Community Ties of America

What Community Ties of America does

Community Ties of America, Inc. is a privately held healthcare regulatory services and consulting firm incorporated in Tennessee, with corporate headquarters in Franklin, TN and an operational office in Honolulu, HI. Founded in 1998 as Focused Health Care Solutions, Inc. and renamed in September 2003, the company is designated as the primary regulatory reviewer for the State of Hawaii Department of Health, Office of Health Care Assurance across four program categories: Community Care Foster Family Homes (1,200+ certified), Community Based Case Management Agencies (20+ licensed), Adult Day Care Centers (35+ certified), and Nurse Aide Training and Competency Evaluation Programs (35+ reviewed). The firm has 1-10 employees and no proprietary technology platform; its core deliverable is human-conducted regulatory compliance reviews applying state-specific criteria (e.g., HRS 346-83, HAR Chapter 17-1424) to long-term care facilities and training programs serving aged and disabled Medicaid beneficiaries.

The company's business model is professional services revenue under a government contract with the State of Hawaii, supplemented by direct certification and licensing fees from regulated providers. GTM motion is enterprise field sales through formal application and certification processes, supported by a Wix-hosted website that functions as a resource portal distributing forms, newsletters, COVID-19 materials, and educational videos. Complementary consulting offerings include quality assurance/ improvement, strategic consulting, regulatory compliance, program development, and program outcomes services, with historical exposure to 1915(c) Home and Community-Based Medicaid Waivers. The company has been self-sustaining since founding with no disclosed venture or private equity backing, no acquisitions, no app or API, and no documented AI/technology investment.

CTA's mission centers on preventing premature institutionalization by ensuring community-based care options meet minimum state requirements. The current scope is geographically constrained to Hawaii for regulatory services, with no documented expansion signals, leadership changes, funding events, or product launches in available data. Revenue, pricing, and contract values are not publicly disclosed, limiting external visibility into commercial performance.

Name

Community Ties of America

Legal name

Community Ties of America, Inc.

Website

https://comties.com

Company type

Private

Founded year

1998

Operating status

Operating

Headcount range

1–10 employees

Short description

Community Ties of America is a privately held healthcare regulatory services firm designated as the primary reviewer for the Hawaii Department of Health across foster family homes, case management agencies, adult day care centers, and nurse aide training programs.

Ownership category

akta.pro rank

Product category

Healthcare Regulatory Services

NAICS

Regulation, Licensing, and Inspection of Miscellaneous Commercial Sectors (92615), Services for the Elderly and Persons with Disabilities (624120)

SIC

Services-Social Services (8300)

akta.pro primary industry

Healthcare Licensing, Accreditation & Credentialing Boards (HLAJACAC)

akta.pro secondary industry

Local Public Health & Human Services Administration (BPAIACAK)

Keywords

• Healthcare regulatory services
• Foster home licensing
• Case management licensing
• Compliance consulting
• Long-term care certification

Headquarters

HQ city

Nashville

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Infrastructure, Others

Revenue model

1. Regulatory Compliance and Certification Services: Provides licensing and certification review services for healthcare facilities and training programs in Hawaii. Revenue appears to derive from government contracted services for regulatory oversight, including Community Care Foster Family Home certification, Case Management Agency licensing, Adult Day Care Center certification, and Nurse Aide Training Program reviews.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels4 records

Core offering

Community Ties of America is the designated primary regulatory reviewer for the State of Hawaii Department of Health Office of Health Care Assurance, conducting certification, licensure, and re-certification reviews for Community Care Foster Family Homes, Community Based Case Management Agencies, Adult Day Care Centers, and Nurse Aide Training and Competency Evaluation Programs. The firm also provides consulting services spanning quality assurance and improvement, strategic planning, regulatory compliance, program development, and program outcomes to long-term care providers.

Product overview

Community Ties of America, Inc. is a healthcare regulatory services and consulting firm, not a technology product company. The organization operates as a single unified service offering—regulatory certification, licensure review, and consulting services—rather than a platform-plus-modules architecture. The company's portfolio consists of four core regulatory service lines (CCFFH Certification and Licensure, Community Care Case Management Agency Licensing, Adult Day Care Center Certification, and NATCEP Review) supported by four consulting services (Quality Assurance/Improvement, Strategic Consulting, Regulatory Compliance, and Program Development). Together, these services enable the prevention of premature institutionalization while ensuring providers meet State of Hawaii requirements for community-based long-term care.

