HealthCare Compliance

What HealthCare Compliance does

HealthCare Compliance Network, LLC is a privately held US-based firm that delivers healthcare regulatory compliance consulting and software to physician practices, healthcare organizations, private equity investors, and business associates. Its portfolio centers on four service pillars — HIPAA compliance, CMS-OIG compliance, OSHA/employee safety (including workplace violence prevention), and coding compliance/chart audits — all structured around the Seven Elements of an Effective Compliance Program framework codified by HHS-OIG. The firm pairs professional services with two proprietary web-based platforms: the Regulatory Compliance Management System (RCMS) for managing policies, documentation, and compliance workflows, and the Learning Compliance Management System (LCMS) for online training delivery, completion monitoring, and reporting.

The firm generates revenue through two streams: (1) professional services engagements — assessments, audits, policy and manual development, training delivery, breach response, and regulatory defense — and (2) recurring subscription access to RCMS and LCMS. Pricing is quote-based and not publicly disclosed. Go-to-market combines enterprise field sales, channel referrals from IT vendors and EMR providers (Exscribe, MTBC, PhyTrust, Priority One, Strategic Healthcare Management), and event-driven demand generation through healthcare management associations (MGMA, HLA) and PE-focused conferences. Differentiated programs include Compliance as a Profit Center (CapC), which reframes compliance work as revenue discovery; the Co-Sourced Compliance Officer Partnership; Coding and Compliance Risk Assessment (CCRA); and pre-acquisition due diligence services tailored to healthcare-focused private equity transactions.

The business traces its origins to 1989 when Michael Manere began selling compliance services; Wiks Moffat assumed co-ownership in 1994. The current LLC entity was formed in 2016 when HCN, Inc. (founded 2013) was acquired by HCN, LLC. Todd McDonagh joined as Principal and CEO in 2015. Headquartered in Hudson, Massachusetts with 11–50 employees, the company operates exclusively in the United States, is founder-owned, and has not raised institutional capital.

Name

HealthCare Compliance

Legal name

HealthCare Compliance Network, LLC

Website

https://healthcarecompliancenetwork.com

Company type

Private

Founded year

2013

Operating status

Operating

Headcount range

51–100 employees

Short description

HealthCare Compliance Network is a US-based healthcare regulatory compliance firm delivering HIPAA, CMS-OIG, OSHA, and coding compliance consulting alongside proprietary RCMS and LCMS software to physician practices, healthcare organizations, and private equity investors.

Ownership category

akta.pro rank

Product category

Healthcare Regulatory Compliance Services

NAICS

Computer Systems Design and Related Services (54151)

SIC

Services-Health Services (8000), Services-Computer Programming, Data Processing, Etc. (7370)

akta.pro primary industry

Consent, Preference & Data Rights Management (incl. HIPAA/GDPR support) (HLACAIAG)

akta.pro secondary industries

Compliance, Safety & Regulatory eLearning Content (EDAGAEAF), Data Privacy, Consent & Compliance Management (HDAEADAG), Compliance & Policy Onboarding (Code of Conduct, HR, Legal) (EDABAOAD)

Keywords

• Healthcare compliance services
• HIPAA compliance training
• Coding compliance audits
• Regulatory compliance consulting
• OSHA healthcare safety

Headquarters

HQ city

Hudson

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Professional Compliance Services: Compliance consulting including assessments, audits, policy development, manual creation, training delivery, breach response support, and regulatory defense. Delivered through on-site visits, remote consultations, and ongoing maintenance engagements.
2. Software/Subscription Services: RCMS and LCMS platforms delivered as subscription-based online tools for compliance management and training delivery, providing ongoing access to compliance documentation, training modules, and automated monitoring capabilities.

Go-to-market motion3 records

Distribution channels3 records

Marketing channels5 records

Core offering

HealthCare Compliance Network implements, integrates, educates, and manages the full spectrum of healthcare regulatory compliance programs for physician practices, business associates, and private equity investors. Its core offering bundles professional compliance consulting (assessments, policy and manual development, training, breach response, audit defense) with two proprietary subscription platforms — RCMS for compliance management and LCMS for online training — all aligned with the HHS OIG Seven Elements of Compliance framework.

Product overview

HealthCare Compliance Network offers a comprehensive suite of healthcare regulatory compliance solutions built around four core pillars: HIPAA Compliance, CMS-OIG Compliance, OSHA/Employee Safety, and Coding Compliance. The company combines technology-enabled platforms with professional services, centering on two proprietary software systems: the Regulatory Compliance Management System (RCMS) for overall compliance management and the Learning Compliance Management System (LCMS) for training delivery. Their portfolio includes specialized programs such as Compliance as a Profit Center (CapC), the Co-Sourced Compliance Officer Partnership (CCO), Coding and Compliance Risk Assessment (CCRA), and Due Diligence services for private equity transactions. The company supports healthcare organizations through assessments, site-specific policy and procedure manuals, staff training, audits, and ongoing compliance maintenance, all aligned with the Seven Elements of Compliance framework.

