Healthcare Services Acquisitions in Alabama

Confluence Healthcare Partners has acquired Valley E.N.T. Associates P.C. and Masdon ENT & Facial Plastic Surgery, two otolaryngology and facial plastic surgery practices in northern Alabama. Dresner Partners advised the selling physician-owners; financial terms were not disclosed and Confluence said the transaction will provide operational support to help expand the platform into nearby geographies.

Bristol Hospice has acquired DaySpring Hospice's offices in Enterprise, Dothan, and Andalusia, Alabama, expanding its hospice and palliative care footprint in the Wiregrass region. Financial terms were not disclosed; Bristol Hospice is a Salt Lake City–based provider and a portfolio company of Webster Equity Partners.

FFL Partners has completed a strategic growth investment in Janus RX, a Montgomery, Alabama–headquartered behavioral pharmacy, to support the company's de novo expansion and strengthen its clinical and operational capabilities. The funding will help Janus accelerate openings of new facilities in underserved regions and leverage FFL's healthcare operating expertise; terms were not disclosed.

Avenues Home Care has acquired As Close As Family (ACAF), a Rainsville, Alabama-based home care provider, expanding Avenues' footprint into Alabama and strengthening its presence across the Southeast. Local leadership and caregivers will remain in place as Avenues integrates ACAF into its network of community-focused home care agencies.

Clearway Pain Solutions has acquired West Alabama Spine and Pain Specialists, a Tuscaloosa-area pain management practice founded by Dr. Frederick S. Graham. The Tuscaloosa/Northport location will operate under Clearway's The Center for Pain brand, expanding Clearway's footprint in Alabama and preserving the existing clinical team to continue patient care.

Maxor National Pharmacy Services (rebranded to VytlOne) completed a strategic combination with ProxsysRx in January 2025 and announced a corporate rebrand to VytlOne in June 2025. The deal, supported by private equity backer Beecken Petty O'Keefe & Company, brings ProxsysRx's 340B, specialty pharmacy and PBM/PBA capabilities into the combined platform to expand integrated pharmacy solutions for hospitals, health systems and employers.

Premier, Inc. (NASDAQ: PINC) has acquired IllumiCare, an EMR-agnostic clinical decision support and cost-attribution technology firm headquartered in Birmingham, Alabama. The deal expands Premier's CDS capabilities by integrating IllumiCare's real-time cost attribution platform (used by over 82,000 providers and compatible with 50+ EMR systems) into Premier's Stanson Health offerings; financial terms were not disclosed.

Knack RCM has acquired PPM Partners, a Montgomery, Alabama-based revenue cycle management (RCM) firm founded in 1991 that specializes in anesthesia billing and practice management. The deal expands Knack's anesthesia services footprint and brings PPM's management team into Knack's Anesthesia Services division; Knack completed the transaction with financial partner LKCM Headwater Investments.

Complete Health announced that West Jefferson Internal Medicine has joined its network, marking Complete Health's twenty-first Alabama location. The physician-led practice in Bessemer, led by Dr. Reid Christopher and a five-person clinical team, will gain access to Complete Health's value-based care programs and support services to enhance chronic care management and patient resources.

American Family Care (AFC) has acquired all three Urgent Medcare locations in Huntsville, Madison, and Meridianville, Alabama, from CRH Healthcare. The deal expands AFC's footprint in North Alabama and increases its clinic count across the state.

SurgNet Health Partners, a Nashville-based ambulatory surgery center (ASC) development and management company backed by private equity, has acquired Tuscaloosa Endoscopy Center. The deal closed July 3, 2024; Dr. A.B. Reddy will remain actively involved as SurgNet expands its ASC portfolio into Alabama and the Southeast.

ExperCARE Urgent Care, a portfolio company of Seven Hills Capital, has acquired MedCenter Urgent Care, a six-location urgent care and family medicine provider headquartered in Northport, Alabama. The acquisition expands ExperCARE's footprint into Western Alabama; Founders Advisors served as advisor to MedCenter on the sale.

