Established in 2012, The Firmament Group, formerly known as McLarty Capital Partners, provides tailored debt and equity capital solutions to small- and medium-sized enterprises (SMEs). Firmament is a value-added partner to entrepreneurs, management teams and business owners and provides solutions by deploying versatile capital in a user-friendly way. Firmament seeks both senior and junior debt capital opportunities including unitranche, second lien and mezzanine debt, and also provides equity capital structured as either preferred or common equity. Firmament is focused on turning small business into big business.

The Firmament Group

AdaptHealth

AdaptHealth providing patient-centered, healthcare-at-home solutions including home medical equipment (HME), medical supplies, and related services.

<div>AdaptHealth is a network of full-service medical equipment companies that provides tailored products and services to enable patients to live their best lives at home rather than in hospitals. The company offers a wide range of medical equipment and supplies, including CPAP machines, oxygen units, walkers, and compression socks. AdaptHealth's business model focuses on delivering healthcare solutions that fit into patients' everyday lives, with offerings that span from doctor's prescriptions to doorstep delivery.</div>

AdaptHealth Acquires New England Home Medical Equipment (“NEHME”)

Products & Services

AdaptHealth Patient Care Solutions

Redefining hospital care with the comfort of home

Hospital-at-Home

AdaptHealth Welcomes New Chief Operating Officer

<div>
 
 AdaptHealth is a network of full-service medical equipment companies that provides tailored products and services to enable patients to live their best lives at home rather than in hospitals. The company offers a wide range of medical equipment and supplies, including CPAP machines, oxygen units, walkers, and compression socks. AdaptHealth's business model focuses on delivering healthcare solutions that fit into patients' everyday lives, with offerings that span from doctor's prescriptions to doorstep delivery.
 
 
 
 
 The company emphasizes customer service and satisfaction as its primary concern, providing online support to answer questions and a team of customer service representatives to help patients choose the right supplies. AdaptHealth also offers fast and convenient shipping directly to patients' homes. In November 2020, AdaptHealth acquired New England Home Medical Equipment (NEHME), a leading supplier of continuous glucose monitoring (CGM) and diabetes management supplies in the New England and Northeastern US. NEHME generated net revenues of approximately USD 31 million for the twelve months ended September 30, 2020, contributing to AdaptHealth's expansion in the diabetes care sector.
 
 
 
 
 Key customers and partnerships
 
 
 
 
 
 AdaptHealth serves a diverse range of patients with various medical needs, including those requiring CPAP machines for sleep apnea, oxygen therapy, mobility aids, and diabetes management supplies. The company's customer base includes individuals with chronic medical conditions who require ongoing support and medical equipment. Through its acquisition of NEHME, AdaptHealth expanded its reach to diabetes patients throughout New England and the Northeastern US.
 
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DispatchHealth is a Denver-based healthcare company that provides comprehensive in-home medical care services across the US. Founded in 2013, the company aims to transform healthcare delivery by offering high-acuity care in the comfort of patients' homes. DispatchHealth's services include same-day urgent medical care, hospital alternative care, and recovery care. The company employs teams of emergency medicine and internal medicine trained professionals, including nurse practitioners, physician assistants, and emergency medical technicians, who are equipped with advanced medical tools and technologies to treat a wide range of conditions typically handled in emergency rooms or urgent care centers.
DispatchHealth's care model utilizes a proprietary technology platform that manages various aspects of the in-home care experience, including logistics, onboarding, risk stratification, care coordination, and analytics. This platform enables real-time data insights to improve patient outcomes. The company's services are designed to reduce unnecessary emergency room visits, hospital stays, and readmissions, resulting in significant cost savings for the healthcare system. As of December 2023, DispatchHealth reported treating more than one million patients across more than 30 states, leading to a 58% reduction in emergency room visits, an 8.5% 30-day hospital readmission rate, and nearly USD 1.5 billion in medical cost savings.
Key customers and partnerships
DispatchHealth has established partnerships with various healthcare stakeholders, including health plans, provider groups, health systems, employers, senior living facilities, and home health organizations. In May 2023, the company announced a collaboration with Included Health to enhance virtual-to-in-home care delivery, enabling Included Health's virtual primary care clinicians to coordinate with DispatchHealth's in-home clinical services.
DispatchHealth also formed a partnership with Instacart in January 2024 to address food insecurity among patients. This collaboration allows DispatchHealth's medical professionals to provide digital food stipends, offer medically tailored shopping lists, and send food directly to patients' homes.
In the Spokane area, DispatchHealth partnered with MultiCare Health System in August 2019 to improve healthcare access for at-risk patient populations. The company works with almost all major insurance companies, including Medicare and parts of Medicaid, to reduce the cost of care significantly.

