Like e4e Inc.

closed 3/29/2017 via Company Press Release

nThrive, acquired e4e Inc.

See 65 Comparable Transactions
synopsis: nThrive,a provider of patient-to-payment healthcare solutions, advisory expertise, and analytics for health care organizations, has acquired e4e Healthcare Services. e4e is a healthcare services outsourcing company that provides IT-enabled and business process management services.
buyer parent: Pamplona Capital Management LLP
buyer: nThrive (MDAS:$764.22)
nThrive is built on a legacy of excellence. From patient-to-payment, they will provide all the technology, advisory expertise, services, analytics and education programs their clients will need to thrive in the communities they serve. "
 target: e4e Inc.
e4e Inc., a healthcare services outsourcing company, provides IT-enabled and business process management services. The company offers provider solutions; and payer solutions that include claims management and admin, cost avoidance and audit, and medical record solutions.
price ($mm)
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closed 12/12/2018 via PR Web

ChrysCapital, acquired GeBBS Healthcare Solutions

See 65 Comparable Transactions
synopsis: GeBBS Healthcare Solutions, a leading national provider of Revenue Cycle Management solutions for the healthcare industry, announced that ChrysCapital, a marquee Indian private equity fund with a global technology services footprint, has acquired a majority stake in the company.
buyer: ChrysCapital
ChrysCapital is one of the largest and most successful India-focused private equity firms. They have made over 80 investments and has delivered over 65 exits across a number of sectors including in Business Services, Financial Services, Pharmaceuticals, Healthcare and Consumer. "
 target: GeBBS Healthcare Solutions
GeBBS Healthcare Solutions is a leading technology-enabled provider of revenue cycle management solutions. They help clients improve performance, compliance, and patient satisfaction. Their solutions include Health Info Management, Revenue Management, Patient Access and Risk Adjustment Solutions.
price ($mm)
$140*
rev ($mm)
EBITDA ($mm)
EV / rev
EV / EBITDA
closed 3/12/2018 via BNC Analysis

Gulf Capital, acquired Accumed Practice Management

See 68 Comparable Transactions
synopsis: Gulf Capital, an alternative asset management company, acquired a controlling stake in healthcare sector-focused technology firm, Accumed Practice Management. Dubai-based AccuMed is the first company to provide outsourced Revenue Cycle Management solutions to the regional healthcare sector, and to establish the Medical Billing industry in the UAE.
buyer: Gulf Capital
Based in the Emirate of Abu Dhabi, the capital of the United Arab Emirates, Gulf Capital is a leading alternative asset management company focusing primarily on late-stage control buy-outs, growth capital, real estate development and private debt business. "
 target: Accumed Practice Management
AccuMed Practice Management is the first company to provide outsourced Revenue Cycle Management solutions to the regional healthcare sector, and to establish the Medical Billing industry in the UAE and the Middle East.
price ($mm)
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announced 10/1/2012 via BusinessWire

McKesson Corporation, will acquire MED3000, Inc.

See 174 Comparable Transactions
synopsis: McKesson and MED3OOO announced they have signed a definitive agreement under which McKesson will acquire MED3OOO, a national healthcare management and technology services company that helps improve outcomes for providers, health plans, employers, and the patients and employees they serve.
buyer: McKesson Corporation (MCK:$214,319.00)
McKesson Corporation is a healthcare services and information technology company dedicated to making the business of healthcare run better. McKesson partners with payers, hospitals, physician offices, pharmacies, pharmaceutical companies and others across the spectrum of care. "
 target parent: Mitsui & Co, Ltd
target: MED3000, Inc.
MED3OOO is a leading provider of healthcare management and technology services that improve outcomes for providers, health plans, and the patients and employees they serve. The company provides a broad array of proprietary solutions for physician groups, hospitals, health systems and others.
price ($mm)
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closed 6/27/2018 via PE Hub

New Capital Partners, acquired Collect Rx, Inc.

See 801 Comparable Transactions
synopsis: New Capital Partners (NCP), a private equity firm, announces that is has acquired Collect Rx, a leading revenue cycle management (RCM) company. The company leverages its Business Intelligence (BI) engine to analyze claims and increase reimbursement for healthcare providers.
buyer: New Capital Partners
New Capital Partners (NCP) is a private equity firm headquartered in Birmingham, Ala. NCP makes investments in niche, tech-enabled services companies in the healthcare, financial and business services industries. "
 target: Collect Rx, Inc.
Collect Rx is a niche RCM (revenue cycle management) provider headquartered in Bethesda, Md. Founded in 2006, the company focuses on providing their services to surgery centers, hospitals, physician-owned practices, laboratory diagnostic facilities and behavioral health centers.
price ($mm)
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closed 3/4/2013 via BusinessWire

Gores Group, LLC, purchased GE Healthcare Strategic Sourcing from GE Healthcare

See 90 Comparable Transactions
synopsis: The Gores Group, a leading Los Angeles-based investment firm, announced that it has completed the acquisition of GE Healthcare Strategic Sourcing from GE Healthcare. GE Healthcare Strategic Sourcing is a leading provider of electronic billing and electronic medical records outsourcing solutions to the healthcare industry.
buyer: Gores Group, LLC
The Gores Group, LLC is a private equity firm focused on acquiring controlling interests in mature and growing businesses which can benefit from the firm's operating experience and flexible capital base. "
 seller parent: General Electric Company
seller: GE Healthcare
Healthcare Strategic Sourcing is a leading provider of electronic billing and electronic medical records outsourcing solutions to the healthcare industry. GE Healthcare Strategic Sourcing provides services to some of the most recognized healthcare systems in the United States.
price ($mm)
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announced 8/7/2019 via BusinessWire

Guidehouse, will acquire Navigant Consulting

See 270 Comparable Transactions
synopsis: Guidehouse, a leading provider of management consulting services to government clients, will be acquiring Navigant Consulting, Inc., a specialized, global professional services firm that helps clients take control of their future through advisory, consulting, outsourcing, and technology/analytics services.
buyer parent: Veritas Capital
buyer: Guidehouse
Guidehouse is a leading provider of strategic advisory services to customers such as the Department of Defense, Homeland Security, Veterans Affairs, Health and Human Services, and the Department of State, as well as numerous state and local governments and multilateral agencies. "
 target: Navigant Consulting (NCI:$728.72)
Navigant Consulting is a specialized, global professional services firm that helps clients take control of their future. Across a range of advisory, consulting, outsourcing, and technology/analytics services, Navigant brings sharp insight that pinpoints opportunities and delivers powerful results.
price ($mm)[EV]
$1,121 [$1,134]
rev ($mm)
$729
EBITDA ($mm)
$71
EV / rev
1.6x
EV / EBITDA
16.2x
closed 7/9/2019 via BusinessWire

