Expansion · Upper Midwest

Northern lights,
heading north.

A vascular access model proven over a decade in Indianapolis, now launching where the need is sharpest — hospital systems in North Dakota and northern Minnesota.

The thesis

Durability first. Then geography.

We didn't start with a growth story — we started with eleven years of audited operations, multi-year hospital contracts, and a published quality record. Expansion is that same model, transplanted to markets where dedicated vascular access coverage is hardest to staff.

Why these markets

Smaller metros and regional health systems face the steepest recruiting challenges for specialized inserters, and the economics are unforgiving: 46% of rural hospitals operate at negative margins and 432 are vulnerable to closure (Chartis Center for Rural Health, 2025). A dedicated, vendor-supplied, per-procedure service is the only economically rational way for these facilities to get specialist-level vascular access — no FTE, no capital, no recruiting bet.

What arrives on day one

The full Indianapolis playbook: credentialed specialists, vendor-provided supply chain, imaging confirmation on every placement, per-procedure billing, and 24/7 coverage — with quality reporting from the first quarter.

Target geography

Where we're headed.

Indiana — Home base

Continuous hospital service in central Indiana since 2015. The proving ground for the model, and still growing.

North Dakota

Grand Forks and surrounding regional systems — communities where specialized vascular access coverage is scarce and travel-staffing economics don't pencil.

Northern Minnesota

Duluth and the northern corridor — regional health systems balancing growing infusion demand against a tight clinical labor market.

For health system leadership

What a launch conversation looks like.

1Fit assessment — your line volume, current coverage model, and pain points. Thirty minutes, usually one call.
2Reference terms — pricing, coverage windows, and contract structure drawn from a decade of working agreements.
3Credentialing & start — a practiced onboarding path from signature to first confirmed placement. The full sequence is on the How It Works page.

What launch-market patients are facing now

When a regional facility can't place a line, the patient waits, gets repeated failed sticks, or gets transferred — and a transfer is lost revenue, transport cost, and a family driving hours. Keeping vascular access local keeps therapy, revenue, and patients where they belong.

Founding-partner advantage

The first facilities in each launch market shape the coverage model around their needs — coverage windows, ordering workflow, and reporting are built with the founding partners, not retrofitted. Early conversations get first priority in the launch sequence.

Leading a facility in the Upper Midwest?

We're scheduling launch-market conversations now.

Get in early