Top Managed Health Care 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

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

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

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

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

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

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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.

Recent Transactions

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• Jul 2024 Acquired Confidential Company
• Jan 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.

Recent Transactions

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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

Lynx Equity Limited

10 Total Closed Deals Actively Sourcing Deals

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Lynx Equity buys small and medium-sized businesses from owners looking to retire. With our buy-and-hold strategy in mind, we seek to acquire businesses with long track records of stability in industries that will continue to thrive. Explore our portfolio of businesses in North America, Denmark and the UK.

Recent Transactions

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• Jun 2023 Acquired Henry's
• Feb 2023 Acquired Buse Timber & Sales Inc.
• Oct 2021 Acquired Lighthouse Market
• Mar 2020 Acquired arkas

Xwind LLC

9 Total Closed Deals Actively Sourcing Deals

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Xwind is a family holding company seeking to invest in scaled businesses in the US for the long term.Owner-operator approach with long-term investment horizonPrior operating and investing experience in Fortune 500 and top tier private equity firmsStrong track record of value creation through operational excellenceSector expertise within Education, Manufacturing, Distribution, Services, Consumer and Healthcare

Recent Transactions

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• Jan 2026 Invested in Sail GP - Team France
• Aug 2024 Invested in Western Welding Academy
• May 2024 Invested in Indigo Innovations Inc.
• Feb 2024 Invested in Aviation Institute of Maintenance

Tucker's Farm Corporation

5 Total Closed Deals Actively Sourcing Deals

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Tucker’s Farm Corporation is a value-oriented holding vehicle modeled after Berkshire Hathaway. Founded in 1994 as a small goat dairy, the farm has grown into a family of companies across industries and geographies. Capitalized with a long-term equity base, the farm aims to deploy ~$60 million of equity capital every year as it seeks to find and compound cash flows through highly active M&A strategies in the lower-middle market (and still boasts a strong herd of ~20 Nubian half-pygmy goats).

Recent Transactions

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• May 2026 Acquired Rodizio
• Sep 2025 Acquired Soccer 5
• Feb 2025 Acquired Webster Locksmiths
• Jan 2025 Acquired Pizza Factory

Pondera Holdings, LLC

5 Total Closed Deals Actively Sourcing Deals

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Pondera Holdings is an operationally-focused holding company that provides capital to private, entrepreneurial businesses. Our objective with each investment is to create value for employees, customers, communities, and our shareholders. Pondera’s principals serve as active board members of portfolio companies, and in certain situations, will play an active management role if needed.As a holding company with permanent capital, we are not constrained by the fixed time horizon of a traditional private equity fund. This structure is advantageous for all stakeholders because it allows for a…

Recent Transactions

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• Aug 2023 Acquired Wag's n tails
• Aug 2023 Invested in Avanti
• Aug 2023 Invested in Candy co.
• Aug 2023 Acquired Heggerty

KCM Holdings

4 Total Closed Deals Actively Sourcing Deals

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KCM Holdings is a long-term investment partnership offering founders and owners a unique alternative to traditional private equity.We acquire and take a hands-on approach to growing businesses with $1M to $7M in EBITDA, primarily focusing on companies across North America.Our mandate is flexible: whether an owner-operator is looking to retire or seeking to de-risk their asset base while continuing to run the business, KCM Holdings can actively participate in either scenario. We focus on majority investments, ranging from 51% to 100% while preserving the owner's legacy over a long-term…

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• Sep 2024 Invested in TrueFoam Limited
• Apr 2023 Invested in Sabrepak Ltd.
• Feb 2023 Invested in Confidential Company
• Jul 2022 Invested in Progressive Countertop

Sandalwood West LLC

4 Total Closed Deals Actively Sourcing Deals

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Sandalwood West has acquired and invested across a range of service-oriented and asset-backed industries, including inventory auditing, light manufacturing, education, Agriculture, hospitality, and commercial laundry services. The firm prioritizes businesses with recurring revenue, strong customer relationships, and opportunities for operational improvement.The business was initially founded through the investment of the founder’s own capital and family funds, and is currently transitioning to a model that combines outside capital alongside continued family investment. The founding partner…

Recent Transactions

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• Mar 2023 Acquired Valley Inventory Services
• May 2021 Invested in Cook Programs
• Apr 2017 Acquired Douglas Fir Lodges
• Mar 2016 Invested in Millenium Fishing

Palindrome LLP

3 Total Closed Deals Actively Sourcing Deals

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Palindrome acquires companies with decades of demonstrated success and extremely talented teams. Our process emphasizes people, allows for long-term ownership, and builds communities. Then we listen and we learn - in search of shared values, a sustainable business model, and the ability to create new opportunities. We create long-term value by providing operational support to promote growth while simultaneously preserving legacy and culture. Capital alone will not determine our long-term success and we take pride in putting people first throughout our process.

Recent Transactions

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• Aug 2023 Acquired Northwest Wire EDM
• Aug 2023 Acquired Power Marketing
• Aug 2023 Acquired North Idaho Hydroseeding Inc.

ALJ Regional Holdings

3 Total Closed Deals Actively Sourcing Deals

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ALJ Regional Holdings, Inc. (NASDAQ: ALJJ), led by a highly experienced team, is the parent company of the following subsidiaries:Faneuil, Inc., a leading provider of call center services, back-office operations, staffing services and toll collection services to government and regulated commercial clients across the United States, focusing on the healthcare, utility, transportation, and toll revenue collection industries. Faneuil is headquartered in Hampton, Virginia. ALJ acquired Faneuil on October 19, 2013.Phoenix Color Corp. (including its subsidiaries, “Phoenix”), a leading…

Recent Transactions

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• Aug 2023 Acquired VISTIO
• Sep 2022 Acquired Ranews
• Apr 2022 Acquired FANEUIL

Sisu Investment Holdings

3 Total Closed Deals Actively Sourcing Deals

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Sisu Investment Holdings is a long-term-focused investment holding company committed to building value. Our expertise in both operations and investments offers our partners a unique platform for sustainable growth.

Recent Transactions

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• Jun 2025 Invested in Confidential Company
• Dec 2024 Invested in Confidential Company
• Jun 2024 Acquired Confidential Company