Comprehensive Care Services

What Comprehensive Care Services does

Comprehensive Care Services (CCS) is a clinician-owned healthcare services company founded in 2002 by perfusionists Patty Fanelli and Chet Czaplicka, headquartered in Plymouth, Michigan. The company provides specialized clinical staffing and operational support to hospitals and surgical centers, with core services spanning perfusion (heart-lung machine operation during cardiac surgery), autotransfusion, ECMO/ECLS life support (through the Comprehensive iECLS initiative), intraoperative neuromonitoring (IONM), point-of-care testing, anesthesia technician staffing, consulting, and supply chain optimization. It also performs Normothermic Regional Perfusion (NRP) for organ procurement and, since the January 2024 acquisition of German-based Life Systems, operates internationally. Following that acquisition, CCS describes itself as the world's largest perfusion provider, serving more than 550 perfusion-related hospitals and 30+ IONM facilities across 50+ US states plus Germany.

CCS's business model is primarily a multi-year, contract-based professional services model, in which hospitals outsource specialty clinical roles to CCS rather than employing them in-house. Revenue is generated through staffing services (perfusionists, ECMO specialists, IONM technicians, PBMTs, anesthesia techs), managed ECLS program packages (combining GuidedFLOW education, staffing, and program development), supply chain procurement services (leveraging multi-vendor relationships for optimal consumables and capital equipment pricing), bespoke clinical consulting, and hardware distribution of E-SIM simulators under an exclusive North American partnership with The Simulator Company. Underpinning the service portfolio is the proprietary Orrum clinical analytics platform and the Perfusion Information Management System (PIMS), which collect real-time clinical data from procedures to support billing, inventory, quality, and outcomes reporting. CCS is Joint Commission Gold Seal certified for Healthcare Staffing Services and is a WBENC-certified women-owned enterprise, positioning regulatory credibility as a core go-to-market asset.

Name

Comprehensive Care Services

Legal name

Comprehensive Care Services

Website

https://ccsperfusion.com

Company type

Private

Founded year

2002

Operating status

Operating

Headcount range

501–1,000 employees

Short description

Comprehensive Care Services is a clinician-owned provider of specialized hospital staffing and clinical support services, including perfusion, ECMO/ECLS, IONM, autotransfusion, point-of-care testing, and supply chain management, serving 550+ hospitals across the US and Germany as the world's largest perfusion provider.

Ownership category

akta.pro rank

Product category

Healthcare Clinical Staffing (Perfusion & Cardiac Surgery Support Services)

SIC

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

akta.pro primary industry

Mechanical Circulatory Support (VAD, IABP, ECMO) (HLAHAFAG)

Keywords

• Perfusion services
• Cardiac surgery staffing
• ECMO clinical support
• Intraoperative neuromonitoring
• Clinical staffing solutions

Headquarters

HQ city

Plymouth

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Perfusion and Clinical Staffing Services: CCS provides perfusionists, PBMTs, ECMO specialists, anesthesia technicians, and neuromonitoring technicians to hospitals for cardiac surgeries and related procedures. Revenue is generated through contracted service agreements with hospital partners across the United States.
2. ECLS/iECLS Program Solutions: Comprehensive ECLS services including clinical education (GuidedFLOW), staffing services, and program development offered as turnkey packages or mix-and-match modules to hospital partners.
3. Supply Chain Solutions: CCS leverages relationships with multiple hardware and supply organizations to obtain perfusion supplies at optimal pricing, passing savings to hospital partners while generating revenue through supply chain management fees and procurement services.
4. Consulting Services: Bespoke consulting services for hospital administrators and perfusion departments, including workflow optimization, protocol development, capital equipment consultation, and compliance support. Provided as contracted professional services.
5. Simulation Technology Distribution: As the exclusive North American distributor for The Simulator Company, CCS distributes E-SIM Pro 3, E-SIM Pro 2, E-SIM Mini, and LVAD Mini simulators, generating revenue through equipment sales and associated training programs.

Pricing tiers

Go-to-market motion2 records

Distribution channels1 record

Marketing channels6 records

Core offering

Comprehensive Care Services (CCS) provides hospital-based clinical staffing and operational services for cardiac surgery and related procedures, including certified perfusionists for heart-lung machine operation, autotransfusion, ECMO/ECLS specialists, intraoperative neuromonitoring, anesthesia technicians, point-of-care testing, and normothermic regional perfusion. CCS also offers supply chain management for perfusion consumables, clinical consulting, and proprietary Orrum clinical analytics. As the exclusive North American distributor for The Simulator Company, CCS distributes AI-powered ECMO simulators (E-SIM Pro 3, E-SIM Pro 2, E-SIM Mini, LVAD Mini) to healthcare training institutions.

