The Compliance Team

What The Compliance Team does

The Compliance Team, Inc. (TCT) is a CMS-approved, privately held healthcare accreditation organization founded in 1994 by Sandra C. Canally, RN, and headquartered in Spring House, Pennsylvania. The company develops and delivers more than 30 accreditation and certification programs covering Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS), community and specialty pharmacy, Home Infusion Therapy, Rural Health Clinics, Patient-Centered Medical Home (PCMH) and Patient-Centered Pharmacy Home (PCPH), Critical Access Hospital swing bed services, and local health department clinical services. TCT holds CMS-deemed authority for Part A Rural Health Clinic, Part B DMEPOS, and Home Infusion Therapy accreditation, making it a regulatory gatekeeper for Medicare billing in those provider categories, and is the only woman-owned CMS-approved accreditation organization in the US.

TCT's core technology is the Exemplary Provider® accreditation methodology — plain-language, operations-based quality standards developed in 1998 — combined with two proprietary platforms: the Patient Quality Measurement (PQM) patient satisfaction portal, which since 1998 has aggregated more than 2 million HIPAA-compliant survey results into the nation's oldest and largest benchmarking database, and the Exemplary Provider Portal, a 24/7 client portal for self-assessment checklists, policy templates, and educational content. During the COVID-19 Public Health Emergency the company added a Real Time Remote™ virtual survey capability, which has been retained in the standard delivery model.

The business model is subscription/recurring: providers pay fees for initial accreditation, multi-year renewal cycles, and standalone certifications, with PQM benchmarking included as a value-add for accredited clients and sold separately to non-accredited organizations. Pricing is quote-based and not publicly disclosed; multi-year contracts and flexible payment plans are standard. Go-to-market combines direct field sales with assigned advisors, a heavy industry-conference presence across pharmacy, rural health, DMEPOS, and public health verticals, and deep relationships with trade associations (NACCHO, NRHA, NARHC, NCPA, NACDS, APHA, NHIA). TCT has awarded Exemplary Provider status to more than 10,000 providers across all 50 states, Puerto Rico, and the US Virgin Islands, and continues to grow the program portfolio through new product launches.

Name

The Compliance Team

Legal name

The Compliance Team, Inc.

Website

https://thecomplianceteam.org

Company type

Private

Founded year

1994

Operating status

Operating

Headcount range

11–50 employees

Short description

The Compliance Team is a CMS-approved, founder-owned healthcare accreditation organization offering 30+ accreditation and certification programs to more than 10,000 DMEPOS, pharmacy, rural health, infusion, primary care, and public health providers across the US.

Ownership category

akta.pro rank

Product category

Healthcare Accreditation Services

NAICS

Testing Laboratories and Services (54138)

SIC

Services-Testing Laboratories (8734)

akta.pro primary industry

Healthcare Licensing, Accreditation & Credentialing Boards (HLAJACAC)

akta.pro secondary industries

Standards, Metrology & Accreditation Bodies (BPAIAOAC), Laboratory Quality Systems, Accreditation & Proficiency Testing Programs (HLAJAIAM)

Keywords

• Healthcare accreditation services
• DMEPOS accreditation programs
• Pharmacy certification programs
• Patient satisfaction benchmarking
• Rural health clinic accreditation

Headquarters

HQ city

Spring House

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, Others

Revenue model

1. Accreditation Services: The Compliance Team generates revenue through accreditation programs for healthcare providers including DMEPOS, pharmacies, home infusion therapy, rural health clinics, and other healthcare facilities. Providers pay fees for initial accreditation, ongoing compliance monitoring, and renewal processes. The accreditation is required for Medicare reimbursement eligibility.
2. Certification Programs: Standalone certification programs for Point-of-Care Testing, Immunization, Emerging Infectious Disease, Clinical Disease Management, and DMEPOS Retailer Certification. Each certification is valid for two years and provides an alternative pathway for providers not seeking full accreditation.
3. Patient Quality Measurement (PQM) Subscription: Patient satisfaction reporting and benchmarking subscription service available to Medicare and non-Medicare provider organizations. Included as a value-added service to all Exemplary Providers but available separately to non-accredited organizations.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels6 records

Core offering

The Compliance Team is a CMS-approved healthcare accreditation organization that awards Exemplary Provider® status and certification designations to healthcare providers. It offers more than 30 accreditation and certification programs covering DMEPOS, pharmacy, home infusion therapy, rural health clinics, patient-centered medical home, local health departments, and swing bed facilities, supported by the proprietary Patient Quality Measurement (PQM) satisfaction benchmarking portal and Exemplary Provider client portal. The company charges accreditation and certification fees on a recurring multi-year contract basis, with assigned advisors guiding providers through the simplified, plain-language quality-standards process.

