Supply Meets Demand: A Call for Creativity and Resourcefulness

Natalie Koriath, director of operations, OurHealth

When an Amazon box arrived at my house in mid-January, I was surprised to find three boxes of N95 respirator masks, as this was very different from my typical Amazon order. I soon realized that the package was actually addressed to my husband who was preparing for a business trip to Dubai in early February. In response to the emergence of COVID-19 and the lack of N95s in Dubai, he had ordered some for a business partner there.

Remember those days – when we heard reports about COVID-19 but were blissfully unaware of what it would come to mean for us in only a few short weeks?

Fast forward into mid-March when the United States went into a tailspin of consumers purchasing every mask in sight – a very different outlook from only a couple of months prior, when that Amazon package arrived at my doorstep.

The combined organization of OurHealth and Marathon Health began securing personal protective equipment (PPE) and quickly discovered all our normal sources were completely dry. We began to start sourcing PPE to protect our own clinicians through every imaginable supplier – dental and veterinary suppliers, hardware stores, random web sites, local health collaborations, personal connections, you name it.

Interestingly, it didn’t take long for unexpected PPE suppliers to come out of the woodwork – companies who were able, quickly pivoted to begin importing medical supplies, with seemingly little past knowledge or understanding of the supplies themselves. It truly became a community effort.

When securing PPE through these unusual avenues, three major themes always played into our decisions:

Quality

When it comes to the wellbeing of our employees and patients, we simply cannot sacrifice purchasing quality products. We’re mitigating this risk by only purchasing from FDA approved facilities – though there are many variations on levels of PPE, we are evaluating each product to ensure it meets CDC guidelines.

Speed

Many PPE products are manufactured in Chinese factories, which have been impacted by COVID-19 and may not have the normal throughput capabilities. While this was a potential constraint early on, more recently, the major speed constraint has been the physical movement of materials. Many companies stopped new shipments out of the country in order to work through backlogs.

Cost

Supply and demand is in full effect and many products are easily 3-4x normal pricing. While this is a cost of doing business now that we have to accept, there is a balance between stocking up, in preparation, and waiting and hoping that the stresses on the marketplace lessen to allow normal pricing and availability.

In summary, I am excited that we’ve landed on a few suppliers that balance the quality/speed/cost triangle and are positioned to deliver a robust supply of the necessary PPE to protect our clinicians and patients in the coming weeks, as OurHealth and Marathon Health look forward to opening our doors more broadly!

Marathon Health and OurHealth announce “Return to Work” framework for employers

Comprehensive health strategy navigates complex issues to responsibly resume operations  

 

FOR IMMEDIATE RELEASE

April 23, 2020

 

WINOOSKI, Vt. – Marathon Health and OurHealth, leading national providers of employer population health solutions have created a strategic Return to Work framework to help employers address the impact of COVID-19 and resume operations while protecting the ongoing health and safety of their employees. The two companies announced their strategic combination in January.

 

Employers are under significant pressure to manage both the economic and health implications of the COVID-19 pandemic, including the development of a clear plan for re-emergence.  Inconsistent regulation across geographies and jurisdictions, uncertain testing and social distancing protocols, and potentially dramatic fluctuations in employee headcount and staffing are several of the dynamics driving immediate challenges for the leadership of U.S. employers.  Marathon Health and OurHealth, trusted partners to more than 150 employers and approximately 600,000 patients nationwide, have begun rolling out a comprehensive solution to meet the need for certainty, clarity, and effective protocols, allowing employers to lay the groundwork to safely resume operations.

 

“We have a strong sense of urgency to help our employer partners create a strategy for both acute COVID-related dynamics as well as ongoing employee health and wellness, and our Return to Work approach is an important prong of our broader offering,” said Marathon Health CEO Jerry Ford.  “I am extremely proud of our collective team for responding to this crisis and delivering much needed patient care on the front lines, as we simultaneously look ahead to return to work scenarios,” he added.

 

Dr. Jeff Wells, President of the combined organization, said, “Helping employers plan and execute on strategies to safely, responsibly, and expeditiously bring their employees back into the workplace will be a critical element of effective COVID recovery.  Our Return to Work framework is based on four pillars that span workforce planning, physical space considerations, actively monitoring the population with screening and testing, and future-looking sustainability measures. Near term, we are focused on partnering with employers to resume operations with a critical emphasis on physical distancing approaches, and over time, facilitating contact tracing, vaccines, and treatment strategies to maintain and improve holistic employee health going forward.”

