Three Revenue Cycle Companies Combine to Form Smarter Technologies

May 19, 2025
New Mountain Capital unites Access Healthcare, SmarterDx and Thoughtful.ai

Three companies have come together to form Smarter Technologies, whose platform takes advantage of proprietary virtual agents to help hospitals and health systems optimize administrative workflows and strengthen financial performance. The platform brings together Access Healthcare, SmarterDx and Thoughtful.ai, three companies that recently received investments from New Mountain Capital, a firm with more than $55 billion in assets under management.

Founded in 2011, Access Healthcare is a revenue cycle management (RCM) operations and services company. Founded in 2020, SmarterDx is a provider of proprietary clinical AI for revenue integrity. Also founded in 2020, Thoughtful.ai is an AI-powered business and revenue cycle automation platform. 

Dallas-based Smarter Technologies serves more than 200 clients, including more than 60 hospitals and health systems, and over 500,000 providers. The company processes more than 400 million transactions and manages over $200 billion in combined revenue annually.


Jeremy Delinsky, former CTO of athenahealth, founding COO of Devoted Health and Executive Advisor at New Mountain Capital, will serve as CEO of Smarter Technologies.

Individual leaders across SmarterDx, Thoughtful.ai, and Access Healthcare will continue to oversee each respective business within Smarter Technologies.

“We recognize that healthcare provider organizations are confronted with growing administrative and operational challenges, and they need a new kind of flexible revenue management platform that brings together the most proven AI technologies with the lowest cost to serve, highest quality global operations platform at scale,” said Delinsky in a statement. “Smarter Technologies addresses this need by providing a cost-effective Services as Software offering that helps our clients address the billions in annual administrative inefficiencies in healthcare, giving them more time and resources to focus on improving care for patients.”

“We identified the market leaders across the most important areas of agentic-AI, machine learning and clinical data, and large-scale automation in the three companies and are now combining them to create the innovation leader of the sector. We see enormous potential for growth and an opportunity to transform the industry,” said Matt Holt, managing director and president, private equity, at New Mountain Capital, in a statement. “We look forward to working with Jeremy, as well as the teams from each of the companies, in one integrated effort to build the most important disruptor in the market that will scale the next generation of revenue cycle innovation across the ecosystem.”

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