Healthcare Financial Resources, Inc, acquired PARA Healthcare Financial Services

See 95 Comparable Transactions
synopsis: Healthcare Financial Resources (HFRI), a leader in healthcare accounts receivable (AR) recovery and resolution management, has acquired PARA HealthCare Financial Services, a provider of market-based pricing tools, analytics products, and consulting services that accelerate collections and improve margins for healthcare organizations.
buyer parent: Housatonic Partners
buyer: Healthcare Financial Resources, Inc
Healthcare Financial Resources, Inc is a leader in accounts receivable recovery and resolution and works as a virtual extension of a hospital's central billing office. HFRI helps to resolve and collect insurance accounts receivable and improves operating margins through a collaborative partnership. "
 target: PARA Healthcare Financial Services
PARA HealthCare Financial Services is a provider of market-based pricing tools, analytics products, and consulting services that accelerate collections and improve margins for healthcare organizations. PARA's solutions for the revenue cycle process provide a staff of specialists and online tools.
price ($mm)
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announced 5/29/2019 via PR Newswire

Golden Gate Capital, will acquire Ensemble Health Partners

See 95 Comparable Transactions
synopsis: Ensemble Health Partners, a leading national revenue cycle management provider, will be acquired by Golden Gate Capital, a leading private equity investment firm. Ensemble partners with hospitals across the United States to create real and lasting value through revenue cycle outsourcing and other services aimed at improving healthcare operations.
buyer: Golden Gate Capital
Golden Gate Capital is a privately held enterprise with over $15 billion in committed capital. They operate as a private holding company and recapitalize, restructure, and ultimately build meaningful businesses in partnership with management over an indefinite time horizon. "
 target parent: Bon Secours Mercy Health
target: Ensemble Health Partners
Ensemble Health Partners specializes in full revenue cycle outsource solutions, denials and underpayments, analytics and workflow optimization, Epic optimization, and management services designed to identify immediate wins and create sustainable solutions that ensure long-term results.
price ($mm)
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closed 11/19/2018 via Company Press Release

Pine Tree Equity Partners, acquired RevMD Partners

See 95 Comparable Transactions
synopsis: Pine Tree Equity Partners, a private equity firm, has recapitalized RevMD Partners, a leading provider of revenue cycle management services focused on insurance claims resolution services and self-pay collections for hospitals, large physicians groups and other healthcare providers.
buyer: Pine Tree Equity Partners
Pine Tree Equity Partners is a private equity firm focused on the investment in and expansion of small capitalization companies, with revenue of $10 million to $50 million, in partnership with management. "
 target: RevMD Partners
RevMD Partners is a leading provider of revenue cycle management services focused on insurance claims resolution services and self-pay collections for hospitals, large physicians groups and other healthcare providers.
price ($mm)
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closed 9/28/2017 via Company Press Release

Altaris Capital Partners, acquired AGS Health Private Limited

See 131 Comparable Transactions
synopsis: Altaris Capital Partners, LLC recapitalizes AGS Health in partnership with its founder, Devendra Saharia, and existing shareholder, MTS Health Investors, LLC. AGS Health is a provider of outsourced revenue cycle management services to U.S.-based healthcare providers and billing companies.
buyer: Altaris Capital Partners
Altaris is an investment firm focused exclusively on the healthcare industry. Altaris manages $1.3 billion of equity capital and invest in businesses that meet clearly defined healthcare needs. "
 target: AGS Health Private Limited
AGS Health is a provider of outsourced revenue cycle management services to U.S.-based healthcare providers and billing companies. The Company's services include accounts receivable management, medical coding and transaction processing.
price ($mm)
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closed 3/2/2017 via BNC Analysis

NexPhase Capital, acquired MedA/Rx

See 95 Comparable Transactions
synopsis: NexPhase Capital, a New York City-based private equity firm acquired revenue cycle management solutions provider Charlotte, N.C.-based Med A/Rx. Since 1988, MedA/Rx has provided a new way to think about revenue cycle management for the healthcare financial professional.
buyer: NexPhase Capital
NexPhase Capital is a sector-focused independent private equity firm that makes control investments in lower middle market growth-oriented companies. Their team of 14 investment professionals possesses extensive experience in the healthcare, industrial services, software and consumer industries. "
 target: MedA/Rx
Since 1988, MedA/Rx has provided a new way to think about revenue cycle management for the healthcare financial professional. MedA/Rx combines the power of a state-of-the-art accounts receivable management firm with a highly sophisticated healthcare financial consulting team.
price ($mm)
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closed 12/1/2016 via PR Newswire

GTCR, LLC, acquired Revspring

See 99 Comparable Transactions
synopsis: GTCR announced that it has completed the acquisition of RevSpring, Inc., a provider of multi-channel billing and communications solutions to the healthcare and financial services industries. RevSpring helps accelerate revenue through physical and electronic invoices, consumer payment portals, data cleansing solutions and analytics tools.
buyer: GTCR, LLC
GTCR is a leading private equity firm focused on investing in growth companies in the Financial Services & Technology, Healthcare, Technology, Media & Telecommunications and Growth Business Services industries. GTCR has invested more than $12 billion in over 200 companies. "
 target parent: CIP Capital
target: Revspring
Headquartered in Wixom, MI, RevSpring facilitates over one billion customer interactions annually, serving more than 2,000 clients in the healthcare and financial services spaces. Its solutions accelerate cash flow and ensure compliance on time-sensitive consumer communications.
price ($mm)
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closed 10/5/2016 via Market Wire

Medical Transcription Billing, Corp., acquired MediGain Services, Inc.

