Hi all - sending you this article from Budapest! This article is Europe inspired. Also, if you’re a GP or an LP attending McGuireWoods Conference in October, I’d love to meet you in Dallas. Please shoot me a note via replying to this email!

Before we dive into this week’s topic,

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State of Play

I’ve been in Europe the last week and a half so figured we’d get inspiration from one of the top European investors, EQT (side note: EQT is Swedish. Many well-known long-term compounders are also Swedish. What’s in their water?)

In 2018, EQT invested in a specialty drugs company Karo for ~$700 million. At the time, Karo was mostly a local Nordic name. By 2025, it had 80-plus consumer brands, operations in 90-plus countries, and was sold to KKR for ~$2.8 billion.

How did they do it? By acquiring over-the-counter (“OTC”) brands, many of which its big pharma competitors didn’t want to keep in their portfolio. From 2018 to 2025, OTC revenue went from ~25% of total to ~60%+.

In a world of pharma where patented specialty drugs are the prized jewels, EQT went the other way to consolidate OTC consumer healthcare products and was rewarded handsomely. 

Replicable strategy in the U.S. LMM? Looks like there are others doing it.

Let’s dive in.

First, Industry Overview

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