Knack RCM Acquires HealthyBOS

Carlyle Acquires Majority Stakes in Knack RCM and EqualizeRCM to Build AI-Native Healthcare RCM Platform

May 6, 2026

Healthcare Services

Global investment firm Carlyle acquired majority stakes in U.S. healthcare revenue cycle management providers Knack RCM and EqualizeRCM to create an AI-native, global, multi-specialty RCM platform. The deal combines Knack’s global delivery and orchestration platform (Workmate) with Equalize’s proprietary payer enrollment software and AI-driven tools such as Bill Smart for denial prediction and avoidance; founders Rajiv Sharma and Nagi Rao will reinvest to remain invested in the combined platform. Financial terms were not disclosed.

Knack RCM Acquires PPM Partners

March 11, 2025

Healthcare Services

Knack RCM has acquired PPM Partners, a Montgomery, Alabama-based revenue cycle management (RCM) firm founded in 1991 that specializes in anesthesia billing and practice management. The deal expands Knack's anesthesia services footprint and brings PPM's management team into Knack's Anesthesia Services division; Knack completed the transaction with financial partner LKCM Headwater Investments.

Knack Global Acquires Merrick Management, Inc.

August 8, 2024

Healthcare Services

Knack Global, a tech-enabled provider of revenue cycle management (RCM) solutions, has acquired Merrick Management, Inc., a Lexington, Kentucky-based anesthesia-focused RCM and practice management firm. The deal expands Knack's specialty RCM capabilities into the anesthesia market and will fold Merrick's leadership into a new Anesthesia Services division while Knack continues to grow alongside investment partner LKCM Headwater.

Knack Global Acquires Delta Business Systems, Inc. dba MediSYS

January 30, 2023

Healthcare Services

Knack Global, a Florida-based revenue cycle management (RCM) provider, has acquired Delta Business Systems, Inc. dba MediSYS, a Birmingham-area medical billing and practice-management/EHR support provider. The deal is an add-on for Knack following its recapitalization by LKCM Headwater Investments and Weave Growth Partners and expands Knack's RCM footprint into the southern United States.

Knack Global Acquires The Billing Center

March 21, 2022

Healthcare Services

Knack Global, a Florida-based provider of revenue cycle management (RCM) services, has acquired The Billing Center, a Charleston, West Virginia-based medical billing firm that serves durable medical equipment (DME) suppliers. The deal — completed with support from investors LKCM Headwater Investments and Weave Growth Partners — expands Knack's RCM capabilities in the DME market as an add-on to its platform.

LKCM Headwater and Weave Growth Partners Recapitalize Knack Global

January 18, 2022

Healthcare Services

LKCM Headwater Investments, with support from Weave Growth Partners, completed a recapitalization investment in Knack Global to accelerate the company's growth. Knack's founder Rajiv Sharma retained a significant equity stake and will remain CEO as the investors help expand sales, tech-enabled service delivery, and pursue opportunistic acquisitions in the RCM market.