Sarah Couture’s Next Chapter: Blending Nursing, Compliance, and Interior Design

Blog contribution by Sarah Couture, RN, CHC, CHRC, CHPC  


Clinical -> healthcare compliance consulting 

I went into nursing because I wanted to minister to others, providing holistic care to all people. My initial focus was charitable, faith-based healthcare in a FQHC. Once kids came along, I moved into pediatrics, first in an outpatient setting, then for 5 years on an inpatient adolescent med/surg unit at Cincinnati Children’s Hospital Medical Center. Our family relocated from Cincinnati to Lexington, KY and I was again able to work in the faith-based charitable healthcare world, this time in a nursing leadership role in a free clinic. I managed all things clinical – protocols, education, documentation, procurement.

Through these connections, I became connected to the Chief Compliance Officer of an academic medical center (AMC). After our 4th child was born, I made an unexpected move to that AMC and became the Hospital Compliance Officer.

At that point, I found it odd that the compliance office was a perfect fit for me, as it seemed so far from why I became a nurse. But it required what I was seeing as the best parts of my business strengths: strategy, creativity, strong communication, an efficient approach to getting a lot done quickly, and collaborative provision of tailored solutions to address needs of our stakeholders. These strengths were all built on top of my clinical background and my ability to navigate the healthcare system well.

Our family relocated and I worked for the next decade plus in healthcare compliance consulting, providing proactive and reactive consulting services to compliance programs at health systems, hospitals, physician specialty groups, and organizations conducting clinical research.

I also found out how much I liked and was good at writing, speaking, and teaching, and became faculty for the Health Care Compliance Association (HCCA), including ongoing teaching for the Research Compliance Academies and the Compliance Essentials Workshops.  


Healthcare -> Design 

In 2023, I left the consulting firm and had a season of reflection during a non-compete. It became obvious that I should consider taking my innate skill in interior design to the next level. I pursued a diploma in interior design and started a consulting business – one LLC with two dbas – a healthcare compliance consulting business, Couture Compliance, to continue what I knew and was known for, and an interior design business, Sarah Couture Design, to see if I could take my business strengths, natural talents, and consulting experience and launch an interior design business.

Both grew, and I decided I did not want to own two growing businesses with two distinct teams of people, so I sold Couture Compliance in September of 2025, two years after I started it, to be able to focus more on and evolve and grow the design business.  


Healthcare + Design 

Until then, I had not considered- maybe because I had been too busy to think about or explore- healthcare design, but it seemed like, with my background and expertise, I should see if there was a place for me in the healthcare design world.

I discovered The Center for Health Design, the EDAC certification, and the Ball State University Graduate Certificate in Planning and Design of Healthcare Environments all around the same time.

I also found the ICAA Chicago-Midwest, and am helping lead development of an Indiana subgroup of designers, artists, architects, and enthusiasts that appreciate classical architecture, art, and design.  


Where am I now and where am I going 

I am focusing most of my time now growing Sarah Couture Design, as well as coursework at Ball State and growing the Indiana ICAA subgroup.

I am currently focused mostly on residential design and have done dozens of hours of work around aging in place design, including launching “Design For Life: Homes Designed for Every Chapter.” Residential aging in place seems to be a spot right in between health care design and residential design that is underserved but where my expertise and strengths may come together. This is a need in both society and in the interior design field.  

2026 is the year to explore, invest, network, learn, pursue, then see how it all adds up.

How will the different pieces of the quilt – nursing, interior design, healthcare design, faith-based/charitable care, aging in place, compliance, healthcare leadership, consulting, teaching, entrepreneur, etc. – come together into just the right quilt?

(And if anyone reading this would like to connect or has thoughts or opportunities to discuss or ideas for me, please reach out!) 


Sarah Couture, outside of work 

I’m a mom of four kids (plus one daughter-in-law) aged 14-23. I’ve been happily married to my husband, who is a pastor, for 25 years. We have two golden retrievers – one is 11 years and one is 8 months.

We’ve lived in Indianapolis for five years and are enjoying getting to know the city. We love the outdoors – camping, running, walking, gardening, biking, kayaking.

I sew and bake (yes, sourdough too). And I love all things English- literature, travel, design/décor, movies.