nimble solutions

What nimble solutions does

nimble solutions is a private U.S. surgical revenue cycle management (RCM) company headquartered in St. Louis, Missouri, founded circa 2003 (originally as National Medical Billing Services) and rebranded to nimble solutions in 2023. The company serves more than 1,100 surgical organizations across ambulatory surgery centers (ASCs), surgical clinics, surgical hospitals, and anesthesia groups, having processed more than $10 billion in net collections and coded more than 25 million charts across 45+ states and 15+ surgical specialties. Its core offering is an integrated, ML-enabled RCM platform spanning managed care contracting, front-end solutions, surgical coding, transcription, chart management, billing, A/R management, and analytics, supported by proprietary tools including nimble Overview, nimble Daily, nimble Aging, Precision Portal, EZChart, and iOS/Android mobile transcription apps.

The product portfolio is organized around Total RCM (the end-to-end bundled offering) plus modular services for surgical coding, managed care contracting, surgical billing, front-end solutions, chart management, and transcription. In June 2025 the company acquired Contego, extending its payer strategy capabilities into out-of-network revenue optimization, predictive payment modeling, and legal compliance support. The company also holds HIPAA, PCI DSS, and ISO/IEC 27001:2013 security frameworks for its document management platform. Its go-to-market is enterprise field sales targeting surgical organizations and ASC management companies, with a no-cost revenue cycle audit as a top-of-funnel lead generator, supported by content marketing (blog, case studies, eBooks, webinars, podcasts), industry event sponsorship (including ASCA + SAMBA 2026 as title sponsor), and co-authored thought leadership with publications such as Becker's Healthcare and ASC Focus.

Commercially, nimble generates revenue through managed-services RCM engagements priced as a percentage of net collections and via bundled SaaS access to its workflow tools, with multi-year contracts and quote-based pricing that is not publicly disclosed. Reported client outcomes include cash-per-case increases of 51–73%, reimbursement improvements up to 59%, contract reimbursement uplifts up to 305%, and operational metrics of 99% clean claim rate and sub-1% denial rate. Leadership includes CEO Kelley Blair, Executive Chairman Nader Samii, COO Bill Slife, and a full C-suite covering technology, growth, client success, finance, HR, and transformation. The company is privately held, with no disclosed venture capital or private equity ownership.

Name

nimble solutions

Legal name

nimble solutions

Website

https://nimblercm.com

Company type

Private

Founded year

2003

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

nimble solutions is a privately held, U.S.-based surgical revenue cycle management company that provides end-to-end RCM, coding, managed care contracting, billing, transcription, and analytics to more than 1,100 ambulatory surgery centers, surgical clinics, surgical hospitals, and anesthesia groups.

Ownership category

akta.pro rank

Product category

Healthcare Revenue Cycle Management

NAICS

Professional, Scientific, and Technical Services (54), Other Professional, Scientific, and Technical Services (5419)

SIC

Services-Prepackaged Software (7372)

akta.pro primary industry

Claims Management, Scrubbing & Clearinghouse (HLACACAB)

akta.pro secondary industries

Multi-Specialty Ambulatory Surgery Centers (ASCs) (HLAFAIAA), Perioperative Anesthesia Services & Management (HLAFAIAM), Surgical, Perioperative & ERAS Pathway Tools (HLACAGAJ)

Keywords

• Surgical revenue cycle management
• Medical billing services
• Managed care contracting
• Medical coding services
• Ambulatory surgery centers

Headquarters

HQ city

St Louis

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Surgical Revenue Cycle Management (RCM) Services: nimble solutions generates revenue through a comprehensive suite of RCM services delivered to surgical organizations. Services include managed care contracting, medical coding, surgical billing, transcription, chart management software, and front-end solutions. Revenue is derived from professional services fees, typically structured as ongoing engagements with surgical ASCs, practices, hospitals, and anesthesia groups. The company also offers software-as-a-service access to its proprietary workflow tools as part of its bundled RCM offering.

Pricing tiers

Go-to-market motion1 record

Distribution channels2 records

Marketing channels9 records

Core offering

nimble solutions delivers end-to-end surgical revenue cycle management services to ambulatory surgery centers (ASCs), surgical clinics, surgical hospitals, and anesthesia groups. Services span managed care contracting, multi-specialty surgical coding, claims billing and A/R management, transcription, chart management (EZChart), and front-end solutions (scheduling, insurance verification, pre-authorization, credentialing), delivered through an integrated ML-enabled workflow platform and supported by a specialized team of surgical coders covering 45+ states and 15+ specialties.

Product overview

Nimble Solutions offers a unified surgical revenue cycle management platform with eight integrated solutions: Total RCM (core platform), Surgical Coding, Managed Care Contracting, Surgical Billing, Front-end Solutions, EZChart Chart Management Software, and Surgical Transcription. Following the June 2025 acquisition of Contego, the company expanded its Payer Strategy capabilities to include out-of-network revenue optimization. The platform is enhanced by proprietary applications including Precision Portal (client portal), nimble Overview, nimble Daily, and nimble Aging apps. Services span the entire revenue cycle from front-end scheduling through transcription, coding, contract management, billing, and payment collection, serving ASCs, surgical clinics, surgical hospitals, and anesthesia groups.

