Tom Terranova
CEO, Quad A
Tom Terranova is CEO of QUAD A, a nonprofit accreditation organization founded in 1980 that reviews ambulatory surgery centers, med spas, and other outpatient facilities for quality and safety. He joined QUAD A in 2009 and has led the organization since 2019, after practicing M&A law at Greenberg Traurig and building predictive-analytics models for corporate risk earlier in his career. Terranova holds a JD, MBA, and MA, and has spent his career translating patient-safety data into standards that regulators, investors, and practitioners can act on. He is a frequent speaker on accreditation, risk, and the business side of aesthetic medicine.
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July 15, 2026
The Real Reason Accreditation Could Make or Break Your Sale
For any practice owner eyeing a sale, or an investor sizing one up, the real risk in a med spa or surgery center rarely shows up on a P&L. It's in what happens after the doors close: whether DVT protocols get followed, whether a medical director has ever set foot in the building, whether anyone can prove any of it. Tom Terranova, CEO of QUAD A, walks through how the organization's new med spa accreditation program grades procedures by risk level, why documentation is the single most common gap ...
Guest: Tom Terranova