Sixth Street

Essential Pharma (EP) ensures the sustainable supply of low volume, difficult to manufacture but clinically well-established pharmaceutical products to patients. These branded and generic medicines form an essential part of the pharmacopeia and represent many therapeutic areas. The company is an important partner to healthcare providers by providing medicines that otherwise would not be available.

Keyfactor specializes in digital identity management solutions, empowering global enterprises to confirm authenticity across their connected devices and applications. Established in 2001, the company is headquartered in Independence, Ohio with international offices.

Caris Life Sciences specializes in advanced molecular profiling technologies for cancer diagnostics and drug development. Established in 1987, it offers prognostic testing services, genomic profiling, and clinico-genomic data platforms to improve patient outcomes. The company operates globally with offices in the US and Switzerland.

Medsphere Systems provides healthcare information technology solutions. It offers an open-source electronic health record platform, OpenVista, supporting various clinical aspects and facilitating workflow automation across acute care hospitals, behavioral health centers, physician practices, and integrated delivery networks.

AvidXchange provides accounts payable and payment automation software for midsize and mid-market businesses and their suppliers. The software suite includes purchase order management, invoice processing, payments, check printing, and utility-bill management delivered via a web-based platform that automates purchase orders and payment workflows while helping control costs. The company serves industries such as banking, construction, healthcare and social services, hospitality, real estate, technology, and software across North America. It processes more than $140 billion in annual transactions across a supplier network of over 680,000 and serves about 6,000 customers. Founded in 2000 and headquartered in Charlotte, North Carolina, AvidXchange has roughly 1,500 employees and seven offices.

Piano Inc. is a digital media business platform that empowers organizations to understand and influence customer behavior through its comprehensive suite of solutions. The company offers tools such as Piano Composer for deploying and iterating business models, Piano VX as a paywall solution for various teams, and Piano ID to integrate disparate customer data. Additionally, Piano Go provides an instant business model for diverse content formats, while Piano for Business Media helps companies market, sell, and distribute content across multiple channels. With a focus on personalized customer journeys, Piano's platform enables brands to launch campaigns efficiently, enhance engagement, and drive revenue. Headquartered in Amsterdam, with offices across the Americas, Europe, and Asia Pacific, Piano serves a diverse global clientele, including prominent names like the BBC and The Wall Street Journal. Founded in 2005 and originally known as Piano Media LLC, the company rebranded in 2015, reflecting its evolution and expanding capabilities.