Gauge Capital Provides Growth Capital to Streamline Healthcare Solutions

Gauge Capital Recapitalizes Reliable Medical

January 5, 2026

Healthcare Services

Gauge Capital has partnered with Reliable Medical's management to provide growth capital and complete a recapitalization, acquiring the Nashville-based provider of Complex Rehabilitation Technology (CRT) from prior sponsor Seven Hills Capital. The investment will support Reliable Medical's expansion of clinical capabilities, geographic footprint, and continued focus on high-touch post-delivery services for patients with severe mobility impairments.

MDaudit Acquires Streamline Health Solutions

August 12, 2025

Healthcare Services

MDaudit has finalized the acquisition of Streamline Health Solutions, Inc., bringing Streamline's pre-bill charge and coding integrity solutions into MDaudit's AI-driven, cloud-based revenue cycle management (RCM) platform. The deal creates a combined RCM offering aimed at reducing billing compliance risk and improving financial performance for large healthcare organizations, and positions Streamline as a wholly owned subsidiary of MDaudit.

Gauge Capital Recapitalizes Lucent Health

April 9, 2024

Healthcare Services

Gauge Capital has partnered with Lucent Health’s management to provide growth capital and recapitalize the Nashville-based third-party administrator. Gauge acquired Lucent from a consortium led by NaviMed Capital and has taken board seats to support Lucent’s organic growth and M&A strategy, leveraging Lucent’s Narus Health care management platform.

RidgeLake Partners Makes Strategic Minority Investment in Gauge Capital

October 6, 2021

Financial Services

RidgeLake Partners has made a strategic minority investment in Gauge Capital, a Southlake, Texas-based middle-market private equity firm. Terms were not disclosed; RidgeLake (a partnership between PA Capital and Ottawa Avenue Private Capital) said the investment will support Gauge's future growth and investment activities with no changes planned to the firm's day-to-day management.

Gauge Capital Recapitalizes irth Solutions

May 31, 2019

Cloud & SaaS

Gauge Capital has made a strategic recapitalization investment in irth Solutions, partnering with the company’s owners and management to support growth. irth, a Columbus, Ohio–based provider of UtiliSphere 811 ticket management and field service management SaaS for the energy, utilities and telecom sectors, will use the investment to accelerate market penetration, expand into new verticals and develop additional FSM capabilities.

Streamline Health Acquires Opportune IT Healthcare Solutions

September 8, 2016

Healthcare Services

Streamline Health Solutions, Inc. acquired the assets of Opportune IT Healthcare Solutions, a technology-enabled provider of coding audit and revenue integrity services, for $1.4 million in cash (approximately 1.1x trailing twelve-month revenue). The acquisition expands Streamline's coding, CDI and revenue integrity capabilities and integrates Opportune IT's audit experience and technology into Streamline's Looking Glass platform to better serve hospitals and physician groups across the United States.