Alluvium was not founded to create noise—it was founded to continue a rhythm. The name itself speaks of the quiet work of rivers, the patient layering of what endures. That’s how business is built: not through spectacle, but through stewardship.
 

When Phil Gisi began shaping what would become one of the Midwest’s most respected healthcare enterprises, he also began shaping the principles that would one day guide Alluvium, principles he later shared with Landon Bahl.
 

On a sunny day in Florida of April 2023, one conversation became conviction. And from that conviction came a firm: deliberate, patient, and clear in purpose. Alluvium is the natural extension of that philosophy. It brings the same discipline of care, the same measured confidence, to private equity. Where others chase control, we seek continuity. Where others extract, we enrich. We believe equity, like care, is a form of responsibility.
 

Together, they invest in operators who understand that endurance is the truest measure of success. Our capital is patient because it has purpose. Our partnerships are selective because they are meant to last.

 

We stand between growth and restraint, between ambition and wisdom, between what has worked, and what will continue to.