Product overview

Comprehensive Care Services (CCS) operates as a clinician-owned healthcare solutions platform offering a comprehensive suite of cardiac and surgical support services. The core offerings include Perfusion Services, Autotransfusion, ECMO/ECLS (through the Comprehensive iECLS initiative), IONM, Point-of-Care Testing, Consulting Services, Supply Chain Solutions, Anesthesia Technician Services, and Normothermic Regional Perfusion (NRP). The company also distributes simulation products (E-SIM Pro 3, E-SIM Pro 2, E-SIM Mini, LVAD Mini) through The Simulator Company partnership. Supporting the service portfolio is the Orrum Clinical Analytics platform for data-driven insights. The Comprehensive iECLS initiative provides a structured framework combining Clinical Education (GuidedFLOW), Staffing Services, and Program Development for ECLS programs.

Differentiator

Problem solved

Functional benefit

Brands

• Orrum: Clinical analytics platform that leverages technology to revolutionize patient care through the transformation of clinical data into actionable knowledge.
• Comprehensive iECLS
• Comprehensive Neuromonitoring (CNM)
• GuidedFLOW

Products and services

• Perfusion Services Operates heart-lung machines (HLM) during cardiac surgeries, maintaining organ and brain function through artificial lungs and pumps operated by certified perfusionists for hospital cardiac surgery programs.
• Autotransfusion Services Collection, filtering, and reinfusion of a patient's own blood during surgery to reduce reliance on donor transfusions, supporting improved patient outcomes and OR efficiency.
• Comprehensive iECLS (ECMO/ECLS) Extracorporeal Life Support services providing temporary cardiac and pulmonary support to critically ill patients, combining clinical education (GuidedFLOW), staffing services, and program development through the Comprehensive iECLS initiative.
• Intraoperative Neuromonitoring (IONM) Monitoring of neural pathways during high-risk surgical procedures to prevent nerve or brain damage; delivered through the Comprehensive Neuromonitoring (CNM) division across 30+ facilities.
• Point-of-Care Testing Portable blood analyzer services delivering lab-quality diagnostic results in minutes for rapid triage, with wireless transmission to patient electronic medical records.
• Consulting Services Bespoke consulting for hospital administrators and perfusion departments covering workflow optimization, protocol development, capital equipment consultation, and compliance support.
• Supply Chain Solutions Supply chain management for hospitals including capital equipment options, consumables management, evidence-based clinical product selection, and procurement at negotiated optimal pricing across 20,000+ clinical procedures since 2002.
• Anesthesia Technician Services Highly trained anesthesia technicians available for scheduled and emergency hospital operations.
• Normothermic Regional Perfusion (NRP) Organ preservation technique for DCD donors that maintains thoracic and abdominal organs in a normothermic, oxygenated state during procurement to improve transplant outcomes; CCS was the first in the U.S. to deploy a fully NRP-trained team.
• Orrum Clinical Analytics Proprietary data analytics platform that transforms clinical data from perfusion, ECMO, and surgical procedures into actionable knowledge, providing real-time data tracking and outcome analytics for hospitals.
• E-SIM Pro 3 AI-Powered ECMO Simulator AI-powered, all-in-one ECMO simulator for realistic training in cannulation, ultrasound imaging, perfusion, and hemodynamics. Portable, versatile, and compatible with IABP, Impella, ventilators, and P-LVAD devices; distributed exclusively in North America by CCS.
• E-SIM Pro 2 ECMO Simulator ECMO simulation platform with over 40 clinical scenarios, U-SIM POCUS ultrasound-guided cannulation training, and Impella compatibility.
• E-SIM Mini Portable Simulator Portable ECMO/ECLS cannulation training device with customizable complexity and ultra-realistic scenarios for efficient, versatile learning.
• LVAD Mini Simulator World's first highly portable LVAD training device providing anywhere practice opportunities with ultra-realistic heart simulations and actual LVAD device connectivity.

Quantifiable outcome

• 20,000+ clinical procedures performed since 2002
• +6 more outcomes

Named customers4 records

Segments3 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature7 records

Partnerships

Six partnerships are on record, tiered core and minor.