See 95 Comparable Transactions
synopsis: Medical Transcription Billing, Corp., a leading provider of proprietary, web-based electronic health records, practice management and mHealth solutions, announced that it has completed the acquisition of MediGain Services, a Texas-based medical billing company.
buyer: Medical Transcription Billing, Corp. (MTBC:$65.19)
MTBC (Medical Transcription Billing, Corp) is a healthcare information technology company that provides a fully integrated suite of proprietary web-based solutions, together with related business services, to healthcare providers, revenue cycle management companies and software vendors. "
 target: MediGain Services, Inc.
MediGain is a global full-service revenue cycle management and healthcare analytics company devoted to improving billing, collections, and outcomes for healthcare providers and the patients they serve. It was established in 2002.
price ($mm)
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closed 5/13/2016 via BNC Analysis

Keizer Solutions Inc., acquired Colonial Valley Software, Inc.

See 1722 Comparable Transactions
synopsis: Keizer Solutions has announced that it has acquired Colonial Valley Software (CVS). Colonial Valley Software is a Michigan based software and medical billing company that started its journey in 1981 with the development of the first version of Practice Management application.
buyer: Keizer Solutions Inc.
Keizer Solutions Inc. is one of the Premier Health care Services provider of medical billing, medical coding, accounts receivable/denial management, credit balance resolution, referral/authorization management, credentialing and business intelligence. "
 target: Colonial Valley Software, Inc.
Colonial Valley Software (CVS) is a Michigan based software and medical billing company that started its journey in 1981 with the development of the first version of Practice Management application.
price ($mm)
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closed 3/9/2016 via Company Press Release

Riverside Partners, LLC., acquired Bottom Line Systems

See 95 Comparable Transactions
synopsis: Riverside Partners, LLC, a Boston-based private equity firm, has completed a majority equity investment in Bottom Line Systems. Based in Crescent Springs, KY, BLS is a leading provider of revenue cycle management technology and related services to large hospital systems and other healthcare providers throughout the United States.
buyer: Riverside Partners, LLC.
Founded in 1989, Riverside Partners is a middle market private equity firm currently investing Riverside Fund V, L.P. The fund focuses on growth-oriented companies primarily in the healthcare and technology industries. "
 target: Bottom Line Systems
Bottom Line Systems is a leading provider of revenue cycle management technology and services to healthcare providers, nationally. A central part of Bottom Line Systems' healthcare payment compliance service is process and managed care contract improvement.
price ($mm)
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closed 10/21/2015 via PE Hub

Navient Corporation, acquired Xtend Healthcare LLC

See 95 Comparable Transactions
synopsis: Navient, the nation’s leading loan management, servicing and asset recovery company, is leveraging its asset recovery and business process outsourcing capabilities into the fast-growing health care payments sector with the acquisition of Xtend Healthcare, one of the fastest growing revenue cycle solution companies in the industry.
buyer: Navient Corporation (NAVI:$2,279.00)
As the nation’s leading loan management, servicing and asset recovery company, Navient helps customers navigate the path to financial success. Servicing more than $300 billion in student loans, the company supports the educational and economic achievements of more than 12 million Americans. "
 target: Xtend Healthcare LLC
Based in Hendersonville, Tenn., Xtend is one of the fastest growing revenue cycle solution companies in the industry. Its ervices include health insurance claims billing and account resolution, patient billing, customer service and follow-up, as well as revenue cycle consulting.
price ($mm)
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closed 10/2/2015 via Company Press Release

Doctors' Administrative Solutions, LLC, purchased Revenue Cycle Management Business from Spectra Healthcare

See 95 Comparable Transactions
synopsis: In line with the healthcare industry’s transition to the ICD-10 coding system, Doctors Administrative Solutions announced that it has acquired the revenue cycle management (RCM) business of Spectra Healthcare. Based in Tampa Bay, Spectra has operated in the medical billing and healthcare space for over 14 years.
buyer: Doctors' Administrative Solutions, LLC
Doctors Administrative Solutions provides people-based technology solutions for physician practices. Its products include electronic health records, practice management software and e-prescribing for ambulatory physician practices. "
 seller: Spectra Healthcare
Spectra Healthcare's Revenue Cycle Management (RCM) business provides services to the following specialties: Anatomical Laboratory; Durable Medical Equipment; Family Practice; General Surgery; Neurology; Hospitalist; Internal Medicine; Pathology; Podiatry; andVascular Surgery.
price ($mm)
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closed 6/25/2015 via PR Newswire

Bolder Healthcare Solutions, acquired The ROI Companies

See 95 Comparable Transactions
synopsis: Bolder Healthcare Solutions has acquired The ROI Companies, a leading provider of healthcare revenue cycle management ("RCM") services. ROI provides critical services to hospitals and physician groups including insurance billing and follow-up, self-pay billing, coding, eligibility, consulting, cash acceleration and collections.
buyer parent: Bolder Capital, LLC
buyer: Bolder Healthcare Solutions
Bolder Healthcare Solutions (BHS) is the parent company of various healthcare exclusive revenue cycle solution organizations. BHS focuses on meeting a pressing market need to help healthcare providers achieve better results by improving performance of their revenue cycle. "
 target: The ROI Companies
The spectrum of ROI resources represents over 40 years of business experience addressing the professional needs of healthcare providers throughout the industry. As a full service Revenue Management Firm, ROI services are designed to increase client productivity, profitability and cash flow.
price ($mm)
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closed 4/30/2015 via BusinessWire

GetixHealth, acquired Qube, LLC

See 95 Comparable Transactions
synopsis: GetixHealth, LLC has acquired QUBE, LLC. QUBE is a founder-owned provider of healthcare Revenue Cycle Management (RCM) services. Headquartered in Fremont, California, QUBE provides Revenue Cycle Consulting, Accounts Receivable Outsourcing, with a special focus on Workmen’s Compensation and Third Party Liability (TPL) billing and follow-up.
buyer parent: Trivest Partners, L.P.
buyer: GetixHealth
GetixHealth is a healthcare business process outsourcing services (BPO) company serving the healthcare provider industry. GetixHealth provides services and technologies to hospitals and physician groups in the areas of Revenue Cycle Management. "
 target: Qube, LLC
QUBE, LLC is a provider of healthcare revenue cycle management (RCM) services. QUBE provides revenue cycle consulting, accounts receivable outsourcing, with a special focus on workmen’s compensation and third party liability (TPL) billing and follow-up.
price ($mm)
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Pages:  
closed 3/29/2017 via Company Press Release

nThrive, acquired e4e Inc.

