THE INFRASTRUCTURE LAYER FOR THE $50B RURAL HEALTH SHIFT

Building the Backbone for
Healthcare in the Home

Long Haven Partners is creating the integrated platform that allows rural health systems, states, and families to deliver care where people live — not where the buildings are.

The Market Has Already Validated the Opportunity

Amazon, Best Buy, and Teladoc invested over $20 billion combined into health-at-home. They proved the demand is real. They failed because they built products instead of infrastructure.

Amazon Care
Launched 2019 • Shut down 2022

Technology-first thinking fails when real healthcare delivery requires physical infrastructure inside the home.

Best Buy Health
$1.2B invested • Sold at a loss

Point solutions without a unifying platform create cost, not scalable value.

Teladoc / Livongo
$18.5B acquisition

The largest bet ever made. Integration failed because neither company owned the physical layer inside the home.

We’ve Seen This Before

The federal government solved healthcare’s last infrastructure problem with the $27B HITECH Act. Epic, Cerner, and athenahealth built the platform and owned the category for 15+ years. Today’s $50B mandate is nearly twice as large. The field is wide open for the company that builds the infrastructure layer for the home.

Who We Are

Long Haven Partners is a platform holding company assembling the trusted infrastructure layer for health-at-home. We combine deep IoT and AgeTech expertise with proven public-sector execution experience.

We are executing a deliberate, capital-efficient path: stabilize and deploy proven in-home infrastructure through established non-medical channels first to generate real revenue and operational proof, then expand into state programs from a position of demonstrated capability.

37+
Years in IoT & Smart Home
6x
Founder, 3 Exits
$50M+
Federal & State Funds Deployed
50
States with Pipeline Activity
Leadership
Ryan Herd
Ryan Herd — CEO & Platform Architect
Founder

6x founder, 3 successful exits. Built and sold Caregiver Smart Solutions (patented AI/ML monitoring) in 2024. 37+ years in IoT and smart home. Former Mayor who secured and deployed over $50M in federal and state funding.

John McGrail
John McGrail — COO
Operations

7 turnarounds with $300M+ P&L experience. The operator who turns agreements, assets, and state contracts into reliable execution.

Jim Kitchen
Jim Kitchen — Chief Product Officer
Product & Integration

Co-author of the Matter smart home protocol. Turns disparate hardware and sensors into one coherent, deployable system.

Joseph Castonguay
Joseph Castonguay — Chief Strategy Officer
Strategy & Deployment

22+ years leading large-scale deployment and supply chain for home and facility solutions across North America.

Nicholas Domnisch
Nicholas Domnisch — CTO
Technology & Architecture

Expert in AI, digital health architecture, and building critical systems under pressure.

Request full team and advisory board bios
Why Family Offices Should Care Now

This is a category-creating infrastructure play in a $50B federally backed market. We are executing a de-risked, capital-efficient path that generates real revenue and proof before scaling into state programs.

Request a conversation
FOR STATE RHTP PROGRAM DIRECTORS

Rural Health Transformation Program Deployment Partner

Long Haven Partners helps states meet Rural Health Transformation Program deadlines and CMS performance requirements with an integrated health-at-home platform that protects continuation funding.

Rural Health Transformation Program Deadlines & Requirements
Obligation Deadline
October 2026
Funds not obligated by this date are subject to clawback.
Deployment Deadline
September 2027
Active deployment required to protect funding.
Year 3 Review
CMS Performance
Continuation funding tied to demonstrated KPI improvement.
Common Rural Health Transformation Program Challenges We Solve
Geographic Barriers & Workforce Pressure

Our platform multiplies provider reach through TV-first telehealth and remote monitoring so the same clinical team can manage far more rural patients without adding headcount.

Fragmented Technology & Data Gaps

We replace multiple vendors with one integrated platform that delivers clean, audit-ready data from a single home deployment.

ED Overutilization & Chronic Disease

Early warning through passive monitoring and closed-loop coordination reduces preventable emergency visits from Day 1.

Hub-and-Spoke Coordination

We connect Critical Access Hospitals, Rural Health Clinics, FQHCs, EMS, MCOs, and home-based care into one operating picture.

Outcomes That Protect Your Rural Health Transformation Program Funding
● ED/Hospital Reduction — Measurable drops in preventable visits through early intervention and closed-loop coordination.
● Telehealth Adoption — TV-first with zero learning curve. No apps. High adoption without friction.
● Chronic Disease Control — Vitals and behavioral data delivered directly to rural providers with full audit-ready documentation.
● Audit-Ready Reporting — Clean data that clearly shows where every dollar was deployed and what outcomes were achieved.
90-Day Pilot for Rural Health Transformation Program Validation

A low-risk pilot lets your team validate deployment speed and generate the exact CMS-aligned data you need before committing larger funds. Scope is practical and agreed with your team.

Duration
90 days from onboarding to final report
Outcome
CMS-ready dashboards + baseline data for Year 1 reporting
Next Step
Scale with state contribution when ready
Discuss a pilot or deployment