Differentiator

Problem solved

Functional benefit

Brands

• RCMS (Regulatory Compliance Management System): Web-based tool for training, records storage and overall compliance management.
• LCMS (Learning Compliance Management System)
• Compliance as a Profit Center (CapC)

Products and services

• HIPAA Compliance Services and Training Comprehensive HIPAA compliance program including security risk assessments, policies and procedures development, staff training, breach notification support, and ongoing compliance maintenance for healthcare covered entities and business associates.
• CMS – OIG Compliance Services and Training Compliance program built on the Seven Elements of Compliance framework including code of conduct development, compliance manuals, hotline services, exclusion checks, policy review, and payer/regulatory defense.
• OSHA Compliance Services and Training OSHA compliance programs including onsite assessments, site-specific manuals, emergency operations plans, workplace violence safety programs, and active shooter training for healthcare organizations.
• Coding Compliance Services and Training Coding compliance and chart auditing program that minimizes risk from improper documentation or inaccurate billing through physical chart audits and technology-assisted code review, often uncovering additional revenue for clients.
• Regulatory Compliance Management System (RCMS) Web-based client portal providing an intuitive dashboard for initiating, tracking, and managing compliance activities and maintaining/updating policies and procedures, combining automation with on-demand personal service.
• Learning Compliance Management System (LCMS) Online training platform allowing completion of training courses from any internet-enabled device; managers can add or subtract modules from an up-to-date training library, with completion monitoring, performance assurance, and reporting.
• Compliance as a Profit Center (CapC) Program that uses compliance initiatives to uncover new sources of profit and bottom-line growth, helping clients get full payment for billed services, evaluate value-based care opportunities, and increase margins and EBITDA.
• Co-Sourced Compliance Officer Partnership (CCO) Partnership program in which a compliance officer works with healthcare organizations to build, implement, manage, and maintain an effective compliance program, including policy development, risk assessment, auditing, training, and board reporting.
• Coding and Compliance Risk Assessment (CCRA) Risk assessment framework evaluating physicians on four parameters: comparison of billing data with regional averages, coding compliance chart review, cross-check of billing items against the current OIG Work Plan, and evaluation of compliance plan effectiveness.
• Due Diligence for Private Equity Transactions Pre-acquisition compliance due diligence services for PE transactions including coding compliance chart audits, compliance and document review (HIPAA, OSHA, CMS-OIG), and post-close compliance continuity programs.
• Active Shooter/Person with a Weapon Safety Programs & Training Workplace violence safety programs and training for healthcare workers, who are among the most at-risk professions for workplace violence incidents.

Quantifiable outcome

• HIPAA penalty structure ranges from $100-$50,000 per violation (Category 1) up to $50,000 per violation capped at $1.5 million per year (Category 4)
• +1 more outcomes

Named customers1 record

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Nine partnerships are on record, tiered core and minor.

• Black Talon SecuritycoreTechnology or IntegrationCybersecurity specialty partnership providing clients with advanced security tools and services beyond standard MSP capabilities. Includes penetration testing, vulnerability management, security risk assessments, and extended detection and response (EDR) software deployment.
• SAX LLPcoreGTM or Marketing PartnerAccounting and advisory firm partnership for joint industry events and podcast participation. HCN principals appear on SAX LLP Healthcare Industry Vitals podcast and co-host healthcare industry update events.
• ExscribeminorChannel Partner/ Reseller/ DistributorEMR provider partnership connecting clients with HCN compliance services.
• MTBCminorChannel Partner/ Reseller/ DistributorHealthcare IT and billing services partner referral relationship.
• PhyTrustminorChannel Partner/ Reseller/ DistributorHealthcare management services partner connecting clients with compliance services.
• Priority OneminorChannel Partner/ Reseller/ DistributorHealthcare consulting partner referral relationship.
• Strategic Healthcare ManagementminorChannel Partner/ Reseller/ DistributorHealthcare management consulting partner.
• Cooperative SystemsminorGTM or Marketing PartnerIT services partner for cybersecurity summit series co-marketing.
• ScrogginsGrearminorGTM or Marketing PartnerAccounting and HR consulting partner for Management Minutes webinar series co-hosting.

Scale indicators2 records

Recent moves8 records

Expansion highlights6 records

Broad incumbents

• Symplr: Large healthcare governance, risk, and compliance (GRC) platform with broad credentialing, compliance, and workforce management capabilities. Represents the scaled-incumbent threat HCN faces as healthcare GRC consolidates.
• Wolters Kluwer: Global information services company with healthcare compliance, coding, and regulatory content offerings (including MediRegs and clinical decision support). Broad incumbent with deep healthcare content IP overlapping HCN's CMS-OIG and coding compliance work.
• RLDatix: Healthcare-specific governance, risk, compliance, and patient safety software platform serving health systems globally. Competes for the same healthcare compliance budget with broader enterprise functionality.

Direct peers

• Compliancy Group: Healthcare-focused compliance SaaS offering HIPAA compliance software and managed services for medical practices. Most direct competitor in the HIPAA compliance platform category HCN targets.
• HIPAA One: HIPAA compliance automation software focused on security risk assessments and policy management for healthcare organizations. Direct competitor in the HIPAA software category HCN addresses.
• MedTrainer: Healthcare-specific compliance and training SaaS platform covering HIPAA, OSHA, and accreditation requirements. Directly comparable to HCN's RCMS/LCMS offering for medical practices and ambulatory providers.
• PolicyMedical: Healthcare policy and procedure management software for hospitals and provider organizations. Closely comparable to HCN's RCMS compliance management and documentation capabilities for provider compliance teams.
• Healthicity: Healthcare compliance, coding, and audit SaaS platform serving hospitals and provider groups. Direct overlap with HCN's coding compliance chart audits and compliance program management offerings.

Emerging players

• Accountable HQ: HIPAA compliance management platform for small medical practices with subscription-based pricing. Emerging SaaS alternative competing for HCN's small-practice physician customer segment.
• Abyde: HIPAA compliance software targeted at small and mid-sized medical practices, dentists, and business associates. Competes in the same down-market segment HCN serves via its physician practice channel.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/hcompliance
• LinkedInlinkedin.com/company/healthcare-compliance-network-llc

Revenue estimate

Valuation estimate

Number of profiles

Profiles5 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 HealthCare Compliance