02
What we acquire,
and what we do not.
Two mandates. One discipline. Narrowness is what compounds.
Crownestone
Health Partners
Founder-led healthcare businesses with durable cash flow, recurring revenue, and a defensible specialty position, organized in two tiers of conviction. Tier I is the core anesthesia-anchored mandate, where Dr. Recio's own clinical practice gives Crownestone an operator's reading of the business that few buyers can match. Tier II extends that edge into the adjacent lanes it transfers to intact.
Tier · I
The core mandate. Anesthesia-anchored.
01
Specialty Revenue Cycle Management
Anesthesia-led and specialty RCM firms serving physician groups, with recurring billing infrastructure and founder-led operations. The billing engine of the specialties we know from the inside.
02
Anesthesia Staffing & Management
CRNA-forward anesthesia staffing and practice-management companies serving hospitals, surgery centers, and office-based sites. Stewarded by a principal who holds the credential himself.
03
Anesthesia-Anchored Surgery Centers
Ambulatory surgery centers whose economics are anchored by anesthesia services and procedural throughput. Clinician-operated ownership, not absentee capital.
Tier · II
Actively sourced. Where the clinical edge carries.
01
Healthcare Revenue Cycle Management
Specialty RCM beyond anesthesia, serving physician groups and clinical practices where the same billing-integrity discipline transfers intact.
02
Interventional Pain & Musculoskeletal Medicine
Clinician-led practices in interventional pain, orthopedics, and multidisciplinary musculoskeletal care, including practices that operate their own procedure suites or surgery centers.
Opportunistic
Considered when exceptional. Not actively pursued.
01
Behavioral Health Services
02
Home Health & Hospice
03
Ambulatory Infusion
04
Pharma & Biotech Services
05
Specialty Diagnostics (Service)
06
Healthcare IT Services
Crownestone
Business Partners
Cash-flow businesses outside the healthcare thesis. Same permanent-capital philosophy. Same operational standards. A second mandate, narrowly defined, for adjacent compounding.
01
B2B Service Businesses
Recurring-revenue services with modest capital requirements and strong cash flow conversion.
02
Niche Manufacturing
Specialty manufacturers serving defined customer bases with limited direct competition.
03
Industrial Services
Maintenance, repair, and specialty services with recurring contractual revenue.
04
Specialty Distribution
Distribution businesses with established supplier and customer relationships in defined commercial niches.
05
Professional Services
Engineering, technical, and regulatory professional services firms led by credentialed practitioners.
Southeast United States and Texas.
Florida, Georgia, the Carolinas, Tennessee, Texas, and adjacent corridors. Proximity is not a constraint. It is a feature. Long-horizon ownership benefits from physical presence with the businesses we steward.
01
Florida
02
Georgia
03
North Carolina
04
South Carolina
05
Tennessee
06
Texas
Built on Legacy. Positioned for Generations.