Axium Healthcare

About The Company

Axium Healthcare Pharmacy, Inc. is a leading independent specialty pharmacy that provides comprehensive disease-management programs to meet the needs of patients with rare or chronic conditions.

Situation Overview

In December 2006, Carousel Capital partnered with management to buy out the founder and 90+% shareholder, enabling the remaining team to increase ownership through rollover equity and a stock option plan.

Value Creation Initiatives

  • Acquired Puerto Rico-based pharmacy and grew its revenues substantially
  • Increased revenues by approximately 5x primarily through organic growth
  • Invested in clinical and operational infrastructure, facilitating transition to managed care-focused business
  • Implemented enterprise-level IT system and launched proprietary web portals
  • Experienced dramatic growth in contracted managed care revenue
  • Focused on scale and differentiated service capabilities to enhance strategic value


  • Kroger acquired Axium in December 2012 to form a specialty pharmacy platform
  • Axium’s management team remains in leadership roles to execute the company’s growth plan
Location: Lake Mary, Florida
Year of Investment: 2006
Status: Exited 2012
CEO: Mark Montgomery
Fund: III