 

The Return to Work framework will help employers answer complex operational questions, including: where employees should go if they experience COVID symptoms, how and when to implement consistent policies across different geographic locations, and how and when to bring employees back to the workplace. The solution encompasses the following pillars:

 

  1. Workforce Planning: Evaluation and feasibility of response components tailored to the specific workforce; for example, public sector, manufacturing, hospitality, and food service, among others.
  2. Physical Environment: Evaluation of the physical workspace and identification of risks and opportunities to reduce the spread of infectious diseases.
  3. Active Monitoring: Biomarker monitoring (temperature and other symptoms), including digital symptom monitoring, contact tracing, and virtual visits for those with elevated risk factors.
  4. Prevention and Sustainability: Measures to maintain a safe work environment, ongoing monitoring and follow-up and, as available, vaccines, effective treatments, and ongoing best practice learnings.

 

Employer response to the COVID-19 pandemic varies by industry, essential or non-essential personnel, physical work environment, and local infection rates. However, the elements of preparation, monitoring, operational response, and creation of policies to keep workers safe and productive transcend all employer types.

 

Marathon Health and OurHealth have conducted successful outreach and clinical intervention to over 100,000 of their covered patients over the past three weeks alone, leveraging a combination of virtual care solutions. By driving high levels of employee engagement with its clinicians, Marathon Health and OurHealth have demonstrated a track record of enhancing patient health outcomes, while delivering quantifiable, hard dollar savings to employer partners, all while maintaining industry-leading patient and provider satisfaction scores.

 

Learn more

 

* * *

 

About Marathon Health and OurHealth

Marathon Health and OurHealth offer a proven solution to help employers both improve the health of their populations and reduce the total cost of healthcare. The Marathon Health and OurHealth approach integrates the best practices of advanced primary care, health assessment with risk identification, coaching and advocacy, behavioral health and therapy, occupational health, physical therapy, and disease management for high cost, chronic conditions. For more information, please visit www.marathon-health.com and www.ourhealth.org.

 

Media Contacts

Tracey Moran

Vice President of Customer Community and Media Relations

tmoran@marathon-health.com

10 Tips for Providers to Deliver a Great Virtual Visit

Virtual visits officially launched this week across the OurHealth network! We asked our providers to share tips for how to make these visits as valuable as possible for the patient and the provider.

  1. First, relax. Virtual visits are new for you and your patients. Have fun with it. “I’ve loved learning this new way to interact with our patients and have met lots of spouses, pets and kids on camera along the way!” says Kelly McDonald, MD, an OurHealth physician in Charlotte, NC.
  2. Before you begin the visit, make sure you’re in a private space with good lighting and no background noise. Sitting near a window can be a huge help if you have low lighting.
  3. It’s vital to find a chair that provides the support you need. “Seriously, this is a big one and after almost two months of delivering virtual visits I finally have a chair I love and my neck and back are grateful!” says McDonald.
  4. Ask the patient if they can see and hear you clearly. Do this early on so you can work out any technical issues at the beginning of the appointment and avoid frustrations.
  5. Once connected with the patient, first ask for identifying information. Have the patient confirm their full name, DOB, home address (for HomeMed purposes) and a phone number (to call back if connection is lost).
  6. If a patient is driving – ask them to pull over! (Don’t virtual and drive!) Offer to restart the visit after they pull over safely within a reasonable period of time (<5 minutes).
  7. Own everything on that patient chart. Don’t assume that the information in the chart is up to date or correct. If it is a new patient, fill in those blanks on that chart! Reconcile the medication list, confirm drug allergies, reconcile the problem list.
  8. Update any relevant history especially if the visit is short/simple.
  9. Don’t be afraid to attempt a physical exam via the virtual platform!
  10. Before you hang up, review next steps, offer to schedule a follow up appointment and finalize any directions for prescriptions.

5 Tips for a successful Virtual visit with your Provider

Video visits are a great way to maintain your health and wellness – all from the comfort of your home or office. OurHealth asked its providers for some tips on how to prepare for a video visit so you and the provider have a great experience! 

