Best healthcare roll-up niches right now?
Hi everyone,
I’m currently evaluating the U.S. healthcare landscape for a potential roll-up/buy-and-build strategy.
With traditional sectors like dental and derm being highly consolidated, I’m trying to identify fragmented niches that still offer reasonable entry multiples and strong operational scalability today.
I’d love to get the community's take:
• Which niches have the best runway right now? (e.g., behavioral health, podiatry, home care, specialized urgent care, or RCM?)
• What are realistic entry multiples you are seeing for independent practices under $2M EBITDA?
• What is the biggest operational hurdle (labor, payer credentialing, etc.) catching buyers off guard post-close?
If you are currently searching, operating, or investing in healthcare, I’d love to connect and share notes. Drop a comment or shoot me a DM!