Top Health Care Services Holding Companies

The Courtney Group Incorporated

5 Closed Deals via Axial 27 Total Closed Deals Actively Sourcing Deals

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The Courtney Group, Incorporated is a private investment firm with a focus on business services, chemical, consumer, distribution, financial services, healthcare, manufacturing, and technology. We have invested in 27 companies since 1999. We are different from some other buyers in that (1) we are flexible about the size of our investment -- from $1 million to $200 million in equity, and (2) that we can own a business for 20 years or more.We seek control and non-control equity investments in businesses with EBITDA of $2 million to $50 million. We often acquire businesses from founders seeking…

Recent Transactions

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• Aug 2023 Acquired Califone
• Aug 2023 Invested in M3 Technologies
• Aug 2023 Invested in Boylan Bottling Co.
• Sep 2020 Acquired PV Footwear

Noverra Capital Group

3 Closed Deals via Axial 10 Total Closed Deals Actively Sourcing Deals

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Noverra Group of Companies is an actively owned, and strategically led family of construction and industrial services companies founded and led by three Owners, Omar Ladak, Steve Lux, and Suzanne Boyd. We are focused on strategically supporting the continued success of our group companies, proactively developing the leaders and people within our businesses; and, pursuing growth through further acquisitions aligned to our approach.

Recent Transactions

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• Jan 2026 Acquired Confidential Company
• Aug 2023 Invested in Troy Forming Concrete
• Aug 2023 Invested in Victory Fire Protection
• Aug 2023 Invested in Brighter Mechanical

Teamshares

3 Closed Deals via Axial 3 Total Closed Deals Actively Sourcing Deals

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Teamshares is one of America’s largest buyers of small businesses from retiring business owners. Since our inception in 2019, we've purchased over 95 transactions closed across 32 states and 40+ industries, along with committed capital to close 100 more transactions this year.

Recent Transactions

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• May 2026 Acquired Confidential Company
• Feb 2025 Acquired Confidential Company
• Dec 2024 Acquired Confidential Company

Newbury Franklin

2 Closed Deals via Axial 2 Total Closed Deals Actively Sourcing Deals

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Newbury Franklin is an acquirer and builder of businesses operating in niche markets, with loyal customers, high revenue retention, and sustainable cash generation potential. We are differentiated by our credibility as business leaders, not just investors. We leverage a proven organizational approach to drive organic and inorganic growth.We are industry agnostic but dogmatic about the business model and industry characteristics that we seek out, investing only in opportunities that satisfy our key criteria. We have deep experience both facilitating leadership transitions and partnering with…

Recent Transactions

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• May 2023 Acquired Confidential Company
• Apr 2023 Acquired Confidential Company

Tide Rock Holdings

1 Closed Deal via Axial 44 Total Closed Deals Actively Sourcing Deals

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Tide Rock is a holding company that acquires a controlling interest in differentiated business-to-business companies in the lower middle market ($2-20M EBITDA for platforms). The firm is managed by experienced operators and finance professionals who have scaled businesses in various industries.We approach investment with a long-term perspective and with the goal of growing earnings while making regular distributions to all stakeholders.In partnering with Tide Rock, companies gain access, as needed, to our shared back-office team, which includes outsourced accounting & finance, talent…

Recent Transactions

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• Oct 2025 Acquired Precision Waterjet & Laser
• Oct 2025 Acquired Made in America Manufacturing
• Jan 2025 Acquired Air Supply Jeyco
• Nov 2024 Acquired Brite Solutions

Scientific Safety Alliance

1 Closed Deal via Axial 14 Total Closed Deals Actively Sourcing Deals

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Scientific Safety Alliance (SSA) is building the best one-stop-shop technical safety and compliance partner for highly regulated industries. Our mission is to keep people safe by providing best-in-class testing, certification, calibration, and maintenance services across the pharmaceutical, healthcare, medical device, aerospace, semiconductor, and other highly regulated markets. With over 10,000 customers, $12m+ in annual EBITDA, and a recently raised 65m debt facility, we are a rapidly growing platform dedicated to operational excellence and long-term success.We are not a traditional buyer.…

Recent Transactions

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• Oct 2025 Acquired Total Medical Compliance
• Sep 2025 Acquired CNR Medical
• Jul 2025 Acquired Steriquip
• Jul 2025 Acquired Stat Biomedical

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Us Momentum Holdings

1 Closed Deal via Axial 11 Total Closed Deals Actively Sourcing Deals

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Us Momentum Holdings is a private investment firm focused on lower middle-market opportunities. We partner with exceptional companies seeking the next stage of growth. We currently own and operate 7 Harley-Davidson Dealerships, 4 Boat Dealerships, 2 Auto Repair Shops, a Construction Company, and a Reinsurance Company.