  1. Before your scheduled appointment, find a quiet location with good internet connection and lighting. Make sure you’ve got the technology in place – download and launch the app in advance, bookmark the web page, etc. It’s also a good idea to fill out any forms so that doesn’t eat into your actual visit. 
  2. Tell your provider if you’re struggling to see or hear them. Resolve any technical issues early on to make the most of your appointment time. If a disconnection occurs, your provider will attempt to reconnect or call your phone.
  3. Be prepared to answer questions. Depending on the reason for your visit, you may want some privacy. It may be hard to see certain things through video, so we’lask extra questions to ensure we’re as thorough as possible,” says OurHealth provider Kelly McDonald, MD.
  4. Enjoy yourself and be patient with the process –  there may be some trial and error as you both work together to get the right angle, lighting and clarity. And don’t worry about dressing up or sitting at a desk, do what’s most comfortable for you. “I’ve had virtual appointments with patients in their homes, cars (not driving!), in bed with pajamas on, in the store, at work and a Chik-fil-A drive-thru,” says McDonald, MD. 
  5. As your visit comes to an end, ask your provider anything you would normally ask at the check-out desk. For example, ask for a summary of next steps, review prescription(s) or schedule a follow-up appointment 

5 Tips for a smooth Telephonic Visit

Face it – visiting with your doctor via video or over the phone is just one more example of our “new normal” – at least for a while. The good news is, these telehealth visits can be every bit as productive as in person visits if you plan accordingly. OurHealth asked its providers for some tips to make the transition as smooth as possible.

    1. When scheduling the call, be sure to give the provider the best phone number to reach you at. And at the time of the scheduled call, make sure you’re available. Don’t ignore it because you don’t recognize the phone number – that can take away from the valuable time you have with them.
    2. Before your scheduled call, find a quiet, comfortable location with good cell service. A windy street or noisy kitchen makes for terrible communications. And they’re going to ask you to confirm your identity so you may also want some privacy. “Don’t be shocked if we ask for DOB or some other identifying info,” says OurHealth Chief Medical Officer Terry Layman, MD.
    3. Be descriptive. If it’s a telephonic visit, the provider won’t be able to see you in person. Instead of using vague descriptors like “big, small or over there” – say things like “quarter-size” or “two inches” or “the top of my head.”
    4. Also, because we’re not face to face, expect the provider to interrupt while you’re talking to ask clarifying questions. “Be patient and understanding,” says Dr. Layman. “More than anything we want to be thorough.”
    5. As the visit wraps up, restate the decisions that you made and ask for any necessary follow up to be emailed to you.

10 Tips to Find a Healthy Balance

Now, more than ever, taking care of the mental and physical wellbeing of yourself and your loved ones is critical. We rounded up some tips from our health coaches to help you find a healthy balance.

 

  1. The information you consume and who you spend your time with will dominate your perspective. Be mindful of how much time you’re spending on social media and watching the news. Pick up a book, get lost in a great show, capture your thoughts in a journal or send a letter to a friend you haven’t seen in a while.
  1. Working from home? Schedule a walking meeting or exchange your commute time for a home workout tape or treadmill session. Go outside and take in the fresh air. Even a short, 30-minute walk can do wonders for your headspace. Relocate your workspace to a different room of the house each day.
  1. Schedule virtual lunches or “happy hours” with co-workers. All those great remote working tools aren’t just great for actual meetings – use them to catch up with co-workers and friends throughout the day!
  1. Feeling sad or stressed? Reach out to a friend or family member and ask to talk. You’ll be amazed what a relief you feel just by saying your fears out loud.
  1. Offer to help elderly family members, friends or neighbors.
  1. Cook healthy meals for those who are unable to and drop them off at their doorstep.
  1. Organize a room or area in your living space each day – the lack of clutter or new layout will be a nice adjustment.
  1. Use the calm or headspace app to meditate.
  1. Plant some flower seeds indoors to water and care for the next few weeks and look forward to planting them outside in warmer, brighter days ahead.
  1. Try creating big and small activities in your day that are consistent such as: making your bed every morning, walking your dog daily at the same time and going to bed at the same time each night.

We love those tips, but we’d also love to hear your ideas for how we can be helpful. Tell us here: OHHealthCoach@ourhealth.org

 

An HR Leader Perspective on Coronavirus

By: Debby Routt, VP of People and Culture at OurHealth

You can’t turn on the TV, listen on the radio, or log into any social media site right now without encountering a story, a predication, or a warning about the coronavirus.  This is concerning to many including those who work in our organizations. So how can HR leaders address the concerns of their staff (and other family members) while meeting the needs of the organization, as well. In other words, how can we lead in an unfamiliar world.

