NCHIIN

What NCHIIN does

NCHIIN (North Coast Health Improvement and Information Network) is a California non-profit organization that operates as the designated Health Information Exchange for Humboldt County and serves as a backbone organization for community health improvement initiatives across California's North Coast region. The organization operates two core technology platforms: a Health Information Exchange (HIE) that enables secure electronic sharing of patient medical information (ADT notifications, lab results, clinical documents via CCD/CCDA standards) between healthcare providers through EHR interfaces, and North Coast Care Connect (NC3), a Community Information Exchange built on the NinePatch/Activate Care platform that enables cross-sector care coordination, electronic referrals, and shared care plans across health and social service agencies.

NCHIIN generates revenue through multiple streams: HIE participant fees ($450/year per clinician for ambulatory providers; $0.06 per result for hospitals/labs), interface development and maintenance fees (20% of development cost annually), tiered network support subscriptions (Platinum $400/month, Gold $225/month, Silver $145/month, Bronze $85/hour), CalAIM administrative services for Medi-Cal providers, and grant-funded program management. The organization's go-to-market is community-led and event-driven, engaging healthcare providers, social service agencies, tribal entities, county government, and community partners through initiatives including the Humboldt Community Health Trust (a 16-member governance board), Redwood Region RISE (California Jobs First), and DxF Technical Assistance programs. Customer segments span healthcare providers (hospitals, clinics, FQHCs), CalAIM/Medi-Cal providers, social service organizations, and community health improvement partners across Humboldt, Del Norte, Lake, Mendocino, and Curry counties.

Name

NCHIIN

Legal name

The North Coast Health Improvement and Information Network

Website

https://nchiin.org

Company type

Private

Operating status

Operating

Headcount range

11–50 employees

Short description

NCHIIN is a California non-profit operating the designated Health Information Exchange for Humboldt County and the North Coast Care Connect Community Information Exchange, enabling secure clinical data sharing and cross-sector care coordination for healthcare providers and social service agencies across California's North Coast region.

Ownership category

akta.pro rank

Product category

Health Information Exchange Services

NAICS

Health Care and Social Assistance (62), Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (518)

SIC

Services-Health Services (8000), Services-Misc Health & Allied Services, Nec (8090)

akta.pro primary industry

HIE Platforms & Network Services (Community/Regional/National) (HLACABAB)

akta.pro secondary industries

Payer-Provider Data Exchange (X12, prior auth, claims/clinical attachment) (HLACABAK), Public Health & Immunization Data Exchange (ELR, case reporting, registry reporting) (HLACABAL), Care Navigation, Referral & Digital Front Door Platforms (HLALABAH), Consent, Authorization & Data Sharing Governance (opt-in/opt-out, DS4P) (HLACABAG)

Keywords

• Health information exchange
• Community information exchange
• Care coordination platform
• EHR interface development
• Community health improvement

Headquarters

HQ city

Eureka

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Technology or R&D, Operations, Infrastructure, Others

Revenue model

1. HIE Participant Fees: Annual fees charged to healthcare providers for data exchange services. Ambulatory providers pay $450 per year per clinician for data recipient, data supplier, or dual-role services. Hospitals and laboratories pay $0.06 per result delivered. Invoiced biannually or quarterly.
2. Interface Maintenance Fees: Annual maintenance fees for interfaces assessed at 20% of interface development cost, invoiced annually following the first year of service.
3. Network Support Services: Tiered service plans (Platinum $400/month, Gold $225/month, Silver $145/month, Bronze $85/hour) providing EHR support, system maintenance, and technical support for healthcare practices.
4. Administrative Services for CalAIM: Shared administrative services including payer contracting, program onboarding, billing operations, and technical assistance for CalAIM Enhanced Care Management and Community Supports programs serving Medi-Cal providers.

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels5 records

Core offering

NCHIIN operates the Health Information Exchange (HIE) for Humboldt County, enabling healthcare providers to securely access and share patient medical information electronically. It also operates North Coast Care Connect, a Community Information Exchange (CIE) platform connecting health and social service providers for cross-sector care coordination and electronic referrals. Supporting services include EHR interface development, tiered network support, CalAIM administrative services, and the North Coast Resource Hub online directory.

