Q2 2026 · Quarterly Issue

The Current°

What’s moving Longitude forward

Letter from the CEO

America at 250 — what James Madison can teach us about fixing healthcare today.

As the country marks 250 years of American independence — I've found myself returning to one of the founding documents that shaped how our country works: James Madison's Federalist Paper No. 10.

Vishal Agrawal, Chief Executive Officer, Longitude Health.

It's not the document people usually think of when talking about healthcare. But the core challenge James Madison was wrestling with in 1787 – 11 years after the newly independent United States transitioned from a revolutionary coalition into a struggling confederation – is strikingly similar to the one we're solving at Longitude Health today.

Madison’s challenge: how do you govern a nation made up of competing factions — regional interests, economic interests, local power centers — without either letting them tear the country apart, or crushing the liberty that lets them exist in the first place? His answer wasn't to eliminate faction. It was to build a structure big enough — an "extended republic" — that no single faction could dominate, and that channeled competing interests into something more stable and productive than any one of them could achieve alone.

Healthcare in this country has a faction problem of its own. Health systems, payors, and vendor point solutions all operating in silos, each optimizing their own slice of the system, often at the expense of the whole. The result is the fragmentation patients and providers feel every day — in access to care, in administrative processes, in care coordination, and in healthcare financing. Longitude Health was created because a group of leading health systems – Memorial Hermann Health System, Baylor Scott & White Health, Providence Health, Novant Health and Michigan Medicine – decided the answer isn't to wait for someone else to fix this from outside. It is to do what Madison argued an extended republic could do: bring enough shared purpose together that the system's fragmentation could be governed, not just endured – in service of its communities.

Building shared infrastructure and industry-wide utilities – such as specialty pharmacy market access, national clinical trials site management, cell and gene therapy network of excellence, and agentic enterprise infrastructure solutions – isn't about erasing health system independence. It's about giving health systems a foundation to stand on that is built better, faster, and more economically together.

Madison’s lesson still holds: scale and shared structure, built with purposeful intention, can turn fragmentation into strength. That's the bet our founders and Constitutional framers made to create the United States of America. It’s time to do the same for American healthcare.

Happy 4th of July!

Vishal Agrawal, MD

Chief Executive Officer, Longitude Health

This quarter in numbers

Counts for Q2 2026, as of September 23, 2026

Feature
  • Scaling specialty pharmacy: Longitude Rx accelerates its market presence.

    Longitude Rx continues to strengthen its position as a specialty pharmacy partner of choice for health systems, with its growing market presence on display at the Healthcare Autonomy Conference, Context 2026. The event drew a national audience of healthcare leaders and highlighted innovation, execution, and new models for advancing care delivery across health systems.

    Reflecting Longitude Rx’s growing market momentum and thought leadership in specialty pharmacy, CEO Jigar Thakkar was invited to lead a featured session at the June 23, 2026 Healthcare Autonomy Conference, Context 2026, titled “Scaling Specialty Pharmacy: Growth, Access & AI.” He was joined by JC Lovelace, Chief Pharmacy Officer at Onvida; Binita Patel, Chief Pharmacy Officer at Memorial Hermann Health System; and Samaneh Wilkinson, AVP of Specialty Pharmacy at Ascension. Together, they brought practical, real-world insight into how health systems can scale specialty pharmacy to advance both patient outcomes and enterprise strategy.

    The discussion made specialty pharmacy’s strategic importance tangible by linking day-to-day operational complexity with the broader shifts underway across healthcare. As health systems look for new growth opportunities, expand patient access, and seek more sustainable ways to manage complex therapies, specialty pharmacy is increasingly emerging as a core strategic priority.

    For Longitude Rx, the session marked another important step in validating its model and reinforcing its market trajectory. Sharing the stage with leaders from prominent health systems underscored that Longitude Rx is being built in close collaboration with organizations navigating this complexity every day. That point came through especially clearly when Onvida’s Chief Pharmacy Officer, JC Lovelace, highlighted the work underway with Longitude Rx, offering a real-world endorsement of the partnership and its early impact.