• Life Systems (Germany)coreStrategic or Co-development Partner · 8 January 2024CCS acquired German-based Life Systems in January 2024, creating the world's largest perfusion provider. The merger aims to expand global access to perfusion care and improve patient safety and outcomes, establishing CCS presence in Germany and Europe.
• The Simulator CompanycoreTechnology or IntegrationCCS is the exclusive North American distributor for The Simulator Company's E-SIM Pro 3, E-SIM Pro 2, E-SIM Mini, and LVAD Mini simulation devices. The partnership combines CCS's market reach with The Simulator Company's AI-powered ECMO/ECLS simulation technologies, delivering advanced training solutions for healthcare professionals across North America.
• OrrumcoreTechnology or IntegrationCCS partners with Orrum, a clinical analytics technology company, to leverage the Orrum platform for transforming clinical data into actionable knowledge. Orrum provides real-time data tracking and analytics for perfusion and ECMO procedures, enabling hospitals to monitor and optimize clinical outcomes. Orrum was formed as a separate company originating from CCS's innovation efforts.
• ECLS 360minorStrategic or Co-development PartnerECLS 360 is featured as a partner on CCS's website, blending compassionate care with innovative technology and merging hands-on expertise with objective, data-driven insights for ECLS therapy.
• Lawrence Technological UniversityminorStrategic or Co-development PartnerCCS partnered with Lawrence Technological University to create the Master of Science in Cardiovascular Perfusion degree program, developing the professional pipeline for perfusionists.
• Notable Partners Using Simulators (Mayo Clinic, Johns Hopkins Medicine, Weill Cornell Medicine, Columbia, Creighton University, Intermountain Health, Swedish, UT Health Tyler)minorGTM or Marketing PartnerInstitutions including Mayo Clinic, Johns Hopkins Medicine, Weill Cornell Medicine, Columbia, Creighton University, Intermountain Health, Swedish, and UT Health Tyler use CCS-distributed E-SIM simulators for ECMO and ECLS training, representing both training service customers and referral relationships.

Scale indicators14 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• SpecialtyCare: The largest direct competitor to CCS in the US, providing perfusion, intraoperative neuromonitoring (IONM), and surgical staffing services to hospitals nationwide. SpecialtyCare and CCS compete head-to-head for the same hospital customers, perfusionist talent, and IONM contracts, and SpecialtyCare's KKR-backed ownership gives it a parallel capital structure to CCS's clinician-owned model.
• SpecialCare Hospital Management: A regional perfusion services provider that staffs cardiac surgery and ECMO programs in hospitals, directly competing with CCS for perfusion contracts in overlapping geographies. Like CCS, SpecialCare is a clinical staffing specialist focused on the same hospital departments and similar revenue model (contract-based professional services).
• Perfusion Solutions Inc: An independent perfusion services company that provides perfusionists and ECMO staffing to hospitals. Operates in the same niche with comparable offerings (perfusion staffing and related clinical services for cardiac surgery programs), making it a direct competitor for hospital perfusion contracts.

Broad incumbents

• Mednax (now Pediatrix Medical Group): A large, publicly traded physician services and healthcare staffing platform historically spanning anesthesia, neonatology, and surgical services. While Mednax's core is physician practice management rather than perfusion, its scale and capital base make it a broad incumbent that could move into specialized perfusion and ECMO staffing in adjacent hospital service lines.
• AMN Healthcare: The largest US healthcare staffing company, providing travel nursing, allied health, and locum tenens staffing to hospitals nationwide. As a broad incumbent in hospital clinical staffing, AMN represents a scaled competitor that could expand into specialized perfusion and ECMO staffing segments where CCS operates.
• Cross Country Healthcare: A national healthcare staffing and workforce solutions provider serving hospitals, clinics, and healthcare systems. While its core is nursing and allied health staffing, its scale and hospital relationships make it a broad competitor for clinical staffing contracts of the type CCS holds with perfusion and ECMO customers.
• Aya Healthcare: One of the largest US healthcare staffing companies, focused on travel nursing, allied health, and per diem staffing for hospital systems. As a digitally-enabled, scaled incumbent in hospital clinical staffing, Aya represents a potential adjacent competitor in specialized clinical staffing verticals like perfusion.
• CHG Healthcare: A large, privately held healthcare staffing company providing locum tenens, travel nursing, and allied health staffing. Its broad hospital customer base and staffing scale make it a comparable broader healthcare staffing peer, though not a direct perfusion specialist.

Others

• LivaNova: A global medical device company that manufactures cardiopulmonary products (heart-lung machines, oxygenators, ECMO cannulae) and supplies them to perfusion providers like CCS. LivaNova is a key supplier/enabler in the perfusion ecosystem rather than a direct competitor, but its products are integral to the service CCS delivers.
• Getinge: A global medical technology company (including the legacy Maquet brand) that manufactures heart-lung machines, ECMO consoles, and perfusion disposables. Getinge is a primary equipment supplier for the perfusion and ECMO industry and a related ecosystem participant rather than a direct service competitor to CCS.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat7 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/salyer-perfusion-inc

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles27 records

Subsidiaries3 records

Funding overview

Funding rounds

Investors

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

M&A1 record

Investments

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

Frequently asked questions about Comprehensive Care Services