NMS Capital has partnered with the management of VONA Case Management in a recapitalization to support the company's growth and M&A initiatives. VONA, headquartered in Daphne, Alabama, provides medical case management services to self-insured employers, workers' compensation carriers, and TPAs across the U.S.; terms were not disclosed.

AQUA Dermatology, a Palm Beach Gardens-based dermatology platform backed by Gryphon Investors and GTCR, has partnered with Sunrise Dermatology and Skin Cancer Surgery Center, a Mobile, Alabama general dermatology and Mohs surgery practice. The practice will retain its name and physicians Dr. Scott Freeman and Dr. Ryan Ramagosa will remain in leadership and reinvest a portion of proceeds; financial terms were not disclosed.

Princeton Medspa Partners has acquired Advanced Life Clinic, a Huntsville, Alabama–based aesthetic medical practice founded by Dr. Hayley DeGraaff in 2004. The deal is an add-on to Princeton Medspa Partners’ platform (its sixth physician-owned medspa and eighth acquisition overall) and was represented by Viper Equity Partners.

AQUA Dermatology, a PE-backed dermatology platform backed by Gryphon Investors and GTCR, has partnered with Birmingham, Alabama-based True Dermatology, a skin cancer surgery and general dermatology practice. The practice — led by Dr. Raj Patel — will continue to operate under the True Dermatology name, with Dr. Patel reinvesting a portion of proceeds; the deal expands AQUA's surgical dermatology capabilities and makes it the largest dermatology practice in Alabama.

Reliable Medical, a partner company of Seven Hills Capital, has acquired Tusk Mobility, a provider of mobility solutions and assistive technology based in Northport, Alabama. The deal expands Reliable Medical's geographic footprint into Alabama and strengthens its capabilities in complex rehab technology and durable medical equipment.

Ovation Healthcare (fka QHR Health), a hospital management and consulting company backed by Grant Avenue Capital, has acquired MedCo Services. The undisclosed deal expands Ovation’s revenue cycle management (RCM) capabilities, adds MedCo’s acute-care hospital clients and internally developed workflow software, and diversifies Ovation’s RCM technology and service offering.

Spectrum Solutions has acquired Alimetrix, Inc., a CLIA- and CAP-accredited molecular diagnostic laboratory, and Microarrays, Inc., a manufacturer of array-based research and diagnostic products. The acquisitions expand Spectrum's assay development, clinical testing and array-manufacturing capabilities to accelerate its decentralized testing platform and go-to-market strategies.

Knack Global, a Florida-based revenue cycle management (RCM) provider, has acquired Delta Business Systems, Inc. dba MediSYS, a Birmingham-area medical billing and practice-management/EHR support provider. The deal is an add-on for Knack following its recapitalization by LKCM Headwater Investments and Weave Growth Partners and expands Knack's RCM footprint into the southern United States.

Lee Equity Partners acquired a majority ownership interest in Bradford Health Services, a Birmingham, Alabama-based provider of substance use disorder treatment, from Centre Partners and other existing investors; Centre Partners will retain a minority stake. The deal (terms undisclosed) was financed by Fifth Third and Comvest Credit Partners and positions Bradford to scale its 40-facility behavioral health platform across the Southeast under existing management.

Agape Care Group, a Ridgemont Equity Partners–backed hospice and palliative care platform, has acquired Journey Hospice, a family‑owned provider based in Birmingham, Alabama. The add‑on expands Agape Care's geographic footprint into Alabama and Louisiana and brings Journey Hospice into the Agape family while continuing to operate under its current name; terms were not disclosed.

Nashville-based HomeFirst Home Healthcare, a PE-backed home health operator, acquired Centreville, Alabama-based CV Home Health effective June 1, 2022. The deal was supported by a follow-on investment from growth equity firm Fulcrum Equity Partners with continued backing from Harpeth Ventures; HomeFirst said it sought CV Home Health's proprietary software and local footprint to drive efficiency under rising Medicare Advantage penetration.

U.S. Orthopaedic Partners (USOP) has acquired SportsMED Orthopedic Surgery & Spine Center of Huntsville, Alabama, marking the platform's eighth affiliation and expanding USOP's footprint in the Southeast. SportsMED operates four locations with 23 specialty orthopaedic and spine physicians and ancillary services (imaging, physical and occupational therapy); the deal strengthens USOP's scale in Alabama and adds clinical and geographic capacity to its integrated musculoskeletal platform.

