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Evergreen Nephrology - Comprehensive Analysis Report

Summary

Evergreen Nephrology is a value-based care organization founded in 2021, dedicated to transforming kidney care in the United States. Its core mission is to empower individuals with kidney disease to live fulfilling lives by addressing their holistic well-being, encompassing emotional, spiritual, mental, and social aspects, beyond the disease itself. Evergreen Nephrology partners with nephrologists to deliver comprehensive, compassionate, and personalized support, aiming to break down barriers to care and connect patients with necessary resources. The company believes that nephrologists are best positioned to improve patient outcomes, slow disease progression, and enhance the quality of life for individuals with chronic kidney disease (CKD) and end-stage renal disease (ESRD), positioning itself as a significant innovator in the value-based kidney care industry.

1. Strategic Focus & Objectives

Core Objectives

Evergreen Nephrology's primary business objectives revolve around enhancing value-based care for kidney disease patients. These include:

Delaying Disease Progression: Implementing strategies and providing resources to slow the advancement of kidney disease.

Shifting Care to Home Setting: Facilitating and supporting the transition of kidney care delivery to patients' homes, promoting convenience and better lifestyle integration.

Facilitating Organ Transplants: Working to increase access to and success rates of organ transplants for eligible patients.

Empowering Nephrologists: Providing financial backing, advanced analytical insights, and interdisciplinary clinical resources to enable nephrologists to focus on clinical expertise and leadership.

Reducing Administrative Burdens: Utilizing technology to streamline administrative tasks, allowing nephrologists more time for direct patient care.

Specialization Areas

The company specializes in:

Value-Based Kidney Care: Focusing on outcomes-driven care models that reward quality and efficiency over volume.

Interdisciplinary Patient Support: Establishing comprehensive care teams comprising nurse care managers, care coordinators, social workers, dietitians, and pharmacists to address all aspects of a patient's health.

Technology-Enabled Care Management: Leveraging data-driven insights and smart technology to simplify kidney care management and improve care coordination.

Nephrologist Empowerment: Offering tools and support that reduce administrative burdens and enhance clinical decision-making.

Target Markets

Evergreen Nephrology's primary target market is individuals living with chronic kidney disease (CKD) and end-stage renal disease (ESRD) across the United States. They aim to partner with nephrologists and other healthcare providers who are committed to delivering value-based care. The company also intends to launch a Medicare Advantage Plan, indicating an expansion into the payer market.

2. Financial Overview

Funding History

Evergreen Nephrology has successfully raised a total of $130 million in funding over two rounds.

Latest Funding Round: The company closed its Series D funding round on either January 7, 2025, or January 16, 2025, securing $130 million.

Key Investors: This round was led by Rubicon Founders and Oak HC/FT, with additional participation from K2 HealthVentures and a group of existing investors.

Fund Utilization: The capital raised is earmarked to fuel Evergreen's growth, enabling its expansion into new regions and the implementation of advanced technologies.

Impact on Company Growth: These investments are intended to improve clinical outcomes, streamline care delivery, and ease administrative burdens on nephrologists, thereby directly contributing to the company's operational expansion and enhancement of its value-based care model.

Estimated Annual Revenue: The company's estimated annual revenue is approximately $7.5 million.

3. Product Pipeline

Key Products/Services

Evergreen Nephrology's primary 'product' is a comprehensive value-based kidney care model delivered through partnerships with nephrologists.

Value-Based Care Programs: These programs are designed to empower nephrologists with financial backing, analytical insights, and interdisciplinary clinical resources.

Description: Evergreen Nephrology focuses on enabling nephrologists to deliver exceptional value-based care. This involves a comprehensive approach that extends beyond clinical treatment to include emotional, spiritual, mental, and social aspects of patients' lives.

Development Stage: Fully operational and actively expanding partnerships and geographic reach.

Target Market/Condition: Patients with Chronic Kidney Disease (CKD) and End-Stage Renal Disease (ESRD).

Expected Timeline: Ongoing implementation and continuous improvement, with plans for regional expansion.