See 65 Comparable Transactions
synopsis: nThrive,a provider of patient-to-payment healthcare solutions, advisory expertise, and analytics for health care organizations, has acquired e4e Healthcare Services. e4e is a healthcare services outsourcing company that provides IT-enabled and business process management services.
buyer parent: Pamplona Capital Management LLP
buyer: nThrive (MDAS:$764.22)
nThrive is built on a legacy of excellence. From patient-to-payment, they will provide all the technology, advisory expertise, services, analytics and education programs their clients will need to thrive in the communities they serve. "
 target: e4e Inc.
e4e Inc., a healthcare services outsourcing company, provides IT-enabled and business process management services. The company offers provider solutions; and payer solutions that include claims management and admin, cost avoidance and audit, and medical record solutions.
price ($mm)
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announced 8/22/2012 via BusinessWire

Pole To Win Co., Ltd., will purchase Worldwide Interactive Entertainment Business from e4e Inc.

See 27 Comparable Transactions
synopsis: Pole To Win Co., Ltd announced it has signed a definitive agreement to acquire the worldwide Interactive Entertainment division of e4e Inc. Interactive Entertainment is the premier service partner to the games industry. They work with leading developers and publishers across Console, PC, Mac, Social Gaming, Casual Gaming and Mobile Applications.
buyer: Pole To Win Co., Ltd. (TSE:3657:$208.93)
Pole To Win, a subsidiary of Poletowin Pitcrew Holdings, Inc., was established in 1994 in Japan covering a range of services over the past 18 years, primarily testing and localizing entertainment software. "
 seller: e4e Inc.
e4e is an IT Enabled Services and Business Process Outsourcing Company with proven experience in delivering business value through cost reduction, process re-engineering and most importantly through enhanced service quality and superior customer experience in the existing and new markets.
price ($mm)
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closed 3/29/2017 via Company Press Release

nThrive, acquired e4e Inc.

See 65 Comparable Transactions
synopsis: nThrive,a provider of patient-to-payment healthcare solutions, advisory expertise, and analytics for health care organizations, has acquired e4e Healthcare Services. e4e is a healthcare services outsourcing company that provides IT-enabled and business process management services.
buyer parent: Pamplona Capital Management LLP
buyer: nThrive (MDAS:$764.22)
nThrive is built on a legacy of excellence. From patient-to-payment, they will provide all the technology, advisory expertise, services, analytics and education programs their clients will need to thrive in the communities they serve. "
 target: e4e Inc.
e4e Inc., a healthcare services outsourcing company, provides IT-enabled and business process management services. The company offers provider solutions; and payer solutions that include claims management and admin, cost avoidance and audit, and medical record solutions.
price ($mm)
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closed 6/1/2016 via PR Newswire

MedAssets-Precyse, acquired Equation Consulting

See 7 Comparable Transactions
synopsis: Equation, an innovator in financial and clinical healthcare analytics and consulting, is pleased to announce it has been acquired by MedAssets-Precyse. Equation is a Utah based healthcare analytics and consulting company. It provides healthcare organizations with the analytic tools and expertise to gain insights to improve healthcare delivery.
buyer parent: Pamplona Capital Management LLP
buyer: MedAssets-Precyse (MDAS:$764.22)
The combined MedAssets-Precyse enterprise is the leader in providing end-to-end revenue cycle services, technology and education solutions. The companies offer extensive capabilities to improve organizations' operational health, grow business and ultimately improve the quality of healthcare. "
 target: Equation Consulting
Equation is a Utah based healthcare analytics and consulting company. Its cloud-based analytics platform, DataRiver provides hospitals, healthcare systems, and physician practice groups with financial and clinical visibility into their organization to improve care, increase quality, and reduce cost.
price ($mm)
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closed 2/15/2016 via BusinessWire

Vizient, Inc., purchased SCM and Sg2 Businesses from MedAssets Inc.

See 150 Comparable Transactions
synopsis: Vizient, Inc. announces it has completed the acquisition of MedAssets’ Spend and Clinical Resource Management (SCM) segment, including Sg2, from Pamplona Capital Management. The combined organization represents the nation’s top hospitals and health systems, and they have delivered billions in savings to providers over the past two years alone.
buyer: Vizient, Inc.
Vizient, Inc., the largest member-owned health care company in the country, is dedicated to serving members and customers through innovative data-driven solutions, expertise and collaborative opportunities that lead to improved patient outcomes and lower costs. "
 seller parent: Pamplona Capital Management LLP
seller: MedAssets Inc. (MDAS:$764.22)
MedAsset's SCM business and Sg2 are leading providers of health care business intelligence, market analytics, and clinical consulting services. Its experts and software analytic tools are used by over 1,400 hospitals, healthy systems, pharmaceutical companies and medical device companies.
price ($mm)
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closed 1/27/2016 via Company Press Release

Pamplona Capital Management LLP, acquired MedAssets Inc.

See 92 Comparable Transactions
synopsis: Pamplona Capital Management, a London and New York based specialist investment manager, is pleased to announce it has agreed to acquire MedAssets, a leading healthcare performance improvement company that serves four out of every five hospitals in the United States.
buyer: Pamplona Capital Management LLP
Pamplona Capital Management is a London and New York based specialist investment manager established in 2005 that provides an alternative investment platform across private equity, fund of hedge funds and single manager hedge fund investments. "
 target: MedAssets Inc. (MDAS:$764.22)
MedAssets is a healthcare performance improvement company focused on helping providers realize financial and operational gains. More than 4,400 hospitals and 122,000 non-acute healthcare providers currently use the company's evidence-based solutions, best practice processes and analytics.
price ($mm)[EV]
$1,969 [$2,766]
rev ($mm)
$764
EBITDA ($mm)
$218
EV / rev
3.6x
EV / EBITDA
12.7x
closed 9/22/2014 via GlobeNewswire

MedAssets Inc., acquired Sg2, LLC

See 553 Comparable Transactions
synopsis: MedAssets today announced that it completed its previously announced acquisition of SG-2, LLC (Sg2), a leading provider of healthcare business intelligence, market analytics and clinical consulting services.
buyer parent: Parthenon Capital Partners
buyer: MedAssets Inc. (MDAS:$764.22)
MedAssets is a healthcare performance improvement company focused on helping providers realize financial and operational gains. More than 4,400 hospitals and 122,000 non-acute healthcare providers currently use the company's evidence-based solutions, best practice processes and analytics. "
 target: Sg2, LLC
Sg2 is a leading provider of healthcare market intelligence, strategic analytics and clinical consulting services that help more than 1,400 hospitals, health systems, as well as pharmaceutical and medical device companies understand current and future market dynamics.
price ($mm)
$125
rev ($mm)
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closed 6/3/2008 via BusinessWire

MedAssets Inc., acquired Accuro Healthcare Solutions, Inc.

