ORCHARD MEDICAL MANAGEMENT, LLC

What ORCHARD MEDICAL MANAGEMENT, LLC does

Orchard Medical Management, LLC is a privately held healthcare management services organization founded in 2004 and headquartered in Manchester, New Hampshire. The company delivers an integrated suite of back-office services to independent medical groups, FQHCs, and specialty practices across New England (and increasingly nationally), with a claimed footprint of nearly 80 client sites and more than 500 providers. Its core offerings are Revenue Cycle Management, Practice Management, Human Resources, and Credentialing, anchored by proprietary technology including Robotic Process Automation (RPA) and Oracle Integration Cloud (OIC) that automates eligibility verification, claims batching, denial analysis, and AR follow-up. The company also operates a sub-brand, Patriot Pay, a patient AR management platform featuring AI-powered Patient Billing Agents (PBAs) that respond to patient billing inquiries via text in real time.

The business model combines managed-service RCM fees with subscription and unit pricing on adjacent modules. Credentialing is priced transparently at $100 per provider per month for re-credentialing and a $500 flat fee plus $50 per payer for initial enrollments; other services are quote-based depending on practice size and scope. Orchard monetizes 15+ modules spanning employer benefits, group purchasing (Henry Schein alliance, up to 20% supply savings), insurance (Britely, The Hartford), merchant solutions, payroll, utility reductions, marketing, property maintenance, financial management, and executive KPI dashboards. Strategic alliances with Oracle, Henry Schein, The Hartford, Britely, and Patriot Health Partners create an integrated vendor stack that the company bundles to independent practices.

Customer segments span single-provider SMBs through multi-site enterprises and FQHCs, with named relationships including Lamprey Health Care, Patriot Health Partners, Apple Therapy Services, ExpressMED/BOAC, Northeast Gastroenterology, and Orchard Medical Group. The go-to-market is enterprise field sales augmented by inside sales and inbound web leads, supported by content marketing and local SEO targeting New England practice administrators. The company is founder-led (President Matthew P. Kaplan) and bootstrapped, with no disclosed funding rounds, parent company, or M&A activity in the source data.

Name

ORCHARD MEDICAL MANAGEMENT, LLC

Legal name

Orchard Medical Management, LLC

Website

https://orchardmedicalmgt.com

Company type

Private

Founded year

2004

Operating status

Operating

Headcount range

11–50 employees

Short description

Orchard Medical Management is a Manchester, NH-based healthcare management services organization, founded in 2004, providing revenue cycle management, practice management, HR, credentialing, and group purchasing to nearly 80 independent medical practice client sites and 500+ providers across New England, with national expansion underway and RPA/OIC-enabled automation plus an AI-powered patient billing platform.

Ownership category

akta.pro rank

Headquarters

HQ city

Manchester

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Revenue model

1. Revenue Cycle Management Services: Full-service and project-based RCM solutions including coding, claims submission, denial management, and billing. Revenue is generated through service fees for comprehensive billing management.
2. Credentialing Services: Provider credentialing and recredentialing services including CAQH management and payer enrollment. Two pricing tiers: $100/month per provider for recredentialing, and $500 flat fee plus $50 per payer for initial enrollments.
3. Practice Management: Comprehensive practice management support including budgeting, staffing optimization, new service line planning, operational oversight, and consulting services.
4. Human Resources Services: HR management including benefits administration, insurance coverage, payroll services, and employee lifecycle management for medical practices.
5. Healthcare Purchasing Program: Group purchasing program offering up to 20% savings on medical supplies through vendor consolidation and negotiation, leveraging volume for cost reductions.
6. Additional Services: Additional revenue streams include merchant solutions, insurance solutions, risk management, payroll services, utility reductions, marketing services, property maintenance, and financial management.

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels6 records

Core offering

No source-attributed factual content describing the company's core offering is present in the provided input.

Product overview

Orchard Medical Management offers a comprehensive suite of healthcare management services designed for independent medical practices across New England. The core offering consists of Revenue Cycle Management, Practice Management, Human Resources, and Credentialing services. These are complemented by a broad portfolio of add-on modules including Employer Benefits, Healthcare Purchasing, Merchant Solutions, Insurance Solutions, Materials Management, Payroll Services, Risk and Insurance Management, Utility Reductions, Financial Management, Executive Dashboards, Marketing Services, Property Maintenance, Feedback Loop Enhancement, and Patriot Pay (patient AR management). The company also provides specialized RPA/OIC Process Automation capabilities using Robotic Process Automation and Oracle Integration Cloud to streamline revenue cycle workflows.