Product overview

NCHIIN offers a portfolio of health information technology and community health improvement services. The core offerings are the Health Information Exchange (HIE) for clinical data exchange between healthcare providers, and North Coast Care Connect (NCCC), a Community Information Exchange (CIE) platform built on NinePatch that enables cross-sector care coordination through electronic referrals and shared care planning. Supporting these are Network Services (interface development, project management, tiered technical support), Administrative Services for CalAIM providers, and the North Coast Resource Hub online directory. NCHIIN also coordinates the Redwood Region RISE initiative for health and caregiving workforce development. The HIE facilitates exchange of ADT notifications, lab results (ORU), and clinical documents (CCD/CCDA), while NCCC connects health and social service providers across Humboldt, Del Norte, Lake, and Mendocino Counties.

Differentiator

Problem solved

Functional benefit

Brands

• North Coast Care Connect: Community Information Exchange (CIE) network of health and social service providers coordinating care for persons in need of assistance
• North Coast Resource Hub
• Humboldt RISE
• Redwood Region RISE
• Humboldt Community Health Trust

Products and services

• Health Information Exchange (HIE) Electronic health information exchange that allows healthcare providers in Humboldt County to access and securely share patient medical information electronically, improving the speed, quality, safety, and cost of patient care. Includes ADT notifications, lab results (ORU), and clinical document exchange (CCD/CCDA).
• North Coast Care Connect (NCCC) Community Information Exchange Community Information Exchange (CIE) platform built on the NinePatch platform that connects a network of health and social service providers to coordinate care, share client information with consent, and provide electronic referrals for services across Humboldt, Del Norte, Lake, and Mendocino Counties.
• Administrative Services for CalAIM Shared administrative services for CalAIM Enhanced Care Management and Community Supports providers, including payer contracting with managed care plans, program onboarding, billing operations, and implementation workflow consultation for Medi-Cal providers.
• Network Services Technical support services including EHR interface development, project management for community health initiatives, and tiered network support plans (Platinum, Gold, Silver, Bronze) with varying service levels and pricing for healthcare practices on the North Coast.
• North Coast Resource Hub Online, mobile-friendly resource directory covering 477 community resources across Humboldt, Del Norte, and Curry counties with customizable search criteria and multi-language translation capabilities.
• Interface Development EHR interface services connecting hospital lab results and clinical documents from source systems into provider EHR systems, plus interfaces to California Immunization Registry (CAIR) and California Reportable Disease Information Exchange (CalREDIE).
• DxF Technical Assistance Technical assistance services helping healthcare and social service partners meet California's Data Exchange Framework (DxF) requirements for health and social services data exchange.

Quantifiable outcome

• The DxF Technical Assistance grant successfully closed out, enabling HIE connectivity for partner organizations including Fortuna Family Medicine, Ikigai Physicians, Redwood Pediatrics, Humboldt Del Norte IPA/Priority Care Center, and Mad River Community Hospital

Named customers10 records

Segments4 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration5 records

Feature5 records

Partnerships

16 partnerships are on record, tiered core and notable.

