Pacific square holdings announces strategic entry into north american biomedical equipment repair and maintenance sector

Pacific Square Holdings LLC is a privately held holding company that principally acquires and actively manages controlling interests in operating companies across the lower middle market, with a primary focus on healthcare services and essential infrastructure, today announced the formation of Pacific Square Medical Holdings LLC — a permanent capital vehicle established to pursue the acquisition, consolidation, and long-term management of best-in-class independent biomedical equipment repair and maintenance businesses across North America.

The Company and its intermediaries are actively engaged in acquisition search across the Southeastern United States.

Sector Overview and Market Opportunity

The medical equipment repair, maintenance, and refurbishment industry represents a large and growing market — one that has demonstrated consistent resilience across economic cycles. According to Grand View Research, the global medical equipment maintenance market was valued at $45.9 billion in 2024 and is projected to grow at a compound annual growth rate of 10.0 percent through 2030, with North America commanding 41.3 percent of total global market share.

Hospitals, imaging centers, ambulatory surgical centers, dialysis facilities, and specialty clinics depend on the continuous, reliable operation of a broad range of diagnostic and therapeutic equipment. Regulatory bodies and accreditation standards mandate ongoing equipment servicing, creating a recurring and contractual demand cycle that persists regardless of broader economic conditions.

Structural tailwinds underpinning the sector's growth include the aging of the installed medical equipment base, the continued migration of service relationships toward independent providers as healthcare facilities seek more flexible and cost-effective maintenance solutions, and rising demand for healthcare services driven by an aging US population.

A meaningful driver of this migration is the structural disadvantage that large equipment manufacturers face in the service market. Original equipment manufacturers are global corporations with significant overhead, centralized service workforces, and internal cost structures that make it difficult to deliver maintenance at competitive price points. They service only their own equipment, meaning a hospital operating devices from multiple manufacturers must manage a separate service relationship for each — a fragmented, expensive, and operationally burdensome arrangement. Independent service organizations eliminate that complexity, servicing all equipment under a single contract regardless of brand. Independent providers also operate with a local labor model — technicians are typically close to the facilities they serve, enabling faster response times and lower service delivery costs than manufacturer service teams dispatched from regional or national hubs. As healthcare facilities have grown more sophisticated in how they manage operating costs, the independent service model has become the structurally superior choice — and the market has responded accordingly.

The sector has also benefited from the ongoing shift of patient care from acute inpatient settings to outpatient environments — including ambulatory surgical centers and diagnostic imaging centers — which has expanded the universe of facilities requiring ongoing equipment maintenance relationships.

Investment Thesis

Pacific Square's decision to establish a dedicated healthcare services platform reflects a deliberate and research-driven conviction that the biomedical equipment repair and maintenance sector represents one of the most attractive opportunities available in the current lower middle market environment. The Company's investment thesis rests on three core observations:

• A large, resilient, and growing market. Medical equipment maintenance, repair, and refurbishment is a $10 billion-plus industry that has proved durable across economic cycles. Continued increases in healthcare spending, combined with tightening operating budgets, are driving a sustained and structural shift toward cost-effective maintenance solutions — a trend that Pacific Square expects to compound over the duration of its hold period and beyond.
• Non-discretionary, recurring demand. The maintenance of life-critical medical equipment is not optional. Accreditation requirements, regulatory standards, and patient safety obligations create a contractual service imperative for every healthcare facility Pacific Square's portfolio companies serve. This translates into predictable, recurring revenue streams that institutional buyers recognize and value at a premium.
• A highly fragmented acquisition universe. The independent service organization market is comprised of thousands of founder and family-owned businesses operating without institutional capital, professional management infrastructure, or formal succession planning. This fragmentation creates a compelling opportunity for Pacific Square to partner with leading operators — combining best-in-class technical expertise with the capital, management resources, and operational infrastructure necessary to build a scaled, professionally managed platform.

Acquisition Criteria

Pacific Square Medical Holdings is actively seeking platform acquisition opportunities meeting the following profile:

• ISO or HTM businesses providing biomedical equipment repair, maintenance, or related technical services
• Revenue between $3,000,000 and $10,000,000
• EBITDA between $500,000 and $3,000,000
• Primary revenue derived from contractual service agreements, with demonstrated customer retention (3+ years)
• No single customer or contract representing more than 20 percent of total revenue
• Ten or more years of operating history
• Founder or family-owned businesses at an ownership transition or growth inflection point
• Geographic presence in Florida, Texas, North Carolina, Georgia, Nevada, or Arizona

About Pacific Square Holdings

Pacific Square Holdings LLC is a privately held holding company that principally acquires and actively manages controlling interests in operating companies across the lower middle market, with a primary focus on healthcare services and essential infrastructure. Pacific Square partners with businesses at their most critical inflection points — providing long-term capital, hands-on management, and an ownership mindset driven by what is right for the business, unconstrained by fund timelines or external performance mandates. Pacific Square Medical Holdings LLC is the Company's dedicated healthcare services acquisition platform.

Contact Information

For acquisition inquiries, please reach out via email. Pacific Square welcomes conversations with business owners, intermediaries, and capital partners who share a conviction in the long-term opportunity within the biomedical equipment services sector.

This release is intended for informational purposes only and does not constitute an offer to sell or a solicitation of an offer to buy any security. Pacific Square Holdings LLC is a private company. All market data sourced from Grand View Research, Medical Equipment Maintenance Market Analysis 2024–2030, and Provident Healthcare Partners, Summer 2025.