Florence
Florence Health operates a practice-isolated ACO for independent primary care practices and FQHCs, using its Nightingale Platform to deliver Enhanced MSSP participation, individual performance measurement, and monthly in-year advances instead of delayed shared savings.
- Company typePrivate
- Founded2023
- HeadquartersChico, United States
- Headcount51–100
- GTM typeB2B
- OfferingServices
What Florence does
Florence Health Services is a privately held, Arlington, Virginia-based company operating a curated, practice-isolated Accountable Care Organization (ACO) targeting independent primary care physician practices and Federally Qualified Health Centers (FQHCs). Founded in 2023, Florence participates in the Enhanced Medicare Shared Savings Program (MSSP) track, enabling its practice partners to retain existing Medicare fee-for-service revenue while earning additional shared savings distributions. Its core proposition addresses three structural pain points in traditional ACOs — opaque performance measurement, pooled dilution of strong results by underperforming practices, and 9–22 month delays in shared savings payments — by measuring each practice on its own results and delivering monthly in-year advances for cash flow predictability.
The company operates the Nightingale Platform as its underlying technology backbone, paired with the Florence Success Model — a structured monthly execution layer that includes performance reviews, care gap identification, risk stratification, clinical documentation support, patient access and care coordination, and provider-level financial reporting by NPI. Reported Performance Year 2024 and 2025 outcomes include a 16% ACO savings rate, $1,100 average distribution per attributed beneficiary, savings 3–4x the national comparable ACO average, and 100% provider retention among practices invited for renewal.
Commercially, Florence is sales-led with a selective onboarding process (2–4 weeks, 4–6 hours of practice time) and offers three flexible payment structures — Enhanced FFS, FFS + Flat Visit Fee, and FFS + PMPM — priced via custom offer rather than public list. Customer segments include independent primary care practices (primary), FQHCs, large or multi-site groups, IPAs/provider networks, and hospital/health systems. The company maintains 51–100 employees, is HIPAA-compliant, and is led by Founder & CEO Jake Halpert. No external funding rounds, M&A activity, or revenue disclosures are present in the available data.
Florence firmographics
Firmographics- Name
- Florence
- Legal name
- Florence Health Services
- Website
- https://florencehealth.com
- Company type
- Private
- Founded year
- 2023
- Operating status
- Operating
- Headcount range
- 51–100 employees
- Short description
- Florence Health operates a practice-isolated ACO for independent primary care practices and FQHCs, using its Nightingale Platform to deliver Enhanced MSSP participation, individual performance measurement, and monthly in-year advances instead of delayed shared savings.
- Ownership category
- akta.pro rank
Florence industry classification
Industry- Product category
- Accountable Care Organization (ACO) Services
- NAICS
- Other Insurance Funds (525190), Health and Welfare Funds (52512), Insurance and Employee Benefit Funds (5251)
- SIC
- Hospital & Medical Service Plans (6324), Accident & Health Insurance (6321), Services-Misc Health & Allied Services, Nec (8090)
- akta.pro primary industry
- Cost of Care, Spend Analytics & Financial Performance Management (HLACAHAJ)
- akta.pro secondary industries
- Medicare Quality, Risk Adjustment & Stars Analytics/Services (FSAIAGAJ), Clinical & Claims Data Integration for Population Health (payer-provider data fusion) (HLACAHAI), Medicare Member Engagement & Care Management (Utilization, Case/Disease Mgmt) (FSAIAGAL)
Keywords
Where Florence is headquartered
LocationHeadquarters
- HQ city
- Chico
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Florence business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Marketing or Sales, Technology or R&D, Infrastructure
Revenue model
- Medicare Shared Savings Program (MSSP) Participation: Florence participates in the Enhanced MSSP track to maximize shared savings potential, creating a larger savings pool while maintaining disciplined risk management. Practices keep existing Medicare FFS revenue and receive additional shared savings based on individual performance.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | Enhanced FFS Option |
| Subscription | Monthly | FFS + Flat Visit Fee |
| Subscription | Monthly | FFS + PMPM |
Go-to-market motion1 record
Distribution channels1 record
Marketing channels3 records
Florence product offering
Product offeringCore offering
Florence Health is a curated, practice-isolated Accountable Care Organization (ACO) that enrolls independent primary care physicians and Federally Qualified Health Centers (FQHCs) in the Enhanced Medicare Shared Savings Program (MSSP) track. Each participating practice is measured and rewarded on its own clinical and financial performance — not pooled against a larger network — through Florence's proprietary Nightingale Platform and the Florence Success Model, which delivers monthly performance reviews, care gap identification, risk stratification, clinical documentation support, and provider-level reporting. Practices retain their underlying Medicare fee-for-service revenue and receive in-year cash flow advances plus year-end shared-savings distributions, supported by payment structures offered as Enhanced FFS, FFS plus a flat visit fee, or FFS plus PMPM.
Product overview
Florence Health is a curated Accountable Care Organization (ACO) built for independent primary care practices and FQHCs. The company offers a practice-isolated performance measurement model through its technology platform called Nightingale, enabling practices to be measured on their own results rather than pooled across larger networks. The core offering includes Enhanced MSSP Medicare ACO Track participation with in-year advances and shared savings distributions. The Florence Success Model provides structured monthly execution support including performance reviews, care gap identification, and provider-level reporting. The company was founded in 2023 and maintains 100% provider retention among practices invited for renewal.
