Carequality
Carequality is a U.S. 501(c)(3) non-profit operating a nationwide interoperability framework that enables trusted health information exchange among EHR vendors, HIEs, payers, and providers, connecting 600,000+ physicians across 4,200+ hospitals.
- Company typePrivate
- Founded2014
- HeadquartersVienna, United States
- Headcount11–50
- GTM typeB2B
- OfferingSoftware
What Carequality does
Carequality is a U.S. 501(c)(3) non-profit founded in 2014 and headquartered in Vienna, Virginia, that operates a nationwide, consensus-built interoperability framework enabling health information exchange between and among health data-sharing networks. Its core product, the Carequality Interoperability Framework, is a collection of legal terms, policy requirements, governance structures, and technical specifications that operationalize trusted national health data exchange across query-based document retrieval, FHIR-based exchange, and push notifications. Carequality maintains a centralized directory of 100,000+ implementer connections and a governance apparatus including a Delegation of Authority policy, a Restricted Participant List, and a formal Dispute Resolution Process to enforce trust and accountability among participants.
Carequality's customer base comprises Implementers—EHR vendors (Epic, athenahealth, eClinicalWorks, NextGen), national and regional HIEs (CommonWell Health Alliance, eHealth Exchange, CRISP), payers (Surescripts), clearinghouses, and emerging health technology firms—who provide connectivity services to provider organizations. End users include 600,000+ physicians, 50,000+ clinics, and 4,200+ hospitals exchanging over 1.5 billion clinical transactions per month. The organization is a subsidiary/affiliate of The Sequoia Project and is governed by a multi-stakeholder Board of Directors and Steering Committee. Revenue is generated through implementer membership/participation fees under a subscription/recurring model; specific pricing is not publicly disclosed.
The company distributes its framework indirectly through its Implementer network rather than via direct enterprise sales, with providers connecting through a single Implementer gateway to access all other participants nationwide. Carequality pursues community engagement via bimonthly informational calls, a joint annual meeting with The Sequoia Project, HIMSS conference participation, public regulatory comments, and content marketing. Recent strategic activity (2025-2026) includes governance modernization (Delegation of Authority, Restricted Participant List, revised Dispute Resolution), a leadership transition to Executive Director Lee Barrett, and deepening alignment with the CMS Digital Health Ecosystem and TEFCA.
Carequality firmographics
Firmographics- Name
- Carequality
- Legal name
- Carequality, Inc.
- Website
- https://carequality.org
- Company type
- Private
- Founded year
- 2014
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- Carequality is a U.S. 501(c)(3) non-profit operating a nationwide interoperability framework that enables trusted health information exchange among EHR vendors, HIEs, payers, and providers, connecting 600,000+ physicians across 4,200+ hospitals.
- Ownership category
- akta.pro rank
Carequality industry classification
Industry- Product category
- Healthcare Interoperability
- NAICS
- Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (518), Health Care and Social Assistance (62)
- SIC
- Services-Computer Programming, Data Processing, Etc. (7370), Services-Health Services (8000)
- akta.pro primary industry
- Interoperability Standards, Profiles & Implementation (HL7/FHIR/IHE) (HLACABAA)
- akta.pro secondary industries
- Data Access, Sharing & Marketplace Platforms (incl. TEFCA/QHIN enablement) (HLACAIAL), Payer-Provider Data Exchange (X12, prior auth, claims/clinical attachment) (HLACABAK), Consent, Authorization & Data Sharing Governance (opt-in/opt-out, DS4P) (HLACABAG)
Keywords
Where Carequality is headquartered
LocationHeadquarters
- HQ city
- Vienna
- HQ country
- United States
- HQ region
- North America
Offices2 records
Markets served
Carequality business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure
Revenue model
- Implementer Membership/Fees: Carequality generates revenue through fees from Implementers who join and participate in the Carequality Interoperability Framework. Implementers include EHR vendors, HIEs, payers, clearinghouses, and other health IT organizations that provide connectivity services to providers.