Key Features and Benefits:

Interdisciplinary Care Teams: Composed of nurse care managers, care coordinators, social workers, dietitians, and pharmacists.

Reduced Administrative Burden for Nephrologists: Through the use of advanced technologies and support services.

Data-Driven Insights: Utilizing predictive analytics for patient stratification and targeted interventions.

Focus on Home Dialysis and Transplant Facilitation: Aims to improve patient outcomes and quality of life.

Holistic Patient Support: Addressing the "whole person" beyond disease management.

4. Technology & Innovation

Technology Stack

Evergreen Nephrology uses a robust technology stack to support its operations and care delivery.

Core Platforms and Technologies:

Salesforce: Used for scalable digital solutions, likely customer relationship management and operational workflows.

Google Analytics: Employed for web analytics and understanding digital user engagement.

Microsoft 365: Leveraged for productivity suites and collaborative tools.

Innovaccer Partnership: Integrates clinical, claims, utilization, and other data across various EHRs and IT systems used by provider and payer partners. This creates longitudinal patient records, which power advanced analytics.

Proprietary Developments:

AI-driven Insights: Utilized to identify and stratify patients needing intervention, drive digital outreach, and streamline care management. This also aims to simplify information sharing and improve care coordination.

Scientific Methodologies:

Data-driven Insights: Employs analytics to simplify kidney care management and empower nephrologists by providing actionable insights.

"CKD 3-Plus" Category: Introduced this category in a landmark study published in The American Journal of Managed Care, aiming to redefine chronic kidney disease management.

Technical Capabilities:

Data Integration: Ability to integrate diverse data sources (clinical, claims, utilization) from multiple EHRs.

Advanced Analytics: Capabilities for predictive modeling and patient stratification.

Digital Outreach and Engagement: Tools for targeted patient communication.

Streamlined Care Management: Technologies designed to optimize workflows and reduce administrative tasks.

5. Leadership & Management

Executive Team

John Donlan: Chief Executive Officer (appointed October 22, 2024).

Adam Boehler: Co-Founder and Executive Chairman. He drove efforts at the Centers for Medicare & Medicaid Services (CMS) Innovation Center (CMMI) and the Department of Health and Human Services (HHS) to introduce kidney care models that empower nephrologists.

Matt Kim: Co-Founder and Partner at Rubicon Founders.

Heather Trafton: President.

Philip Cooksey: Chief Financial Officer (appointed February 29, 2024). He has experience in financial operations leadership for healthcare and insurance services at Humana, and a background in Investment Banking with Goldman Sachs and Lazard.

Dr. Tim Pflederer, MD: Chief Medical Officer (appointed April 1, 2024). Dr. Pflederer previously served as president of Renal Care Associates in Peoria, Illinois for 30 years and is the Immediate Past President of the Renal Physicians Association (RPA). He is board certified in nephrology, focusing on general and interventional nephrology.

Stanley Crittenden M.D., Fasn, Chs: Chief Medical Officer. Dr. Crittenden noted that partnering with Innovaccer would help improve kidney disease management by ensuring resources reach those most in need.

Austin Campbell: Senior Vice President, Strategic Operations.

Hannah Robb: VP Practice Transformation & Decision Support.

June Choong: Vice President, Finance.

Parin Patel: Senior Vice President of Growth.

Ron Margalit: CIO.

Scott Lloyd: Chief Development & Strategy Officer.

Tiffany Watts: Chief Operating Officer.

Dr. Ashish Soni, MD: President of the Evergreen Physicians Leadership Council (EPLC). Dr. Soni is board certified in both Nephrology and Internal Medicine and is a Hypertension Specialist, having served as president of Nephrology Associates in Nashville, TN since 2016.

Dr. Jeff Glaze, MD: President of the EPLC.

Recent Leadership Changes

Evergreen Nephrology has made several strategic leadership appointments recently:

John Donlan was appointed Chief Executive Officer on October 22, 2024.

Philip Cooksey was appointed Chief Financial Officer on February 29, 2024.

