Neil Medical Group

What Neil Medical Group does

Neil Medical Group, founded in 1984 and operating as a division under Principle Long-Term Care, Inc., is a privately-held long-term care pharmacy and medical supplies distributor serving healthcare facilities and senior living communities across the Southeastern United States (North Carolina, Virginia, Kentucky, South Carolina, and Georgia). The company employs 400+ staff across four pharmacy locations (Kinston, Mooresville, and Burlington NC; Louisville KY) and a centralized medical supplies distribution center in Kinston, NC, serving 800+ client relationships. Service offerings are organized around three core revenue streams: Pharmacy Services (recurring dispensing, 24/7 IV infusion with CRNI-certified specialists, clinical pharmacist consulting, formulary management, and therapeutic interchange), Medical Supplies (transactional distribution with a 98% fill rate and same-day shipping), and Part B Billing outsourcing (professional services with certified medical coders).

The company's technology stack centers on three proprietary platforms: Smart Pass (automated medication pouch delivery system designed to reduce drug waste and nursing administrative burden), Command (web-based purchasing and inventory management with per-resident cost tracking and billing integration), and Framework Vision (pharmacy operations management portal across all four dispensing locations). Integration with client EHRs is delivered through HL7-compliant bi-directional data exchange supported by a dedicated IT integration team, and client access is mediated through HIPAA-secure portals with single sign-on capability. ACHC accreditation validates compliance with national healthcare delivery standards, and the company maintains AMS-certified field sales coverage and FASCP-credentialed clinical pharmacists.

Revenue mechanics combine recurring pharmacy dispensing contracts with transactional medical supply sales and professional fee-for-service Part B billing, with no minimum order requirement on supplies and unit-level pricing. Go-to-market is primarily enterprise field sales augmented by self-service online portals, supported by an annual Educational Summit offering continuing education credit hours and an NMG Education Connections content platform. Customer segments span long-term care and post-acute care facilities (primary), assisted living facilities (primary), senior living communities (primary), and home health and home medical providers (secondary).

Name

Neil Medical Group

Legal name

Principle Long-Term Care, Inc.

Website

https://neilmedical.com

Company type

Private

Founded year

1984

Operating status

Operating

Headcount range

251–500 employees

Short description

Neil Medical Group is a privately-held long-term care pharmacy and medical supplies distributor serving 800+ healthcare facilities and senior living communities across the Southeastern United States, with four pharmacy locations and proprietary dispensing, inventory, and EHR integration platforms.

Ownership category

akta.pro rank

Product category

Long-Term Care Pharmacy Services

NAICS

Pharmacies and Drug Retailers (456110)

SIC

Wholesale-Drugs, Proprietaries & Druggists' Sundries (5122), Services-Health Services (8000)

akta.pro primary industry

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

akta.pro secondary industries

Injectables & Specialty Medication Support (e.g., insulin, biologics) (HSABALAG), Pharmacy Liaison & Prior Authorization/Insurance Coordination (HSABALAD), Medication Education, Counseling & Side-Effect Monitoring (HSABALAJ), Pharmacy Benefit/Channel Services (PSAO, 340B Admin, Chargebacks/Rebates Ops) (CRAOAHAK)

Keywords

• Long-term care pharmacy
• Medical supplies distribution
• Assisted living pharmacy
• Medicare Part B billing
• Senior care pharmacy services

Headquarters

HQ city

Kinston

HQ country

United States

HQ region

North America

Offices5 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Pharmacy Services: Pharmacy dispensing, IV infusion, consulting, and related services for long-term care, post-acute care, and assisted living providers. Includes clinical pharmacist consultations, therapeutic interchange, and formulary management.
2. Medical Supplies: Comprehensive medical supply portfolio including wound care, positioning/seating products, therapeutic surfaces, nutritional support, and ostomy/urological/tracheostomy supplies. 98% fill rate with same-day shipping and expedited delivery.
3. Part B Billing Services: Outsourced billing services for eligible patients including fee-for-service and full assignment arrangements. Certified medical coders and billing specialists ensure proper reimbursement and billing compliance.

