Minds Capital Podcast 33 PortCos in 6 Years
Nov 19, 2025
Robert Graham, founding partner of SIG and founder of Pillar Health Group, shares insights from his dynamic journey in healthcare. He reveals how Pillar skyrocketed to $30M in EBITDA, powered by strategic mergers and organic growth fueled by sales and marketing. Robert discusses the unique structure of SIG, contrasting it with traditional private equity, and the importance of supporting self-funded searchers. He also highlights the future of home care, the impact of demographics, and the advantages of focusing on lower-middle markets.
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First Acquisitions Launched Pillar
- Robert Graham bought three small home care, home health, and hospice companies as his first acquisitions in September 2019.
- Those early buys evolved into Pillar Health Group and became the engine for SIG's growth.
Unusually High Organic Growth
- Pillar's growth split roughly 60% from M&A and 40% organic since inception.
- That high organic share is unusual for roll-ups and signals strong market demand and execution.
Prioritize Sales When Pricing Is Fixed
- When pricing is fixed by payers, push hard on sales and marketing as primary organic growth levers.
- Build outside sales teams and invest in marketing to capture demand you can't price for.
