The Sequoia Project
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.
- Company typePrivate
- Founded2015
- HeadquartersVienna, United States
- Headcount11–50
- GTM typeB2B
- OfferingServices
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.
The Sequoia Project firmographics
Firmographics- 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
The Sequoia Project industry classification
Industry- 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
Where The Sequoia Project is headquartered
LocationHeadquarters
- HQ city
- Vienna
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
The Sequoia Project business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Marketing or Sales, Technology or R&D, Infrastructure
Revenue model
- 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.
- Government Grants and Contracts: As the Recognized Coordinating Entity (RCE) for TEFCA, the organization receives government support for advancing nationwide health information exchange implementation.
- 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
| Model | Billing | Price |
|---|---|---|
| Subscription | Annual | Corporate Membership |
Go-to-market motion1 record
Distribution channels3 records
Marketing channels7 records
The Sequoia Project product offering
Product offeringCore 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
Companies that use The Sequoia Project
Customer profileNamed customers15 records
Segments6 records
Ideal customer profiles6 records
The Sequoia Project technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature6 records
The Sequoia Project partnerships and signals
Strategic signalPartnerships
Eight partnerships are on record, tiered core.
- SurescriptscoreSurescripts 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)coreNACDS 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)coreAPhA Foundation co-sponsors the Pharmacy Workgroup contributing expertise on pharmacy practice and patient care integration.
- NCPA Foundation (National Community Pharmacists Association Foundation)coreNCPA Foundation co-sponsors the Pharmacy Workgroup representing independent community pharmacists' interests in interoperability improvements.
- Point-of-Care PartnerscorePoint-of-Care Partners co-chairs the Pharmacy Workgroup alongside Surescripts, providing health IT strategy and industry alignment expertise.
- CarequalitycoreThe 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)coreThe 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)coreCollaboration 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
The Sequoia Project competitors and assessment
Company assessmentMarket position
Competitive moat5 records
Key risks6 records
Key highlights6 records
Customer concentration
The Sequoia Project social profiles
Digital presenceThe Sequoia Project financial estimates
Financial estimateRevenue estimate
Valuation estimate
The Sequoia Project leadership team
Management profileNumber of profiles
Profiles6 records
The Sequoia Project funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
The Sequoia Project M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about The Sequoia Project
What does The Sequoia Project do?
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.
Is The Sequoia Project a public or private company?
The Sequoia Project is a private company. It is classified as nonprofit foundation owned and is currently operating.
When was The Sequoia Project founded?
The Sequoia Project was founded in 2015. It employs 11 to 50 people.
Where is The Sequoia Project based?
The Sequoia Project is headquartered in Vienna, United States, in the North America region.
How does The Sequoia Project make money?
Three revenue lines are on record. Corporate Membership Fees are the primary driver. The others are government Grants and Contracts and merchandise Sales.
Does The Sequoia Project have an API?
No public API is recorded for The Sequoia Project.
What industry is The Sequoia Project in?
The Sequoia Project's product category is Healthcare Interoperability Services. Its primary akta.pro industry code is HLACAIAL, Data Access, Sharing & Marketplace Platforms (incl. TEFCA/QHIN enablement), with a secondary code of HLAJABAN, Data Integration, Interoperability & Reporting (ELR/HIE/CDC/NNDSS). Its NAICS code is 81392 and its SIC code is 8600.