• Fortuna Family Medicine, Inc.coreStrategic or Co-development PartnerHIE connectivity partner under DxF Technical Assistance grant, receiving support for Data Exchange Framework requirements compliance.
• Ikigai PhysicianscoreStrategic or Co-development PartnerHIE connectivity partner under DxF Technical Assistance grant, receiving support for Data Exchange Framework requirements compliance.
• Redwood PediatricscoreStrategic or Co-development PartnerHIE connectivity partner under DxF Technical Assistance grant, receiving support for Data Exchange Framework requirements compliance.
• Humboldt Del Norte IPA/Priority Care CentercoreStrategic or Co-development PartnerHIE connectivity partner under DxF Technical Assistance grant, receiving support for Data Exchange Framework requirements compliance.
• Mad River Community HospitalcoreStrategic or Co-development PartnerHIE connectivity partner under DxF Technical Assistance grant, receiving support for Data Exchange Framework requirements compliance.
• Humboldt County Department of Health and Human Services (DHHS)coreStrategic or Co-development PartnerPartner in Humboldt RISE project and member of Humboldt Community Health Trust Governance Board with representation from Administration, Behavioral Health, and Public Health branches.
• Providence Health-Humboldt CountycoreStrategic or Co-development PartnerPartner in Humboldt RISE project and member of Humboldt Community Health Trust Governance Board.
• Open Door Community Health CenterscoreStrategic or Co-development PartnerMember of Humboldt Community Health Trust Governance Board, representing FQHC perspective in accountable community for health initiatives.
• Yurok TribecoreStrategic or Co-development PartnerMember of Humboldt Community Health Trust Governance Board, representing tribal health interests in the region.
• First Five HumboldtcoreStrategic or Co-development PartnerMember of Humboldt Community Health Trust Governance Board, representing early childhood development perspective.
• California Center for Rural PolicycoreStrategic or Co-development PartnerMember of Humboldt Community Health Trust Governance Board, contributing research and policy expertise.
• California Immunization Registry (CAIR)coreTechnology or IntegrationState immunization registry integrated through NCHIIN interfaces, enabling practices to exchange immunization data with the California Immunization Registry.
• California Reportable Disease Information Exchange (CalREDIE)coreTechnology or IntegrationState disease reporting system integrated through NCHIIN interfaces, enabling practices to exchange reportable disease information with public health authorities.
• Activate CarecoreTechnology or IntegrationBrowser-based and mobile-friendly care coordination platform used by NCHIIN to support community efforts to coordinate care for clients with complex needs, with interoperability with NCHIIN's HIE.
• Partnership HealthPlan of CaliforniacoreStrategic or Co-development PartnerMedi-Cal managed care plan for which NCHIIN provides CalAIM provider enrollment support, technical assistance, and billing services.
• Lake County Economic Development Corporation (LCEDC)notableStrategic or Co-development PartnerAwarded $650,000 Catalyst Grant to launch HEART Hub simulation and training center. NCHIIN supports as Health & Caregiving Sector Investment Coordinator for Redwood Region RISE.

Scale indicators5 records

Recent moves6 records

Expansion highlights6 records

Regional players

• Los Angeles Network for Enhanced Services (LANES): Regional California HIE serving Los Angeles County providers with clinical data exchange. Comparable nonprofit HIE model and DxF participation, though serving a much larger urban geography.
• Manifest MedEx: California's largest nonprofit HIE, providing clinical data exchange across the state. Directly comparable as a community HIE serving healthcare providers, though operating at much larger scale and broader geography than NCHIIN.
• Health Current: Arizona statewide HIE providing clinical data exchange and care coordination services. Comparable regional nonprofit HIE model with HIE-plus-CIE service portfolio.
• Orange County Partnership Regional Health Information Organization (OCPRHIO): Regional California HIE providing clinical data exchange in Orange County. Comparable nonprofit HIE serving providers under California's DxF framework.

Direct peers

• findhelp (formerly Aunt Bertha): National social care referral and CIE platform connecting people to community resources. Comparable to NCHIIN's North Coast Resource Hub and Community Information Exchange referral functionality, though operating at much greater scale.
• Unite Us: National coordinated care network platform enabling social and health service referrals across sectors. Directly comparable to North Coast Care Connect's cross-sector care coordination capabilities.
• SacValley MedShare: Northern California community HIE covering multiple rural counties with similar small-staff, multi-stakeholder nonprofit model. Closely comparable in scope, geography, and service mix to NCHIIN.

Others

• Partnership HealthPlan of California: Medi-Cal managed care plan and NCHIIN's partner for CalAIM administrative services. Not a peer in HIE/CIE technology but a key customer and contracted entity in the same CalAIM ecosystem.
• Activate Care: Care coordination platform that powers NCHIIN's North Coast Care Connect CIE. Adjacent technology vendor partner rather than direct competitor, but relevant benchmark for CIE platform capabilities.

Broad incumbents

• Chesapeake Regional Information System for our Patients (CRISP): Maryland statewide HIE providing clinical data exchange, public health reporting, and care coordination. Comparable regional HIE serving multiple counties with public health integration capabilities.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

Compliance3 records

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 NCHIIN