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels5 records

Core offering

Neil Medical Group provides long-term care pharmacy services, medical supplies, and Medicare Part B billing support to long-term care, assisted living, and senior living communities across the Southeast United States from its base in Kinston, North Carolina. Its offering combines prescription dispensing, clinical pharmacy oversight, and back-office revenue cycle services for facility operators. The company also delivers proprietary pharmacy technology tools (HL7-compliant pharmacy system, Smart Pass, Command, and Framework Vision) to support medication management, operations, and reporting for its facility partners.

Product overview

Neil Medical Group operates as a healthcare services provider with an integrated platform of pharmacy services, medical supplies distribution, and billing solutions designed for long-term care, post-acute care, and assisted living facilities across the Southeast United States. The core product portfolio includes Long-Term Care Pharmacy Services featuring dispensing, IV therapy, and consulting; Smart Pass Automation Delivery System for medication management; and Medical Supplies with same-day shipping capabilities. Technology platforms include Command (inventory and purchasing management software), the Pharmacy Services Client Portal (for patient data and billing), and Framework Vision (facility reporting). NMG Education Connections provides regulatory and industry training resources, including an annual Educational Summit offering continuing education credits. The company also offers Part B Billing outsourcing and EHR Integration services through HL7-compliant systems.

Differentiator

Problem solved

Functional benefit

Brands

• Smart Pass: Automation Delivery System for medication dispensing that improves medication pass efficiency and ensures safety.
• COMMAND
• Framework Vision
• NMG Education Connections

Products and services

• Long-term care pharmacy services
• Medical supplies distribution Distribution of medical supplies to long-term care, assisted living, and senior living facility operators alongside prescription dispensing services.
• Medicare Part B billing services Back-office Medicare Part B billing and reimbursement support for long-term care and senior living operators, integrated with pharmacy and medical supply workflows.

Quantifiable outcome

• Average annual cost savings of $20,000 per mid-sized high-acuity skilled nursing facility through clinical interventions and formulary management
• +3 more outcomes

Named customers4 records

Segments5 records

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration3 records

Feature5 records

Scale indicators7 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Guardian Pharmacy Services: One of the largest US LTC and assisted living pharmacy providers, with a regional-partner model very similar to Neil Medical's clinical pharmacist, custom packaging, and facility-portal approach. Directly comparable in customer segment, service mix, and technology emphasis.
• Remedi SeniorCare: Regional and multi-state LTC pharmacy operator focused on long-term care, assisted living, and behavioral health populations. Directly comparable in target customer, dispensing model, and value-based clinical services.
• PharmScript: Specialty LTC pharmacy serving skilled nursing and assisted living facilities across multiple states. Closely comparable customer base, technology-forward dispensing model, and emphasis on consultant pharmacist services.
• Polaris Pharmacy Services: Long-term care and closed-door pharmacy provider serving SNFs, assisted living, and behavioral health. Direct peer based on customer mix, regional operating model, and clinical service offering.
• Synchrony Pharmacy: LTC pharmacy providing closed-door dispensing and consulting to skilled nursing and senior living communities. Similar vertical focus, technology-enabled dispensing, and clinical pharmacist engagement model to Neil Medical.

Broad incumbents

• PharMerica: National LTC and post-acute care pharmacy owned by BrightSpring, serving SNFs, assisted living, and home health. Competes with Neil Medical across the same end-markets and offers a similarly broad pharmacy-plus-supplies proposition, but at much larger scale.
• McKesson Medical-Surgical: Large medical-surgical and DME distributor serving the same long-term care and post-acute facilities Neil Medical supplies. Competitor on the medical supplies side of the business and a potential partner or threat given scale advantages.
• Medline Industries: Major manufacturer and distributor of medical supplies and DME to LTC, acute, and home health providers. Direct overlap with Neil Medical's wound care, ostomy, urological, and general medical supply portfolio.

Regional players

• Atlas Healthcare Pharmacy: Regional LTC pharmacy primarily serving the Mid-Atlantic/Southeast with SNF and assisted living clients. Comparable end-market and facility-level service model, with overlapping geographic footprint in the Carolinas and Virginia.

Emerging players

• ExactCare Pharmacy: Pharmacy focused on medication management for complex, chronic, and post-acute patients including LTC and home-bound populations. Comparable focus on adherence packaging, value-based outcomes, and EHR-integrated workflows.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/neil-medical-group
• Facebookfacebook.com/Neil-Medical-Group-105677241368773

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

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 Neil Medical Group