The Riverside Co. Sells HEALTHCAREfirst

Pamlico Capital has acquired HEALTHCAREfirst. Financial terms weren’t announced. The seller is The Riverside Company. HEALTHCAREfirst’s management also invested in the deal. Ozark, Mo.-based HEALTHCAREfirst provides technology services to home health care and hospice care agencies.


HEALTHCAREfirst, headquartered in Ozark, Missouri, announced today that Pamlico Capital has acquired the company from The Riverside Company. Members of management have re-invested in partnership with Pamlico Capital to complete the acquisition. Terms of the acquisition were not disclosed.

HEALTHCAREfirst is the leading technology and services company dedicated exclusively to serving Home Health Care and Hospice Care agencies. HEALTHCAREfirst had been owned by The Riverside Company and the company’s management since 2008. Bobby Robertson, CEO of HEALTHCAREfirst, and the current management team will retain a significant ownership position in the company and continue to lead its growth in partnership with Pamlico Capital going forward.

HEALTHCAREfirst is committed to becoming the most advanced web-based home health and hospice care software and services provider to help caregivers reduce desk time, increase care time, and discover the anywhere, anytime freedom that improves outcomes. The Company’s solutions provide critical patient information and management tools at the point of care. Product and service offerings include complete administrative, clinical, and financial technology solutions as well as revenue cycle services including outsourced billing and coding.

According to Mr. Robertson, the partnership with Pamlico will allow HEALTHCAREfirst to continue to build on its long history of success. “HEALTHCAREfirst is poised to expand through continued product innovation, development of new software and service solutions, expansion into new end markets, and the pursuit of complementary acquisitions. With its successful history investing in the healthcare IT sector, Pamlico recognized the company’s potential and is committed to providing us the financial support and strategic resources necessary to help execute our growth strategy.”

Pamlico Partner Art Roselle said, “We are excited about the opportunity to partner with Bobby Robertson and the team at HEALTHCAREfirst. The company is a clear leader that serves the large and growing home health and hospice markets with resilient underlying demand trends and a strong need to invest in software and automation. We will look to leverage the company’s proven affordable web-based software solutions and acquisition success to expand its position in existing and new markets.”

The Riverside Company Principal Jack Nestor said, “During our partnership with HEALTHCAREfirst, the company’s management team did a stellar job of enhancing the product capabilities and driving growth through acquisitions. The entire HEALTHCAREfirst management team, led by Bobby Robertson, deserves a great deal of credit for the company’s success.”

HEALTHCAREfirst and The Riverside Company were advised by Piper Jaffray & Co. (financial advisor) and Jones Day LLP (legal advisor). Pamlico was advised by Alston & Bird LLP (legal advisor).


HEALTHCAREfirst provides leading-edge, web-based solutions that improve business and clinical functions to over 1,200 home health care and hospice agencies across the United States. Based in Ozark, MO and one of the fastest growing providers of its kind, the company provides clients with agency management software, electronic medical record software, revenue cycle management software, business intelligence reporting and billing and coding services that enable caregivers to focus on patients instead of paperwork. For more information call 800.841.6095 or visit the company’s website at

About Pamlico Capital

Pamlico Capital is a private equity firm founded in 1988 that invests in growing middle market companies in the U.S. Pamlico Capital seeks control-oriented growth equity and buyout investments of up to $75 million alongside proven management teams in its target industries, business & technology services, communications, and healthcare. The firm, based in Charlotte, NC, currently manages over $2 billion in assets. For additional information, please visit

About The Riverside Company

The Riverside Company is a global private equity firm focused on acquiring growing businesses valued at up to $200 million (€200 million in Europe). Since its founding in 1988, Riverside has invested in more than 290 transactions. The firm’s international portfolio includes more than 75 companies, and it has more than $3 billion/€2.5 billion in assets under management. For additional information, please visit