Gemini Consulting Group, Inc. was formed in the early 1990's as a managed care consultancy focused primarily on PPO and HMO development for insurers and national employers. In time, Gemini became involved in provider joint ventures (PHOS, IPAS) and provider integration (MSOS, hospital mergers). Since then, Gemini has evolved from a firm primarily focused on management consulting projects into a "holding company" with affiliated companies in the United Kingdom, Ireland and the United States.  All of the Gemini affiliated companies are focused solely on the health care industry.  The companies’ services range from management consulting to the development of day surgery centers, and hospitals.