See 589 Comparable Transactions
synopsis: MedAssets, Inc. has completed the acquisition of Accuro Healthcare Solutions, Inc., creating a leading healthcare ASP-based technology and services provider.
buyer parent: Parthenon Capital
buyer: MedAssets Inc. (MDAS:$764.22)
MedAssets partners with healthcare providers to improve operating margins and cash flow while supporting quality of care goals. MedAssets implements integrated solutions to address the greatest opportunities for financial and process improvement. "
 target parent: Welsh, Carson, Anderson & Stowe
target: Accuro Healthcare Solutions, Inc.
Accuro is the industry leader in revenue management solutions to help providers achieve optimal financial results in an era of ever-diminishing resources and expanding regulatory complexities. The company's Web-based applications help maintain an accurate chargemaster.
price ($mm)[EV]
$229 [$329]
rev ($mm)
$68
EBITDA ($mm)
$18
EV / rev
5.2x
EV / EBITDA
19.9x
closed 7/10/2007 via BusinessWire

MedAssets Inc., acquired MD-X Solutions, Inc.

See 354 Comparable Transactions
synopsis: MedAssets Inc. today announced the acquisition of MD-X Solutions, Inc, a leading provider of revenue cycle technology and services to the healthcare industry. The acquisition expands the revenue cycle offering of MedAssets to include broad solutions for Business Office outsourcing.
buyer parent: Parthenon Capital
buyer: MedAssets Inc. (MDAS:$764.22)
MedAssets partners with healthcare providers to improve operating margins and cash flow while supporting quality of care goals. MedAssets implements integrated solutions to address the greatest opportunities for financial and process improvement. "
 target: MD-X Solutions, Inc.
Founded in 2000, MD-X Solutions, Inc. is a fast-growing Revenue Cycle company that provides flexible outsourcing solutions and web-based software applications to maximize healthcare reimbursement for our hospital clients.
price ($mm)
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closed 5/23/2007 via BusinessWire

MedAssets Inc., acquired XactiMed Inc.

See 596 Comparable Transactions
synopsis: MedAssets Inc. has closed the acquisition of XactiMed, Inc., a leading provider of web-based revenue cycle technologies and services to the healthcare industry. The acquisition will expand the offering of MedAssets Net Revenue Systems to include claims management, remittance management, denial management solutions, and an array of revenue services.
buyer parent: Parthenon Capital
buyer: MedAssets Inc. (MDAS:$764.22)
MedAssets partners with healthcare providers to improve operating margins and cash flow while supporting quality of care goals. MedAssets implements integrated solutions to address the greatest opportunities for financial and process improvement. "
 target: XactiMed Inc.
XactiMed provides web-based revenue cycle solutions and outsourcing services to the healthcare industry. XactiMed's claims, remittance and denial management solutions improve efficiency and effectiveness across the revenue cycle resulting in improved financial performance for the hospitals we serve.
price ($mm)
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closed 2/16/2006 via BusinessWire

MedAssets Inc., acquired Inobis

See 1089 Comparable Transactions
synopsis: MedAssets Inc. announced today it has acquired Inobis, a recognized leader in healthcare supply chain data management. Inobis uses the capabilities of advanced software tools, experienced clinicians, and product experts to deliver thorough and comprehensive supply chain data preparation, data analysis, and maintenance.
buyer parent: Parthenon Capital
buyer: MedAssets Inc. (MDAS:$764.22)
MedAssets partners with healthcare providers to improve operating margins and cash flow while supporting quality of care goals. MedAssets implements integrated solutions to address the greatest opportunities for financial and process improvement. "
 target: Inobis
Over the past six years, Inobis has helped more than 150 hospitals and over 20 integrated networks achieve operational and financial improvements within the supply chain through the building, management, and analysis of supply-related data.
price ($mm)
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closed 1/9/2006 via BusinessWire

MedAssets Inc., acquired Avega Health Systems

See 653 Comparable Transactions
synopsis: MedAssets Inc. announced today it has acquired Avega Health Systems, a leading provider of business decision support solutions for acute care hospitals.
buyer parent: Parthenon Capital
buyer: MedAssets Inc. (MDAS:$764.22)
MedAssets partners with healthcare providers to improve operating margins and cash flow while supporting quality of care goals. MedAssets implements integrated solutions to address the greatest opportunities for financial and process improvement. "
 target: Avega Health Systems
Based in Los Angeles, Calif., Avega provides Alliance, a suite of proprietary business decision support software tools and consulting services to assist healthcare organizations with budget management, managed care contract management, cost management, and strategic service line management.
price ($mm)
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EBITDA ($mm)
EV / rev
EV / EBITDA
closed 3/29/2017 via Company Press Release

nThrive, acquired e4e Inc.

See 65 Comparable Transactions
synopsis: nThrive,a provider of patient-to-payment healthcare solutions, advisory expertise, and analytics for health care organizations, has acquired e4e Healthcare Services. e4e is a healthcare services outsourcing company that provides IT-enabled and business process management services.
buyer parent: Pamplona Capital Management LLP
buyer: nThrive (MDAS:$764.22)
nThrive is built on a legacy of excellence. From patient-to-payment, they will provide all the technology, advisory expertise, services, analytics and education programs their clients will need to thrive in the communities they serve. "
 target: e4e Inc.
e4e Inc., a healthcare services outsourcing company, provides IT-enabled and business process management services. The company offers provider solutions; and payer solutions that include claims management and admin, cost avoidance and audit, and medical record solutions.
price ($mm)
rev ($mm)
EBITDA ($mm)
EV / rev
EV / EBITDA
closed 8/19/2020 via BusinessWire

Centauri Health Solutions, acquired HCFS, Inc.

