FiMCo · Puerto Rico Food is Medicine
Operations
The FiMCo Platform

Nine years of infrastructure, ready for your population.

No need to build software, logistics, or research protocols. We bring it.

Nutrisana

Nutrisana

SDoH screening, clinical referral, delivery tracking, patient chatbot, telenutrition. SFTP and API integration with payer systems and EMRs.

Tufts Research

Tufts Research

Active DUA with Tufts Friedman School. Publications, validated instruments, internationally comparable metrics.

Islandwide Logistics

Islandwide Logistics

Caribbean Produce's proprietary fleet, PR-based distribution centers, and certified cold chain: 66 years of fresh-produce logistics, proven at 3M-box COVID scale.

Bilingual Call Center

Bilingual Call Center

Twilio-powered. Patient support in ES/EN. Delivery confirmation, issue resolution, feedback capture. 9,727 calls in April 2026 alone.

Outcomes Analytics

Outcomes Analytics

Adherence, HbA1c, BP and food security dashboards. Reporting ready for HRSA UDS, payer audits, grant compliance.

Compliance

Compliance

HIPAA, IRB-ready, HRSA Section 330 compliance. Contracts with Elevance, MCS, MMM, Fresenius.

Food Voucher Programs

Food Voucher Programs

End-to-end management of food-voucher (vales de alimentos) and nutrition-incentive programs: eligibility, issuance, in-store and online redemption, reconciliation, and reporting. Proven with the GUSNIP incentive (100% NTAE-confirmed redemption) and MÁS PAN.

Build · Buy · Blend

Three ways to stand up Food is Medicine. We're the operator in two of them.

Every health system faces the same choice. Build it in-house, buy a turnkey operator, or blend the two. FiMCo is built to be your Buy and Blend partner.

Build

Run it in-house
  • You own every design decision and the patient relationship
  • Tightest fit to your mission and your community
  • You carry the full fixed cost and staffing load
  • Slow to stand up and hard to extend past your local footprint

We support build models with sourcing, platform, and research where you keep the clinical core.

Buy

FiMCo
Contract a turnkey operator
  • Live in weeks, not years
  • Pay-as-you-go, and it scales across regions
  • One clean data feed from day one
  • Only as strong as the operator you choose
  • Needs disciplined scoping to stay tailored

This is FiMCo's core role: an integrated operating system (sourcing, logistics, call center, screening, reporting) configured to your population.

Blend

FiMCo
Keep clinical in-house, contract operations
  • Your clinicians keep the patient relationship
  • Someone else carries the logistics
  • Start as a pilot, scale what works
  • Roles and ownership have to be drawn clearly
  • The data handoff must be designed up front

Most FQHC and payer partners land here: your clinicians refer, FiMCo absorbs everything downstream of the referral.

Clinical workflow integration

You prescribe the food. We procure it and deliver to the patient's home.

The Food is Medicine path runs from screening to feedback. FiMCo plugs into the steps a clinic shouldn't have to carry.

1

Screening & eligibility

Clinic

Food/nutrition-insecurity screening + diagnosis flag a candidate (EHR Best-Practice Alert).

2

Clinical engagement & referral

Clinic

Brief patient-centered conversation; referral placed with ICD-10 / Z-code documentation.

3

Enrollment

FiMCo

Secure eligibility hand-off (SFTP/API); patient activated in the program.

4

Service delivery

FiMCo

RD-designed food sourced, packed, and delivered islandwide; bilingual support.

5

Care coordination & monitoring

Shared

Adherence and outcome flags shared back to the care team via secure reporting.

6

Re-assessment

Shared

Re-screen at 3–6 months; step the intervention up or down with the patient's condition.

7

Feedback & integration

FiMCo

De-identified outcomes consolidated for quality improvement and payer/grant reporting.

Community partner network

FIM success runs on relationships. Most of the building blocks already exist.

FiMCo doesn't replace the safety net; it connects to it. Food banks, faith-based networks, foundations, and farmer supply chains accelerate every program and keep patients tied to lasting support.

Banco de Alimentos PR
Food pharmacy & community distribution
Fundación MMM
Sponsored elder nutrition & GUSNIP lead
Cáritas Puerto Rico
Faith-based relief & distribution
400+ NGOs (COVID F2F)
Standing islandwide delivery alliances

Want a deeper walkthrough of the platform?

Request a demo →