Transforming patients’ quality of life at lower costs

Basic Home Infusion (BHI) provides home-based care for patients with intrathecal pumps who experience severe, chronic pain or spasticity. Since 2022, Double Impact has been helping BHI scale its national nurse network and call center to expand at-home resources, reduce hospitalizations, and increase connection, confidence, and quality of life.

Impact thesis

Access to healthcare services is unevenly distributed across the United States, leaving many, particularly those who are immobile or homebound, with limited or costly care options.

Home-based care reduces patients’ need to go to a doctor’s office to have their pump refilled or checked, an appointment that may be difficult to get to for many patients with mobility challenges.

Investing in companies that deliver high-quality, in-home healthcare services can help mitigate these access challenges and promote a more equitable and efficient healthcare system.

Opportunity and investment

Basic Home Infusion (BHI) provides home-based care for patients with intrathecal pumps. An intrathecal pump is a surgically implanted device that delivers medication directly to a patient’s spinal cord and is often used by people with severe, chronic pain or spasticity. As of December 31, 2025, BHI has a network of highly skilled nurses across 48 states, providing direct patient care and support. The company also operates a monitoring center and provides access to nurses 24/7 for urgent questions, as well as compounding pharmacies with deep expertise.

“The partnership with the Double Impact team has accelerated our growth by bringing the resources, expertise, and approach to be nimble and capture market opportunities. Their focus on impact has enabled us to stay focused on the patient and do what is right for our employees and organization.”¹ These endorsements are provided by certain CEOs and or founders of investments held by certain investment vehicles advised by Bain Capital affiliate investment advisers. None of these CEOs and or founders were directly compensated for providing these endorsements, however, the funds have made investments into such CEOs and or founders’ companies. As a result of this investment, a conflict of interest exists because the CEOs and or founders have an incentive to make positive statements about Bain Capital and their experiences with Bain Capital to maintain the goodwill with Bain Capital.

Jeff Foreman / CEO / Basic Home Infusion

Many patients who rely on doctor’s office visits for regular pump refills, approximately every 60 days, find the experience onerous. These appointments can also be complex for doctors as they uncover health issues that may have been lingering for two months or longer. BHI patients have a different experience, thanks to nurse who provide customized, proactive care, including infection screenings and fall risk assessments. This approach can result in fewer, more focused doctors’ visits, reduced patient hospitalizations, and an overall lower cost of care.

Value creation

Since 2022, Double Impact has worked with BHI to expand into new geographies and patient demographics, furthering growth in three important ways:

Patient-centric goals

Double Impact partnered with BHI to establish patient-centric impact goals, including care plan adherence, a strong patient Net Promoter Score (NPS), and an expanded network to increase visit frequency and support more patients.

In a November 2024 survey of 251 patients conducted by impact measurement specialist, 60 Decibels, respondents shared their experiences.

The survey found that physician recommendations drove 82% of patients to explore BHI. Given the importance of the physician referral channel, our work with BHI includes communication and collaboration with provider and payer networks to help scale BHI nationally while delivering local, personalized, and coordinated care.

“BHI has a 30-year track record of delivering high-quality, specialized care with clinical excellence. Our partnership has created the foundation to unlock growth, effectively scaling BHI’s high-touch, patient-centric model to reach more patients.”

Klaus Koenigshausen / Partner / Bain Capital

Employee support

Double Impact also worked with BHI to enhance their employee well-being and sustainability. This included implementing an employee relief fund, offering continued education, augmenting employee health benefits, and facilitating company-organized service efforts. A district manager structure is in place to coach and support nurses, balancing nursing independence and flexibility with a strong sense of employee community.

Operational and functional investment

We have collaborated with BHI to strengthen its executive team, enhance operations, and boost its infrastructure and capabilities, establishing new functions. Notably, a dedicated sales and marketing team has increased physicians’ awareness of BHI’s effective in-home care model, leading to significant growth and expansion.

We believe this value-creation model is built for long-term success and will support improved patient outcomes for years to come.