See 171 Comparable Transactions
synopsis: Centauri Health Solutions, an innovative healthcare technology and services company, has acquired all key assets of HCFS, Inc., a Texas-based provider of self-pay management solutions. HCFS enables Centauri to further extend its market leadership in hospital revenue cycle optimization services.
buyer parent: ABRY Partners, LLC
buyer: Centauri Health Solutions
Centauri Health Solutions provides services to payors and providers in government-sponsored healthcare programs, including Medicare Advantage and Medicaid. Centauri improves health outcomes of the members and patients through compassionate outreach, sophisticated analytics and data-driven solutions."
 target: HCFS, Inc.
HCFS is a provider of self-pay management solutions. HCFS specializes in revenue cycle solutions for hospitals and health systems, using advanced technology and an emphasis on patient advocacy to increase process efficiencies and maximize revenue for clients.
price ($mm)
rev ($mm)
EBITDA ($mm)
EV / rev
EV / EBITDA
closed 10/18/2017 via BusinessWire

mCare Solutions, LLC merged with Vaughan Holland Consulting,

See 656 Comparable Transactions
synopsis: Revint Solutions has been created through the merger of mCare Solutions and VHC (Vaughan Holland Consulting). Revint Solutions serves over 450 hospitals and some of the leading healthcare institutions across the United States. mCare Solutions is a leading provider of underpayment and coverage discovery identification and recovery.
buyer: Vaughan Holland Consulting
VHC's trusted revenue management team has helped hundreds of clients recover millions of denied, lost and hidden reimbursement. VHC was named one of the 20 largest revenue cycle consulting firms in 2016 by Modern Healthcare magazine. "
 target: mCare Solutions, LLC
Since 2005, mCare Solutions has analyzed millions of discharges – and recovered more than $200 million in reimbursements. mCare Solutions is a leading provider of underpayment and coverage discovery identification and recovery.
price ($mm)
rev ($mm)
EBITDA ($mm)
EV / rev
EV / EBITDA
closed 7/5/2016 via BusinessWire

MedData, Inc., acquired Cardon Outreach

See 171 Comparable Transactions
synopsis: MEDNAX, Inc. announced that it has completed the previously disclosed acquisition of Cardon Outreach, a leading provider of third-party eligibility and other revenue cycle management services for hospitals, for $400 million
buyer parent: MEDNAX, Inc.
buyer: MedData, Inc.
MedData is one of the nation’s leading providers of technology-enabled enterprise solutions designed to help physicians and hospitals better engage patients throughout the entire healthcare continuum. Their program includes patient access and communications, revenue cycle management and more. "
 target parent: Serent Capital
target: Cardon Outreach
Cardon Outreach provides services and technology solutions focused on helping hospitals and healthcare systems lower costs, reduce operating and capital expenses, recover revenue, and increase productivity.
price ($mm)
$400
rev ($mm)
EBITDA ($mm)
EV / rev
EV / EBITDA
closed 1/27/2016 via Company Press Release

Pamplona Capital Management LLP, acquired MedAssets Inc.

See 92 Comparable Transactions
synopsis: Pamplona Capital Management, a London and New York based specialist investment manager, is pleased to announce it has agreed to acquire MedAssets, a leading healthcare performance improvement company that serves four out of every five hospitals in the United States.
buyer: Pamplona Capital Management LLP
Pamplona Capital Management is a London and New York based specialist investment manager established in 2005 that provides an alternative investment platform across private equity, fund of hedge funds and single manager hedge fund investments. "
 target: MedAssets Inc. (MDAS:$764.22)
MedAssets is a healthcare performance improvement company focused on helping providers realize financial and operational gains. More than 4,400 hospitals and 122,000 non-acute healthcare providers currently use the company's evidence-based solutions, best practice processes and analytics.
price ($mm)[EV]
$1,969 [$2,766]
rev ($mm)
$764
EBITDA ($mm)
$218
EV / rev
3.6x
EV / EBITDA
12.7x
closed 8/20/2013 via BusinessWire

Optimum Outcomes merged with Adreima,

See 240 Comparable Transactions
synopsis: Adreima, a national provider of clinically-integrated revenue cycle services, and Optimum Outcomes, a national provider of patient-focused account resolution services, announced a merger of the two companies.
buyer parent: Waud Capital Partners, LLC
buyer: Adreima
Adreima advocates for hospitals nationwide, providing eligibility and revenue cycle management services supported by a deep knowledge of state-specific issues and unparalleled in-house expertise. "
 target parent: Waud Capital Partners, LLC
target: Optimum Outcomes
Optimum Outcomes partners with over 300 hospitals and hospital-based physician groups across the United States to provide a wide range of account resolution services, including EBO self-pay, third-party insurance and aged receivables recovery.
price ($mm)
rev ($mm)
EBITDA ($mm)
EV / rev
EV / EBITDA
closed 9/15/2011 via BusinessWire

Medical Business Service, Inc. merged with Zotec Partners,

See 231 Comparable Transactions
synopsis: Zotec Partners, an industry leader in medical billing, practice management and Radiology Information Systems (RIS) software and services, announced it is merging with Medical Business Service, Inc. (MBS), one of Florida's largest and most respected medical billing companies with a 50-year history of serving hospital-based practices.
buyer: Zotec Partners
Zotec Partners is the industry leader in medical billing, practice management and Radiology Information Systems software and services. Zotec delivers effective solutions through its innovative software, personalized service and measurable client results. "
 target: Medical Business Service, Inc.
Medical Business Service (MBS) is one of the largest privately owned leaders providing billing services for hospital-based physicians. MBS offers a depth of billing and practice management experience to help clients achieve optimum reimbursement and practice profitability.
price ($mm)
rev ($mm)
EBITDA ($mm)
EV / rev
EV / EBITDA
closed 6/30/2011 via Market Wire

