Surgical Information Systems Acquires Surgical Notes

Surgical Information Systems Acquires Surgical Notes from Capstreet

October 10, 2025

Healthcare Services

Surgical Information Systems (SIS), owned by Nordic Capital, acquired Surgical Notes from Capstreet (Capstreet IV) with the transaction completed on November 15, 2024. Surgical Notes, headquartered in Dallas, Texas, provides ASC-focused revenue cycle management, coding, transcription and document management services; Capstreet had owned the company since 2019 and helped scale the business via technology development and add-on acquisitions.

Surgical Information Systems Acquires ASC Logs

April 30, 2025

Healthcare Services

Surgical Information Systems (SIS) has acquired ASC Logs, a cloud-based compliance management platform for ambulatory surgery centers (ASCs). The deal adds electronic credentialing, digital logbooks, LMS and enterprise compliance tools to SIS's ASC software suite to streamline regulatory and operational compliance for surgery centers.

Accel-KKR Acquires Majority Stake in Surgical Information Systems; Norwest Retains Minority

October 19, 2020

Healthcare Services

Accel-KKR completed a majority equity investment in Surgical Information Systems (SIS) on October 15, 2020, in a recapitalization that sees Norwest Equity Partners retain a minority ownership stake and invest alongside Accel-KKR. The transaction will support SIS’s growth and accelerate adoption of its cloud-based EMR and perioperative SaaS offerings for ambulatory surgery centers and hospitals; financial terms were not disclosed.

Surgical Notes Acquires Zulu Health

August 6, 2021

Healthcare Services

Surgical Notes has acquired Zulu Health, a Los Angeles-based revenue cycle management (RCM) provider focused on ambulatory surgery centers (ASCs). The deal brings Zulu Health's leadership and RCM capabilities into Surgical Notes (a CapStreet Group portfolio company) to expand and strengthen ASC-focused RCM services nationwide.

Smarter Technologies Acquires Pieces Technologies and Launches SmarterNotes

September 30, 2025

Healthcare Services

Smarter Technologies has acquired Pieces Technologies and combined Pieces' AI-driven documentation workflows with Smarter's clinical AI to launch SmarterNotes, a clinical AI solution that links inpatient documentation with revenue cycle intelligence. The integrated product aims to improve documentation accuracy, reduce provider burden, and capture missed reimbursement opportunities for health systems.

R1 RCM Acquires SCI Solutions

April 1, 2020

Healthcare Services

R1 RCM Inc. completed the acquisition of SCI Solutions, a provider of digital patient access and engagement software, to expand its technology-enabled revenue cycle and patient intake capabilities. The deal (announced Jan 2020, closed Apr 2020) brings SCI’s EHR-agnostic care coordination marketplace and digital “front door” offerings into R1’s platform, and was previously owned by investors including The Wicks Group, NEA and Columbia Pacific.