Having spent more than 30 years in an HR leadership position for several companies and now in that role for a national health care organization that is treating patients who may have the coronavirus, six things come to mind:

  1. Be visible, be calm, be present. You are the people leader of the company. While there are undoubtedly many personal and professional demands on your time, make your presence known to your employees through multiple channels.
  2. Be as transparent as possible. We all know the HIPAA regs and the need to protect PHI. But communicate what you can about the situation at your organization.
  3. Don’t forget the people at home. Address the concerns of the spouses who may wonder about their loved one at work and what he/she may bring home…
  4. Don’t be afraid to ask for clinical help. From your health plan, the local health system, the state health department – let the experts provide expert advice.
  5. This is an opportunity to show the company cares. We all say that our employees are the most important asset. Let’s show it.
  6. Be flexible and trusting. Consider suspending rules related to work from home, travel, etc. Each business is different, but tailor short term policies that makes sense for your team.

Most importantly, we need to do what we as HR professionals do best:  Listen, provide counsel based on data, maintain confidentiality for our employees, support for our leaders who are uncertain, be empathetic, and ensure colleagues know that their health matters.

OurHealth Response to COVID-19

OurHealth is reacting to COVID-19 in real-time to be a steward of the public health response and to provide ongoing support to our clients and patients. We believe the number of documented COVID-19 cases is substantially underreported, and we expect large regional variation in the impact so our response will be dynamic.

 

**Last Updated March 17 at 5pm**

 

PLEASE JOIN US FOR A COVID-19 WEBINAR MARCH 18 FROM 9:30 – 10:30AM EST to hear the latest on how OurHealth is responding and providing guidance to our clients. Register Now

OurHealth FAQ:

Is OurHealth testing for COVID-19?

No. There are limited test kits available and the State Health Department determines which sites will receive testing supplies. OurHealth stands at the ready to become a testing site, but at this time we have not been asked by the local health department to do so.

 

Is OurHealth cancelling non-essential clinic visits?

Our top priority is to limit in-person clinic visits to only those that critically require them, so as not to unnecessarily expose any patient or clinic staff member to COVID-19. We currently define critical visits as those patients who are experiencing non-COVID related respiratory issues, belly pain or an orthopedic injury. All other appointments will be offered a virtual visit and/or be rescheduled for June 1 or later.

 

Has OurHealth closed a clinic in response to COVID-19?

No. All OurHealth clinics remain open and our bias is to keep them open. In the event that an onsite clinic should be closed due to an employer closure, we will offer virtual care to the impacted employees and deploy those clinical resources to other parts of our network.

 

Is OurHealth treating suspected COVID-19 cases in their clinics?

No. We encourage every patient who believes they may have COVID-19 symptoms to call us before coming into our clinic. If the phone triage turns up a suspected case, we will contact the local health department for advice on next steps. If a patient does show up in our clinic with symptoms, the clinic staff and patient would be outfitted in protective gear (N95 masks, gowns, gloves and face shields) and the patient would be immediately moved to a closed off area for evaluation. If the evaluation suggest a potential COVID-19 case, the clinic staff would contact the local health department for advice on where to send the patient.

 

How is OurHealth supporting clients during this time?

Our response is dynamic, but here’s what we’e doing right now:

  • Weekly webinars for our clients and benefit consultant partners to update them on our response protocols and answer their questions
  • Weekly emails with updated FAQs and advice for employers as they navigate this situation with their employees
  • Weekly patient emails with reminders for how we can support them, including virtual visits and wellness tips to navigate the stress and uncertainty
  • Partnering with clients to author or update their pandemic response plans and to serve as a resource for those strategy sessions
  • OurHealth has instituted COVID-19 surveillance for every clinic, which leverages our EMR and case management system to quantify the suspected cases. This information is reviewed on an hourly basis and we can re-deploy staff or protective gear accordingly to ensure adequate coverage.

 

What is OurHealth doing as an employer to limit the spread of COVID-19?

As of Monday, March 16, all corporate employees transitioned to work from home (WFH), including a fully virtualized call center. All non-essential business travel has been halted for at least four weeks. All corporate events have been cancelled. We currently operate in six states and are actively monitoring local guidance to maintain our compliance as the landscape changes.