DispatchHealth

Honor Technology, Inc. is a home care company that operates a technology-enabled platform to provide care services for older adults. Founded in 2014, Honor combines local care, 24/7 support, and advanced technology through its proprietary Honor Care Platform. This platform utilizes dynamic scheduling software and machine learning to optimize caregiver-client matching based on skills, commute times, and other factors. It also assists with caregiver recruiting, training, scheduling, and performance analysis.
In August 2021, Honor acquired Home Instead, one of the largest home care providers globally. This acquisition expanded Honor's reach significantly, with the combined company representing over USD 2.1 billion in revenue as of October 2021. Honor's technology aims to improve efficiency and care quality across its network of caregivers and partner agencies.
The company offers various services through different arms of its business. Honor Expert, launched in April 2022, is an online and mobile service that connects older adults and their families with resources, tools, and services related to aging and health issues. Honor also operates the Honor Care Network, which partners with independent home care agencies to provide back-office support, technology, and operational expertise in exchange for a share of revenue.
Key customers and partnerships
Honor has established partnerships with several national companies to enhance its service offerings. As of April 2022, Honor Expert had 14 national partners, including Amazon Business, Best Buy, SelectRX, and Freshly. These partnerships aim to provide users with access to a range of products and services addressing various aging-related needs.
The company's acquisition of Home Instead significantly expanded its customer base. Home Instead operates in 12 countries and has over 600 franchised locations in the US alone. This expansion has allowed Honor to serve clients across a wider geographic area and potentially develop contracts with national insurance carriers or major health systems.
Honor also partners with independent home care agencies through its Honor Care Network. These partnerships allow smaller agencies to benefit from Honor's technology and operational capabilities while maintaining their local presence and client relationships.

Honor

Alto Pharmacy is a digital pharmacy platform founded in 2015 by former Facebook engineers Jamie Karraker and Mattieu Gamache-Asselin. The company aims to simplify the prescription process and improve medication adherence through its technology-enabled solution. Alto's platform streamlines coordination between patients, doctors, and insurance companies, offering free same-day prescription delivery, lower costs on medications, and access to pharmacist support.
Alto's services include a mobile app for patients to manage their prescriptions, set reminders, and chat with pharmacists. The company also offers Alto Connect, a mobile app for doctors' offices to streamline prescription management and communication. Alto specializes in delivering medications for various conditions, including HIV, hepatitis C, asthma, rheumatology, and cardiology, among others.
As of 2022, Alto Pharmacy operates in 13 markets across the US, including major cities like San Francisco, Los Angeles, New York, and Houston. The company has experienced rapid growth, with its annual revenue reaching USD 700 million in 2022 and projections to cross the USD 1 billion mark by the end of that year. Alto has delivered over 4 million prescriptions to hundreds of thousands of patients and claims to have provided more than USD 120 million in savings to date.

Alto Pharmacy

LetsGetChecked is a healthcare solutions company that provides at-home diagnostic testing kits and virtual care services. Founded in 2015 by Peter Foley, the company offers over 30 different health tests covering areas such as sexual health, women's health, men's health, general wellness, and Covid-19. LetsGetChecked's testing process involves customers ordering a kit online, collecting their sample at home, and mailing it back to CLIA-certified and CAP-accredited laboratories for analysis. Results are typically available within 2-5 days through a secure online portal. The company utilizes biomarkers to analyze health conditions and employs highly accurate testing methods like NAAT PCR and electrochemiluminescence arrays for certain tests. In November 2023, LetsGetChecked achieved a significant milestone when the FDA granted marketing authorization for its Simple 2 Test, the first at-home test for chlamydia and gonorrhea. The company has expanded its services to include telehealth consultations and prescription delivery, aiming to provide a comprehensive healthcare solution. LetsGetChecked operates its own manufacturing facilities and laboratories, allowing for quality control throughout the testing process. As of 2024, the company has delivered over 7 million tests and serves more than 30 markets globally.
Key customers and partnerships
LetsGetChecked has partnered with over 300 corporate customers to provide testing services and biometric screening solutions. The company has also collaborated with major retailers and healthcare providers. In 2023, LetsGetChecked announced a partnership with PatientsLikeMe (PLM), a community health network, to offer PLM members access to testing at discounted prices. Additionally, the company has worked with UnitedHealthcare, Optum, HSA Store, FSA Store, and CVS Pharmacy. LetsGetChecked's services are available nationwide in the US, the UK, and most EU countries, with co-headquarters in Dublin and New York.

LetsGetChecked

Digital platforms that connect patients with in-person medical care providers in the comfort of their homes and support care delivery

Platforms enabling healthcare providers to order in-home therapies, durable medical equipment, and provide virtual acute care services

Companies offering a full-stack of in-home medical services including health evaluations, virtual and in-person visits for a variety of needs, and care coordination by leveraging data analytics

Platforms providing accessible lab testing solutions for a range of conditions, allowing patients to conveniently perform tests in their own homes

Digital pharmacies that deliver prescription medications directly to patients' homes and platforms that help track and manage medication adherence

Solutions enabling hospitals to establish hospital-at-home programs and providing workflow management tools for home care providers

AdaptHealth

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