    Featuring leaders from Onvida, Memorial Hermann Health System, Ascension, and Longitude Rx on the same panel sent a strong signal: health systems with different markets, structures, and operating models are aligned around the need to scale specialty pharmacy in ways that improve access and adherence while strengthening long-term sustainability.

    For C-suite and pharmacy leaders attending Context 2026, the takeaway was clear: the future of specialty pharmacy will be shaped by partnerships that combine health system expertise with purpose-built technology and services, and Longitude Rx is helping lead that transformation.

    “The work we’re doing with Longitude Rx is already demonstrating how a focused specialty pharmacy partner can help health systems improve access, streamline operations, and support long-term sustainability.”

    — JC Lovelace, Chief Pharmacy Officer, Onvida

Health systems with different markets, structures and priorities are aligning behind one specialty pharmacy strategy.
Longitude Rx at Context 2026
Utilities and investment
  • Building healthcare’s shared infrastructure: update on our investment strategy.

    Building Healthcare’s Shared Infrastructure: Update on Longitude Health’s Investment Strategy Longitude Health progressed its Long-Term Investment Strategy in the second quarter of 2026 with three new utilities advancing to a proof-of-concept stage:

    Longitude FX (AI Powered Revenue Cycle and Shared Services) – Building an enterprise shared services and operational enablement platform designed to help health systems reduce administrative friction, improve scalability, and enhance workforce efficiency. Initial areas of focus include intelligent contact center capabilities and revenue solutions. Members and customers can benefit from shared learning, stronger vendor purchasing power, and scaled technology infrastructure.

    Longitude CTS (Clinical Trial Services) – Expanding health system participation in clinical research by improving access, infrastructure, and operational support for clinical trials. The initiative aims to help members broaden patient access to innovative therapies while strengthening research capabilities and diversifying revenue opportunities. Health systems can collectively reach representative populations nationally that existing site networks currently cannot access.

    Longitude Rx

    Longitude CGT (Cell and Gene Therapy) – Helping health systems prepare for and participate in the rapidly evolving cell and gene therapy market by building a tech platform and managed services suite to enable greater patient access. This utility is intended to streamline patient access and care coordination while addressing the operational, financial, and reimbursement complexities associated with advanced therapies.

    Opportunities for Not-for-Profit Systems to Participate Longitude Health continues to offer multiple pathways for not-for-profit health systems to engage with our collaborative – as a Governing Member, Participating Member, or a Customer of one or more Longitude Health utilities.

    Most recently, Longitude Health approved a meaningful adjustment to the Participating Membership structure (previously referred to as Tier 2), reducing the minimum capital commitment to $6M over five years, while maintaining the flexibility for organizations to increase their investment up to $30M in $6M increments.

    Longitude FX

    These updates are designed to create greater financial flexibility for health systems to collaborate with other health systems and benefit from the longer term value creation of our expanding ecosystem of interconnected utilities.

    To learn more about Membership opportunities or becoming a Longitude Health customer, please contact info@longitudehealth.org. We would be happy to connect.

    Leading the Longitude Way: Highlights from Our Semi-Annual Onsite in Houston, TX The Longitude Health leadership team gathered in Houston, TX on April 2-3, 2026 for our semiannual onsite meeting, hosted by Memorial Hermann Health System. Over two days, the group combined community service, team-building and focused working sessions. The team was grateful for the opportunity to spend time with Memorial Hermann’s executive leadership to deepen our partnership through thoughtful dialogue on shared priorities.

    Opportunities for not-for-profit systems to participate

    Seeing Mission in Action at Life Flight A highlight of our meeting was a tour of Memorial Hermann Life Flight, which has been serving the Houston region for nearly 50 years. Hearing the history and seeing the coordination and precision required in their operations was a vivid reminder of the urgency and importance of the work our member health systems do every day. It also underscored how a strong, aligned team can continually raise the bar on performance in high-stakes environments.

    Giving Back with Kids’ Meals Alongside Memorial Hermann Health System leaders, we volunteered with Kids’ Meals, decorating lunch bags that would be filled with thousands of free, healthy meals delivered each week across 56 Houston-area zip codes. This simple act of service offered a meaningful way to connect as a broader team and stay grounded in the communities and families we ultimately serve through our work.