Communications Library

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9 Ways to Manage Stress

Check out the CDC’s FAQ on COVID-19 here

 

Marathon Health and OurHealth Announce Strategic Combination

Combination to create strengthened primary care platform and accelerate development of enhanced population health capabilities to better serve patients, their families, and their employers

Winooski, VT and Indianapolis, IN – January 15, 2020 – Marathon Health and OurHealth, each a leading provider of onsite and nearsite health centers for employers, today announced a strategic combination of the two companies that brings together patient-focused primary care capabilities to serve employees and their families across the United States. The combined company will leverage the proven onsite and nearsite health center strategies of Marathon Health and OurHealth, including OurHealth’s MyClinics, a network of clinics available in several markets today, to serve employer populations of all sizes. General Atlantic, a leading global growth equity firm and existing investor in Marathon Health, will be the majority shareholder of the combined organization.

The combined company will be led by the existing senior leadership of both Marathon Health and OurHealth, including Jerry Ford, CEO of Marathon Health, who will serve as CEO of the combined organization. Ben Evans, Co-Founder and CEO of OurHealth, will assume the role of Founder & Chief Strategy Officer, while Jeff Wells, MD, Co-Founder and President of OurHealth, will serve as President.  Mr. Evans and Dr. Wells will be significant individual shareholders in the combined company and both will join the Board of Directors alongside Mr. Ford.

Marathon Health + OurHealth

Mr. Ford said, “The combination of Marathon Health and OurHealth is a landmark moment in the lifespan of both companies. Marathon and OurHeath share a strong vision for the future of healthcare, and the strategic merger of our companies will enable us to provide better care to more people across the country, improving outcomes for patients and employers alike. I look forward to working with Ben and Jeff to strengthen our combined capabilities and continue to change the face of employer-sponsored, value-based care.”

With increased scale, the combined company plans to accelerate investment in building stronger and broader technology-enabled clinical and population health capabilities that will ultimately deliver better care and a better patient experience, while driving cost out of the system for patients and employers.

“Marathon Health and OurHealth are a natural fit with one another,” continued Mr. Evans. “As we integrate our operations, we intend to leverage best practices from both organizations to not only improve access to high-quality primary care for our existing clients, but also to accelerate our MyClinic expansion into new geographies. We’re excited by the opportunity that lies ahead.”

Robbert Vorhoff, Managing Director and Global Head of Healthcare at General Atlantic, added, “We continue to believe that the onsite and nearsite primary care strategy deployed by Marathon and OurHealth is a necessary element to achieving the ‘Triple Aim’ of healthcare for the employer population – a superior patient experience, higher-quality outcomes, and lower costs. We are proud to be in partnership with this newly-combined organization, led by a talented leadership team dedicated to exceeding client and patient expectations.”

General Atlantic initially invested in Marathon Health in October 2019. Additional terms of the transaction were not disclosed.

 

About Marathon Health

Marathon Health offers a proven solution for helping employers and unions reduce the total cost of healthcare. The Marathon Health approach integrates the best practices of onsite primary care, health assessment with risk identification, coaching and advocacy, and disease management for high cost chronic conditions. Founded by Richard E. Tarrant in 2005, Marathon Health supports its care model with digital medical content, interactive diet and fitness tools, a personal health record, and a proprietary electronic medical record to manage care. For more information, please visit www.marathon-health.com.

 

About OurHealth

Founded in 2009, OurHealth provides employer-sponsored healthcare to organizations of all sizes via its onsite and nearsite primary care clinics. OurHealth offers a comprehensive healthcare approach to its clients and their employees, which includes primary care services, wellness services, onsite laboratory and medication dispensing services, and referral guidance. OurHealth operates clinics in Indiana, Illinois, North Carolina, Ohio, Pennsylvania and Tennessee. To learn more about OurHealth, visit www.ourhealth.org.

 

About General Atlantic

General Atlantic is a leading global growth equity firm providing capital and strategic support for growth companies. Established in 1980, General Atlantic combines a collaborative global approach, sector specific expertise, a long-term investment horizon and a deep understanding of growth drivers to partner with great entrepreneurs and management teams to build exceptional businesses worldwide. General Atlantic has more than 150 investment professionals based in New York, Amsterdam, Beijing, Greenwich, Hong Kong, Jakarta, London, Mexico City, Mumbai, Munich, Palo Alto, São Paulo, Shanghai, and Singapore. For more information on General Atlantic, please visit the website: www.generalatlantic.com.

