Forum Extended Care Services

What Forum Extended Care Services does

Forum Extended Care Services is an independent, privately held long-term care (LTC) pharmacy founded circa 1969 and headquartered in Chicago, Illinois. The company delivers pharmacy services to four care settings: skilled nursing facilities, assisted living communities, DD/CILA (developmental disabilities and community integrated living arrangement) facilities, and through its LTC@Home sub-brand, patients receiving care in their homes. Core service lines include medication management with a stated 99.9% accuracy target, 24/7/365 pharmacy support, ACHC-accredited infusion and sterile compounding (USP 797), and 12-48 hour medication delivery via licensed, bonded specialty couriers. All services are unified under a Concierge Service™ model that assigns a dedicated representative to each client facility, and the company additionally offers continuing education programs and an annual industry symposium (10th edition in 2026).

The company is dually accredited by the Accreditation Commission on Health Care (ACHC) in both LTC Pharmacy and Infusion Pharmacy/Sterile Compounding, a credential recognized by CMS as a deeming authority. Revenue is generated through contracted B2B relationships with healthcare facilities on multi-year subscriptions; pricing is quote-based and not publicly disclosed. Distribution is exclusively direct-to-facility within a Midwest geographic scope, with no retail or direct-to-consumer channels. Leadership is family-led, with Brian H. Kramer (RPh, MBA) as President and Pamela Bryan Kramer (BA, LPhT) as Executive Vice President; Brian Kramer also serves as Vice Chair of the Senior Care Pharmacy Coalition (SCPC), where Forum holds founding-member status. The 2022 acquisition of Willow Pharmacy created the LTC@Home sub-brand and represented Forum's primary inorganic expansion into home-based care delivery.

Name

Forum Extended Care Services

Legal name

Forum Extended Care Services, Inc., II

Website

https://forumpharmacy.com

Company type

Private

Founded year

1973

Operating status

Operating

Headcount range

51–100 employees

Short description

Forum Extended Care Services is an independent, privately held long-term care pharmacy serving nursing facilities, assisted living communities, DD/CILA facilities, and home-based patients across the Midwest with medication management, infusion pharmacy, and concierge delivery services under dual ACHC accreditation.

Ownership category

akta.pro rank

Product category

Long-Term Care Pharmacy Services

NAICS

Nursing and Residential Care Facilities (623), Other Residential Care Facilities (6239)

SIC

Services-Health Services (8000), Services-Home Health Care Services (8082)

akta.pro primary industry

Long-Term Care (LTC) & Skilled Nursing Facility Pharmacies (HLAFALAF)

akta.pro secondary industries

Prescription Pickup, Delivery & Refill Coordination (HSABALAC), Injectables & Specialty Medication Support (e.g., insulin, biologics) (HSABALAG), Mail-Order Pharmacy & Home Delivery (HLAEAKAF), Medication Reconciliation & Transitions-of-Care Pharmacy Services (HLAFALAK)

Keywords

• Long-term care pharmacy
• Pharmacy services
• Infusion pharmacy
• Assisted living pharmacy
• Medication management

Headquarters

HQ city

Chicago

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Supply Chain, Operations, Technology or R&D, Infrastructure, Marketing or Sales

Revenue model

1. Pharmacy Services to Healthcare Facilities: Forum provides pharmacy services to nursing facilities, assisted living communities, and DD/CILA facilities under contract. Services include medication management, delivery within 12-48 hours via licensed couriers, and clinical support. Revenue is generated through contracted B2B arrangements with healthcare providers.

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels5 records

Core offering

Forum Extended Care Services provides long-term care pharmacy services to nursing facilities, assisted living communities, DD/CILA facilities, and home-based care patients. Its portfolio includes LTC Pharmacy Services, ACHC-accredited Infusion Pharmacy Services with USP 797 sterile compounding, and the LTC@Home sub-brand for home-delivered medications, all unified by a Concierge Service™ model that assigns a dedicated representative to each client facility. Services include medication management, clinical support, regulatory compliance assistance, and delivery within 12–48 hours via licensed couriers.

Product overview

Forum Extended Care Services operates as a long-term care pharmacy provider offering an integrated suite of pharmacy services for extended care settings. The core portfolio includes Long-Term Care Pharmacy Services for nursing facilities, assisted living, and DD/CILA facilities; Infusion Pharmacy Services for sterile compounding; and LTC@Home for home-based care patients. These services are unified under the Concierge Service™ model providing one-call personalized support. The company also offers continuing education programs for healthcare professionals. The architecture is a single unified pharmacy service model with specialized sub-brands (LTC@Home) and add-on support services including survey assistance, business office support, and resident/family education.

Differentiator

Problem solved

Functional benefit

Brands

• Forum LTC@Home: Specialized long-term care pharmacy services provided to patients in the comfort and familiarity of their homes, launched through a merger with Willow Pharmacy.

Products and services

• Long-Term Care Pharmacy Services Comprehensive pharmacy services for nursing facilities, assisted living communities, and DD/CILA facilities, offering medication management with 99.9% accuracy and reliability, regulatory compliance support, and clinical outcomes optimization. Delivered under B2B contracts with 12–48 hour delivery via licensed couriers.
• Forum LTC@Home Specialized long-term care pharmacy services delivered to patients in their homes, providing tailored medication packaging, delivery, and personalized clinical support for care managers and patients. Born from Forum's merger with Willow Pharmacy.
• Infusion Pharmacy Services IV infusion services accredited by ACHC, demonstrating the highest level of quality in sterile compounding USP 797 clinical and business operations. Identified as a high-risk area requiring specialized pharmacy expertise.
• Concierge Service™ One-call-does-it-all personalized service model assigning dedicated concierge representatives to each client facility, providing streamlined communication, customized attention, and bundled delivery for facility staff and customers.