Differentiator

Problem solved

Functional benefit

Brands

• Patriot Pay: Patient AR management platform for collecting patient payments, featuring AI-powered Patient Billing Agents (PBAs) for instant billing question responses.
• Orchard Surgical Center

Quantifiable outcome

• Practices typically see meaningful improvements in clean claim rates, faster reimbursement timelines, and reduced write-offs through optimized RCM processes
• +1 more outcomes

Named customers8 records

Segments6 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration3 records

Feature5 records

Partnerships

Seven partnerships are on record, tiered core, major and minor.

• BritelycoreStrategic or Co-development PartnerPartnership with Britely providing streamlined insurance coverages for healthcare providers. Through this collaboration, providers benefit from enhanced protection and cost savings via group buying power while maintaining underwriting controls tailored to their circumstances.
• The HartfordcoreStrategic or Co-development PartnerPartnership with The Hartford offering comprehensive insurance coverages including Medical Malpractice, Property, Business Risk, Cyber, Directors and Officers (D&O), and Workers Compensation. Provides bundled or ala carte offerings through group purchasing power.
• Henry ScheinmajorStrategic or Co-development PartnerAlliance partnership with Henry Schein for materials management and office solutions. Provides significant savings on medical supplies and comprehensive services through group purchasing arrangements for member practices.
• OraclecoreTechnology or IntegrationUtilizes Oracle Integration Cloud (OIC) as a core technology component for connecting EHR, billing platforms, and payer portals. OIC enables seamless data flow between healthcare systems to automate revenue cycle workflows.
• Patriot PaycoreTechnology or IntegrationPatriot Pay is a patient AR management platform that includes AI-powered Patient Billing Agents (PBAs). Orchard co-developed this platform with Patriot Health Partners to increase payment rates from patients through technology-enabled billing communications.
• Major Regional Payers (Harvard Pilgrim, Anthem, Tufts, Medicare)coreStrategic or Co-development PartnerRelationships with major regional and national payers including Harvard Pilgrim, Anthem, Tufts Health Plan, Medicare, and Medicaid. Supports provider credentialing and enrollment across these payer networks.
• The Delphi GroupminorStrategic or Co-development PartnerMatthew Kaplan serves as senior advisor for The Delphi Group, a commercial bundle payment company, providing strategic guidance in value-based care models.

Scale indicators6 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Office Ally: Medical billing clearinghouse and practice management solutions serving independent practices. Comparable in claims-processing and PM layer for small-to-mid-sized provider groups.
• Medusind: Outsourced revenue cycle management, credentialing, and practice management services to medical practices and groups. Closest direct comparison to Orchard's managed-services RCM-plus-credentialing model.
• NextGen Healthcare: Ambulatory-focused EHR, practice management, and RCM solutions sold to independent practices, FQHCs, and specialty groups. Direct competitor for the multi-specialty and independent-practice customers Orchard serves.
• CareCloud: Cloud-based EHR, practice management, and RCM for medical groups and independent practices. Comparable offering stack and target customer (independent medical groups seeking outsourced billing and PM).
• CollaborateMD: Cloud-based practice management and medical billing software for independent practices and small groups. Comparable offering for SMB ambulatory customers seeking outsourced RCM.
• CureMD: EHR, practice management, and RCM platform targeting independent practices, FQHCs, and specialty groups. Comparable integrated offering and customer segment.
• athenahealth: Cloud-based EHR, practice management, and revenue cycle management platform serving independent medical groups and ambulatory practices. Highly comparable in customer segment (independent practices) and core offering (integrated EHR + RCM).
• eClinicalWorks: EHR and integrated RCM offering for independent physician practices and FQHCs. Comparable customer base and bundled software-plus-services model aimed at small-to-mid ambulatory providers.

Broad incumbents

• Ensemble Health Partners: Outsourced revenue cycle management and practice management services primarily to hospitals and health systems. Adjacent space with similar managed-service model but different primary customer segment.
• R1 RCM: Large-scale technology-driven RCM company serving hospital systems and large provider networks (private under TowerBrook/CD&R). Adjacent rather than directly competitive given its hospital focus, but defines the upper bound of what scaled RCM competitors look like.

Market position

Strengths5 records

Weaknesses4 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/61584795752793
• LinkedInlinkedin.com/company/orchard-medical-management-llc

Revenue estimate

Valuation estimate

Number of profiles

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 ORCHARD MEDICAL MANAGEMENT, LLC