The Sequoia Project

What The Sequoia Project does

The Sequoia Project is a non-profit 501(c)(3) public-private collaborative founded in 2012 and headquartered in Vienna, Virginia, that advances secure, interoperable nationwide health information exchange in the United States. Its core function is to steward interoperability programs on behalf of the healthcare ecosystem — most notably serving as the Recognized Coordinating Entity (RCE) for the Office of the National Coordinator for Health IT's (ONC) Trusted Exchange Framework and Common Agreement (TEFCA), where it operationalizes the Qualified Health Information Network (QHIN) designation and monitoring process. The organization runs the Interoperability Matters cooperative, which hosts multiple workgroups spanning pharmacy, privacy and consent, payer-to-payer APIs, consumer engagement, information sharing, and public health.

Its product portfolio consists of policy frameworks, guidance documents, compliance toolkits (including Information Blocking boot camps), educational boot camps, the Interoperability Testing Platform, annual conferences (jointly with Carequality), and resources such as the 'Pharmacy Care: Use Cases for Health Information Exchange' and USCDI v3 guidance. Underlying technology centers on TEFCA's Common Agreement, the Carequality framework, FHIR-based exchange, USCDI data standards, and integrity/trust controls — all oriented toward interoperability rather than commercial software.

The revenue model is a hybrid of corporate membership dues (annual subscriptions from enterprises such as Walgreens, Walmart, and Pfizer), government contracts and grants supporting the RCE function, workgroup sponsorships (e.g., Surescripts sponsoring the Pharmacy Workgroup), and ancillary merchandise sales via a branded swag store. Core guidance, resources, and workgroup participation are provided free of charge; membership and event registration generate the majority of identifiable revenue. Customers span healthcare providers, health IT developers, health information networks, payers, pharmacies, and federal/state agencies.

Name

The Sequoia Project

Legal name

The Sequoia Project, Inc.

Website

https://sequoiaproject.org

Company type

Private

Founded year

2015

Operating status

Operating

Headcount range

11–50 employees

Short description

The Sequoia Project is a non-profit 501(c)(3) public-private collaborative that serves as the ONC-designated Recognized Coordinating Entity for TEFCA, stewarding nationwide health information exchange through standards, workgroups, and policy guidance for healthcare providers, payers, pharmacies, and health IT developers.

Ownership category

akta.pro rank

Product category

Healthcare Interoperability Services

NAICS

Professional Organizations (81392), Business Associations (813910)

SIC

Services-Membership Organizations (8600)

akta.pro primary industry

Data Access, Sharing & Marketplace Platforms (incl. TEFCA/QHIN enablement) (HLACAIAL)

akta.pro secondary industries

Data Integration, Interoperability & Reporting (ELR/HIE/CDC/NNDSS) (HLAJABAN), IT Governance, Risk & Compliance (IT GRC) Platforms (HDAEALAK)

Keywords

• Health information exchange
• Healthcare interoperability
• TEFCA qualified networks
• Health data standards
• Information blocking compliance

Headquarters

HQ city

Vienna

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

Revenue model

1. Corporate Membership Fees: Organizations join as corporate members to engage in Sequoia Project-sponsored initiatives and cross-industry collaborative efforts. Membership provides access to member-only resources, the member directory, message forums, and participation in workgroups.
2. Government Grants and Contracts: As the Recognized Coordinating Entity (RCE) for TEFCA, the organization receives government support for advancing nationwide health information exchange implementation.
3. Merchandise Sales: The Sequoia Project operates a swag store selling branded merchandise including apparel, accessories, and gift cards. Proceeds support the organization's mission to advance nationwide health information exchange.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels7 records

Core offering

The Sequoia Project operates the Interoperability Matters cooperative and serves as the ONC-designated Recognized Coordinating Entity (RCE) for TEFCA, stewarding nationwide health information exchange programs and incubating new interoperability initiatives. Its core offerings include multi-stakeholder workgroups (Pharmacy, Privacy & Consent, Information Sharing, Payer-to-Payer API, Consumer Engagement, Data Usability, Public Health), the TEFCA Common Agreement and QHIN designation process, the Data Usability Taking Root Movement, RSNA Image Share Validation, an Interoperability Testing Platform, educational boot camps, and an annual meeting series.