Quantifiable outcome

• 99.9% medication accuracy and reliability
• +1 more outcomes

Named customers4 records

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature2 records

Partnerships

16 partnerships are on record, tiered minor and core.

• AbbVieminorGTM or Marketing Partner · 4 June 2026Pharmaceutical sponsor of the 10th Annual Forum on Post-Acute, LTC & ALF symposium
• Acadia PharmaceuticalsminorGTM or Marketing Partner · 4 June 2026Pharmaceutical sponsor of the 10th Annual Forum symposium and CE program sponsor for Appropriateness of Drug Therapy course
• MedlineminorGTM or Marketing Partner · 4 June 2026Sponsor of the 10th Annual Forum symposium
• PfizerminorGTM or Marketing Partner · 4 June 2026Pharmaceutical sponsor of the 10th Annual Forum symposium
• Family Home HealthcoreStrategic or Co-development Partner · 4 June 2026Partner in hospice and long-term care collaboration. Family Home Health's Chief Clinical Officer Carol Sotir co-presented on hospice services in LTC settings at Forum's symposium.
• American Health Care Association (AHCA)coreOthers · 4 June 2026Professional membership organization for long-term care providers. Forum is a member supporting industry advocacy and standards.
• Embecta - BDminorGTM or Marketing Partner · 4 June 2026Medical device company sponsor of the 10th Annual Forum symposium
• Neurocrine BiosciencesminorGTM or Marketing Partner · 4 June 2026Pharmaceutical sponsor of the 10th Annual Forum symposium
• OtsukaminorGTM or Marketing Partner · 4 June 2026Pharmaceutical sponsor of the 10th Annual Forum symposium
• Teva PharmaceuticalsminorGTM or Marketing Partner · 4 June 2026Pharmaceutical sponsor of the 10th Annual Forum symposium
• UCBminorGTM or Marketing Partner · 4 June 2026Pharmaceutical sponsor of the 10th Annual Forum symposium
• Accreditation Commission on Health Care (ACHC)coreOthers · 1 January 2015Accrediting body that granted Forum dual accreditation in LTC Pharmacy and Sterile Compounding. ACHC is recognized by CMS as a deeming authority.
• Senior Care Pharmacy Coalition (SCPC)coreOthers · 1 January 2015Industry advocacy organization for senior care pharmacies. Forum is a Founding Member. Brian H. Kramer was elected Vice Chair.
• Illinois Association of Long-Term Care Pharmacy ProviderscoreOthers · 1 January 2015State-level industry association. Forum is a Founding Member.
• Illinois Health Care Association (IHCA)coreOthers · 1 January 2015State association for healthcare providers. Forum is an Associate Member.
• Leading Age IllinoisminorOthers · 1 January 2015Association for aging services providers. Forum is a Business Member.

Scale indicators2 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Guardian Pharmacy Services: One of the largest privately held LTC pharmacy networks in the US, serving assisted living, skilled nursing, and behavioral health facilities. Closely comparable to Forum in customer mix and B2B contract model, but with national scale across multiple states.
• Polaris Pharmacy Services: Regional LTC pharmacy serving skilled nursing facilities, assisted living communities, and behavioral health providers in the Northeast and Mid-Atlantic. Closely comparable to Forum in service mix and B2B contract model.
• Diamond Pharmacy Services: Independent LTC pharmacy serving nursing facilities, assisted living, and correctional institutions in Pennsylvania and surrounding states. Comparable to Forum as an independent LTC pharmacy with facility-focused dispensing and consulting services.
• A-S Medication Solutions (AlixaRx): Specialty LTC pharmacy providing medications, infusion, and clinical pharmacy services to skilled nursing and senior living facilities. Comparable to Forum in infusion pharmacy capability and LTC customer focus.
• HealthDirect Pharmacy Services: Regional LTC pharmacy group operating across multiple states, serving skilled nursing and assisted living facilities with dispensing, infusion, and consultant pharmacist services. Comparable to Forum in product offering and B2B customer model.
• ProCare LTC Pharmacy: Long-term care pharmacy providing medications, specialty packaging, and clinical services to nursing facilities and assisted living communities in the Midwest. Direct Midwest regional peer with overlapping customer base to Forum.

Broad incumbents

• PharMerica (KPH Health Services): National LTC and institutional pharmacy serving nursing facilities, hospitals, and senior living communities across the US. Comparable to Forum in core dispensing and clinical services, but operates at vastly greater scale and as part of a broader health services platform.
• Omnicare (CVS Health): Long-term care pharmacy division of CVS Health providing medications, infusion services, and clinical consulting to skilled nursing, assisted living, and other senior care settings. Comparable to Forum in product scope but backed by a national retail pharmacy and PBM.
• Walgreens LTC (formerly PharmScripts): Long-term care pharmacy division operated by Walgreens following the acquisition of PharmScripts, serving nursing facilities across the US. Comparable to Forum in core dispensing but operates within a national retail pharmacy platform.

Others

• Willow Pharmacy: Home-based long-term care pharmacy acquired by Forum in 2022 to create Forum LTC@Home. Pre-acquisition, served a directly comparable home-based LTC pharmacy customer base in the same Midwest geography.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/ForumExtendCare

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A1 record

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Forum Extended Care Services