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A long-term partner for management services organizations and the practices they support.
Gibraltar Capital Group seeks to acquire, grow and operate MSOs in Texas.
We partner with owners and medical leadership teams who value legacy, people, sustainable growth, and long-term patient care.
Creating results through systems, incentives, and people.
An operator-led firm built for stewardship.
Gibraltar Capital Group is an operator-led investment, advisory, and operating partnership firm focused on the long-term improvement, through advisory, acquisition, and stewardship, of management services organizations that support privately held health-care practices.
Core values
Acquisition capital structure
Our approach to structuring supports DSCR requirements, preserves working capital, and creates long-term alignment between all parties.
Reporting and governance
We implement professionalized financial reporting, controls, and board-style governance to support durable growth and lender-ready transparency.
Valuation method
Our approach considers cash flow durability, customer concentration, operational resilience, market growth potential, and asset backing. Financials are reviewed using lender-aligned underwriting, including DSCR analysis and working capital needs.
What we look for: established management services organizations with durable demand.
Our acquisition target: the management services organization (MSO)
A management services organization (MSO) runs the business side of medical practices, everything except patient care, so physicians can focus on medicine.
We acquire the management company. Physicians keep ownership of their practices and make every clinical decision.
Finance
- Financial projections
- Accounting
- Billing
- Collections
- Payroll
Transactions
- Preparing practices for sale
- Supporting purchases
- Contracts and agreements (MSA)
- Compliance readiness
Operations
- Staffing and accreditation
- Human resources
- IT support
- Compliance
- Office leasing and equipment purchasing
We like this model because it serves many practices, runs on recurring service contracts, and handles essential, non-clinical work.
Purchasing price$1–4M
EBITDA< $300K–$1M
Business qualities
- Established management services organization, 5+ years
- Real estate, asset-backed operations (optional)
- Management team, operating system compatible
Industry focus
- Professional service companies servicing medical practices, dentistry, senior living, and veterinary
- SBA eligibility
Geographic focus
- Houston
- Austin
- San Antonio
- South Texas
Beyond acquisitions: advisory for owner-led companies.
Gibraltar also offers fractional CRO and sales-system advisory to owner-led B2B companies, with a focus on healthcare-adjacent businesses. It is run separately from our acquisition activity.
How an acquisition works with Gibraltar.
01
Source and evaluate
We identify established management services organizations in Texas and review their financials using lender-aligned underwriting, including DSCR analysis.
02Illustrative example
Structure and finance
We structure each transaction to fit the business's cash flow and the owner's goals.
03
Transition and grow
We operate hands-on, preserve legacy and employees, and put professional reporting and governance in place.
The principal is an operator who will run the business day to day.
Mario Polo
Principal
An operator with 15+ years of experience in business development, leadership, entrepreneurship, and acquisitions.
I married into a medical family. For years I listened to dinner-table conversations about patients, procedures, and medicine, while I had grown up in a family of business owners talking about growth, management, and finance. As I got to know a network of physicians, I began helping them with scheduling, loan negotiations, and financial planning, and saw that my skills were valuable to them. Gibraltar is how I do that at scale.
Background
- Managing $30M in revenue operations
- Building multi-function, high-performing teams in the U.S., Europe, LATAM, and MENA
- Enhancing customer experience, improving NPS, and lengthening multi-year contract terms
- Preserving culture and strengthening legacy through leadership, Best Places to Work, and Glassdoor initiatives
- Founder and acquisition experience, Fortune 500 and C-suite responsibility
- Scaling revenue from $1M to $10M+
- EOS implementation experience (Entrepreneurial Operating System)
Why choose Gibraltar.
- Long-term owner-operator.
- Preservation of legacy and employees.
- Experienced advisor.
- Flexible deal structuring.
- Smooth, hands-on transition process.
For sellers, lenders, and advisors
We aim to be a reliable counterparty for owners, SBA lenders, and brokers: communicating clearly, preparing institutional-quality materials, and pursuing only opportunities that fit our disciplined criteria.
For brokers and intermediaries: a buyer who responds.
We welcome opportunities from brokers, advisors, and owners, and we handle every submission in confidence.
What to send
- Three years of financial statements and tax returns
- A summary of services, contracts, and client concentration
- An overview of management and staffing
- Ownership structure, asking price, and the owner’s goals for the transition
- A confidential information memorandum (CIM), if available
What to expect
- A reply to every submission within five business days
- Willingness to sign your NDA before we review details
- Lender-aligned underwriting and a clear financing structure
- Confidential, respectful handling and a plan to retain employees
Considering succession or sale?
If you are exploring succession or retirement, we would be honored to learn more about your business and priorities. All conversations are strictly confidential and at your pace.
Contact us confidentially
- contact@gbrcg.com
- Phone
- (346) 529-0960
- Location
- Houston, TX