Top Health Care Services Holding Companies with Recent Private M&A Activity

207

Active Firms

6,974

TTM Deal Inquiries

$4M-$18M

Core Revenue Range

$900K-$4M

Core EBITDA Range

Top States by Activity

California 15%

Florida 13%

Texas 10%

New York 6%

New Jersey 4%

Key Attributes

Focus: Long-Term Ownership | Capital Source: Committed Capital | Operating Approach: Buy & Hold

Lab One Capital Corp

2 Total Closed Deals Actively Sourcing Deals

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Lab One Capital is a permanent holding company dedicated to acquiring exceptional founder-led and family-owned businesses in Western Canada. Founded by entrepreneurs for entrepreneurs, we partner with proven mid-career operators to buy, build, and hold businesses permanently creating lasting value for our partners, employees, and the communities we serve. We are a team of self-made, lifelong entrepreneurs passionate about identifying and unlocking value in every business we acquire. Our first-hand founder, operator, and private equity experience allows us to place our own dedicated CEOs armed…

Recent Transactions

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Mar 2023 Acquired Bottle Depot
Mar 2023 Acquired Birch Bark Asset Management

Crescent Peak

2 Total Closed Deals Actively Sourcing Deals

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At Crescent Peak, our expertise lies in identifying and securing exceptional, yet often overlooked, family-owned enterprises. We concentrate on privately-held entities with EBITDA ranging from $3 to $10 million USD, guiding these organizations towards greater achievements and success, all while maintaining a deep respect for their founding principles and visions.

Recent Transactions

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Sep 2025 Acquired Federal EC
Aug 2023 Acquired MAD20 Technologies

Davidson Buyer

2 Total Closed Deals Actively Sourcing Deals

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Southwest Calibration Service - closed June 2022Texas Fire and Communications - closed June 2024Searching for calibration/instrumentation/testing/inspection businesses that provide business to business services, distribution, and manufacturing.Searching for low voltage installation/service businesses with a focus on fire alarm installation.Searching for other businesses that are mature, profitable, have a layer of management, and in Texas/Louisiana.https://www.linkedin.com/in/reid-davidson/www.davidsonbuyer.com

Recent Transactions

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Jun 2024 Acquired Texas Fire and Communications
Jun 2022 Acquired Southwest Calibration Service

Sagamore Mountain Inc

2 Total Closed Deals Actively Sourcing Deals

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Sagamore Mountain Inc. is a long-term holding company focused on acquiring and operating enduring small businesses in essential industries. We provide business owners with a permanent home for their company—offering continuity for employees and customers, and honoring the legacy they’ve built. Our team brings hands-on operational expertise and a flexible, founder-friendly approach to succession planning. We are not flippers or financial engineers—we buy to hold, not to sell.

Recent Transactions

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Apr 2025 Acquired Confidential Company
Jan 2024 Acquired Confidential Company

Retego

2 Total Closed Deals Actively Sourcing Deals

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Retego acquires digital businesses and uses data analytics and innovative strategies to produce unprecedented growth. We work with founders and the fantastic teams they’ve built to scale their companies. Our approach leverages the latest technology while never losing sight of the heart and soul of every thriving business: people.

Recent Transactions

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May 2017 Acquired AskGMS
Mar 2016 Acquired Savvy Event Rental

Sundial

2 Total Closed Deals Actively Sourcing Deals

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Sundial Holdings is an evergreen Holding Company built to be the most founder-friendly buyer in the lower-middle market.We focus on preserving legacy, protecting teams, and providing true continuity by keeping companies unlevered, maintaining the same team and name, and making fast, fair decisions.What we offer: A growth team to work on operations, long-term capital, bolt-on acquisition support, and a full back office that includes accounting, legal, and fractional resources like marketing. We offer sellers flexible post-close roles, the ability to roll equity into either the fund or their…

Recent Transactions

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Oct 2025 Acquired Confidential Company
Nov 2024 Acquired Confidential Company

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Ex Nihilo Capital

2 Total Closed Deals Actively Sourcing Deals

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Ex Nihilo Capital is an invitation-only strategic private equity investment firm actively focused on leveraged buy-out opportunities in stable or growing lower middle market businesses. Our team acquires firms that have proven their success and are primed for the next level of their evolution. By bringing our expertise, energy, enthusiasm, and capital to the table, we identify and aggressively pursue value-enhancing growth opportunities. We generally seek niche service businesses within the healthcare industry, but also currently have portfolio holdings in family entertainment centers and…

Recent Transactions

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Jul 2022 Acquired Amtran Medical Transport
Sep 2020 Acquired H&M Transport

Ventus LLC

1 Total Closed Deal Actively Sourcing Deals

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Ventus is an infrastructure investment and asset management firm that focuses on investing in air cargo and renewable energy infrastructure in Europe and North America.Our Global Strategies:Focus on investment in innovative industrial infrastructure. We target opportunities at the in either real assets or associated operations and technologies. We currently focus on three distinct investment strategies:Acquisition or development of Air Cargo real infrastructure: on or off airport.Acquisition of Air Cargo Handling Operation: on or off airport.Acquisition or development of Biogas plats in…

Recent Transactions

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Apr 2021 Acquired Skyport a.s.