Differentiator

Problem solved

Functional benefit

Products and services

• Total RCM Comprehensive end-to-end surgical revenue cycle management solution unifying payer strategy, coding, billing, and analytics into a single integrated workflow for ASCs, surgical practices, and anesthesia groups. Designed to maximize revenue, accelerate collections, and maintain compliance.
• Surgical Coding Multi-specialty surgical coding services with certified coders, interactive dashboard management tool, and 24-hour turnaround times for transcribed reports, covering 45+ states and 15+ surgical specialties. For ASCs, surgical practices, and anesthesia groups.
• Managed Care Contracting Contract negotiation and management services including chargemaster analysis, case costing, and reimbursement benchmarking across 45+ states with thousands of payer contracts negotiated annually. Helps surgical organizations ensure maximum reimbursement for every procedure.
• Surgical Billing Tech-enabled billing solution with ML-powered workflow, claims management across 20+ practice management systems, A/R management, and analytics-driven financial insights. Strengthens reimbursement levels and drives superior financial results.
• Front-end Solutions Administrative workflow solutions including patient scheduling, demographic entry, insurance verification, pre-authorization, patient estimates, and provider credentialing to reduce payer denials and improve patient experience.
• EZChart (Chart Management Software) Digital chart management solution that automates chart preparation, storage, and retrieval with direct integration to practice management systems, eliminating paper forms, labels, and physical storage costs while supporting multi-location billing operations.
• Surgical Transcription Web-based and mobile dictation/transcription solution with guaranteed 99% accuracy and next-morning delivery of operative notes, featuring iOS and Android mobile apps with e-signature capabilities and EHR/EMR integration.
• Contego (Payer Strategy) Out-of-network revenue optimization service combining expert claims management, predictive payment modeling, patient advocacy, and legal compliance support for surgeons pursuing optimal reimbursement strategies. Introduced via the June 2025 acquisition of Contego.

Quantifiable outcome

• Cash per case increased by 73% ($600 per case improvement) in first year of partnership
• +7 more outcomes

Named customers7 records

Segments4 records

Ideal customer profiles4 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

AI capability4 records

Feature8 records

Partnerships

Two partnerships are on record, tiered core and minor.

• Contego (Acquired)coreStrategic or Co-development Partner · 4 June 2025On June 4, 2025, nimble solutions acquired Contego, a specialized firm focused on revenue optimization for out-of-network surgeons and their ASCs and office-based surgical practices. Contego brings expertise in out-of-network billing, predictive modeling, and legal strategy. The acquisition expands nimble's payer strategy capabilities, adding sophisticated out-of-network guidance alongside its existing in-network managed care contracting services. Contego's team, including President Liam Hughes, joined nimble upon acquisition.
• One Mnet HealthminorGTM or Marketing Partner · 1 October 2024nimble solutions selected One Mnet Health as its preferred partner for bad debt collections. The partnership ensures that clients referred for bad debt collections receive compliant, patient-centered collections services aligned with nimble's approach to revenue cycle management.

Scale indicators5 records

Recent moves6 records

Expansion highlights6 records

Broad incumbents

• R1 RCM: R1 RCM is the largest pure-play healthcare revenue cycle management company in the U.S., serving hospitals, health systems, and physician groups with end-to-end RCM services and technology. It directly competes with nimble in the RCM services space, though R1's footprint is far broader across hospital systems versus nimble's ASC-focused specialization.
• Optum (UnitedHealth Group): Optum is the largest healthcare services and innovation arm of UnitedHealth Group, providing RCM, analytics, and population health services to providers and payers. It is a broad incumbent competitor with overlapping RCM capabilities, though Optum operates at vastly greater scale and across the full healthcare value chain versus nimble's ASC specialization.
• Experian Health: Experian Health provides patient access, claims management, and revenue cycle management software and services to hospitals and physician practices. It is comparable to nimble's front-end solutions and claims management stack, operating as a broader RCM technology vendor rather than a surgical-focused specialist.

Direct peers

• Ensemble Health Partners: Ensemble Health Partners is a healthcare RCM provider specializing in end-to-end revenue cycle services for hospitals, health systems, and physician practices. It is directly comparable to nimble as a tech-enabled RCM services competitor, with overlapping service lines (coding, billing, A/R management) and similar enterprise sales motion.
• Waystar: Waystar is a healthcare RCM technology platform providing claims management, patient billing, and analytics tools to hospitals and physician practices. It is a direct peer in the RCM software category, with comparable claims management and analytics functionality to nimble's tech stack, though Waystar is software-first rather than services-led.
• FinThrive: FinThrive (formerly nThrive) is a healthcare revenue cycle management technology and services company offering end-to-end RCM, analytics, and patient access solutions to hospitals and health systems. It directly competes with nimble across the full RCM stack, with a comparable mid-to-large provider customer base.
• Surgical Information Systems (SIS): Surgical Information Systems provides practice management, EHR, and RCM software specifically designed for ambulatory surgery centers. It is a direct peer in the ASC software and RCM space, with overlapping ASC customer base and bundled software-plus-services offerings similar to nimble's Total RCM proposition.
• HST Pathways: HST Pathways offers practice management and EHR software for ambulatory surgery centers, with integrated scheduling, clinical documentation, and billing workflows. It is a direct peer in the ASC technology stack where nimble's RCM services integrate, representing both a competitor and a potential integration partner for nimble's billing solution.
• Craneware: Craneware provides revenue cycle management software focused on chargemaster management, coding, and compliance for hospitals and health systems. It is comparable to nimble in the RCM software category with overlapping functionality in coding analytics and contract management, particularly relevant to nimble's managed care contracting offering.

Emerging players

• AKASA: AKASA is an AI-powered revenue cycle management platform for hospitals and health systems, automating coding, claims processing, and A/R workflows using machine learning. It is an emerging player that represents the AI-driven RCM automation threat nimble faces, with overlapping functionality in claims management and process automation that could compete for nimble's mid-market clients.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/nimblercm
• Facebookfacebook.com/profile.php?id=100088268397817
• LinkedInlinkedin.com/company/nimblercm

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles17 records

Subsidiaries1 record

Funding overview

Funding rounds

Investors

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

M&A1 record

Investments

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

Frequently asked questions about nimble solutions