NASHVILLE, Tennessee and CHICAGO — February 20, 2026
Executive Summary
RevSpring has acquired TrustCommerce®, expanding its integrated healthcare payments platform to deliver end-to-end payment visibility across provider and payer organizations. The transaction brings together RevSpring’s patient financial engagement foundation with TrustCommerce’s enterprise gateway connectivity and integrated payment infrastructure. The combined platform is designed to simplify payment operations, reduce vendor fragmentation, preserve merchant flexibility, and improve operational control from transaction initiation through reconciliation. According to company leadership, the acquisition accelerates innovation in financial engagement and strengthens RevSpring’s ability to support healthcare organizations seeking unified payment workflows across the revenue cycle.
Announcement Overview
RevSpring, a portfolio company of Frazier Healthcare Partners, announced the acquisition of TrustCommerce®, a portfolio company of Waud Capital Partners and a Sphere company. TrustCommerce is recognized for its integrated healthcare payment and security solutions, serving large health systems, hospitals, and ambulatory practices.
The acquisition expands RevSpring’s integrated payments capabilities and builds on its Best in KLAS® patient financial experience foundation. By integrating TrustCommerce’s enterprise gateway connectivity and established integrated payment footprint, RevSpring aims to deliver a centralized payments environment that connects financial engagement, transaction processing, and reconciliation within a single operational framework.
The companies stated that the transaction is structured to preserve customer flexibility while simplifying the broader payment ecosystem. Healthcare organizations using TrustCommerce will maintain optionality in merchant services relationships while benefiting from deeper integration into RevSpring’s financial engagement platform.
Financial Technology Partners (FT Partners) served as exclusive strategic and financial advisor to TrustCommerce in the transaction.
Key Announcement Details
- Announcement Type: Strategic acquisition and platform expansion
- Acquirer: RevSpring
- Acquirer Ownership: Portfolio company of Frazier Healthcare Partners
- Acquired Company: TrustCommerce®
- Target Ownership: Portfolio company of Waud Capital Partners and a Sphere company
- Transaction Nature: Full acquisition integrating integrated payments and financial engagement platforms
- Announcement Date: February 20, 2026
- Headquarters of Acquirer: Nashville, Tennessee
- Headquarters Presence in Announcement: Nashville, Tennessee and Chicago, Illinois
- Strategic Objective: Expand integrated healthcare payments capabilities and deliver end-to-end payment visibility
- Platform Outcome: Centralized, unified payments and financial engagement environment
- Primary Market Served: Healthcare providers and payers
- Healthcare Segments Served: Large health systems, hospitals, ambulatory practices, independent practices
- Core Value Proposition: Simplify payment operations, reduce vendor fragmentation, preserve merchant flexibility, improve reconciliation control
- Revenue Cycle Scope Covered: Pre-service, point-of-service, post-service, and back-office payment workflows
- Gateway Integration Expansion: Enterprise gateway connectivity across major payment processors
- Device Integration Scope: Extended integrations to additional payment devices
- Merchant Model Flexibility: Bring-your-own-merchant capability preserved
- Merchant Services Optionality: Customers may adopt RevSpring’s merchant platform or retain existing banking and merchant relationships
- EHR Integration Footprint: Integrations into leading electronic health record systems
- Practice Management System Integration: Connectivity to major practice management systems
- Security and Compliance Focus: Secure, compliant healthcare payment processing infrastructure
- Operational Control Enhancement: Improved routing flexibility, reconciliation standardization, and reporting consistency
- Financial Engagement Foundation: Built on RevSpring’s Best in KLAS® patient financial experience platform
- Strategic Continuity: Follows RevSpring’s acquisition of Kyruus Health
- Digital Communication Scale (RevSpring): Over 700 million digital communications annually
- Print Communication Scale (RevSpring): Over 1 billion printed communications annually
- Payment Transaction Volume (RevSpring): Over 60 million payment transactions annually
- Patient Payment Volume (RevSpring): More than $14 billion collected annually
- Industry Tenure (TrustCommerce): Over 25 years of integrated healthcare payment experience
- Standardized Payment Stack: Reporting and reconciliation standardization across integrated systems
- Financial Advisor to TrustCommerce: Financial Technology Partners (FT Partners)
- Transaction Positioning: Strengthens integrated payments and financial engagement across the healthcare ecosystem
Expanding Integrated Payments Across Healthcare
The acquisition reflects RevSpring’s continued focus on modernizing payment infrastructure within healthcare organizations. Integrated payments have increasingly become a strategic priority for providers seeking to reduce operational complexity and gain clearer oversight of financial workflows.
