Balanced Healthcare Receivables

What Balanced Healthcare Receivables does

Balanced Healthcare Receivables (BHR, LLC) is a privately held US healthcare debt collection agency headquartered in Nashua, New Hampshire. Company-history records place its founding at approximately 1994 by accounts receivable management (ARM) professionals from within the healthcare debt collection sector, although firmographic data lists an alternative date of 2007 — a discrepancy likely reflecting reincorporation or restructuring rather than two distinct operating entities. The firm serves US healthcare providers — including hospitals, medical practices, and other healthcare facilities — through three core service lines: Primary Collections (warehoused or idle account placements that have remained on a primary agency's system), Secondary Collections (forward-flow placements after 180 days from the original placement with the primary agency), and Consulting Services (agency performance reviews, audits, contract compliance work, and receivable portfolio valuations). BHR is affiliated with Active Healthcare Receivables (AHR), a separate first-party healthcare ARM entity under shared corporate ownership; together the two entities offer a full-spectrum healthcare receivables management solution to provider clients covering first-party through third-party recovery.

BHR's technology footprint centers on a consumer-facing payment portal at payments.bhrllc.com, integrated with Zeno Payments to support ACH, credit/debit card, and check-online processing, allowing consumers to combine multiple accounts into a single payment or payment series. The company operates a 24/7 secure IVR telephone payment system for self-service phone payments and an SMS/text messaging platform using short codes 99432 and 42408 to send account-related outbound notifications (payment reminders, outreach, account status), with bilingual English/Spanish consumer support. The firm holds collection agency licenses in nine US jurisdictions — Arizona (CA-1001069), California (10236-99, with BHR trade-name CA-2006417), Nevada (CAD11002), Minnesota, North Carolina (103501), New York City (1309368), Tennessee, Wisconsin, and Colorado — with an additional California license application noted as pending. The operational footprint includes the Nashua, NH headquarters, a Glendale, Colorado office (4500 Cherry Creek Drive South, Suite 300) for state-level regulatory compliance, and a Manchester, NH payment-mailing address. The firm maintains FDCPA and California Rosenthal Act compliance posture.

The company's revenue model is contingency- and service-fee based: BHR charges healthcare providers for successful recovery of past-due patient receivables, with rates negotiated per client contract under multi-year structures; pricing is not publicly disclosed. Distribution is sales-led — BHR engages healthcare providers directly through consultative due-diligence processes supported by a corporate website (bhrllc.com) and inbound phone channels (866-460-2471). Headcount is reported in the 51-100 range, and the management team is described as having 30+ years of healthcare ARM experience drawn from prior roles at privately held and venture-backed organizations. BHR is privately held and explicitly states it is not owned by private equity or public shareholders, positioning independent ownership as a differentiator against PE-backed competitors. The firm was recognized as a 2025 Best Places to Work in Collections, reinforcing its employer brand in the ARM industry.

Name

Balanced Healthcare Receivables

Legal name

Balanced Healthcare Receivables, LLC

Website

https://bhrllc.com

Company type

Private

Founded year

1994

Operating status

Operating

Headcount range

51–100 employees

Short description

Balanced Healthcare Receivables (BHR, LLC) is a privately held US healthcare debt collection firm providing primary collections, secondary collections, and ARM consulting to hospitals and medical practices through a multi-state licensed operation with an integrated consumer payment portal.

Ownership category

akta.pro rank

Product category

Healthcare Debt Collection Services

NAICS

Collection Agencies (56144)

SIC

Services-Consumer Credit Reporting, Collection Agencies (7320)

akta.pro primary industry

Accounts Receivable (A/R) & Collections Management (HLACACAJ)

akta.pro secondary industry

Patient Billing, Statements & Payment Processing (HLACACAG)

Keywords

• Healthcare debt collection
• Receivables management
• Medical collections agency
• Patient billing recovery
• Accounts receivable consulting

Headquarters

HQ city

Nashua

HQ country

United States

HQ region

North America

Offices4 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Debt Collection Services: BHR is engaged by healthcare providers to collect outstanding receivables on their behalf. The company works with patients to resolve past-due medical obligations, offering flexible payment options and resolution plans. Revenue is generated through contingency fees or service fees charged to healthcare providers for recovery of receivables.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels4 records

Core offering

Balanced Healthcare Receivables (BHR) is a third-party healthcare debt collection agency that recovers outstanding patient receivables on behalf of healthcare providers. Its core offerings include Primary Collections (recovery of idle/warehoused accounts), Secondary Collections (forward-flow placements after 180 days), and Consulting Services (agency performance reviews, audits, contract compliance, and receivables portfolio valuation). BHR supports consumers with a secure online payment portal, 24/7 IVR telephone payment system, and multi-channel communication (SMS, email, autodialed calls).