Recent Transactions

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• Aug 2023 Acquired Thetford
• Aug 2023 Acquired MINN KOTA
• Aug 2023 Acquired LOWRANCE
• Aug 2023 Acquired Smoker Craft

Enduring Ventures

1 Closed Deal via Axial 10 Total Closed Deals Actively Sourcing Deals

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We are looking for small and medium businesses with exceptionally big moats. The world of business is intensely competitive whether you are large or small, and we are not interested in competing on the basis of lowest price. We are looking for businesses that are the absolute best at what they do and make their customers extremely happy. This will typically be indicated by organic sales growth, little to no spending on sales & marketing, and relatively high margins.The more specific your niche, the more excited we are. The longer you have built your brand and/or reputation, the stronger base…

Recent Transactions

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• Aug 2023 Acquired EcoSafi
• Aug 2023 Acquired Upcounsel
• Aug 2023 Acquired Scribe Media
• Aug 2023 Acquired Abstract

Canopy Brands

1 Closed Deal via Axial 9 Total Closed Deals Actively Sourcing Deals

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Canopy Brands is a family of trusted brands that deliver engineered, technical products and solutions to commercial and residential markets. We seek out companies that make things that matter – and can be the best in the world at doing it. Canopy currently offers more than 7,000 products and services spanning fall protection, suspended and permanent access systems, confined space, powered lifts, waterfront infrastructure, municipal plant equipment and utility components. We help to unlock long-term potential by empowering teams, improving decision-making and ensuring the right resources are…

Recent Transactions

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• Jun 2026 Acquired Confidential Company
• Oct 2025 Acquired Dixie Metal Products
• Dec 2024 Acquired HySafe
• Dec 2024 Acquired Alba

Kingsway Financial Services Inc.

1 Closed Deal via Axial 7 Total Closed Deals Actively Sourcing Deals

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Kingsway Corporation (NYSE: KWY) is the only publicly-traded US company employing the Search Fund model to acquire and build great businesses. Kingsway owns and operates a collection of high-quality B2B and B2C services companies that are asset-light, growing, profitable, and that have recurring revenues.

Recent Transactions

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• Sep 2023 Acquired Vertical Market Solutions LLC
• Sep 2023 Acquired Systems Products International Inc.
• Nov 2022 Acquired Confidential Company
• Oct 2021 Acquired Ravix Group

Nexus Partners LLC

1 Closed Deal via Axial 6 Total Closed Deals Actively Sourcing Deals

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Nexus Partners is the holding company for a group of control investments in a variety of industries including, industrial laundry services, food processing and distribution, medical services, health insurance, and financial services. Past investments also included outdoor advertising and telecommunications.Nexus seeks to make both add-on acquisitions for its existing portfolio as well as to acquire new platforms. With an investment horizon of 10 to 15 years, we focus on growth stories, companies in seek of human or financial capital, and distressed of special situations with the following…

Recent Transactions

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• Jun 2018 Acquired Atlanta School of Massage
• Oct 2016 Acquired Undislosed
• Sep 2016 Acquired Laundry Plus
• Jan 2016 Invested in RVX Asset Management

Empowered Ventures

1 Closed Deal via Axial 5 Total Closed Deals Actively Sourcing Deals

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SummaryEmpowered Ventures is an employee-owned diversified holding company. We seek to acquire successful lower middle market companies led by a selling owner who cares deeply about their employees and the future for the business. All the employees join our employee ownership program as part of the transaction.About UsEmpowered Ventures buys closely held businesses with track records of success. We invest long term without any intention of selling. Employees join our ownership program, accruing value over time based on the combined performance of our operating companies.Empowered Ventures was…

Recent Transactions

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• Jan 2025 Acquired Confidential Company
• Aug 2023 Invested in TVF
• Dec 2021 Acquired Paramount Plastics
• Apr 2021 Acquired Firstar Precision Corp

Vilas Partners Holdings

1 Closed Deal via Axial 4 Total Closed Deals Actively Sourcing Deals

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We're looking to acquire family-owned, well established businesses with $500k to $3mio of EBITDA. Our focus is to invest in profitable companies that have been in business for several years, have an established customer base, don't require significant effort or a large team to operate, and have good margins. We’re initially self funded, but with the objective to partner with investors on multiple acquitions and building a $100mio Holding company in 10 years.