Product overview

The Sequoia Project is a non-profit, 501c3 public-private collaborative that serves as the independent, trusted advocate for nationwide health information exchange. The organization does not offer a single unified commercial product but rather operates a portfolio of programs, workgroups, and resources focused on health IT interoperability. The core offerings include: (1) Interoperability Matters - a flagship cooperative hosting multiple workgroups (Pharmacy, Privacy & Consent, Information Sharing, Payer-to-Payer API, Consumer Engagement, Data Usability, Public Health); (2) TEFCA RCE - the organization serves as Recognized Coordinating Entity for the Office of the National Coordinator's Trusted Exchange Framework and Common Agreement, operationalizing Qualified Health Information Network (QHIN) designation; (3) Supporting programs including RSNA Image Share Validation, PULSE, patient matching, and FHIR initiatives; (4) Educational resources including information blocking compliance boot camps, guidance documents, and annual meetings. The organization functions as a standards body and policy advocate rather than a commercial software vendor.

Differentiator

Problem solved

Functional benefit

Brands

• Interoperability Matters: A public-private cooperative that engages experts from across the healthcare and healthcare IT communities to identify, prioritize, and collaborate on the most pressing challenges to nationwide health information exchange.
• Data Usability Taking Root Movement

Products and services

• Interoperability Matters A public-private cooperative that engages experts from across the healthcare and health IT communities to identify, prioritize, and collaborate on the most pressing challenges to nationwide health information exchange through multiple specialized workgroups.
• TEFCA (Trusted Exchange Framework and Common Agreement) RCE Services The Sequoia Project's role as the Recognized Coordinating Entity for ONC's Trusted Exchange Framework and Common Agreement, developing and implementing the Common Agreement component and operationalizing the Qualified Health Information Network (QHIN) designation and monitoring process for nationwide health information exchange.
• Data Usability Taking Root Movement An initiative focused on improving data usability in health information exchange to ensure clinical data quality and enhance patient care through standard data practices and USCDI v3 standards guidance.
• Interoperability Testing Platform A platform for testing interoperability of health IT systems and implementations to support validation of health information exchange capabilities.
• RSNA Image Share Validation A program supporting validation of health information exchange for medical imaging, operated in partnership with the Radiological Society of North America.
• Annual Meetings (Joint with Carequality) Annual meetings (held jointly with Carequality) bringing together the healthcare and health IT community to discuss interoperability progress, featuring keynotes, panel discussions, and networking.
• Swag Store An online merchandise store selling branded items including apparel, accessories, and promotional materials, with proceeds supporting the organization's interoperability mission.

Quantifiable outcome

• More than 1,700 possible information blocking claims received through ONC Information Blocking Portal since 2021
• +2 more outcomes

Named customers15 records

Segments6 records

Ideal customer profiles6 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature6 records

Partnerships

Eight partnerships are on record, tiered core.

• SurescriptscoreStrategic or Co-development Partner · 1 January 2025Surescripts co-sponsors and co-chairs the Interoperability Matters Pharmacy Workgroup alongside Point-of-Care Partners. The partnership aims to address pharmacy interoperability gaps and remove barriers to providing clinical services at scale.
• NACDS (National Association of Chain Drug Stores)coreStrategic or Co-development Partner · 1 January 2025NACDS co-sponsors the Pharmacy Workgroup supporting the initiative to improve pharmacy data interoperability and integrate pharmacists into care teams.
• APhA Foundation (American Pharmacists Association Foundation)coreStrategic or Co-development Partner · 1 January 2025APhA Foundation co-sponsors the Pharmacy Workgroup contributing expertise on pharmacy practice and patient care integration.
• NCPA Foundation (National Community Pharmacists Association Foundation)coreStrategic or Co-development Partner · 1 January 2025NCPA Foundation co-sponsors the Pharmacy Workgroup representing independent community pharmacists' interests in interoperability improvements.
• Point-of-Care PartnerscoreStrategic or Co-development Partner · 1 January 2025Point-of-Care Partners co-chairs the Pharmacy Workgroup alongside Surescripts, providing health IT strategy and industry alignment expertise.
• CarequalitycoreStrategic or Co-development Partner · 29 July 2024The Sequoia Project and Carequality hold joint annual meetings and collaborate on interoperability initiatives. Carequality provides a trusted exchange framework with established governance that aligns with TEFCA.
• ONC (Office of the National Coordinator for Health IT)coreOthersThe Sequoia Project serves as the Recognized Coordinating Entity (RCE) for ONC's Trusted Exchange Framework and Common Agreement (TEFCA), developing and maintaining TEFCA's Common Agreement component.
• HHS (U.S. Department of Health and Human Services)coreOthersCollaboration with HHS on health data exchange oversight, information blocking enforcement, and advancing interoperability policy through ONC and CMS initiatives.

Scale indicators3 records

Recent moves4 records

Expansion highlights5 records

Market position

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xtwitter.com/SequoiaProject
• LinkedInlinkedin.com/company/the-sequoia-project

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 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 The Sequoia Project