University General Health System, Inc., acquired Autimis LLC

See 231 Comparable Transactions
synopsis: University General Health System, Inc. announced the acquisition of 100% of Autimis, LLC and Autimis Medical Billing, LLC for shares of UGHS common stock. Autimis is a revenue cycle management company that specializes in serving hospitals, ambulatory surgery centers, outpatient laboratories and free-standing outpatient emergency rooms.
buyer: University General Health System, Inc.
University General Health System, Inc. is a diversified, integrated, multi-specialty health care provider that delivers concierge physician and patient oriented services providing timely and innovative health solutions that are competitive, efficient and adaptive. "
 target: Autimis LLC
Autimis is a revenue cycle management company that specializes in serving hospitals, ambulatory surgery centers, outpatient laboratories and free-standing outpatient emergency rooms.
price ($mm)
$8.10
rev ($mm)
EBITDA ($mm)
EV / rev
EV / EBITDA
closed 6/22/2012 via Market Wire

T-System Technologies, Ltd., acquired Marina Medical Billing Service

See 289 Comparable Transactions
synopsis: T-System, Inc. announced its purchase of Marina Medical Billing Service, an emergency room medical coding/billing company based in Cerritos, Calif. The deal follows T-System's previous acquisitions of Clinical Coding Solutions and Practice Management Associates and signifies the company's expanding revenue cycle management solution offerings.
buyer: T-System Technologies, Ltd.
T-System, Inc. sets the industry standard for clinical, business and IT solutions for emergency medicine, with approximately 40 percent of the nation's emergency departments using T-System solutions. To meet the individual needs of hospitals, T-System offers both paper and electronic systems. "
 target parent: American Capital Strategies, Ltd.
target: Marina Medical Billing Service
Serving emergency departments, hospitals, and urgent care clinics with coding and revenue cycle management services for many years, Marina Medical Billing Service is among the elite firms in the nation specializing in emergency medicine coding and billing.
price ($mm)
rev ($mm)
EBITDA ($mm)
EV / rev
EV / EBITDA
announced 5/18/2018 via GlobeNewswire

TransUnion Healthcare, will acquire Healthcare Payment Specialists, Inc.

See 131 Comparable Transactions
synopsis: TransUnion is boosting its healthcare solutions with the purchase of Healthcare Payment Specialists (HPS), a leader in helping healthcare providers optimize Medicare reimbursement. HPS provides technology-enabled solutions for healthcare eligibility, government reimbursement and compliance to hospitals and healthcare systems across the country.
buyer parent: TransUnion LLC
buyer: TransUnion Healthcare
TransUnion Healthcare, a wholly owned subsidiary of credit and information management company TransUnion, is a trusted provider of Healthcare Revenue Protection solutions for maximizing reimbursement, improving patient engagement, and preventing revenue leakage. "
 target parent: Nautic Partners, LLC
target: Healthcare Payment Specialists, Inc.
Healthcare Payment Specialists (HPS) provides technology-enabled solutions for healthcare eligibility, government reimbursement and compliance to hospitals and healthcare systems. HPS delivers solutions on a software-as-a-service basis or through outsourced service engagements.
price ($mm)
rev ($mm)
EBITDA ($mm)
EV / rev
EV / EBITDA
closed 7/31/2012 via BusinessWire

Optimum Outcomes, acquired Absolute Collection Service, Inc.

See 220 Comparable Transactions
synopsis: Optimum Outcomes, a leading provider of account resolution services to hospitals and hospital-based physician groups throughout the United States, announced that it has acquired Patient Financial Services and Absolute Collection Service in a transaction that expands and enhances its comprehensive suite of revenue cycle services.
buyer parent: Waud Capital Partners, LLC
buyer: Optimum Outcomes
Optimum Outcomes partners with over 300 hospitals and hospital-based physician groups across the United States to provide a wide range of account resolution services, including EBO self-pay, third-party insurance and aged receivables recovery. "
 target: Absolute Collection Service, Inc.
Absolute Collection Service provides primarily extended business office self-pay billing and account resolution, aged receivables account resolution and data warehousing services for hospitals that are undertaking, or have recently completed, systems conversions.
price ($mm)
rev ($mm)
EBITDA ($mm)
EV / rev
EV / EBITDA
closed 2/17/2010 via BusinessWire

Nautic Partners, LLC, acquired Healthcare Payment Specialists, Inc.

See 219 Comparable Transactions
synopsis: Nautic Partners, LLC, a private equity firm with more than $2.5 billion of capital under management, announced that it has completed a recapitalization of Healthcare Payment Specialists, LLC (“HPS”) in partnership with management. HPS is a provider of payment and reimbursement solutions to hospitals and other healthcare systems.
buyer: Nautic Partners, LLC
Nautic Partners is a middle-market private equity firm with over $1.8 billion of equity capital under management. We have completed more than 100 investments and delivered successful results to our limited partners over three decades. "
 target: Healthcare Payment Specialists, Inc.
Healthcare Payment Specialists (“HPS”) is a provider of payment and reimbursement solutions to hospitals and other healthcare systems. Based in Fort Worth, TX, HPS leverages technology to capture leakage in its clients’ revenue and billing cycles.
price ($mm)
rev ($mm)
EBITDA ($mm)
EV / rev
EV / EBITDA
closed 6/11/2014 via Company Press Release

Intermedix Corporation, purchased Billing Divison from T System, Inc.

See 209 Comparable Transactions
synopsis: Intermedix Corporation has acquired T-System’s Physician Billing Division. T-System’s billing division serves clients nationwide with emergency physician billing and practice management services. T-System’s billing division was part of the RevCycle+ brand. The RevCycle+ brand will continue with T-System’s coding systems and services.
buyer parent: Thomas H. Lee Partners, L.P.
buyer: Intermedix Corporation
Intermedix Corporation delivers healthcare information technology and business solutions to manage the revenue cycle, promote preparedness and interoperability, and support incident response management, documentation and reporting. "
 seller: T System, Inc.
Established in 2012, T-System’s billing division serves clients nationwide with emergency physician billing and practice management services. T-System's solutions solve clinical, financial, operational and regulatory challenges for hospitals and urgent care clinics.
price ($mm)
rev ($mm)
EBITDA ($mm)
EV / rev
EV / EBITDA
closed 4/3/2014 via PR Newswire

edgeMED, acquired Physician's Billing Alternative

See 240 Comparable Transactions
synopsis: edgeMED, a national provider of cloud-based medical office software, medical billing services and healthcare IT solutions, announced its acquisition of privately held Physician's Billing Alternative, a full-service provider of medical billing and collections solutions for physicians and healthcare organizations nationwide.
buyer: edgeMED
edgeMED specializes in medical billing and practice management services, HIPAA compliant healthcare IT solutions, and EHR solutions. edgeMED's portfolio of products and services are designed to enable healthcare providers to distribute patient safety, clinical outcomes and financial results. "
 target: Physician's Billing Alternative
Physician's Billing Alternative provides revenue cycle management services. Through expertise created by PBA's deep customer relationships, the company has extended its medical billing and collection services to include physician credentialing and best practice consulting.
price ($mm)
rev ($mm)
EBITDA ($mm)
EV / rev
EV / EBITDA
closed 2/1/2012 via BNC Analysis

