Ross Ronan on scaling healthcare compliance investment as you grow: what to budget, how it scales, and getting exit-ready before a sale or diligence.

Most CEOs ask Ross Ronan the same question: how much should we spend on compliance? In Part 2 of The Investment Deep Dive on The Compliance Advantage, Ross moves from the HCCA and SCCE benchmarking data into real boardroom scenarios and shows there is no magic number. There is a starting point, a budget you set, and a program you actually run. He walks through what the data says for a $75 million organization with 1,500 employees, how the picture shifts at $200 million and 4,000 employees, and why the two largest line items are almost always the compliance officer and auditing and monitoring. He explains why private equity sponsors tend to lean into compliance once they see the benchmarks, since the Department of Justice and the Office of Inspector General have made their expectations for healthcare investors clear. He covers what payers, including Medicare under the Affordable Care Act, assume about your program before they pay a claim, and how compliance partners with every department from human resources to revenue cycle. The throughline is simple: a strong compliance investment starts with the right compliance executive, someone who can be a strategic partner, run the program, and understand the business. Build from there and the program scales with the company.