Differentiator
Problem solved
Functional benefit
Products and services
- Florence Health ACO Platform A practice-isolated Accountable Care Organization (ACO) platform enabling independent primary care physicians and FQHCs to participate in the Enhanced MSSP Medicare ACO Track. Each practice is individually measured and rewarded for its own results rather than pooled across a larger network; practices receive in-year cash flow advances plus year-end shared-savings distributions and retain full clinical independence. Reported outcomes include a 16% ACO Savings Rate in PY24 and PY25.
- Florence Success Model Hands-on execution support service for participating ACO practices, delivered as a structured monthly model: monthly performance reviews, care gap identification, risk stratification, clinical documentation support, patient access and care coordination, and provider-level financial reporting by NPI. Designed to provide active partnership rather than passive dashboards, and to drive the execution that determines ACO results.
Quantifiable outcome
- 4× better savings compared to comparable ACOs
- +3 more outcomes
Companies that use Florence
Customer profileNamed customers1 record
Segments5 records
Ideal customer profiles5 records
Florence technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature4 records
Florence partnerships and signals
Strategic signalScale indicators5 records
Recent moves6 records
Expansion highlights4 records
Florence competitors and assessment
Company assessmentDirect peers
- Aledade: Largest independent primary care ACO platform in the U.S., running MSSP and ACO REACH networks. Most direct competitor to Florence: same customer (independent PCPs and FQHCs), same MSSP vehicle, but uses a network-pooled rather than practice-isolated measurement approach.
- Pearl Health: Value-based care enablement platform for independent primary care physicians participating in MSSP and ACO REACH. Directly competes for the same high-performing independent PCP segment Florence targets, with technology-led performance support.
Broad incumbents
- Agilon Health: Public value-based care platform partnering with primary care physicians across multiple geographies under full-risk and MSSP arrangements. A much larger, scaled incumbent whose partnership model overlaps Florence's independent-PCP focus but operates at greater scale and capital intensity.
- Privia Health: Public medical group and physician enablement company operating ACOs and value-based care arrangements across multiple states. Comparable in serving independent and employed physicians with value-based contracts, but with broader geographic and service-line footprint.
- Astrana Health (formerly Apollo Medical Holdings): Value-based, risk-bearing healthcare organization managing independent physician associations and ACOs across multiple states. Comparable to Florence in operating ACOs for affiliated primary care providers, but with substantially larger scale and full-risk capabilities.
- Evolent Health: Public value-based specialty care and ACO enablement company serving payers and providers. Comparable as a value-based care operating partner, though Evolent's portfolio spans specialty care, oncology, and cardiology in addition to primary care ACOs.
- VillageMD (Walgreens Boots Alliance): Primary care platform operating value-based clinics and ACO support for affiliated providers. Comparable as a primary-care value-based care operator, but capital-backed by Walgreens and operates primarily owned-clinic rather than independent-practice models.
- Oak Street Health (CVS Health): Value-based primary care provider focused on Medicare beneficiaries, now part of CVS Health. Comparable in targeting Medicare population with value-based care arrangements, but operates owned clinics rather than partnering with independent practices.
- Cano Health: Value-based primary care provider serving Medicare and ACA populations. Comparable in operating value-based care arrangements for Medicare patients, though Cano's owned-clinic model differs from Florence's independent-practice ACO structure.
Others
- Castellan (Intermountain Healthcare value-based services): Value-based care enablement and ACO/REACH operating partner affiliated with a major health system. Adjacent peer offering ACO infrastructure and population-health capabilities that overlap with the operational tooling Florence provides to independent practices.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights6 records
Customer concentration
Florence social profiles
Digital presenceFlorence compliance and trust
Trust signalCompliance1 record
Florence financial estimates
Financial estimateRevenue estimate
Valuation estimate
Florence leadership team
Management profileNumber of profiles
Profiles1 record
Florence funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Florence M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Florence
What does Florence do?
Florence Health is a curated, practice-isolated Accountable Care Organization (ACO) that enrolls independent primary care physicians and Federally Qualified Health Centers (FQHCs) in the Enhanced Medicare Shared Savings Program (MSSP) track. Each participating practice is measured and rewarded on its own clinical and financial performance — not pooled against a larger network — through Florence's proprietary Nightingale Platform and the Florence Success Model, which delivers monthly performance reviews, care gap identification, risk stratification, clinical documentation support, and provider-level reporting. Practices retain their underlying Medicare fee-for-service revenue and receive in-year cash flow advances plus year-end shared-savings distributions, supported by payment structures offered as Enhanced FFS, FFS plus a flat visit fee, or FFS plus PMPM.
Is Florence a public or private company?
Florence is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was Florence founded?
Florence was founded in 2023. It employs 51 to 100 people.
Where is Florence based?
Florence is headquartered in Chico, United States, in the North America region.
How does Florence make money?
One revenue line is on record: medicare Shared Savings Program (MSSP) Participation.
Who are Florence's main competitors?
Direct peers on record are Aledade and Pearl Health. Broad incumbents are Agilon Health, Privia Health, Astrana Health (formerly Apollo Medical Holdings), Evolent Health, VillageMD (Walgreens Boots Alliance), Oak Street Health (CVS Health) and Cano Health. Castellan (Intermountain Healthcare value-based services) is listed as an others.
Does Florence have an API?
No public API is recorded for Florence.
What industry is Florence in?
Florence's product category is Accountable Care Organization (ACO) Services. Its primary akta.pro industry code is HLACAHAJ, Cost of Care, Spend Analytics & Financial Performance Management, with a secondary code of FSAIAGAJ, Medicare Quality, Risk Adjustment & Stars Analytics/Services. Its NAICS code is 525190 and its SIC code is 6324.