Shared infrastructure is how systems accomplish together what none of them should alone.
Longitude Health
Inside Longitude
  • Leading the Longitude Way: highlights from our Houston onsite.

    On the final day, we were joined by Matt Dixon, Founder and Co-CEO of Purple Patch Fitness and Co-Founder of Win Cycle. Matt challenged us to think more intentionally about the habits, systems, and culture required to sustain high performance as we grow—how we manage our energy, relate to pressure, build trust, give feedback, and model the standards we expect of one another.

    His session laid important groundwork for “The Longitude Way,” our new framework for the culture and behaviors that guide how we lead, decide, and deliver. As a relatively new organization, we designed The Longitude Way as a performance system: a clear set of observable, coachable habits and leadership standards that shape how we recruit talent, take care of ourselves, support each other, and serve our clients.

    The six BEACON principles (Build Habits, Embrace Pressure, Aim High, Champion Mindset, Own the Outcome, and Navigate Together) that anchor The Longitude Way are designed to be observable, coachable, and measurable so they drive aligned action and consistent results across the organization.

    We will share more about The Longitude Way and BEACON in next quarter’s newsletter.

    The Longitude Way

    Longitude Health CEO Vishal Agrawal speaking to the team at our semi-annual onsite meeting at Memorial Hermann Health System on April 2, 2026.

    Longitude Health executives on the helipad of Memorial Hermman Life Flight at the Texas Medical Center in Houston on April 2, 2026 (f rom L-R): Snehal Patel, Executive-in-Residence, Longitude Health; Jigar Thakkar, CEO, Longitude Rx; Vishal Agrawal, CEO, Longitude Health; Jim Lester, CEO, Longitude FX; and Thad Wolf ram, CEO, Longitude CTS.

    Rachel Bolton, SVP, Human Resources, Longitude Rx, decorating lunch bags for Kids’ Meals on April 2, 2026.

    Longitude Health and Longitude Rx teams on an early morning workout in Houston on April 3, 2026 led by Matt Dixon, Founder and Co-CEO of Purple Patch Fitness and Co-Founder of Win Cycle.

Binita Patel, Chief Pharmacy Officer, Memorial Hermann Health System.
Partnering with Longitude Health allows flexible scalability and the ability to have real impact
Binita Patel, Chief Pharmacy Officer, Memorial Hermann Health System
New leaders

Strengthening our leadership: welcome new leaders.

During the second quarter, Longitude Health welcomed three new leaders to its executive team.

  • Ian Spier, Chief Financial Officer, Longitude Health. Ian Spier Chief Financial Officer Longitude Health Longitude Health’s competitive advantages are structural.

    Ian Spier joined Longitude Health as Chief Financial Officer with more than 15 years of experience across healthcare investment banking and executive leadership at Novant Health— one of Longitude’s founding member systems. At Novant, he led strategic growth, corporate development, and venture investments, and helped shape the creation, capitalization, and governance of Longitude Health.

    “Longitude Health’s competitive advantages are structural,” he explains. “The company’s strategic shareholder base—leading not-for-profit health systems—provides the capital, expertise, and long-term commitment to build an enduring platform, along with the ability to accelerate adoption across our utilities.”

    His background in finance, combined with time inside a health system, gives him a grounded perspective. “Working inside a health system was humbling,” he says. “You see firsthand the opportunities, challenges, and extraordinary impact these organizations have on their communities.”

    As CFO, Ian leads financial strategy, capital planning, and corporate development as Longitude Health expands. “Healthcare’s biggest problems are shared problems,” he adds, “and lasting change comes from solving them together.” Outside of work, he keeps his priorities simple: family comes first.

  • Eileen Cassidy Rivera, Chief Marketing and Communications Officer, Longitude Health. Eileen Cassidy Rivera Chief Marketing and Communications Officer Longitude Health Longitude Health is building the shared infrastructure layer health systems have been missing.

    Eileen Cassidy Rivera joins Longitude Health as Chief Marketing & Communications Officer, bringing more than two decades of experience across healthcare, government, and technology. She has built brands, led communications through complex transformations, and advanced national conversations on critical healthcare issues.