Covenant Management LLC

1 Total Closed Deal Actively Sourcing Deals

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Covenant Management LLC is a privately owned investment and operating company focused on acquiring, operating, and growing founder-led lower middle-market businesses. We seek companies with strong reputations, recurring customer relationships, and opportunities for long-term value creation through operational excellence rather than financial engineering.Our principals bring more than 20 years of experience in mergers & acquisitions, corporate finance, strategic planning, and business operations. We have advised on and executed transactions across multiple industries, while also serving as…

Recent Transactions

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Aug 2024 Advised Midtown in its sale to Mercy Holdings

Baseline Enterprise LLC

1 Total Closed Deal Actively Sourcing Deals

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Baseline Enterprises is a parent company interested in acquiring businesses in the healthcare space. We previously made acquisitions of assisted living facilities and are looking to expand into the same and any adjacent verticals.

Recent Transactions

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Mar 2021 Acquired Elizabeth Care Homes

Highmount Madison

1 Total Closed Deal Actively Sourcing Deals

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Highmount is an investment partnership that invests capital on behalf of high-net-worth individuals and family offices. We are focused on acquiring and building businesses in fragmented spaces through a long-term buy-and-build strategy (not subject to a 3-5 year holding period). Our backgrounds are in investment banking (Goldman Sachs), private equity (Centerbridge Partners, Apollo Global Management, Clearsky, and Whale Rock Capital Management), and company operations (Berkshire Hathaway).Prior to Highmount Madison, Dan was the Head of Corporate Development for Pampered Chef (a Berkshire…

Recent Transactions

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Oct 2023 Acquired 4Ever Young

JDA Advisors, LLC

1 Total Closed Deal Actively Sourcing Deals

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JDA Advisors believes that investment success requires more than just access to capital. Our firm provides a unique combination of financing along with a deep commitment to advising our portfolio companies over the long term.After over 20 years of working at some of the largest private equity firms in the country, Benjamin Kahn founded JDA Advisors as a holding company to invest in a diversified set of privately held businesses. While JDA has significant consumer expertise in franchising, health & wellness, beauty products & services, and food & beverage, we also look to selectively acquire…

Recent Transactions

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Aug 2023 Acquired BigBlue Swim School

Rouge River Capital

1 Total Closed Deal Actively Sourcing Deals

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Founded in 2008, Rouge River Capital invests its own capital to acquire majority positions in small to mid-sized North American businesses. We own a diversified portfolio of strong operating businesses in Canada, across three platform sectors (Consumer, Logistics, and Industrials) generating in excess of $400 million in sales. Our Managing Partners are owners, investing their own capital for long-term capital appreciation, and do not raise nor manage external funds. We partner with management that wants to remain active and that want to build long-term value in partnership with Rouge River…

Recent Transactions

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Dec 2022 Acquired Brookdale Treeland Nurseries

Haywood Lane

1 Total Closed Deal Actively Sourcing Deals

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At Haywood Lane, we seek to build great companies through a distinct platform, allowing us to focus on a single, large and fragmented market at a time. By immersing ourselves in the industry alongside our management partners we best position ourselves to build relationships, increase knowledge and our ability to effectively scale our platform. We value cash generation and quality managers as primary criteria, followed by growth prospects and opportunities to increase value through operational improvements. Founded in mid-2022, we have completed three acquisitions to date and are actively…

Recent Transactions

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Mar 2022 Acquired Joss Growers, Inc.

Murphy Legacy Partners

Actively Sourcing Deals

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Michael Murphy, CPA, is a repeat founder who has built and sold digital infrastructure and consumer platforms while keeping investors whole. Over a two-decade career he has raised more than seven million dollars, closed a $150 million power and land agreement, and overseen construction of a 45 MW computing facility.He also engineered an enterprise email system that delivers two billion messages each year and created video and real-estate platforms that attract millions of users.Murphy manages his own reconciliations, crypto treasury, and GAAP compliance, drawing on early training with the…

Recent Transactions

This member has no reported closed transactions.