Go-to-market motion1 record
Distribution channels3 records
Marketing channels6 records
Carequality product offering
Product offeringCore offering
Carequality operates a national-level, consensus-built interoperability framework consisting of legal terms, policy requirements, governance, and technical specifications that enable health information exchange between and among health data-sharing networks. Its offerings include Query-Based Document Exchange, FHIR-Based Exchange, Push Notifications, and governance mechanisms such as the Delegation of Authority Policy, Restricted Participant List, and Dispute Resolution Process, supporting over 1.5 billion monthly transactions across 4,200+ hospitals and 50,000+ clinics.
Product overview
Carequality is a non-profit interoperability framework that provides a national-level, consensus-built common framework enabling health information exchange between and among health data-sharing networks. The Carequality Interoperability Framework consists of legal terms, policy requirements, governance, and technical specifications that operationalize data sharing. Core offerings include Query-Based Document Exchange (supporting over 1.5 billion transactions monthly), FHIR-Based Exchange, and Push Notifications. Trust and governance is maintained through the Delegation of Authority Policy, Dispute Resolution Process, and Restricted Participant List. The framework connects 43+ implementers including major EHR vendors, HIEs, payers, and clearinghouses, enabling exchange across 600,000+ physicians, 50,000+ clinics, and 4,200+ hospitals.
Differentiator
Problem solved
Functional benefit
Products and services
- Carequality Interoperability Framework A national-level, consensus-built, common interoperability framework providing legal terms, policy requirements, governance, and technical specifications for trusted national health data exchange between and among health information networks. Used by EHR vendors, HIEs, payers, clearinghouses, and provider organizations.
- Query-Based Document Exchange
Quantifiable outcome
- 1.5 billion+ monthly transactions
- +4 more outcomes
Companies that use Carequality
Customer profileNamed customers5 records
Segments4 records
Ideal customer profiles4 records
Carequality technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature4 records
Carequality partnerships and signals
Strategic signalPartnerships
Ten partnerships are on record, tiered core and flagship.
- CMS Digital Health EcosystemcoreCarequality supports CMS data network pledgees in the Digital Health Ecosystem. 52% of early CMS data network adopters are Carequality implementers, and more than a quarter of Carequality implementers have taken the CMS data network pledge.
- MyDirectivescoreMyDirectives and HIT Commons partnered with Carequality and eHealth Exchange to enable nationwide access to validated Oregon POLST forms through Carequality, integrated within healthcare workflows using Epic EHR.
- EpiccoreEpic is a major EHR vendor and Carequality Implementer, providing its customers connectivity to the Carequality interoperability network for seamless health data exchange with other participating organizations.
- athenahealthcoreathenahealth serves as a Carequality Implementer, enabling their healthcare provider customers to exchange clinical data with other Carequality participants across the network.
- eClinicalWorkscoreeClinicalWorks is a Carequality Implementer providing interoperability services to its customers through the Carequality framework.
- CommonWell Health AlliancecoreCommonWell Health Alliance is a Carequality Implementer and network focused on health data exchange and care coordination.
- eHealth ExchangecoreeHealth Exchange is a Carequality Implementer enabling nationwide health data exchange across healthcare organizations.
- CRISPcoreCRISP (Chesapeake Regional Information System for our Patients) serves as a Carequality Implementer, providing HIE connectivity services.
- The Sequoia ProjectflagshipThe Sequoia Project is the parent organization of Carequality. Both organizations hold joint Annual Meetings and collaborate on interoperability initiatives including TEFCA support. Lee Barrett serves as Executive Director of Carequality while also having previously served on The Sequoia Project board.
- SurescriptscoreSurescripts is a Carequality Implementer leveraging the network for health data exchange capabilities.
Scale indicators9 records
Recent moves6 records
Expansion highlights6 records
Carequality competitors and assessment
Company assessmentDirect peers
- eHealth Exchange: eHealth Exchange is a nationwide health information exchange network operated as a Carequality Implementer that also functions as a QHIN under TEFCA. It is the most direct peer, providing comparable query-based clinical document exchange across federal, state, and private-sector participants.
- CommonWell Health Alliance: CommonWell Health Alliance is a vendor-led HIE network and Carequality Implementer providing nationwide clinical data exchange across its EHR vendor members. It operates a parallel connectivity framework that competes for the same implementer relationships and provider use cases.