Dr. Tim Pflederer assumed the role of Chief Medical Officer on April 1, 2024.

David Young was added to the company's board of directors on July 23, 2024. These changes aim to strengthen the company's leadership team as it continues its expansion and development in the value-based kidney care market.

6. Talent and Growth Indicators

Hiring Trends and Workforce

Evergreen Nephrology currently has an estimated employee count between 201-500. Despite an indicated -2% change in employee count over the past year by some sources, job postings suggest ongoing recruitment efforts.

Key Roles Being Recruited: Open positions include roles in Business Operations, Executive Assistant, VP of Population Health Operations, Director of Research Operations, Revenue Cycle Manager, Medical Assistant, and Clinical Documentation Improvement Partner.

Hiring Focus: These roles indicate an expansion in both clinical and strategic support functions, reflecting the company's growth and emphasis on scaling its value-based care model. They actively recruit for both Care Teams (nurse care managers, social workers, dietitians, care coordinators) and Support and Strategy teams (operations, technology, finance, patient engagement).

Company Growth Trajectory Indicators: The continued hiring in diverse roles suggests a trajectory of expansion.

Employee Sentiment and Culture Insights: The company's careers page describes a mission-driven team culture that combines startup energy with deep care for patients and partners. They offer benefits such as generous paid time off, full health benefits, and a 401(k) match.

7. Social Media Presence and Engagement

Digital Footprint

Evergreen Nephrology maintains an active digital footprint, primarily through professional social media channels.

Social Media Activity: Active on LinkedIn, and also lists Twitter and Facebook on its profiles.

Brand Messaging and Positioning: Their messaging consistently emphasizes empowering nephrologists, patient-centered care, and the transformation of kidney care through a value-based model.

Community Engagement Strategies: Content often highlights milestones in kidney care quality and promotes their interdisciplinary care team model. They share press releases, news articles, and organizational updates.

8. Recognition and Awards

Industry Recognition

Evergreen Nephrology has garnered recognition through significant achievements and strategic initiatives.

Notable Achievements and Milestones:

The introduction of the "CKD 3-Plus" category in a landmark study published in The American Journal of Managed Care, which aims to redefine chronic kidney disease management, signifies innovation in the field.

Securing a substantial Series D funding round from prominent investors like Rubicon Founders and Oak HC/FT demonstrates strong investor confidence in their model and potential.

9. Competitive Analysis

Major Competitors

The nephrology care market is dynamic and competitive, with several key players.

DaVita:

Company Overview: A large healthcare provider focused on transforming care delivery for kidney patients, operating numerous outpatient dialysis centers globally.

Focus Areas: Integrated kidney care, home dialysis, and kidney transplant support.

Technological Capabilities: Utilizes technology like DaVita Care Connect® for home treatment data and communication.

Notable Achievements: Recognized for reducing hospitalizations and improving mortality rates.

Fresenius Medical Care:

Company Overview: A global leader in products and services for individuals with renal diseases, operating many dialysis clinics worldwide.

Focus Areas: Offers products like dialysis machines and pharmaceuticals, focuses on holistic care approaches and advanced renal education programs, and has expanded into care coordination and value-based care.

Technological Capabilities: Provides innovative products for dialysis treatment.

Somatus:

Company Overview: A leading value-based care company focused on kidney and cardiovascular health management.

Focus Areas: Partners with health plans, health systems, and provider groups, leveraging local care teams, predictive analytics, and advanced technology to delay disease progression and improve quality of life.

Notable Achievements: Achieved significant reductions in mortality rates and holds NCQA Accreditation for Health Equity.

Strive Health:

Company Overview: A value-based kidney care company that partners with payers, health systems, and nephrologists to provide at-home and virtual support for kidney disease, dialysis, and transplant.

Focus Areas: Utilizes technology and AI to identify disease stages and interventions, connecting patients with interdisciplinary care teams.

Healthmap Solutions:

Company Overview: A kidney population health management company that uses advanced technology, predictive analytics, and clinical expertise for early# Evergreen Nephrology - Comprehensive Analysis Report