Recent Transactions

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• Aug 2025 Acquired Confidential Company
• May 2025 Acquired Confidential Company
• Oct 2024 Acquired Confidential Company
• May 2024 Acquired Confidential Company

Bristlecone Companies

1 Closed Deal via Axial 2 Total Closed Deals Actively Sourcing Deals

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Bristlecone Companies partners with entrepreneurs who care deeply about their teams, customers, and legacy. We provide a permanent home for enduring businesses in niche markets and empower them to realize their full potential.

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• Jul 2024 Acquired Confidential Company
• Jan 2023 Acquired Confidential Company

Tacoma Holdings

1 Closed Deal via Axial 1 Total Closed Deal Actively Sourcing Deals

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Private investment firm focused on family-built companies with durable value propositions, strong leadership, and ambition for the future. Our operating philosophy is oriented around long-term sustainability and success, not short-term scale. We invest with no near-term intention of selling and believe that through true partnership we can provide lasting impact for founders, management, and employees. We understand that People and Culture are the secrets to any business' success and so hold deeply the responsibility to continue the legacy that a founder has built.Principals have extensive…

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• Feb 2021 Acquired Confidential Company

Honor Health Network

1 Closed Deal via Axial 1 Total Closed Deal

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Our mission at Honor Health Network is to provide a network of healthcare resources that is renowned for the treatment of our employees, patients and the community in a financially sustainable way.Our vision is to have Honor Health Network change the definition of responsible care in all of our markets. Our goal is to have the Honor name associated with unrivaled patient care while being the employer of choice in the communities we serve.Honor Health Network is not just a company. We are a living, interactive network of people who live and work within the communities we serve. Our team…

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• Sep 2023 Acquired Confidential Company

Cornerstone Capital Holdings

18 Total Closed Deals Actively Sourcing Deals

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Cornerstone Capital Holdings is a private investment firm seeking acquisition opportunities in the lower end of the middle market. Formed in 2000 with offices in Los Angeles and Philadelphia, our goal is to acquire controlling interests in leveraged buyout transactions throughout the continental United States.Our primary focus is to acquire low-tech manufacturing and industrial service companies with adjusted operating profits ranging from $1 million to $10 million annually.Ideal acquisition candidates will have: either a niche product or differentiating service;be operating in a mature,…

Recent Transactions

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• Aug 2022 Acquired Trac - Mexico
• Jul 2021 Acquired Integrated Technologies
• May 2019 Acquired Powers Equipment
• Feb 2019 Acquired N2 Imaging Inc.

K.R. Abraham & Co.

15 Total Closed Deals Actively Sourcing Deals

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We are a family office based out of Chicago and Los Angeles but with a presence across the U.S. We are interested in profitable manufacturing, distribution and industrial companies with at least $2MM of EBITDA. Historically we’ve focused on prototype, low-volume production, value-add distribution and niche manufacturing. But we’re agnostic so we’ll consider other opportunities as well. Unlike a PE firm, we buy companies to hold in our portfolio for the long term. As such, we also prefer to purchase the related real estate if the seller is interested. As a family…

Recent Transactions

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• Dec 2024 Acquired Aerospace Metals Distribution Company
• Dec 2023 Acquired Semiconductor Equipment Component Manufacturer
• Dec 2022 Acquired Manufacturer of Data Center Components
• Dec 2022 Acquired Consumer Products Brand

Tiny Capital

14 Total Closed Deals Actively Sourcing Deals

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Tiny Capital is a private investment firm focused on small to medium sized acquisitions. We partner with exceptional companies seeking the next stage of growth. Post acquisition, we work closely with our portfolio companies to drive measurable value for all stakeholders.

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• Mar 2025 Acquired Serato
• Sep 2023 Acquired Letterboxd
• Aug 2023 Acquired Pixel Union
• Aug 2023 Acquired Stamped

RAF Industries

13 Total Closed Deals Actively Sourcing Deals

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RAF was founded in 1979, with an executive team whose average tenure is greater than 20 years with the firm. Since inception, our focus has been on partnering with strong founders and/or management teams that present a unique vision and strong values. Our small group of value-added in investors, have a permanent commitment to our enterprise. All of our equity capital is fully recyclable.We have a long-term vision and have held a number of our portfolio companies for 10+ years. Our company structure eliminates the need for short-term realization due to liquidity requirements. Our financing is…

Recent Transactions

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• Jul 2022 Acquired Ligchine International Corporation
• Dec 2021 Acquired Hayabusa Fightwear
• Dec 2021 Acquired Road Widener LLC
• Mar 2021 Acquired Priority Bicycles