Elevate Patient Financial Solutions

What Elevate Patient Financial Solutions does

Elevate Patient Financial Solutions (ElevatePFS), founded in 1980 and headquartered in Spring, Texas, is a private, PE-backed revenue cycle management (RCM) services provider serving U.S. hospitals, health systems, and other healthcare providers. The company delivers outsourced RCM services across six core solution areas: Eligibility & Enrollment (Medicaid eligibility and disability advocacy), Revenue Cycle Analytics (price transparency, strategic pricing, SPARX pharmacy pricing, and charge accuracy), Complex Claims (Third Party Liability, Workers' Compensation, Veterans Administration, and Out-of-State Medicaid), Extended Business Office/A/R services (legacy conversions, A/R follow-up, low-balance recovery, zero-balance underpayment recovery, and denials management), and Self-Pay/Patient Pay/Early Out collections. Per company materials, ElevatePFS serves 2,500+ client facilities and processes 22 million patient accounts annually, maintaining a 95% client retention rate and providing state-specific expertise across all 50 states.

The company's service delivery is powered by The Summit System®, a proprietary data science technology platform featuring operating systems that optimize patient engagement, coverage identification, and revenue cycle processes. ElevatePFS applies predictive modeling to assess the viability of Third Party Liability accounts and AI-enabled automation across patient communication, eligibility screening (including bedside screening), and claims workflows. The company holds SOC 1 Type 2 and SOC 2 Type 2 reports, HIPAA framework compliance, and aligns with NIST CSF 2.0, and has maintained HFMA Peer Review accreditation for 15+ consecutive years.

ElevatePFS operates a B2B enterprise field sales model, contracting directly with healthcare providers on multi-year custom engagements typically structured as managed services (often contingency or performance-based for eligibility and recovery work). The company is privately held under Elevate PFS Holdings, Inc., with corporate offices in Spring, Texas and Orange, California. In February 2026, ElevatePFS completed a strategic acquisition of Centauri Health Solutions' Health Systems Services division to bolster Medicaid/disability enrollment and out-of-state billing capabilities. The firm employs 1,001–5,000 staff, has executed multiple recent acquisitions (Revenue Masters in June 2023; Professional Medical Services in December 2023), and received a 2025 funding round led by Audax Private Equity and Parthenon Capital Partners.

Name

Elevate Patient Financial Solutions

Legal name

Elevate PFS Holdings, Inc.

Website

https://elevatepfs.com

Company type

Private

Founded year

1980

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

Elevate Patient Financial Solutions is a PE-backed revenue cycle management services provider serving 2,500+ U.S. hospitals and health systems, delivering eligibility, complex claims, A/R, and self-pay solutions powered by its proprietary Summit System platform.

Ownership category

akta.pro rank

Product category

Healthcare Revenue Cycle Management

NAICS

Computer Systems Design and Related Services (54151), Other Management Consulting Services (541618)

SIC

Services-Health Services (8000), Services-Management Services (8741), Services-Prepackaged Software (7372)

akta.pro primary industry

RCM Outsourcing & Managed Billing Services (HLACACAN)

akta.pro secondary industries

Patient Access, Registration & Intake (Front-End RCM) (HLACACAE), Patient Billing, Statements & Payment Processing (HLACACAG), Healthcare Billing & Patient Payments Presentment (FSAMAJAH), Medication Pricing, Copay Assistance & Patient Financial Support Tools (HLACAKAN)

Keywords

• Revenue cycle management
• Patient eligibility services
• Medical billing services
• Healthcare accounts receivable
• Complex claims management

Headquarters

HQ city

Spring

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. Revenue Cycle Management Services: Professional services revenue generated through outsourcing RCM functions for healthcare providers. Services include Eligibility & Enrollment, Self-Pay/Patient Pay, Complex Claims (Third Party Liability, Workers' Compensation, Veterans Administration, Out-of-State Medicaid), Extended Business Office/A/R Services. Revenue is generated through contracted engagements with healthcare organizations, likely on a performance or project basis.

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels6 records

Core offering

Elevate Patient Financial Solutions (ElevatePFS) provides outsourced revenue cycle management (RCM) services to hospitals, health systems, and healthcare providers across the United States. Its service portfolio covers Medicaid eligibility screening and enrollment, self-pay/early-out patient collections, complex claims resolution (third-party liability, workers' compensation, Veterans Administration, out-of-state Medicaid), and extended business office / accounts receivable management. All services are powered by The Summit System®, a proprietary data science technology platform.

Product overview

Elevate Patient Financial Solutions provides an integrated revenue cycle management platform comprising six core service modules: Eligibility & Enrollment Services (Medicaid and disability advocacy), Revenue Cycle Analytics (price transparency, strategic pricing, and charge accuracy), Complex Claims Services (third-party liability, workers' compensation, VA, and out-of-state Medicaid), Extended Business Office/Accounts Receivable Services (A/R follow-up, denials management, low-balance recovery), and Self-Pay/Patient Pay services. The entire solution portfolio is powered by The Summit System, a proprietary data science-powered technology platform. The company serves 2,500+ healthcare facilities handling 22 million patient accounts annually, with state-specific expertise across all 50 states.