Product overview

Balanced Healthcare Receivables (BHR) operates a suite of healthcare receivables management services consisting of three core offerings: Primary Collections (handling idle/warehoused accounts), Secondary Collections (forward flow placements after 180 days), and Consulting Services (agency performance review, audits, and portfolio valuation). The company also provides consumer-facing payment processing through a secure web portal and 24/7 IVR telephone system. An affiliated brand, Active Healthcare Receivables (AHR), offers first-party receivables management. The portfolio is positioned as a third-party healthcare-specific professional debt collection agency emphasizing authentic, collaborative approaches to resolving receivables while building goodwill for clients' patient bases.

Differentiator

Problem solved

Functional benefit

Products and services

• Primary Collections

Quantifiable outcome

• Positive patient experience that leads to maximizing financial results for healthcare provider clients

Named customers1 record

Segments1 record

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration1 record

Feature3 records

Partnerships

Three partnerships are on record, tiered supporting, core and minor.

• Zeno PaymentssupportingTechnology or IntegrationZeno Payments provides credit card processing and online payment infrastructure for the BHR consumer payment portal (payments.bhrllc.com). This integration enables BHR to accept ACH, credit/debit card, and check online payments from consumers.
• Active Healthcare Receivables (AHR)coreStrategic or Co-development PartnerAHR is a first-party healthcare accounts receivable management firm affiliated with BHR. Both companies are under shared corporate ownership (Active Healthcare Receivables, LLC and Balanced Healthcare Receivables, LLC). BHR handles third-party collections while AHR handles first-party receivables management, providing a complementary full-spectrum offering to healthcare provider clients.
• inConcert Web SolutionsminorOthersinConcert Web Solutions designed and developed the BHR corporate website (bhrllc.com).

Scale indicators1 record

Recent moves4 records

Expansion highlights4 records

Direct peers

• Performant Financial Corporation: Publicly traded (PFMT) specialty receivables manager with a large healthcare-receivables practice alongside student loan and tax recovery. Most directly comparable third-party healthcare ARM peer to BHR.
• Convergent Healthcare Receivables: Healthcare-focused third-party debt collection agency serving hospitals and physician groups across the U.S. Directly comparable in vertical specialization and contingency-fee model.
• Enhanced Recovery Company: National third-party collection agency with a dedicated healthcare vertical serving hospitals, clinics, and physician groups. Comparable ARM services and contingency pricing model.
• Wakefield & Associates: Healthcare-focused collection agency offering primary and secondary placements to hospitals and provider systems nationwide. Closely matches BHR's primary/secondary collection mix.
• State Collection Service: Healthcare-specialized ARM firm offering third-party collections, extended business office, and consulting services to provider clients — a near-identical service suite to BHR.
• ARS National Services: National consumer and healthcare collections agency offering primary, secondary, and bad-debt recovery for healthcare providers. Comparable B2B contingency-fee model with multi-channel consumer contact.
• CBE Companies: Outsourced business process outsource and ARM firm providing healthcare receivables management and consumer contact solutions. Comparable scale and channel mix to BHR.
• IC System: Family-owned national debt collection agency serving healthcare providers among other verticals. Comparable independent ownership structure and multi-channel consumer recovery approach.

Broad incumbents

• RevSpring: Healthcare revenue cycle technology provider offering patient billing, statements, and payment processing. Adjacent to BHR's patient payment portal but focuses on technology rather than agency recovery.

Emerging players

• TrueAccord: Tech-enabled digital-first debt collection platform using machine learning and SMS/email-driven outreach. Represents the digital-native competitive frontier BHR's multi-channel platform is positioned against.

Market position

Strengths5 records

Weaknesses4 records

Competitive moat3 records

Key risks1 record

Key highlights7 records

Customer concentration

Compliance11 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds

Investors

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

M&A

Investments

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

Frequently asked questions about Balanced Healthcare Receivables