Healthcare Compliance Pros

Name

Healthcare Compliance Pros

Legal name

Healthcare Compliance Pros, LLC

Website

https://healthcarecompliancepros.com

Company type

Private

Founded year

2000

Operating status

Operating

Headcount range

11–50 employees

Ownership category

akta.pro rank

Product category

Healthcare Compliance Software

NAICS

Computer Systems Design and Related Services (5415)

SIC

Services-Prepackaged Software (7372), Services-Health Services (8000)

akta.pro primary industry

Medical Billing, Coding & Revenue Cycle (EDAOAJAE)

Keywords

• Healthcare compliance software
• HIPAA compliance solutions
• OSHA compliance management
• Compliance training platform
• Regulatory compliance services

Headquarters

HQ city

Salt Lake City

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Software

Cost components

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

Revenue model

1. Annual Software Subscription: Annual twelve-month subscription model for compliance software and services. Contracts automatically renew one day prior to the contract expiration date for successive terms unless cancelled with 30 days written notice prior to renewal date. No refunds typically offered; credits issued to account balances when necessary.
2. On-Site Services: Hands-on on-site compliance visits including OSHA walkthroughs and HIPAA walkthroughs with thorough inspections, comprehensive reports, expert recommendations, and program integration.
3. Additional Tools (Background Checks, Credential Manager): Credential management and background check services with pricing varying by type of check, including County and Federal Criminal Records Searches, Education and Employment Verifications, and International Criminal Records Searches.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels7 records

Core offering

Healthcare Compliance Pros sells the HCP SHIELD software platform for managing HIPAA, OSHA, and Corporate Compliance in healthcare organizations. The platform combines policy management, online training (130+ courses with CME credits), breach management, audit support, and credentialing, and is bundled with a dedicated team of 3-5 compliance professionals assigned to each client. Add-on modules include SENTRY Coding Intelligence, a Learning Management System, Credential Manager, Background Checks, and professional services such as a Fractional Compliance Officer and On-Site OSHA/HIPAA walkthroughs.

Product overview

Healthcare Compliance Pros (HCP) offers a unified compliance management platform centered on the HCP SHIELD software, which powers core compliance modules for HIPAA, OSHA, and Corporate Compliance. The platform includes specialized add-on modules such as SENTRY Coding Intelligence for medical billing accuracy and a Learning Management System (LMS) with 130+ courses and CME credits. Additional offerings include professional services like a Fractional Compliance Officer and On-Site Compliance Services (OSHA and HIPAA walkthroughs), plus add-on tools for Credential Manager and Background Checks. The platform is designed for healthcare organizations across specialties including MedSpas, dermatology, radiology, and behavioral health.

Differentiator

Problem solved

Functional benefit

Products and services

• HCP SHIELD Compliance Solution Foundational compliance management platform powering all HCP solutions, providing centralized policy management, risk analysis, training tracking, and audit support for HIPAA, OSHA, and Corporate Compliance. Sold as an annual subscription bundled with a dedicated team of 3-5 compliance professionals.
• HIPAA Compliance Solution HIPAA compliance module offering customized policies and procedures, online training, breach management services, business associate agreements, expert audit support, and advanced security risk analysis for healthcare organizations handling protected health information.
• OSHA Compliance Solution OSHA workplace safety compliance module offering customized policies and procedures, a virtual SDS binder, facility safety inspection, hazard risk assessment, and audit support for healthcare employers.
• Corporate Compliance Solution Corporate compliance program addressing CMS and OIG requirements, including fraud, waste, and abuse training, a compliance hotline, exclusion monitoring, compliance committee meeting support, and customized policies built around the seven elements of an effective compliance program.
• SENTRY Coding Intelligence Coding auditing solution that ensures coding accuracy and compliance with regulatory standards for medical billing and claims.
• Learning Management System (LMS) State-of-the-art Learning Management System with over 130 courses covering compliance and related topics, automated scheduling and reminders, AMA PRA Category 1 CME credits, and custom course authoring with voice narration, videos, quizzes, and certifications.
• Fractional Compliance Officer Outsourced compliance officer service providing dedicated expert guidance and leadership for healthcare organizations needing compliance oversight without hiring a full-time executive.
• On-Site Compliance Services Hands-on on-site visits for identifying compliance gaps, including OSHA walkthroughs with self-inspection, hazard risk assessment, and corrective action plans, and HIPAA walkthroughs with security risk analysis, comprehensive reports, and expert recommendations.
• Credential Manager Tool for managing credentialing and licensure of providers and staff, with expiration notifications and secure storage in the Employee Virtual Binder.
• Background Checks Comprehensive verification services including county and federal criminal records searches, education and employment verifications, and international criminal records searches, with pricing that varies by check type and add-ons.

Quantifiable outcome

• Largest HIPAA fine of $16 million imposed on Anthem Health in 2015 for non-compliance, illustrating the financial risk HCP helps clients avoid
• +3 more outcomes

Named customers3 records

Segments7 records

Ideal customer profiles4 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature6 records

Partnerships

One partnership is on record.

• Partner ProgramminorChannel Partner/ Reseller/ DistributorHCP maintains a partner program for channel partners and resellers who refer or resell HCP compliance solutions to healthcare organizations. The program allows partners to offer HCP's compliance software and services to their clients.

Scale indicators2 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• ProviderTrust: Healthcare compliance SaaS specializing in exclusion monitoring, credentialing, and license monitoring — overlapping HCP's Credential Manager, Exclusion Monitoring, and Corporate Compliance modules.
• MedTrainer: Healthcare compliance and training SaaS platform covering HIPAA, OSHA, and accreditation for practices, hospitals, and MedSpas. Overlaps HCP on LMS, policy management, and credentialing functionality.
• HIPAA One: Pure-play HIPAA compliance and risk-assessment software vendor targeting healthcare providers and business associates. Direct overlap with HCP's HIPAA module and security risk analysis offering.
• Compliancy Group: Direct competitor offering HIPAA-focused compliance software for medical practices and small healthcare organizations. Closely comparable SMB healthcare-compliance SaaS model with bundled policy management and training.
• Total Medical Compliance (TMC): OSHA and healthcare compliance training and consulting provider serving dental, medical, and aesthetic practices. Direct overlap with HCP's OSHA and on-site walkthrough offerings, particularly in the MedSpa segment.
• MRO: Healthcare release-of-information and HIPAA compliance vendor serving providers and health systems. Comparable on HIPAA-focused compliance services for healthcare organizations.

Broad incumbents

• Symplr: Large PE-backed healthcare GRC platform spanning credentialing, compliance, and workforce management. Competes in HCP's hospital/health-system segment as part of a much broader portfolio.
• Stericycle: Established healthcare services and communications/compliance solutions provider. Competes indirectly through training, communication, and OSHA-adjacent services for healthcare organizations.
• Healthicity (a Health Catalyst company): Healthcare compliance, auditing, and analytics platform with coding compliance and abstraction tools. Directly overlaps HCP's SENTRY Coding Intelligence and broader audit support functionality.
• RLDatix: Global healthcare governance, risk, and compliance (GRC) vendor with policy management, training, and audit capabilities. Overlaps HCP at the enterprise end of the healthcare compliance market.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks7 records

Key highlights7 records

Customer concentration

• Xx.com/HCPcompliance
• YouTubeyoutube.com/user/hcpros
• Facebookfacebook.com/healthcarecompliancepros
• LinkedInlinkedin.com/company/healthcare-compliance-pros

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 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 Healthcare Compliance Pros