provide leadership support, counsel on findings, and offer RFI mitigation strategies.
• Post-Survey Support Expert guidance after surveys including review and analysis of survey reports, guidance on submission processes, ongoing offsite support, and assistance with Clarification and Evidence of Standards Compliance (ESC) packets.
• CMS Compliance Services Preparation and support for Centers for Medicare and Medicaid Services compliance including CMS mock surveys, preparation for surveys, education on interpretive guidelines, crisis response, and post-survey corrective action planning.
• Focused Assessments Budget-friendly, time-sensitive assessments on specific regulatory or accreditation topics, with detailed reports including projected priority risk assessment placement.
• Initial Accreditation Services Guidance and expertise for organizations pursuing initial accreditation or transitioning between accrediting organizations including agency selection and mock survey preparation.
• Ongoing Accreditation Readiness (OAR) Continuous support throughout the triennial survey period providing assessment, education, action planning, and follow-up visits to ensure organizations remain survey ready every day.
• Ambulatory Care Accreditation Support Consulting services for ambulatory surgery centers, diagnostic/treatment centers, office-based surgery practices, and federally qualified health centers seeking AAAHC, AAAASF, or TJC accreditation.
• Behavioral Health Accreditation Support Solutions for behavioral health facilities including mock surveys, education, policy formation, clinical performance improvement, and environment of care analysis with focus on ligature and suicide risk reduction.
• Disease-Specific Certification Joint Commission Disease-Specific Certification services including initial and follow-up evaluation for stroke care, joint replacement, and other certifications.
• CMS Immediate Jeopardy Support Response and recovery services for organizations receiving Immediate Jeopardy from CMS, including navigation through survey sanctions and preparation for survey success.
• Interim & Transition Services Onsite interim support during leadership vacancies or transitions including temporary compliance officer coverage, project-specific needs, and performance improvement opportunities.
• Infection Control Support Virtual or onsite regulatory and accreditation assessments for infection prevention including risk assessments, policies, prevention and control plans, and Covid contingencies.
• Life Safety & Environment of Care Evaluation and consulting for physical environment compliance, life safety, and emergency management infrastructure including safety committee assessment and hazard vulnerability analysis.
• Virtual Consulting Remote expert consulting services via phone, email, video-chatting, and video-conferencing providing flexible access to consultants for document review, Q&A sessions, and team meetings.
• L.E.A.D. Program Leadership development series with four educational modules (Lead, Explore, Achieve, Develop) delivered as interactive workshops providing tools to lead, motivate, and inspire change.
• Coaching & Mentoring Expert guidance for new leaders, vacant roles, or additional support needs to help organizations maintain regulatory success during transitions.
• C.A.R.E. 2 Program Continuous Accreditation & Regulatory Executional Excellence - an elevated ongoing partnership model for healthcare organizations to build and sustain a true culture of ongoing readiness across both clinical and physical environmental domains, designed to strengthen operational consistency, improve accountability, reduce risk exposure, and support long-term regulatory success.
• Medical Resource Network (MRN) Legal Nurse Consulting Legal nurse consulting services including medical record review, medical chronologies, peer review, retention of medical experts, medical malpractice support, and adverse event management. Operates as a division of SAYAS Alliance alongside Courtemanche & Associates.

Quantifiable outcome

• 99% customer satisfaction rate across 30+ years of partnerships
• +2 more outcomes

Named customers30 records

Segments6 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature2 records

Partnerships

Four partnerships are on record, tiered core and minor.

• Medical Resource Network (MRN)coreStrategic or Co-development Partner · 24 June 2024SAYAS Alliance acquired Medical Resource Network (MRN), expanding services to include legal nurse consulting. MRN provides medical record review, medical chronologies, peer review, retention of medical experts, medical malpractice support, and adverse event management. MRN operates as a division under the SAYAS Alliance umbrella alongside Courtemanche & Associates.
• CIHQ (The Center for Improvement in Healthcare Quality)coreStrategic or Co-development Partner · 6 July 2023Courtemanche & Associates partnered with CIHQ offering consulting services to their client base. CIHQ is one of the major accrediting organizations for healthcare facilities, and this partnership allows C&A to provide consulting support to CIHQ-accredited organizations.
• NCHA (North Carolina Healthcare Association)minorGTM or Marketing Partner · 6 July 2023Partnership with NCHA for webinar presentations and education events. NCHA members receive access to C&A's expertise in healthcare accreditation and regulatory compliance through joint educational programming.
• MHEI (Maryland Healthcare Education Institute)minorGTM or Marketing Partner · 1 February 2023Partnership with MHEI for TJC & CMS Update 2026 webinar. MHEI sponsors educational presentations by Courtemanche & Associates consultants covering regulatory trends, survey findings, and compliance strategies.

Scale indicators5 records

Recent moves6 records

Expansion highlights5 records

Broad incumbents

• Vizient: Large healthcare performance improvement and GPO offering regulatory and accreditation advisory services as part of a much broader performance, analytics, and supply-chain portfolio — overlapping capabilities at the system level rather than specialized accreditation consulting.
• Joint Commission Resources (JCR): The consulting and education arm of The Joint Commission, offering TJC-focused accreditation preparation, education, and E-dition standards — a broad incumbent with overlapping capabilities but tied to a single accrediting body.
• Premier Inc. Healthcare alliance and consulting organization offering performance and compliance services including accreditation support — comparable buyer base (hospitals/health systems) but serves these as part of a much wider GPO/analytics ecosystem.

Direct peers

• The Greeley Company: Healthcare consulting firm specializing in accreditation, regulatory compliance, medical staff services, and peer review for hospitals and health systems — directly comparable service portfolio and target buyer to Courtemanche & Associates.
• Sullivan Healthcare Consulting: Healthcare consultancy focused on Joint Commission accreditation readiness, CMS compliance, and survey support for hospitals and ambulatory providers — directly competitive with Courtemanche's core mock survey and ongoing readiness offerings.
• Compass Clinical Consulting: Specializes in accreditation and regulatory compliance consulting for behavioral health, acute care, and ambulatory facilities — directly overlapping Courtemanche's behavioral health and accreditation support segments.
• Patton Healthcare Consulting: Joint Commission and CMS accreditation consulting firm serving hospitals, health systems, and ambulatory providers with mock surveys, readiness, and post-survey support — closely comparable service offering and buyer profile.

Emerging players

• Quince Imaging (Healthcare Compliance Solutions): Specialty provider of healthcare compliance policy management and accreditation tools — partial overlap with Courtemanche's ARC library and compliance support offerings, focused on software-enabled policy management.
• ContinuousCare: Emerging compliance management and accreditation-readiness platform for healthcare organizations — a partial-overlap emerging technology player that could compete with Courtemanche's ARC subscription and S2S+ tools over time.

Others

• Medical Resource Network (MRN): A division of SAYAS Alliance (Courtemanche's parent), MRN provides legal nurse consulting, medical record review, and malpractice support — same corporate parent but a distinct, adjacent service line rather than a competitive peer.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks5 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/courtemanche-assocs
• LinkedInlinkedin.com/company/courtemanche-assoc
• Xx.com/Court_Assocs

Revenue estimate

Valuation estimate

Number of profiles

Profiles4 records

Subsidiaries1 record

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 Courtemanche