Sanecum, headquartered in Hamburg, Germany, is the fastest growing German outpatient care group centered around internal medicine service offerings. The group focuses on 18 medical disciplines, tailoring to the needs of chronic patients and performs more than 600 thousand treatments each year across six interdisciplinary regional clusters. ARCOS is delighted to support the management of Sanecum and Adiuva with further debt to finance Sanecum’s continued growth through acquisitions. ARCOS acted as Mandated Lead Arranger.