U.S. Orthopaedic Partners (USOP) announced a partnership agreement to acquire Southern Orthopaedic Surgeons LLC, a four-facility orthopaedic practice in Montgomery, Alabama. The deal is an add-on to USOP's regional orthopedic care platform and expands its footprint and service offerings in the Southeastern United States.

Quest Diagnostics has entered into a definitive agreement to acquire Pack Health in an all-cash transaction. The acquisition brings Pack Health's patient-engagement platform and certified health coaches into Quest's Extended Care services to strengthen value-based care and connect diagnostic insights to action.

B2Digital Incorporated (OTC: BTDG) acquired Spartan Fitness, LLC in a cash-and-equity deal to expand its fitness facility footprint and launch a national Jiu Jitsu training brand. The acquisition adds Spartan's Birmingham location to B2Digital's ONE More Gym network and brings owner Chris Conolley into B2Digital's executive team to lead Jiu Jitsu expansion.

Aveanna Healthcare (NASDAQ: AVAH) completed the acquisition of Comfort Care Home Health & Hospice, a 31-location provider across Alabama and Tennessee, for $345.0 million (approximately $290.0 million net of estimated tax benefits). The deal expands Aveanna’s home health and hospice footprint in demographically attractive adult care markets and Comfort Care is expected to be fully integrated into Aveanna during 2022.

PathGroup, a leading provider of anatomic, clinical, molecular and digital pathology services, has acquired DermLab, an independent dermatopathology laboratory based in Birmingham, Alabama. The acquisition expands PathGroup's dermatopathology capabilities and strengthens its presence in the Southeastern United States as an add-on to its existing portfolio.

U.S. Orthopaedic Partners (USOP) has entered a strategic partnership with North Alabama Bone & Joint Clinic, P.C. (NABJC), adding the Florence- and Muscle Shoals-based orthopedic practice to its Southeastern U.S. care network. The deal expands USOP's regional footprint and adds NABJC's clinical and ambulatory surgery capabilities to the platform's integrated musculoskeletal care offerings.

PathGroup, a Pritzker Private Capital‑backed pathology services provider based in Nashville, Tenn., has acquired SkinDx, a dermatopathology laboratory headquartered in Birmingham, Alabama. The transaction expands PathGroup’s dermatopathology capabilities and regional presence across the Southeast, Midwest and Mid‑Atlantic, and brings SkinDx access to PathGroup’s molecular and clinical pathology services.

B2Digital Incorporated (OTC: BTDG) has acquired all equity, assets and interests of Club Fitness, Inc., an Alabama corporation based in the Birmingham area. The facility will become the fifth One More Gym location in B2Digital's training network and will be renovated to add Jiu-Jitsu, Boxing and MMA instruction to integrate it with the B2 Fighting Series ecosystem.

CNO Financial Group has acquired DirectPath, a national provider of year‑round, technology‑driven employee benefits management services, for approximately $50 million plus a potential earn‑out. The deal expands CNO's Worksite Division capabilities, adding enrollment, advocacy and benefits‑management technology; DirectPath CEO Michael Byers joins CNO as co‑president of the Worksite Division.

Advent International has completed a recapitalization of RxBenefits alongside existing investor Great Hill Partners, valuing the technology-enabled pharmacy benefits optimizer at approximately $1.1 billion. Advent and Great Hill now each hold equal stakes alongside a significant management investment; the financing will fund expansion of the salesforce, broker channels and technology and support continued organic growth and M&A.

US Radiology Specialists, a physician-owned national radiology group headquartered in Raleigh, North Carolina, has acquired ImageSouth, the largest outpatient imaging provider in Birmingham, Alabama. The acquisition adds five ACR-accredited outpatient imaging centers to US Radiology's network and expands its presence in the Southeast as it builds a national outpatient imaging services platform.