 

Media Contacts

Tracey Moran

Marathon Health

tmoran@marathon-health.com

Shelly Towns

OurHealth

stowns@ourhealth.org

Mary Armstrong & Emily Japlon

General Atlantic

media@generalatlantic.com

Air Transport Services Group Partners With OurHealth, Reopens Its Onsite Primary Care Clinic For Employees

The aircraft leasing and transportation services provider is the latest company to offer onsite and near-site primary care services to employees

CINCINNATI (January 2, 2020) – Through a partnership with Indianapolis-based OurHealth, Air Transport Services Group (ATSG) has reopened an onsite primary care clinic at their Wilmington Air Park facility. Nearly 1,000 employees and their family members will have access to the renovated health center as well as four other locations throughout the Greater Cincinnati area.

Named OurHealth @ Wilmington Air Park, the onsite clinic begins operations today and will provide comprehensive primary and immediate care medical services to covered ATSG employees and their families.

“We’re thrilled to be bringing this important benefit back,” said Joe Hete, Chief Executive Officer at ATSG. “We’ve experienced first-hand the impact that accessible, convenient and high-quality care has on people’s wellbeing and overall quality of life. We believe that taking care of our employees is the right thing to do and lowers their out of pocket healthcare cost—so it’s a win-win all around.”

OurHealth @ Wilmington Air Park

Joe Hete, ATSG Chief Executive Officer cuts the ribbon to signify the grand opening of OurHealth @ Wilmington Air Park, an onsite primary care clinic for covered ATSG employees and their families.

OurHealth entered the Cincinnati market in early 2019 with the launch of its industry-leading system of near-site primary care clinics, called the MyClinic network, which includes locations in Springdale, Kings Mills, Green Township and at Fourth and Main Streets in downtown Cincinnati. In addition to their onsite clinic at Wilmington Air Park, covered ATSG employees and their families will have access to all four Cincinnati MyClinic locations.

ATSG is the latest addition to OurHealth’s growing presence in Southwest Ohio. Last month OurHealth announced a partnership with Delhi Township, Ohio. Other Cincinnati area clients include First Financial Bank, Rumpke and Hamilton County, Ohio.

“We’re excited to be partnering with ATSG to provide care for their employees and their families,” said Ben Evans, OurHealth Chief Executive Officer and Co-founder. “We’re confident they’ll love the experience, and we can’t wait to build relationships that will have a lasting impact on their health, and of course their bottom line.”

Employers are attracted to OurHealth’s model for three key reasons — improved access to care for their employees and their dependents, independence from any hospital system or network allowing for unbiased referrals and robust reporting capabilities that allow business owners to easily understand their return on investment.

OurHealth clients enjoy an average savings of 17 percent on health plan costs through better management of chronic conditions, ER avoidance and reduced lab and drug costs. The company is on a mission to save employers $1 billion in healthcare costs, and to date has saved its clients more than $180 million. In 2019 alone OurHealth produced a total of $39 million in employer savings.

The company takes a patient-focused approach to care, including waiting room times of less than five minutes, appointments that average 20 to 40 minutes and a patient satisfaction score of 98 percent. OurHealth clients include a wide range of employers of all sizes and industries, including Anthem, Harris Teeter, CNO Financial Group and the Indianapolis Airport Authority.

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About OurHealth
Founded in 2009, OurHealth provides employer-sponsored healthcare to organizations of all sizes via its onsite and near-site primary care clinics. OurHealth offers a comprehensive healthcare approach to its clients and their employees, which includes primary care services, wellness services, onsite laboratory and medication dispensing services and referral guidance. OurHealth operates clinics in Indiana, Illinois, North Carolina, Ohio, Pennsylvania and Tennessee. To learn more about OurHealth, visit www.ourhealth.org.

 

About Air Transport Services Group, Inc.
ATSG is a leading provider of aircraft leasing and air cargo transportation and related services to domestic and foreign air carriers and other companies that outsource their air cargo lift requirements. ATSG, through its leasing and airline subsidiaries, is the world’s largest owner and operator of converted Boeing 767 freighter aircraft. Through its principal subsidiaries, including three airlines with separate and distinct U.S. FAA Part 121 Air Carrier certificates, ATSG provides aircraft leasing, air cargo lift, passenger ACMI and charter services, aircraft maintenance services and airport ground services. ATSG’s subsidiaries include Cargo Aircraft Management, Inc.; Airborne Global Solutions, Inc.; ABX Air, Inc.; Air Transport International, Inc.; Omni Air International, LLC; Airborne Maintenance and Engineering Services, Inc., including its subsidiary, Pemco World Air Services, Inc.; and LGSTX Services, Inc.