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2023 Annual Impact Report

Despite outspending other high-income nations on healthcare, the United States lags behind in critical health indicators, with overall satisfaction in the healthcare system remaining notably low. The high cost of healthcare in the U.S. continues to weigh heavily on American families, forcing many to postpone essential medical care and even forego necessary prescriptions. Those able to afford the high cost of care too often face long wait times, confusing and bureaucratic systems, disappointing patient experiences, and, at times, low-quality care*.

As a longstanding investor in the lower middle market, HCAP Partners recognizes many opportunities to invest in healthcare and technology companies that are providing products or services that expand access to care, improve quality of care, and reduce cost of care—addressing the shortcomings of the U.S. healthcare system. Healthcare companies provide an important opportunity to advance health, well-being, and quality jobs through HCAP’s value creation activities, particularly through the Gainful Jobs Approach™.

For many in the healthcare sector, jobs come with insufficient pay, few benefits, and considerable on-the-job pressures. Healthcare organizations identify workforce as one of their top business challenges, with many struggling with recruitment and retention amidst record-low morale and heightened burnout rates following the COVID-19 crisis. The healthcare industry faces an escalating workforce shortage with the rise in demand for services from aging baby boomers coupled with limited interest in healthcare careers**.

Message from the Team

HCAP believes that by investing in healthcare companies and their team members, we can deliver solutions that address the wide range of challenges that persist in U.S. healthcare, especially for underserved populations and overlooked communities. Together, we can effectively drive business results and improve health outcomes.

Given that healthcare-related organizations now comprise the majority of HCAP’s portfolio, we have sharpened our focus on these investments and are featuring this sector prominently in this year’s report. We are pleased to highlight our healthcare impact thesis that guides our focus on this sector, recognize our healthcare operating advisors who help support value creation, and profile portfolio company Apprio and Chairman and CEO, Darryl Britt. In addition, we highlight how we are utilizing the Worthwhile Jobs Survey™ developed by Ellen Frank Miller and WORC to further capture workers’ perspectives with the Gainful Jobs Approach™, the introduction of portfolio company exit interviews to gather important feedback and lessons learned, and an updated methodology to more accurately measure the number of quality jobs through the Gainful Jobs Approach™.

We are grateful for your ongoing support as we work collaboratively with our healthcare portfolio companies to provide quality jobs and deliver products and services that advance health and wellbeing in the U.S.

* Americans’ Challenges with Health Care Costs. KFF

** The Shortage of Healthcare Workers in the U.S. Duquesne University School of Nursing Economic Innovation Group

Despite outspending other high-income nations on healthcare, the United States lags behind in critical health indicators, with overall satisfaction in the healthcare system remaining notably low. The high cost of healthcare in the U.S. continues to weigh heavily on American families, forcing many to postpone essential medical care and even forego necessary prescriptions. Those able to afford the high cost of care too often face long wait times, confusing and bureaucratic systems, disappointing patient experiences, and, at times, low-quality care*.

As a longstanding investor in the lower middle market, HCAP Partners recognizes many opportunities to invest in healthcare and technology companies that are providing products or services that expand access to care, improve quality of care, and reduce cost of care—addressing the shortcomings of the U.S. healthcare system. Healthcare companies provide an important opportunity to advance health, well-being, and quality jobs through HCAP’s value creation activities, particularly through the Gainful Jobs Approach™.

For many in the healthcare sector, jobs come with insufficient pay, few benefits, and considerable on-the-job pressures. Healthcare organizations identify workforce as one of their top business challenges, with many struggling with recruitment and retention amidst record-low morale and heightened burnout rates following the COVID-19 crisis. The healthcare industry faces an escalating workforce shortage with the rise in demand for services from aging baby boomers coupled with limited interest in healthcare careers**.

HCAP believes that by investing in healthcare companies and their team members, we can deliver solutions that address the wide range of challenges that persist in U.S. healthcare, especially for underserved populations and overlooked communities. Together, we can effectively drive business results and improve health outcomes.

Given that healthcare-related organizations now comprise the majority of HCAP’s portfolio, we have sharpened our focus on these investments and are featuring this sector prominently in this year’s report. We are pleased to highlight our healthcare impact thesis that guides our focus on this sector, recognize our healthcare operating advisors who help support value creation, and profile portfolio company Apprio and Chairman and CEO, Darryl Britt. In addition, we highlight how we are utilizing the Worthwhile Jobs Survey™ developed by Ellen Frank Miller and WORC to further capture workers’ perspectives with the Gainful Jobs Approach™, the introduction of portfolio company exit interviews to gather important feedback and lessons learned, and an updated methodology to more accurately measure the number of quality jobs through the Gainful Jobs Approach™.

We are grateful for your ongoing support as we work collaboratively with our healthcare portfolio companies to provide quality jobs and deliver products and services that advance health and wellbeing in the U.S.

Message from the Team

* Americans’ Challenges with Health Care Costs. KFF

** The Shortage of Healthcare Workers in the U.S. Duquesne University School of Nursing Economic Innovation Group

From left to right: Ben Consoli, Christopher Fallone, Jessica Kim, Tim Bubnack, Frank Mora, Brandy Esquibel, Tom Woelfel, Peter Andersen, Chenjing Wang, Stefan Okhuysen, Hope Mago, Jennifer Neivert

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