Investing in outpatient mental health

We partner with the founders of great group practices.

Fireside Strategic is an investment firm that acquires and grows outpatient behavioral health group practices — with the founder still at the table and the culture intact.

Investment criteria

What we look for

$1M+

Annual EBITDA

Outpatient behavioral health

Therapy, psychiatry and related services

Commercial insurance

Most of your revenue comes from a diversified mix of in-network commercial payors

Ambitious founder with integrity

You are hungry to build an extraordinary practice with excellent clinician retention, profitability, and patient care

We stand for culture, clinician/non-clinician partnership, and truly comprehensive care.

Treat people well

Practices that treat clinicians like gold retain them, and clients feel the difference. So do founders, who we treat with straightforward respect through the ups and downs of transactions.

Founders stay in the room

Sell a majority stake but keep a real role and significant upside in what comes next.

Deep, specialized expertise

Our team has built and sold group practices. We help with payor negotiations, added service lines, acquiring other values-aligned practices, marketing, and more.

Mental health is health

Clients do better when their care is connected. We help practices expand into psychiatry, primary care integration, and more, so they treat the whole person and improve outcomes along the way.

The videocast

Group Practice BS

Candid conversations with practice owners and operators about growth, payors, culture and what it really takes to sell.

Watch on YouTube →

Built by people who have built some of America's leading group practices.

Our partners and advisors have founded, scaled and sold behavioral health group practices — and they sit alongside founders after we invest.

Meet the team

Thinking about what's next for your practice?

A first conversation is confidential and carries no obligation.

Start a conversation