LLR Partners has announced a strategic growth investment in TruTechnologies.

TruTechnologies, founded in 2018 and based in Research Triangle Park, North Carolina, is a provider of real-time clinical trial oversight.

LLR, founded in 1999 and based in Philadelphia, makes majority and minority investments in lower middle market technology and healthcare businesses. Within healthcare, the firm pursues investments in healthcare IT, outsourced healthcare services, managed care and provider-based organizations.

Terms of the investment were not disclosed.

Avista Healthcare Partners has announced the acquisition of EBI.

EBI, launched in 1979 and based in Parsippany, New Jersey, is a division of Highridge Medical that offers a portfolio of implantable and non-invasive bone growth stimulation solutions.

Avista, founded in 2005 and based in New York, makes control buyout investments in middle market healthcare companies. The firm focuses on the following healthcare subsectors: pharmaceuticals, medical devices, outsourced pharmaceutical services, distribution and consumer-driven healthcare.

Terms of the transaction were not disclosed.

By Kevin Madagan

Edgewater Capital Partners has announced an investment in CBCC Global Research.

CBCC, founded in 1984 and based in Bakersfield, California, is a clinical contract research organization with experience in designing and managing clinical trials in therapeutic areas including oncology, the central nervous system and ophthalmology.

Edgewater, founded in 1998 and based in Cleveland, is a private equity firm investing in the lower middle market. The firm is focused on the specialty industrials, life science, advanced materials and specialty chemicals sectors.

Terms of the investment were not disclosed.

MidOcean Partners has announced an investment in Emergency Care Partners (ECP).

ECP, founded in 2018 and based in Pensacola, Florida, is a provider of emergency medicine services to U.S. hospitals. The company is majority owned by Varsity Healthcare Partners.

MidOcean, founded in 2003 and based in New York, is a middle market private equity firm focused on the business services and consumer sectors. Founded in 2003, the firm targets investments in North American companies with enterprise values between $150 and $750 million-plus and with equity investments of $75 million to $300 million-plus.

Terms of the investment were not disclosed.

Coalesce Capital has announced its acquisition of DAS Health Ventures.

DAS Health, founded in 2003 and headquartered Tampa, Florida, is a provider of healthcare IT and business solutions to independent and enterprise physician groups and healthcare systems across North America.

Coalesce, founded in 2022 and based in New York, is a middle market private equity firm focused on investing in human capital and technology-enabled business services companies. The firm primarily makes control investments in companies with at least $5 million of EBITDA and $25 million of revenue.

Sheridan Capital Partners, which invested in DAS Health in 2021, will retain a minority ownership position.

Terms of Coalesce’s acquisition were not disclosed.

Emil Capital Partners has announced it has rebranded as ECP Growth. The announcement coincides with the closing of its fourth fund, which has secured $100 million in committed capital.

The firm’s new identity reflects a shift toward investing in growth-stage entrepreneurial businesses developing products, solutions, and technologies across the consumer value chain in North America.

According to ECP Growth, Fund IV will target investments in companies focused on enhancing human mobility across life stages, delivering personalized health and wellness experiences, and improving resource efficiency in daily living.

Crest Rock Partners has announced a strategic growth investment in Productive Programming Inc. (PPi).

PPi, founded in 1996 and based in Verona, Wisconsin, provides software and tech-enabled services, including care management software, electronic health records software, claims processing software and third-party administrator services to healthcare and benefits programs across the United States.

Crest Rock, founded in 2019 and based in Denver, is a private equity firm focused on the lower middle market. The firm targets control investments across multiple industry verticals, including software, technology, IT services, tech-enabled business services, manufacturing and industrial services.

Terms of the investment were not disclosed.

“The key to successful physician practice management is self-control on the sell-side and being reasonable about compensation,” observes John Tiedmann, a managing director at Physician Growth Partners, in this conversation with host Geoff Cockrell. With over 70 deals across various medical specialties, John describes how PPM investments have evolved from pure growth to facing challenges in physician alignment and compensation structures.

The discussion highlights emerging pharmaceutical distributors as strategic buyers for large platforms and explores how compensation models are adapting to ensure sustainable practices. Despite recent headwinds, he remains bullish on the sector’s future as platforms correct alignment issues and valuation expectations normalize.

Cressey & Company has announced an investment in Paradigm Health. 

Paradigm, founded in 2013 and based in Indianapolis, provides hospice and palliative care services across six branches in Indiana.

Cressey, established in 2008 and with offices in Chicago and Nashville, seeks control and minority equity investments exclusively in healthcare. The firm considers a wide range of investments in middle market companies.

Paradigm management and existing investor, Havencrest Capital Management, invested alongside Cressey.

Terms of the investment were not disclosed.

“Underwriters are more willing to take creative approaches now than they would have been in the last couple of years,” observes Hannah Ellithorpe, executive director and head of healthcare and life sciences at Atlantic Global Risk. The former M&A attorney shares with McGuireWoods partner and host Geoff Cockrell how the representation and warranty insurance market has evolved toward more flexible coverage terms at lower costs.

Hannah details how softening market conditions have created opportunities to secure previously unattainable regulatory compliance coverage and discusses emerging products specifically designed for healthcare providers serving vulnerable populations.