Horizon Investment Group LLC is a leading private equity firm that specializes in investments in the healthcare services industry. With extensive expertise and a strong track record, Horizon focuses on leveraged buyouts, recapitalizations, and growth capital investments in healthcare companies across different subsectors. Over the past decade, Horizon has completed over 25 platform investments and numerous add-on acquisitions, deploying over $500 million in equity capital. They target lower middle market companies with EBITDA between $3 million to $10 million. Horizon partners with exceptional management teams to accelerate growth and enhance strategic value through operational improvements. Their deep sector knowledge and relationships enable them to identify attractive investment opportunities and drive post-acquisition growth. Horizon’s healthcare services portfolio includes providers in behavioral health, dermatology, eye care, dentistry, dialysis, physician practices, hospice and others. The firm was founded in 2004 and is based in Nashville, TN with a team of 10+ professionals. Horizon’s hands-on approach, flexibility in transaction structuring, and ability to provide significant value-added make them a preferred partner for healthcare entrepreneurs and companies looking for capital to expand.

Expertise in Healthcare Services with Strong Track Record
Horizon Investment Group has extensive expertise specifically in healthcare services investments. Their managing partners have over 50 years of combined healthcare industry operating and investing experience. With a team of 10+ investment professionals, Horizon has developed a comprehensive understanding of healthcare industry dynamics, competitive landscape, regulatory issues, reimbursement trends, and operational best practices. Over the past 15+ years, Horizon has completed 25+ platform investments and 60+ add-on acquisitions across various healthcare subsectors including behavioral health, eye care, dentistry, dialysis, physician practices and more. They have experience partnering with founder-owned businesses, large PE-backed companies, and corporates looking to divest non-core assets. Horizon has consistently generated strong returns for their investors over multiple fund vintages. Their track record demonstrates the ability to successfully identify and execute investments in the fragmented healthcare services industry.
Flexible Investment Structures and Value-Added Partnership
Horizon provides flexible investment solutions tailored to the specific needs of healthcare entrepreneurs and companies. They structure transactions that maximize value while meeting the strategic and personal objectives of owners. Horizon has expertise in complex carve-outs of non-core divisions from large healthcare corporations. They also specialize in owner-operator partnerships, leveraged buyouts, recapitalizations, corporate divestitures, and growth equity investments. Post-acquisition, Horizon implements strategic initiatives focused on accelerating organic growth, expanding service lines and access to patients, driving operational efficiency, and completing add-on acquisitions. Their Operating Partners provide hands-on support and expertise to management teams across areas like sales and marketing, clinical operations, technology implementation, add-on acquisition integration, and more. Horizon’s investment professionals also lend their healthcare industry knowledge. Overall, Horizon serves as a value-added partner to help healthcare companies scale to the next level.
Targeting Rapidly Growing Healthcare Subsectors
Horizon Investment Group targets rapidly growing and fragmented subsectors within healthcare services. Some areas of focus include behavioral health, eye care, dental services, dialysis services, home health and hospice, oncology practices, urology practices, emergency medicine, and related healthcare technology and services. The behavioral health space is benefiting from increased awareness, need, and access. Eye care and dental services have demand driven by aging demographics. Various physician specialties are seeing rising utilization driven by chronic conditions in the population. Horizon partners with leading providers in these high-growth niches to expand their platforms and capabilities via organic initiatives and acquisitions. They leverage their sector expertise and relationships to drive growth and build regional or national platforms. Healthcare technology investments are focused on tools, systems, and services helping provider groups gain efficiencies, enhance patient access, and support enterprise growth.
In summary, Horizon Investment Group is a leading private equity firm with deep expertise in healthcare services. Their track record over 25+ platform investments demonstrates the ability to create value through investments across subsectors. Horizon provides flexible capital solutions and value-added partnership to healthcare companies. They target rapidly growing segments like behavioral health, eye care, dental, dialysis, and physician practices. Horizon helps leading providers accelerate growth and build regional or national platforms via organic and acquisition strategies.