RevSpring plans to combine TrustCommerce’s integrated gateway infrastructure with its own analytics-driven communications and payments platform. The objective is to create a more unified environment in which patient outreach, intake, billing, payment processing, and reconciliation operate within a connected system rather than across fragmented vendors.
Company leadership emphasized that the integration is intended to simplify reconciliation, reduce operational handoffs, and consolidate disconnected payment relationships without disrupting existing banking or merchant arrangements.
Scott MacKenzie, Chief Executive Officer of RevSpring, described the acquisition as an expansion of platform scale and integrated payment capability, noting that providers benefit from fewer disconnected vendors and a more unified payments foundation while preserving choice in merchant relationships.
Integrated Payments as a Strategic Infrastructure Layer
Integrated payments in healthcare extend beyond transaction acceptance. According to the companies, integration enables payment routing, reporting standardization, compliance oversight, and reconciliation management within a cohesive environment.
TrustCommerce’s enterprise gateway connectivity broadens RevSpring’s integrations with major payment processors and devices. This expansion introduces greater routing flexibility and enables healthcare organizations to maintain bring-your-own-merchant configurations while operating within a centralized platform.
Anthony Lucatuorto, Chief Executive Officer at TrustCommerce, stated that integrated payments transform fragmented transactions into a cohesive financial platform, allowing providers to simplify workflows and achieve greater operational visibility.
The companies positioned the integration as a means of connecting financial engagement with processing infrastructure, allowing payment data and workflow management to align across pre-service, point-of-service, post-service, and back-office environments.
Simplifying the Healthcare Payment Ecosystem
Healthcare payment environments often involve multiple vendors spanning patient communications, gateway services, merchant processing, reconciliation tools, and reporting systems. The acquisition aims to streamline this landscape by centralizing visibility while retaining interoperability.
RevSpring stated that end-to-end visibility reduces vendor complexity and supports improved reconciliation accuracy. By consolidating workflow steps into a connected environment, healthcare organizations can standardize reporting and maintain consistent payment experiences across patient touchpoints.
Steve Callis, President of Payments for RevSpring, noted that both companies bring extensive healthcare experience across large health systems, independent practices, and integrated delivery networks. He emphasized the importance of understanding daily operational realities in healthcare settings when modernizing payment infrastructure.
The companies also highlighted strong channel partnerships and integrations into leading EHR and practice management systems, reinforcing their presence across clinical and administrative workflows.
Expanding Gateway Control and Routing Flexibility
A central component of the transaction is the expansion of gateway control. TrustCommerce extends RevSpring’s gateway integrations to a broad range of major processors and devices, enabling more flexible routing configurations and simplified onboarding for organizations maintaining existing merchant relationships.
The expanded gateway environment supports enhanced processing control while preserving flexibility. Organizations can select RevSpring’s merchant platform or retain current merchant providers without sacrificing integration continuity.
The companies described this flexibility as essential in healthcare environments where existing banking and merchant contracts vary by organization and region. By maintaining interoperability, the combined platform allows healthcare entities to modernize payments without restructuring underlying merchant relationships.
Advancing Financial Engagement Strategy
The acquisition follows RevSpring’s prior acquisition of Kyruus Health, signaling a broader strategy to deliver more connected healthcare experiences. The integration of financial engagement and payment infrastructure aligns with RevSpring’s stated objective of simplifying access and financial experiences across digital and physical channels.
RevSpring provides analytics-driven communications and payment solutions that span patient outreach, intake and check-in, billing and payments, and revenue cycle optimization. The addition of TrustCommerce deepens the payments layer within that ecosystem.
