How Allermi Scaled
Financial Operations 

Background

Allermi is a direct-to-consumer telemedicine company that offers custom nasal sprays to people with rhinitis (nasal inflammation). Their patent-pending nasal spray contains multiple active ingredients that each work to treat different symptoms, providing comprehensive relief in one bottle. Allermi operates through multiple corporate entities, including a professional corporation for medical care, a management organization, and a pharmacy, creating a complex business structure requiring sophisticated financial management.

The Challenge: Multi-Entity Complexity at Scale

As Allermi grew to eight figures in revenue, their complex multi-entity business model created significant financial management challenges. Initially using a small local family office accounting firm, the company’s expanding operations demanded more sophisticated financial infrastructure. The multi-tiered corporate structure required specialized expertise that their previous solution couldn’t provide, leading to non-standardized financial reporting and messy accounting that would hinder future financing rounds or exit opportunities.

The Solution: A Custom Financial Approach

Graphite stepped in with a comprehensive outsourced finance solution specifically designed for multi-entity healthcare companies. Unlike their previous provider, Graphite brought deep experience with complex healthcare corporate structures, particularly the MSO/PC arrangement common in telehealth. The solution integrated tax services, FP&A, and bookkeeping under one roof, eliminating the inefficiency of translating between different financial service providers.

Key components of Graphite’s solution included:

• Implementation of GAAP-compliant financial processes across all entities
• Comprehensive tax strategy tailored to Allermi’s complex structure
• Modern communication systems using Slack for responsive support
• Clear financial guidance for non-financial leadership
• Consolidated reporting across multiple entities

A standout aspect of the partnership was Graphite’s responsiveness and clarity in communication, particularly valuable for leadership without deep financial backgrounds. The team prioritized explaining complex financial concepts clearly while providing expert guidance on healthcare-specific financial challenges.