Product overview

The Compliance Team operates as a CMS-approved healthcare accreditation organization offering a comprehensive portfolio of accreditation and certification programs under its Exemplary Provider® brand. The portfolio includes core accreditation programs (DMEPOS, Pharmacy Suite, Home Infusion Therapy, Rural Health Clinic, Patient-Centered Medical Home, Local Health Department) along with specialized certification programs (Immunization, Point-of-Care Testing, Emerging Infectious Disease, Clinical Disease Management, DMEPOS Retailer, Swing Bed, COVID Medical Home). The offering is supported by the Patient Quality Measurement (PQM) Satisfaction Portal, the nation's oldest and largest HIPAA-compliant patient satisfaction database with over 2 million survey results, and the Exemplary Provider Portal providing 24/7 access to self-assessment tools, policy templates, and educational resources. The company emphasizes simplified, plain-language, operations-based quality standards centered on Safety-Honesty-Caring® principles.

Differentiator

Problem solved

Functional benefit

Brands

• Exemplary Provider®: Proprietary accreditation and certification status awarded to healthcare providers demonstrating outstanding patient care practices and compliance with quality standards.
• Patient Quality Measurement™ (PQM)
• Patient-Centered Pharmacy Home™ (PCPH)
• Patient-Centered Respiratory Home™ (PCRH)
• Safety-Honesty-Caring®

Products and services

• DMEPOS Accreditation CMS-deemed accreditation for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) providers required for Medicare Part B reimbursement. Used by HME suppliers, respiratory care providers, and DMEPOS retailers.
• Pharmacy Suite of Services Comprehensive pharmacy accreditation suite covering Community Pharmacy, Long-Term Care, Infusion, Specialty Drug, Compounding, TelePharmacy, and Patient-Centered Pharmacy Home programs. Serves independent and chain pharmacies.
• Home Infusion Therapy Accreditation CMS-approved accreditation for home infusion therapy providers covering Part B DMEPOS and Part A Rural Health Clinic HIT programs. For providers delivering infusion medications to patients at home.
• Rural Health Clinic (RHC) Accreditation CMS-approved accreditation for Rural Health Clinics (Part A) demonstrating compliance with Conditions for Certification for patient services, infection control, diagnostic tests, and pharmaceutical services.
• Patient-Centered Medical Home (PCMH) CMS-recognized PCMH accreditation for primary care practices focused on measured continuous quality improvement, patient-centered practice guidelines, health maintenance, preventative screening, and MIPS compliance.
• Patient-Centered Pharmacy Home (PCPH) Proprietary accreditation focused on advanced pharmacy practices and value-based care, emphasizing improved patient medication management through better coordination between pharmacists and prescribing professionals.
• Local Health Department Accreditation Care-driven, patient-centered accreditation program for local health departments, including clinical services accreditation and immunization/testing certifications.
• Swing Bed Certification Certification program for Critical Access Hospitals (CAHs) providing transitional care services in rural communities between hospital and home or skilled nursing facility.
• Immunization Certification Standalone certification validating immunization programs for quality, safety, and efficiency. Helps pharmacies and health departments meet CDC requirements and build trust in vaccine administration.
• Point-of-Care Testing Certification Certification for COVID-19 and other CLIA Waived tests. Provides education and tools for Point of Care testing and Collect and Transfer testing. Valid for two years.
• Emerging Infectious Disease Certification Certification program for emerging infectious disease preparedness and response protocols for pharmacies and health departments.
• Clinical Disease Management Certification Value-Based Care certification verifying pharmacies and health departments meet quality standards for delivering focused care for chronic diseases including diabetes, hypertension, and cardiovascular diseases.
• DMEPOS Retailer Certification Quality assurance certification for DMEPOS providers not billing Medicare or other insurers. Addresses quality oversight gap for online retailers and cash-and-carry services.
• COVID Medical Home
• Patient Quality Measurement (PQM) Satisfaction Portal Proprietary national patient satisfaction reporting and benchmarking subscription service. The nation's oldest (since 1998) and largest database with over 2 million survey questionnaire results. Includes automated email, text, phone, QR code, paper ballot, in-store interview, and kiosk survey methods. Available to all accredited Exemplary Providers and to non-accredited organizations separately.
• Exemplary Provider Accreditation Flagship accreditation designation awarded to healthcare providers demonstrating outstanding patient care practices and compliance with TCT's quality standards. Distinguishes providers as nationally recognized Exemplary Providers across all 50 states, Puerto Rico, and the U.S. Virgin Islands.

Quantifiable outcome

• Over 10,000 providers have achieved Exemplary Provider status
• +2 more outcomes

Named customers9 records

Segments5 records

Ideal customer profiles5 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

14 partnerships are on record, tiered core, major and minor.