By aligning communication workflows with transaction processing and reconciliation capabilities, the combined organization aims to create a streamlined revenue cycle environment in which engagement and payments operate cohesively rather than sequentially.
Healthcare Market Reach and Operational Scale
RevSpring supports thousands of provider organizations nationwide and facilitates more than 700 million digital communications annually across email, SMS, and voice channels. The company also delivers more than 1 billion printed communications each year, reflecting its multi-channel communication infrastructure.
In addition to communications scale, RevSpring processes over 60 million payment transactions annually and collects more than $14 billion in patient payments each year. The company’s headquarters are located in Nashville, Tennessee.
TrustCommerce brings more than 25 years of experience delivering integrated payment and security solutions. Its platform is trusted by large health systems, hospitals, and ambulatory practices and supports secure, compliant payment processing environments connected to core EHR and practice management systems.
The integration of these two organizations combines financial engagement scale with gateway infrastructure depth, positioning the combined platform to serve healthcare entities across the full revenue cycle.
Leadership Alignment and Operational Continuity
Leadership from both organizations emphasized operational continuity and ecosystem experience. RevSpring and TrustCommerce collectively serve healthcare providers ranging from the nation’s largest health systems to independent practices.
The companies indicated that their combined experience across healthcare technology integrations and payment compliance standards supports a smooth integration path. Both organizations operate with a focus on secure, compliant processing and standardized reporting environments designed to meet healthcare regulatory requirements.
The transaction is structured to maintain customer confidence and preserve service continuity while expanding integration depth.
Financial Advisory
Financial Technology Partners (FT Partners) served as exclusive strategic and financial advisor to TrustCommerce in connection with the transaction.
About RevSpring
RevSpring is a healthcare-focused communications and payment technology company headquartered in Nashville, Tennessee. The company provides analytics-driven communication, financial engagement, and integrated payment solutions that support healthcare organizations across the full revenue cycle.
RevSpring’s platform spans patient outreach, digital and print communications, intake and check-in workflows, billing delivery, payment acceptance, and revenue cycle optimization. The company serves thousands of provider organizations nationwide, including health systems, hospitals, and physician practices, supporting both clinical-facing and back-office financial operations.
Operationally, RevSpring facilitates more than 700 million digital communications annually across email, SMS, and voice channels, in addition to producing over 1 billion printed communications each year. Its infrastructure processes more than 60 million payment transactions annually and supports the collection of over $14 billion in patient payments each year, positioning the company as a significant participant in healthcare financial operations.
RevSpring operates as a portfolio company of Frazier Healthcare Partners and continues to expand its financial engagement and payment infrastructure capabilities through strategic acquisitions and platform integrations. The company’s operating model integrates communications, analytics, and payment workflows to provide healthcare organizations with unified financial visibility from patient engagement through reconciliation.
About TrustCommerce®
TrustCommerce®, a Sphere company and portfolio company of Waud Capital Partners, is a financial technology provider specializing in integrated healthcare payment and security infrastructure. Founded more than 25 years ago, TrustCommerce has developed enterprise-grade payment software and gateway capabilities serving large health systems, hospitals, ambulatory practices, and healthcare networks.
The TrustCommerce integrated payment platform enables secure, compliant patient payment processing across digital, point-of-service, and back-office environments. Its technology integrates with leading electronic health record (EHR) and practice management (PM) systems, allowing payment workflows to align directly with clinical and administrative software environments.
TrustCommerce’s payment stack standardizes reporting and reconciliation processes while supporting processor routing flexibility and merchant configuration options. The company’s infrastructure is designed to reduce operational friction, enhance transaction security, and deliver end-to-end visibility across healthcare payment ecosystems.
Over more than two decades, TrustCommerce has built a healthcare-centric payment environment that connects transaction processing, compliance management, gateway services, and system integrations within a unified framework tailored to healthcare organizations.
Media Contact
For additional information, visit revspringinc.com, trustcommerce.com & frazierhealthcare.com.
Source Attribution
Source: Company announcement