Gauge Capital acquires stake in Reliable Medical, plans next phase of expansion

NASHVILLE, Tenn., and SOUTHLAKE, Texas – Gauge Capital has partnered with the management team of Reliable Medical to provide growth capital and recapitalize the business.  

Gauge Capital, a middle-market private equity firm based in Southlake, Texas, acquired Reliable Medical from Seven Hills Capital, which first invested in the company in 2018 and re-invested in 2024. 

“We’re excited to partner with Gauge, whose experience scaling health care services businesses will help us invest further in our people, expand access to care, and accelerate our growth in a thoughtful and disciplined way while staying true to what matters most: serving our customers well,” said Charles Sargeant, CEO of Reliable Medical. 

Founded in 1989, Reliable Medical is a provider of complex rehabilitation technology and related mobility and home medical equipment solutions across the United States. The company says it has built a strong reputation as a trusted clinical and service partner to patients, referral sources, and payers through its experienced assistive technology professionals (ATPs) and high-touch post-delivery service model. 

Under Seven Hills Capital, Reliable Medical has made several acquisitions in recent years, including Smyrna, Ga.-based Certified Seating and Mobility in February 2025. 
 
“Charles and the broader Reliable management team have done an excellent job building a differentiated CRT platform with strong clinical capabilities, durable reimbursement characteristics and a compelling growth profile,” said David Friedman, partner at Gauge Capital. “We have been impressed by Reliable’s operational discipline, its ability to recruit and develop ATP talent, and its track record of executing both organic growth and strategic acquisitions. We are thrilled to partner with the team in this next chapter.” 
 
David Friedman, Alex Asbill and Alex Amato of Gauge Capital have joined Reliable Medical’s board of directors. McDermott Will & Schulte served as transactional legal counsel to Gauge, with Cain Brothers, a division of KeyBanc Capital Markets and Bailey & Company as buy-side advisors. Harris Williams served as financial advisor to Reliable Medical.