Mission and values
A business model that does not exist elsewhere
We are here to get medicines and health products to patients in growth markets on fair terms. In an industry where 250% markups are commonplace, we cap ours at 10%, show every price, and redeploy a percentage of profits into the health systems we serve.
Technology and partnerships are how. Patients and health systems get what they need faster, at a price that holds, at a scale that lasts.
The vision
Where you are born should not decide the healthcare you can get.
Our values
What drives us
Five principles that guide how we work, make decisions and move forward together.
- 01
Extreme ownership
We take responsibility for outcomes, not just tasks. We step up, follow through, and take ownership of what needs to happen, even when it falls outside the boundaries of our role. We don't make excuses or wait for someone else to solve the problem. If we see something that needs to be done, we take responsibility for moving it forward.
- 02
Founder energy
We bring the energy, urgency and resourcefulness of founders to everything we do. We act with purpose, move quickly and aren't afraid to make decisions with imperfect information. We stay curious, learn as we go and find a way forward. Speed, hunger and continuous learning matter more to us than waiting for perfection.
- 03
Passion for impact
Our work starts and ends with the people we exist to serve. We are fearless in pursuing better access to medicines and healthcare, and relentless about turning our mission into meaningful outcomes. We measure success not by how busy we are or how hard we tried, but by the difference we make and the lives we help improve.
- 04
Psychological safety and transparent communication
We believe the best ideas emerge when people feel safe to speak openly. Every voice matters, and we encourage people to ask questions, challenge thinking and raise concerns, regardless of role or seniority. We share goals, decisions and feedback transparently, and we have the difficult conversations when they need to happen, even when they are uncomfortable.
- 05
Kindness and compassion
We move fast, set a high bar and expect a lot from ourselves and each other. But how we achieve results matters just as much. We treat one another with empathy, care and respect, especially when things are difficult. We believe high performance and human decency strengthen one another, and that kindness should never be mistaken for a lack of ambition.
What it adds up to
Three commitments we hold ourselves to
Transparent by default
Every price, spread and fee is visible to both sides of the trade. We cap our own markup at 10%.
Built to outlast aid
Access that depends on donations ends when the donation ends. We build terms that hold on their own.
Accountable in public
Patients reached, savings delivered and tons shipped are published every year, including what went wrong.
Hold us to it
The numbers behind every claim are published each year, including the ones that did not go our way.