- DirectTrust: DirectTrust is a non-profit industry alliance that establishes trust and accreditation frameworks for directed health information exchange (Direct messaging, identity, certificates). It is directly comparable as a consensus-built, non-profit trust framework serving the same healthcare ecosystem.
- The Sequoia Project: The Sequoia Project is Carequality's parent organization and operates as the Recognized Coordinating Entity (RCE) for TEFCA. It is directly comparable as the umbrella non-profit advancing nationwide interoperability and the formal liaison to federal health IT policy.
Emerging players
- Health Gorilla: Health Gorilla is a Carequality Implementer and QHIN-designated interoperability platform focused on clinical data exchange, FHIR APIs, and lab connectivity. It overlaps with Carequality as an emerging exchange network targeting payers, providers, and digital health developers.
- Redox: Redox is a Carequality Implementer providing API-based healthcare interoperability services. It is an emerging player offering developer-friendly data exchange infrastructure that complements or competes with portions of Carequality's framework depending on use case.
- Kno2: Kno2 is a Carequality Implementer offering cloud-based interoperability for providers, payers, and post-acute care. It is an emerging exchange player focused on smaller providers and behavioral health, overlapping with Carequality's reach into underserved segments.
- Particle Health: Particle Health is a Carequality Implementer providing a clinical data API for payers, digital health, and life sciences. It is comparable as an emerging player monetizing record retrieval on top of Carequality's exchange infrastructure (and was the subject of Carequality's first formal dispute resolution in 2024).
Broad incumbents
- Epic Systems: Epic is both the dominant EHR vendor and a core Carequality Implementer with its own Care Everywhere network. It is a broad incumbent whose interoperability strategy sits on top of and partially competes with Carequality's framework for provider-to-provider exchange.
Regional players
- CRISP (Chesapeake Regional Information System for our Patients): CRISP is a Maryland-based regional HIE and Carequality Implementer providing statewide clinical data exchange. It is comparable as a regional HIE that participates in Carequality while also operating its own connectivity services across the mid-Atlantic.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks7 records
Key highlights7 records
Customer concentration
Carequality social profiles
Digital presenceCarequality financial estimates
Financial estimateRevenue estimate
Valuation estimate
Carequality leadership team
Management profileNumber of profiles
Profiles3 records
Carequality funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Carequality 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 Carequality
What does Carequality do?
Carequality operates a national-level, consensus-built interoperability framework consisting of legal terms, policy requirements, governance, and technical specifications that enable health information exchange between and among health data-sharing networks. Its offerings include Query-Based Document Exchange, FHIR-Based Exchange, Push Notifications, and governance mechanisms such as the Delegation of Authority Policy, Restricted Participant List, and Dispute Resolution Process, supporting over 1.5 billion monthly transactions across 4,200+ hospitals and 50,000+ clinics.
Is Carequality a public or private company?
Carequality is a private company. It is classified as nonprofit foundation owned and is currently operating.
When was Carequality founded?
Carequality was founded in 2014. It employs 11 to 50 people.
Where is Carequality based?
Carequality is headquartered in Vienna, United States, in the North America region.
How does Carequality make money?
One revenue line is on record: implementer Membership/Fees.
Who are Carequality's main competitors?
Direct peers on record are eHealth Exchange, CommonWell Health Alliance, DirectTrust and The Sequoia Project. Emerging players are Health Gorilla, Redox, Kno2 and Particle Health. Epic Systems is listed as a broad incumbent. CRISP (Chesapeake Regional Information System for our Patients) is listed as a regional player.
Does Carequality have an API?
No public API is recorded for Carequality.
What industry is Carequality in?
Carequality's product category is Healthcare Interoperability. Its primary akta.pro industry code is HLACABAA, Interoperability Standards, Profiles & Implementation (HL7/FHIR/IHE), with a secondary code of HLACAIAL, Data Access, Sharing & Marketplace Platforms (incl. TEFCA/QHIN enablement). Its NAICS code is 518 and its SIC code is 7370.