Differentiator

Problem solved

Functional benefit

Products and services

• Community Care Foster Family Home (CCFFH) Certification and Licensure Primary regulatory reviewer services for Community Care Foster Family Homes in Hawaii, ensuring providers meet approximately 140 state criteria for housing, supervision, direct care, and management of aged and disabled residents enrolled in Medicaid programs. Currently licenses or certifies over 1,200 CCFFHs.
• Community Care Case Management Agency Licensing Licensing and certification review services for case management agencies serving aged and disabled individuals, covering approximately 150 criteria including service coordination, monitoring, planning, reassessment, grievance and appeal processes, records, fiscal requirements, insurance, quality assurance, and personnel requirements. Currently licenses or certifies over 20 agencies.
• Adult Day Care Center Certification and Re-certification Certification and annual re-certification services for Adult Day Care Centers in Hawaii, implementing licensing requirements under Hawaii Revised Statutes (HRS) 346-83 and Hawaii Administrative Rules (HAR) Chapter 17-1424. Currently certifies over 35 centers.
• Nurse Aide Training and Competency Evaluation Program (NATCEP) Review Statewide regulatory compliance reviews for Nurse Aide Training and Competency Evaluation Programs, ensuring programs meet minimum Hawaii requirements for curriculum approval, instructor qualification approval, and classroom/clinical observation. Currently reviews over 35 programs.
• Strategic Consulting Services Strategic consulting services for healthcare providers across multiple U.S. states, covering long-term care needs, 1915(c) Home and Community-Based Medicaid Waivers, federal revenue maximization, and private long-term care provider strategic planning.
• Regulatory Compliance Consulting Regulatory compliance consulting to help healthcare providers meet all minimum State of Hawaii requirements for community-based care services and broader multi-state regulatory obligations.
• Program Development Services Program development services supporting healthcare organizations in establishing and expanding community care foster family homes, case management agencies, and adult day care centers.
• Quality Assurance and Improvement Services Quality assurance and improvement consulting services supporting healthcare providers and the healthcare system in meeting regulatory standards and maintaining compliance.
• Program Outcomes Services Outcomes-focused consulting services to help providers achieve measurable results in community-based care delivery and regulatory compliance.

Segments4 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

One partnership is on record.

• State of Hawaii Department of Health Office of Health Care AssurancecoreStrategic or Co-development PartnerCTA serves as the primary regulatory reviewer for Community Care Foster Family Homes, Case Management Agencies, and Adult Day Care Centers for the State of Hawaii Department of Health Office of Health Care Assurance. This is a formal government contracted relationship where CTA conducts regulatory compliance reviews on behalf of the state.

Scale indicators5 records

Recent moves4 records

Direct peers

• CARF International: Accreditor of health and human services programs, including aging services, behavioral health, and community-based care. Comparable to CTA as a standards-setting and certification reviewer for community care settings serving elderly and disabled populations.
• Healthcare Facilities Accreditation Program (HFAP): Accreditation authority for hospitals, ambulatory care, and long-term care facilities, now part of AAHS. Comparable to CTA in providing regulatory compliance reviews and certification of healthcare facilities.
• Accreditation Commission for Health Care (ACHC): Private, nonprofit accreditation organization offering compliance review services for home health, hospice, and long-term care providers. Comparable to CTA in delivering third-party regulatory certification for community-based care facilities.
• Community Health Accreditation Partner (CHAP): Independent, nonprofit accrediting body for community-based healthcare providers including home health, hospice, and behavioral health. Directly comparable to CTA's niche of certifying community-based long-term care providers under federal standards.

Broad incumbents

• The Joint Commission: The largest U.S. healthcare accreditation body, performing certification and compliance reviews of hospitals, long-term care, and behavioral health organizations. Comparable to CTA as a healthcare licensing/accreditation authority, though operating at much broader national scale.

Others

• State of Hawaii Department of Health Office of Health Care Assurance: The state government body that contracts CTA to perform regulatory reviews. The entity whose policies, contract renewals, and procurement decisions directly determine CTA's revenue trajectory.
• Centers for Medicare & Medicaid Services (CMS): Federal agency administering Medicaid 1915(c) HCBS waivers, the policy framework CTA's certified providers operate within. Relevant upstream regulator whose rule changes shape CTA's compliance review criteria.

Emerging players

• Primaris Healthcare Business Solutions: Healthcare consulting and quality improvement firm focused on long-term care, hospitals, and community providers. Comparable to CTA's consulting arm (QA/Improvement, Strategic Consulting, Program Development) targeting long-term care facilities.
• HCBS Strategies / Mission Analytics Group: Consulting firms specializing in 1915(c) Home and Community-Based Services Medicaid waiver design and oversight. Comparable to CTA's historical consulting work on HCBS waivers and federal revenue maximization for long-term care providers.
• NAB/NCERS (National Association of Long Term Care Administrator Boards): National credentialing authority for long-term care administrators and related roles. Adjacent to CTA's NATCEP review work for nurse aide training programs in long-term care settings.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat2 records

Key risks5 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/company/community-ties

Revenue estimate

Valuation estimate

Number of profiles

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 Community Ties of America