• National Association of County and City Health Officials (NACCHO)coreStrategic or Co-development PartnerThe Compliance Team launched its Health Department Clinical Services Accreditation program at NACCHO360 Conference in Denver, Colorado. Active partnership for reaching local health departments with certification programs.
• National Rural Health Association (NRHA)coreStrategic or Co-development PartnerKate Hill, VP Clinic Services Division, serves on the NRHA Board of Trustees. Active collaboration on rural health clinic accreditation and education initiatives.
• National Association of Rural Health Clinics (NARHC)coreStrategic or Co-development PartnerPartnership with NARHC for Rural Health Clinic accreditation and education. Kate Hill serves as board member and received Ron Nelson Award from NARHC.
• WintergreencoreStrategic or Co-development PartnerCo-presented the Second Annual RHC Summit with Wintergreen and Lilypad. Collaborated on educational event for rural health providers.
• LilypadcoreStrategic or Co-development PartnerCo-presented the Second Annual RHC Summit with Wintergreen and Lilypad. Collaborated on quality improvement initiative presentation.
• National Organization of State Offices of Rural Health (NOSORH)majorGTM or Marketing PartnerPartner in celebrating National Rural Health Day. NOSORH represents state offices of rural health across the country.
• National Community Pharmacists Association (NCPA)majorGTM or Marketing PartnerThe Compliance Team attends NCPA annual convention and supports pharmacy accreditation programs for independent community pharmacists.
• National Association of Chain Drugstores (NACDS)majorGTM or Marketing PartnerThe Compliance Team attends NACDS events for pharmacy chain partnerships and DMEPOS accreditation services.
• American Public Health Association (APHA)majorGTM or Marketing PartnerExhibited at APHA annual conference to reach health department professionals and public health researchers with certification programs.
• National Home Infusion Association (NHIA)majorGTM or Marketing PartnerPartnership for home infusion therapy accreditation and certification programs serving patients receiving infusion medications at home.
• Healthcare Compliance Association (HCCA)minorGTM or Marketing PartnerAssociation partnership for compliance professionals in healthcare settings.
• Independent Pharmacy Cooperative (IPC)majorGTM or Marketing PartnerPrime Liberty Pharmacy, a member of IPC (largest group purchasing organization for independent pharmacies), received Exemplary Provider accreditation.
• TopRxminorChannel Partner/ Reseller/ DistributorPharmacy services partner organization (ATHOMES program).
• American Orthotic & Prosthetic Association (AOPA)minorGTM or Marketing PartnerAttends annual meeting for orthotics and prosthetics providers seeking DMEPOS accreditation.

Scale indicators5 records

Recent moves7 records

Expansion highlights6 records

Broad incumbents

• CARF International: CARF International is an established healthcare and human services accreditation body covering medical rehabilitation, aging services, and behavioral health — serving as an adjacent competitor with overlapping provider audiences and similar accreditation business model.
• The Joint Commission: The Joint Commission is the largest and most established US healthcare accreditation body, primarily serving hospitals and large health systems. While its focus skews to inpatient settings, it operates competing ambulatory, home care, and DMEPOS programs that compete for healthcare provider accreditation spend.

Direct peers

• URAC: URAC is an independent healthcare accreditation organization offering programs in pharmacy, DMEPOS, telehealth, and clinical integration that directly compete with TCT's pharmacy suite and DMEPOS accreditation offerings.
• Accreditation Commission for Health Care (ACHC): ACHC is a leading CMS-approved accreditation organization offering programs directly overlapping TCT's portfolio including DMEPOS, pharmacy, home health, hospice, and rural health clinic accreditation. ACHC is the most direct comparable peer, competing for the same provider customers across multiple service lines.
• National Committee for Quality Assurance (NCQA): NCQA is a leading healthcare accreditation organization recognized for its Patient-Centered Medical Home (PCMH) program — the same accreditation category TCT offers — making it a direct competitor in PCMH, primary care, and value-based care credentialing.
• BOC International: BOC International (formerly Board of Certification/Accreditation) is a CMS-approved DMEPOS accreditation organization and orthotic/prosthetic credentialing body that directly competes with TCT for DMEPOS supplier accreditation business.
• Utilization Review Accreditation Commission (URAC) Pharmacy: URAC's specialty pharmacy and mail-order pharmacy accreditations directly compete with TCT's specialty drug and compounding accreditations, particularly for pharmacy benefit manager (PBM) and managed care clients requiring differentiated quality credentials.
• National Association of Boards of Pharmacy (NABP): NABP accredits pharmacy programs and operates the .pharmacy verification program, competing directly with TCT's Community Pharmacy and pharmacy specialty accreditations for independent and chain pharmacy customers.
• Community Health Accreditation Partner (CHAP): CHAP is a CMS-deemed accreditation organization focused on home and community-based healthcare providers including home health, hospice, home infusion, and DMEPOS — directly overlapping with several TCT core programs and competing for similar provider customers.
• American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF): AAAASF is a CMS-approved accreditation organization for ambulatory surgery facilities and office-based surgery practices, competing in the broader healthcare accreditation market with programs that intersect TCT's provider accreditation portfolio.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat6 records

Key risks5 records

Key highlights7 records

Customer concentration

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Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles13 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 Compliance Team