    She is focused on shaping a clear, differentiated narrative as Longitude Health builds an ecosystem of interconnected industry utilities—created by health systems, for health systems. “The challenge isn’t convincing people that healthcare needs to change—we’re long past that,” she says. “The real work is building trust, aligning incentives, and communicating clearly enough that people can see themselves in the change and choose to engage.”

    “Longitude Health is building the shared infrastructure layer health systems have been missing,” she explains, “to reduce fragmentation, improve performance, and unlock durable value over time.” As the organization scales, she is focused on execution and outcomes. “Our success will be measured by how well we improve life for patients and simplify the work of health systems— and by telling that story through real results.”

    Outside of work, Eileen is often traveling, writing her next book, spending time with family, or recharging on a yoga mat or in a Pilates class.

    Colin Drylie Chief Operating Officer Longitude FX

  • Colin Drylie, Chief Operating Officer, Longitude FX. Colin Drylie Chief Operating Officer Longitude FX The core challenge isn’t a lack of ideas — it’s scaling them.

    Colin Drylie, Chief Operating Officer of Longitude FX, brings experience from Humana, where he led efforts to scale operational improvements and advance value-based care across complex environments. His work has focused on translating strategy into measurable, system-wide performance.

    “The core challenge isn’t a lack of ideas—it’s scaling them,” he says. “Healthcare has no shortage of innovation, but too much of it remains fragmented. The real opportunity is building systems that enable continuous improvement at scale.”

    That focus on execution drew him to Longitude FX. “I’m most energized by translating new technologies into day-to-day operations,” he explains. “When you improve the experience for care teams, better patient outcomes and financial results tend to follow.”

    As Longitude FX moves from concept to launch, Colin is focused on piloting and scaling solutions with member health systems. He sees AI and automation as key enablers—but emphasizes that technology alone is not enough. “Adoption is always context-specific,” he notes. “Our role is as much about enabling change on the ground as it is about building the platform.”

    “Transformation may be a marathon,” he adds, “but it still requires pace—clear milestones, measurable progress, and moments to recognize teams along the way.” Outside of work, he enjoys hands-on projects like gardening and building and finds perspective spending time outdoors—often looking up at the night sky.

On the road

Where the quarter happened.

Among the many touchpoints this quarter, Becker’s Healthcare Spring Chief Pharmacy Summit in Chicago and the Barclays American Hospital Association / Healthcare Financial Management Association Not-for-Profit Healthcare Conference in New York City stood out as marquee opportunities where we engaged with our members, customers, partners, and leaders shaping the next era of healthcare. Thank you to everyone we had an opportunity to meet with – whether on-stage, in sessions, at receptions or in the hallway. We look forward to continuing the dialogue and seeing you at future events.

Upcoming Events

Events we attended in Q2 2026

Conference2026

UBS Future of Healthcare Private Company Symposium

April 7 to 8, 2026.
New York, NY
Summit2026

Becker’s Healthcare Spring Chief Pharmacy Officer Summit

April 13 to 16, 2026.
Chicago, IL
Summit2026

HIMSS West Coast Regional Summit

April 15 to 17, 2026.
Tempe, AZ
Summit2026

Aradigm Cell & Gene Therapy Policy Summit

May 6, 2026.
Washington, D.C.
Conference2026

13th Annual Polsinelli Healthcare Dealmakers Conference

May 13 to 14, 2026.
Dallas, TX
Conference2026

Barclays / American Hospital Association / Healthcare Financial Management Association Not-for-Profit Health Care Investor Conference

May 18 to 20, 2026.
New York, NY
Summit2026

J.P. Morgan Healthcare Leadership Summit

June 2 to 3, 2026.
Nashville, TN
Roundtable2026

Healthcare Executive Advisors Group

June 3 to 4, 2026.
Larchmont, NY
Conference2026

Cain Brothers 2026 Health System & Private Equity Collaboration Conference

June 3 to 4, 2026.
Nashville, TN
Conference2026

International Federation of Health Plans Conference

June 20 to 21, 2026.
London, UK
Conference2026

Context 2026 – The Healthcare Autonomy Conference

June 23, 2026.
Virtual