Paw Acquisition I Corp.

Actively Sourcing Deals

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Paw Prosper is a family of brands offering a wide range of innovative, efficacious, vet recommended solutions trusted to help pets thrive throughout every stage of their lives. Paw Prosper focuses on three main pillars: (i) injury prevention, (ii) aging support and (iii) rehabilitation. The Company has grown through eight acquisitions since 2022. The Company is headquartered in Denver, Colorado, with additional offices in Florida, Connecticut, Toronto and the Netherlands. Paw Prosper's business includes sales directly to veterinarians and other professionals as well as sales directly to…

Recent Transactions

This member has no reported closed transactions.

Montlake Partners LLC

Actively Sourcing Deals

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Todd Owens and Paul Judy bring 25+ years of co-leadership experience building, operating, and scaling companies from early-stage to $100M+ ARR across tech-enabled services, SaaS, healthcare, and light manufacturing. Their complementary skill set pairs aggressive GTM and commercial growth leadership (Todd) with disciplined operational execution and customer delivery (Paul).Acquisition MandateActively evaluating acquisition targets west of the Rocky Mountains in stable, fragmented industries with low risk of AI disintermediation.Target Criteria:Primary Sectors: Home Services | B2B Tech-Enabled…

Recent Transactions

This member has no reported closed transactions.

Perpetuo Corp

Actively Sourcing Deals

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Perpetuo is a permanent capital holding vehicle deploying committed capital directly from our balance sheet, we seek to acquire US based businesses through majority change in control LBO with historical management continuing to stay in place. Our criteria include EBITDA ranges $2-10M, 12% margins or greater, with 5+ years of profitable cash flow operations. We are sector agnostic, but do not invest in technology, real estate, and capital intensive businesses. We aim to align sellers with our long-term permanent hold strategy through a majority buyout, seller note, and roll over equity.

Recent Transactions

This member has no reported closed transactions.

Inlet Point Holdings

Actively Sourcing Deals

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Sod Solutions is a leading turfgrass research, development, and technology company headquartered in Charleston, South Carolina. Since 1994, we’ve partnered with top turfgrass breeders, producers, and industry stakeholders to develop and license some of the most successful turfgrass brands in the market. Beyond our core turfgrass licensing and technology platforms, we own and operate a growing portfolio of businesses adjacent to the lawn and landscape industries.Acquisition Criteria: We are actively seeking to diversify our holdings through the acquisition of well-run small businesses…

Recent Transactions

This member has no reported closed transactions.

Brattle Point, LLC

Actively Sourcing Deals

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Brattle Technologies is a family-owned holding company of fantastic American businesses.We are not a private equity firm and do not seek profit from the regular sale of our holdings.Instead, we provide capital and professional, long-term ownership to our companies to help them grow into significantly larger enterprises over many years of stable ownership.In other words, we are investors for the long run.

Recent Transactions

This member has no reported closed transactions.

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Firms in the Health Care Services Holding Companies directory are ordered based on recent deal activity on Axial. The default order reflects observed market signals rather than a subjective ranking of firm quality.

Each profile provides information about the firm’s areas of focus, transaction criteria, and relevant activity on Axial’s M&A platform. Together, these details provide a clearer view of where a firm is active and the types of companies and opportunities most relevant for it.

Based on activity on Axial’s M&A platform, the core revenue range for Health Care Services Holding Companies is $4M-$18M, with a core EBITDA range of $900K-$4M. Company size can be an important indicator of fit, as firms often concentrate their experience, resources, and transaction activity within particular segments of the market.

Relevant Health Care experience can be an important consideration when evaluating a firm. Familiarity with the sector can provide a stronger understanding of its business models, market dynamics, valuation considerations, and transaction environment. The 207 firms included in this directory provide a starting point for identifying firms with relevant experience and activity in Health Care.

Not necessarily. Many firms are active across multiple industries, so inclusion in the Health Care Services Holding Companies directory reflects relevant experience or activity in Health Care, rather than an exclusive sector focus. Individual profiles provide additional context on each firm’s areas of focus and activity within the sector.

When comparing Holding Companies with experience in Health Care, consider factors such as size range, geographic reach, and recent transaction activity. These characteristics vary across the 207 firms included in the directory and can help identify firms that align with your needs.

Axial can help you identify and connect with firms based on your objectives and what you are looking to accomplish. The process varies depending on your role and transaction needs. If you are interested in connecting with firms in the Health Care Services Holding Companies directory, you can request information here.

Top Health Care Services Holding Companies

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