Florence

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.

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

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

• Value-based care services
• Accountable care organization
• Medicare shared savings program
• Primary care practice enablement
• Practice-isolated ACO model

Headquarters

HQ city

Chico

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. 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

Go-to-market motion1 record

Distribution channels1 record

Marketing channels3 records

Core 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

Named customers1 record

Segments5 records

Ideal customer profiles5 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Scale indicators5 records

Recent moves6 records

Expansion highlights4 records

Direct 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

• Facebookfacebook.com/hiflorencehealth
• LinkedInlinkedin.com/company/florencewellness

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds

Investors

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

M&A

Investments

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

Frequently asked questions about Florence