Differentiator

Problem solved

Functional benefit

Brands

• The Summit System: Innovative technology platform powered by data science that powers ElevatePFS's revenue cycle solutions to deliver proven results.

Products and services

• Eligibility & Enrollment Services Comprehensive Medicaid eligibility screening and disability advocacy services that identify potential coverage for patients starting at the bedside, with in-house advocates securing Medicaid, disability, and other entitlement programs to increase revenue recovery and improve patient experience.
• Revenue Cycle Analytics Analytics suite for healthcare organizations encompassing Price Transparency, Strategic Pricing Analytics, Strategic Pharmacy Pricing Analytics (SPARX) for 340B program optimization, and Charge Accuracy services to optimize pricing strategies, ensure billing accuracy, and maintain price transparency compliance.
• Complex Claims Services Specialized handling of complex healthcare claims covering Third Party Liability, Workers' Compensation, Veterans Administration, and Out-of-State Medicaid Enrollment & Billing to resolve difficult payer scenarios that internal teams often cannot manage.
• Extended Business Office / Accounts Receivable Services Comprehensive A/R management including Legacy System Conversions, A/R Billing & Follow Up, Low Balance Insurance Follow Up, Zero Balance Payment Recovery (Underpayment Recovery), and Denials Management to work hospital aging A/R inventory to resolution.
• Self-Pay / Patient Pay / Early Out Services Compassionate patient-facing self-pay collections using a U.S.-based call center to help patients understand statements and payment options, improving patient experience while recovering revenue from patient responsibility balances.

Quantifiable outcome

• 95% client retention rate demonstrating high customer satisfaction and service quality
• +7 more outcomes

Named customers10 records

Segments3 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

AI capability4 records

Feature4 records

Partnerships

One partnership is on record.

• Centauri Health SolutionscoreStrategic or Co-development Partner · 16 February 2026Elevate Patient Financial Solutions acquired Centauri Health Solutions' Health Systems Services division in February 2026. The acquisition enhances ElevatePFS's revenue cycle management capabilities to include Medicaid and disability enrollment services as well as out-of-state billing. The deal brings specialized expertise in navigating state-specific healthcare reimbursement regulations under the ElevatePFS umbrella, helping health systems minimize uncompensated care while enabling vulnerable patient populations to access entitlement programs.

Scale indicators7 records

Expansion highlights5 records

Direct peers

• Ensemble Health Partners: Large US-based outsourced RCM provider for hospitals and health systems. Directly comparable end-to-end RCM services, technology-enabled workflows, and hospital-system customer base.
• R1 RCM (now TowerBrook/CD&R backed): One of the largest outsourced RCM vendors for US hospitals and physician groups. Comparable enterprise RCM services, technology platform, and PE-backed ownership profile.
• Aspirion: Specializes in complex claims resolution, including workers' compensation, motor vehicle accidents, and out-of-state Medicaid, overlapping directly with ElevatePFS's Complex Claims and Extended Business Office services.
• TruBridge: Public RCM and EHR-focused vendor targeting community hospitals and health systems. Comparable end-to-end RCM services and analytics capabilities for similar mid-sized hospital customers.
• Firstsource Solutions (MedAssist/Patient Access): Global BPO with a US healthcare RCM and patient access practice. Comparable eligibility, patient intake, and back-office RCM services for US hospitals and payers.

Broad incumbents

• Parallon (HCA Healthcare): Provides RCM, patient access, and HIM services primarily to HCA facilities but also to external hospitals. Broad incumbent offering comparable to ElevatePFS's end-to-end RCM outsourcing model.
• Waystar: Publicly traded healthcare payment and RCM technology platform serving hospitals and health systems with revenue cycle software, complementary to ElevatePFS's RCM services via analytics and billing technology.
• Optum (UnitedHealth Group): Diversified healthcare services giant offering RCM, eligibility, and analytics capabilities at massive scale through Change Healthcare. Adjacent competitor with potential to disintermediate standalone RCM vendors.

Emerging players

• Centauri Health Solutions: Provides Medicaid eligibility, disability, and out-of-state billing services, overlapping with ElevatePFS after selling its Health Systems Services division. Remaining business in risk adjustment and quality creates adjacent comparability.
• Availity: Healthcare information network providing eligibility, claims, and revenue cycle tools used by providers and payers. Adjacent technology-enabled competitor in front-end RCM workflows.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/ElevatePFS
• Facebookfacebook.com/ElevatePFS
• LinkedInlinkedin.com/company/elevatepfs
• Instagraminstagram.com/elevatepfs

Compliance4 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 records

Funding overview

Funding rounds1 record

Investors2 records

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A3 records

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Elevate Patient Financial Solutions