Complete Health, the physician-driven primary care platform backed by Pharos Capital Group, has acquired two Birmingham-area practices — Northside Medical Associates (Pell City, AL) and Adamsville Family Medicine (Adamsville, AL). The add-on acquisitions expand Complete Health's value-based primary care footprint in Alabama, adding primary care, urgent care, imaging and in‑house laboratory capabilities to the platform.

Behavioral Health Group (BHG) acquired Huntsville Recovery, Inc. and Stevenson Recovery, Inc., adding two outpatient opioid treatment centers in northern Alabama that jointly employ 52 clinicians, counselors, and staff. The acquired centers will operate as BHG Huntsville Treatment Center and BHG Stevenson Treatment Center, bringing BHG's Alabama footprint to nine locations and its nationwide total to 73 locations in 15 states.

Advanced Dermatology and Cosmetic Surgery (ADCS) announced that Dermatology Associates of Montgomery, the practice of Drs. J. Stephen Maddox and E. Ann Mountcastle in Montgomery, Alabama, has joined ADCS as an affiliate. ADCS, a national dermatology practice management platform, will support the practice's operations and patient care; The Bundy Group served as exclusive financial advisor to Dermatology Associates of Montgomery.

Trinity Hunt Partners has announced a partnership investment in MainStreet Family Urgent Care, a Birmingham, Alabama–based urgent care operator with 16 clinics across the state. Trinity Hunt will support MainStreet’s clinic expansion and add-on acquisition strategy while founder Sam Eskildsen and the senior management team remain significant shareholders; Allen Mooney Barnes served as exclusive financial advisor to MainStreet.

Affinity Hospice Holdings, a Birmingham-based hospice provider and portfolio company of MBF Healthcare Partners II, L.P., has acquired Good Samaritan Hospice of Huntsville, a hospice operator in northern Alabama with an average daily census of 92 patients. The deal is an add-on to Affinity's existing Alabama operations and is intended to expand Affinity's market presence and leverage its clinical and operational resources in the Huntsville/North Alabama market.

Synergy Laboratories, a Mobile, Alabama-based clinical laboratory, has acquired Mobile-based Pathology Laboratory Associates (PLA). The acquisition expands Synergy's pathology and women’s health testing capabilities, with PLA remaining headquartered on the Springhill Medical Center campus and plans to grow staffing and specialized pathology services.

Prairie Capital VI, LP partnered with CEO Clark Blair to recapitalize Legacy Hospice Holdings, Inc., a Livingston, Alabama–headquartered provider of rural hospice services. The recapitalization will support Legacy's growth initiatives, including investments in people, technology, sales & marketing, de novo site expansion and potential add-on acquisitions across its 21-office footprint serving 600+ patients daily in the Southeast.

Addus HomeCare Corporation completed the acquisition of Hospice Partners of America, LLC for a cash purchase price of $130.0 million. The deal, which New Capital Partners sold, expands Addus’ hospice capabilities and provides strategic entry into new geographic markets including Texas; Hospice Partners serves ~1,000 patients daily across 21 locations with approximately $55 million of annualized revenue.

Taymax Group Holdings, LP, a large Planet Fitness franchisee backed by Trilantic North America, has acquired MJ Fitness, an operator of four Planet Fitness clubs in the Huntsville, Alabama region. The deal adds MJ Fitness's ~32,000 members and ~60 employees to Taymax's footprint, bringing the buyer to 65 clubs and representing an add-on acquisition and regional expansion for the platform.

KEPRO, a Harrisburg-based care management organization, has acquired Health Information Designs (HID), a U.S. vendor of pharmacy administrative services and healthcare analytics. The acquisition expands KEPRO's pharmacy management and analytics capabilities, adding HID's prior-authorization, drug utilization review and decision-support solutions (HID serves 39 clients and more than 18 million covered lives).

Centre Partners, a New York-based middle market private equity firm, has completed an investment in Bradford Health Services in partnership with the company's management team led by CEO Clay Simmons and CFO Chip Stephens. Bradford Health, based in Birmingham, Alabama, operates 30 clinical facilities across six states offering inpatient, outpatient and residential substance abuse treatment; the partnership is intended to accelerate growth and expand access to affordable care. NXT Capital provided debt financing and Coker Capital Advisors served as financial advisor to Bradford Health.