Automatic Data Processing, Inc., acquired PhyLogic Healthcare, LLC

See 95 Comparable Transactions
synopsis: Automatic Data Processing, a publicly traded provider of business process outsourcing services, announced the acquisition of PhyLogic Healthcare, Springfield, Mass. PhyLogic provides medical billing and revenue cycle management to medical practices, ranging in size from solo practitioners to hospital-based physician groups.
buyer: Automatic Data Processing, Inc. (ADP:$13,325.80)
Automatic Data Processing, Inc. ("ADP"), is one of the world's largest providers of business outsourcing solutions. Leveraging over 60 years of experience, ADP offers the widest range of HR, payroll, tax and benefits administration solutions from a single source. "
 target: PhyLogic Healthcare, LLC
PhyLogic Healthcare provides medical billing and revenue cycle management to medical practices, ranging in size from solo practitioners to hospital-based physician groups.
price ($mm)
rev ($mm)
EBITDA ($mm)
EV / rev
EV / EBITDA
closed 8/10/2011 via PR Newswire

Aprima Medical Software, Inc., acquired Health Care Strategies

See 230 Comparable Transactions
synopsis: Aprima Medical Software announced the acquisition of Health Care Strategies (HCS), a leading provider of Revenue Cycle Management (RCM) services to physician offices throughout the U.S. HCS has consistently achieved significant gains in receivables collection rates and days sales outstanding for their customers.
buyer: Aprima Medical Software, Inc.
Aprima Medical Software, Inc., provides innovative electronic health record, practice management and revenue cycle management solutions for medical practices. The Aprima EHR+PM is an integrated electronic health record and practice management system built on a single database. "
 target: Health Care Strategies
Health Care Strategies (HCS) is a leading provider of Revenue Cycle Management (RCM) services to physician offices throughout the U.S. HCS is dedicated to its role of solving customer problems and increasing productivity through billing expertise and technological innovation.
price ($mm)
rev ($mm)
EBITDA ($mm)
EV / rev
EV / EBITDA
closed 10/1/2018 via GlobeNewswire

DAS Health, acquired M E Computer Systems

See 274 Comparable Transactions
synopsis: DAS Health, an industry leader in health IT and management, announced it completed the acquisition of M E Computer Systems, LLC, a company that offers a variety of valuable software and IT solutions for a business or practice. With over 30 years of experience they provide clients with intelligent solutions backed by award winning support.
buyer: DAS Health
DAS Health is a leading provider of Health IT and management solutions and a trusted consultant to independent physician groups, hospitals and healthcare systems across North America. Headquartered in Tampa, FL, DAS delivers superior health IT, medical billing and practice management solutions. "
 target: M E Computer Systems
M E Computer Systems, LLC offers a variety of valuable software and IT solutions for a business or practice. With over 30 years of experience they provide clients with intelligent solutions backed by award winning support.
price ($mm)
rev ($mm)
EBITDA ($mm)
EV / rev
EV / EBITDA
announced 6/28/2016 via BusinessWire

ChartLogic, Inc. will be merged with Medsphere Systems Corporation,

See 977 Comparable Transactions
synopsis: Medsphere Systems Corporation and ChartLogic, Inc., announced that they have executed a definitive agreement to merge the two companies. The transaction will expand Medsphere’s existing enterprise healthcare IT products and services to include ChartLogic’s ambulatory electronic health record (EHR), practice management and medical billing solutions.
buyer: Medsphere Systems Corporation
Medsphere Systems Corporation is an organization of committed clinical and technology professionals working to make quality healthcare IT solutions accessible to organizations of virtually any size, shape or budget. "
 target: ChartLogic, Inc.
ChartLogic, Inc., is driven by the desire to improve patient care, office efficiencies and profitability for the physician practice. It develops and delivers healthcare technology solutions and offers a full ambulatory electronic health record (EHR) suite.
price ($mm)
rev ($mm)
EBITDA ($mm)
EV / rev
EV / EBITDA
closed 11/27/2013 via PR Web

CureMD, acquired AviaraMD

See 207 Comparable Transactions
synopsis: CureMD, a leading healthcare IT company announced that it acquired AviaraMD, LLC a Utah-based medical billing services company. AviaraMD helps practices grow cash flow, streamline operations, and provide excellent patient services.
buyer: CureMD
CureMD is a provider of EMR, practice management, patient portal and revenue cycle management to optimize outcomes, quality and returns. CureMD provides a web based, easy to use, quick go-live solution that delivers the highest rate of return in the industry. "
 target: AviaraMD
AviaraMD is a medical billing services company that assists clients of diverse practices located across the US to maximize client profitability, productivity, and patient care. It helps practices grow cash flow, streamline operations, and provide excellent patient services.
price ($mm)
rev ($mm)
EBITDA ($mm)
EV / rev
EV / EBITDA
announced 5/22/2012 via PR Web

Cloud Medical Doctor Software Corporation, will acquire Doctor's Network of America Inc.

See 134 Comparable Transactions
synopsis: Cloud Medical Doctor Software Corporation announced that it has signed a Letter of Intent to acquire Doctors Network of America, a leading provider of Physician billing and consulting services to healthcare providers in Mississippi.
buyer: Cloud Medical Doctor Software Corporation
Cloud Medical Doctor Software provides cloud based medical software solution and service, designed by experienced healthcare programmers for healthcare providers. They offer billing management and other services to increase the physician’s profitability and office efficiency. "
 target: Doctor's Network of America Inc.
Doctors Network of America offers nationwide outsourced medical billing services. They specialise in medical billing, computer data management, and medical professional support.
price ($mm)
rev ($mm)
EBITDA ($mm)
EV / rev
EV / EBITDA
Pages:  

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