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The Invisible Plumbing of US Healthcare
How a 30-person non-profit orchestrates 619M documents monthly without selling a single piece of software
While everyone obsesses over Epic and Cerner's market share, Carequality quietly moves 619.5 million health documents every month. It's the invisible plumbing that makes US healthcare interoperability work—without being a hospital, an EHR, or a vendor.
"Carequality isn't a product company—it's a standards body that happens to run infrastructure. Their genius is making everyone else's data flow through them."
The Network Effect Problem
With only 30 employees and $6.5M in revenue, Carequality should be a footnote. Instead, they're the backbone. The real power isn't in their size—it's in their neutrality. Unlike vendors who lock data in, Carequality's entire model is about unlocking it. That's why 43% of their traffic is direct: healthcare organizations aren't discovering them, they're seeking them out.
The SEO Paradox
Here's the contradiction that defines them: 33% of traffic is organic, but their top keywords reveal they're not competing on 'healthcare interoperability.' Instead, they rank for 'kno2' (1,840 monthly searches) and 'particle health' (1,560)—tools that depend on Carequality's framework. They're not fighting for attention; they're the infrastructure that others build on.
The tech stack tells a story of pragmatic simplicity. jQuery, Bootstrap, Tailwind—no fancy frameworks, just stable tools that work. This isn't a startup chasing trends; it's an organization focused on reliability over flash. The 80.9% 'undefined' country traffic? That's likely US healthcare systems where geographic tracking is anonymized for privacy.
- They don't sell software—they enable data exchange between competing systems
- Their 'customers' are both competitors and partners (Epic, Cerner, Athenahealth all connect)
- Revenue is likely membership/subscription-based, not transactional
- They solve the 'last mile' problem that every health tech startup struggles with
The Infrastructure Play That Won
While health tech startups chase AI and telehealth, Carequality proved that boring, reliable data exchange is the real moat. They're not building the future—they're making the present actually work.
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Carequality - Interoperability framework
Carequality is an interoperability framework enabling nationwide care coordination. Join us and support our vision of a connected U.S. health IT network.
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About carequality.org
Carequality is an interoperability framework enabling nationwide care coordination. Join us and support our vision of a connected U.S. health IT network.
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Technology Stack
carequality.org uses 22 technologies across their website including YouTube Embed, Font Awesome, Google Fonts, HSTS, and more.
Video
YouTube Embed
Fonts
Font Awesome, Google Fonts
Security
HSTS
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PHP
CMS
Framer, WordPress
Cloud & Hosting
Amazon S3, Cloudflare
Traffic & Audience
carequality.org receives approximately 3.8K monthly visitors and ranks #4,653,442 globally. The website has a bounce rate of 41% with visitors viewing an average of 1.7 pages per visit. Users spend an average of 0:36 on the site.
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