Asset Manager

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Palm Medical Centers

Fowad Choudhary's Palm Medical Centers operates 30+ value-based primary care clinics for Medicare Advantage seniors across Florida.

Palm Medical Centers

Fowad Choudhary founded Palm Medical Centers in 2013 in Coral Gables, Florida, with a model built around capitated contracts with Medicare Advantage health plans. The company grew from a single clinic into one of the largest independent primary care groups in the state, operating across multiple counties including Miami-Dade, Broward, Palm Beach, and Hillsborough. The group's core business involves taking on the medical risk for tens of thousands of senior patients, earning a per-member per-month fee from insurers like Humana and Florida Blue, and then managing those patient populations aggressively to keep them out of the hospital. The firm pursues a buy-and-build strategy, acquiring small primary care practices and transforming them into value-based care centers. Each clinic operates with employed physicians, on-site lab services, and care coordination teams designed to improve quality metrics. Investment spreads across real estate for clinic sites, technology systems for population health management, and recruiting for physicians and nurse practitioners. Palm Medical has also negotiated shared-savings arrangements with certain payers, capturing upside when cost and quality targets are exceeded. The geographic focus remains Florida, one of the nation's highest-density Medicare Advantage markets. Palm Medical Centers attracted institutional interest and in 2022 sold a controlling stake to MBF Healthcare Partners, a Coral Gables-based private equity firm that specializes in healthcare services. The deal valued the group's platform of more than 30 clinics and came as Medicare Advantage enrollment in Florida continued climbing. The partnership, structured as a recapitalization with MBF's managing partner Miguel Fernandez joining the board, was designed to accelerate acquisitions in new Florida submarkets and to expand the ancillary service lines offered within clinics, including specialty care and chronic disease management programs. The company counted roughly 50,000 managed lives at the time of the transaction. The firm's structural differentiation is its alignment with payer partners through full risk-sharing instead of fee-for-service billing — a model that makes the economics of every Palm Medical clinic depend directly on patient outcomes and cost control rather than visit volume. This capitation-forward architecture means the group's own capital deployment choices are governed less by traditional clinic expansion logic and more by actuarial analysis of which patient cohorts can be managed profitably under value-based contracts.

General information

Firm type

Asset Manager

Year founded

2013

AUM

Undisclosed

Location

Region

North America

Country

United States

City

Coral Gables

Corporate office

Coral Gables, FL, United States

Principals

Fowad Choudhary

Chief Executive Officer

Sector focus

Healthcare Services

Frequently asked questions

What is Palm Medical Centers' reimbursement model?

Palm Medical Centers operates almost entirely on capitated contracts with Medicare Advantage plans. The company receives a fixed per-member per-month payment from insurers, typically Humana and Florida Blue, and assumes full medical risk for those patients. This means its revenue is not driven by the volume of visits or procedures but by its ability to manage chronic conditions, reduce hospital admissions, and hit quality metrics that trigger shared-savings bonuses.

Who owns Palm Medical Centers?

In August 2022, Palm Medical Centers sold a controlling interest to MBF Healthcare Partners, a private equity firm based in Coral Gables and led by Miguel Fernandez. Founder Fowad Choudhary retained a significant minority stake and remains CEO of the company, while MBF brought capital and healthcare-operations expertise to accelerate clinic acquisitions across Florida. The transaction valued the group north of $300 million, according to PE Hub reporting at the time.

How many patients does Palm Medical Centers manage?

At the time of the MBF Healthcare Partners acquisition in mid-2022, Palm Medical Centers was responsible for approximately 50,000 managed lives under capitated Medicare Advantage contracts. The patient base is heavily concentrated among Medicare-eligible seniors in South and Central Florida. The company has since targeted expanding that number through both organic patient attribution and acquiring additional primary care practices.

Which geographic markets does Palm Medical Centers serve?

The group's clinic footprint spans the Florida counties with the highest concentrations of Medicare-eligible seniors: Miami-Dade, Broward, Palm Beach, and Hillsborough. All clinics are located in Florida, reflecting a deliberate strategy to dominate the nation's most mature and competitive Medicare Advantage market before expanding elsewhere. The company has not disclosed plans for out-of-state expansion.

What is the relationship between Palm Medical Centers and MBF Healthcare Partners?

MBF Healthcare Partners became the majority owner of Palm Medical Centers in a 2022 recapitalization. MBF managing partner Miguel Fernandez, a veteran healthcare investor who previously founded and sold Navarro Discount Pharmacy, joined Palm Medical's board. The partnership pairs Palm Medical's clinical operating capability with MBF's capital and experience in scaling Florida healthcare roll-ups, with a shared thesis that independent, capitated primary care groups will attract premium valuations as Medicare Advantage enrollment continues rising.

How does Palm Medical Centers structure its clinic acquisitions?

Palm Medical targets small, independently owned primary care practices, typically with a high concentration of Medicare Advantage patients, and acquires the practice outright. The acquired physicians become employed by Palm Medical and transition from fee-for-service billing to the company's capitated contracts. The group then layers on care coordinators, population health software, and on-site ancillary services to manage patient risk more aggressively and improve per-member margins.

Does Palm Medical Centers accept traditional Medicare or commercial patients?

The company's model is purpose-built for Medicare Advantage and it focuses almost exclusively on managed Medicare patients. While some acquired practices may retain a residual base of traditional fee-for-service Medicare or limited commercial contracts, the strategic — and economic — center of gravity has always been capitated Medicare Advantage reimbursement. Standard Medicare patients do not generate the same per-member economics under the company's risk-bearing structure.

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