The Californer - Acuvance Acquires ROI Healthcare Solutions, Building a Dedicated Healthcare ERP Practice

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Acquisition strengthens Acuvance's ability to support hospital ERP implementation, optimization, and program management

ATLANTA - Californer -- Acuvance, a national healthcare advisory platform backed by Trinity Hunt Partners, today announced the acquisition of ROI Healthcare Solutions (ROI), a leading provider of hospital enterprise resource planning (ERP) implementation and optimization professional services. Through this acquisition, Acuvance will build a dedicated Healthcare ERP practice focused on helping organizations successfully implement and optimize core enterprise systems across finance, supply chain, and human capital management, including workforce management solutions.

Hospitals and health systems are under increasing pressure to modernize their ERP environments while maintaining day-to-day operations. Industry forecasts estimate the U.S. healthcare ERP market will grow from about $2.2 billion today to nearly $3.8 billion over the next decade. ROI's 25+ years of experience in ERP implementation, optimization, and program management strengthen Acuvance's ability to support healthcare organizations through these complex transitions.

"ROI has built an exceptional business grounded in real-world ERP experience and a strong focus on client outcomes," said Josh Nazarian, Chief Executive Officer of Acuvance. "Their work fits naturally with our broader advisory services and allows us to better support healthcare organizations as they modernize critical systems. Just as important, ROI brings a team with deep ERP experience and a disciplined, client-focused approach to delivery."

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ROI maintains a longstanding formal partnership with Infor, a leading provider of healthcare ERP systems, along with more recent partnerships with Workday and Oracle, two of the most widely used enterprise software platforms in healthcare.

"This partnership marks an exciting next chapter for ROI," said Bill Starks, President of ROI Healthcare Solutions. "We were intentional about finding a partner that aligned with how we work and what we value. Joining Acuvance gives our team more resources and reach, allowing us to continue delivering great work for our clients while expanding the services we can bring to them."

ROI's executive team will continue to lead the ERP practice following the transaction. ROI clients will continue to be served by the same consultant teams, with additional access to Acuvance's broader advisory services as their needs evolve.

This acquisition marks the seventh organization to join the Acuvance healthcare advisory services platform, which includes Coker, NorthGauge, TTG, Healthcare Program Advisors, Healthcare Cost Solutions, Acuvance DataRise, and others. Acuvance's experts now serve more than 500 healthcare organizations in 40+ states across the U.S.

About ROI Healthcare Solutions

ROI Healthcare Solutions is a nationally recognized provider of hospital ERP implementation, optimization, and program management services. For more than 25 years, ROI has partnered with hospitals and health systems to successfully execute complex ERP transformations, supported by deep expertise and formal partnerships with leading ERP platforms. For more information, visit https://roihs.com/

About Trinity Hunt Partners

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Trinity Hunt Partners is a growth-oriented private equity firm with over $2 billion of assets under management focused on building leading B2B and B2C services companies. Trinity Hunt's mission is to provide the talent and strategic, operational, and financial capabilities needed to build entrepreneurial services companies into market leaders. Trinity Hunt was ranked tenth amongst all firms worldwide on HEC-Dow Jones' most recent Top Small-Cap Buyout Firms List (2024), which ranks firms based on their performance for investors across funds raised over a 10-year period.[1] For more information, visit www.trinityhunt.com.

[1] Revealed: The top 20 global small-cap private equity firms; Trinity Hunt Partners was ranked 10th amongst all firms worldwide on the most recent HEC-Dow Jones Top Small-Cap Buyout Firms List (2024), which ranked firms based on their performance across funds raised over a 10-year period between 2011 and 2020. The list was published on April 1, 2025. In total, performance data was analyzed across 649 PE firms through data sourced from Prequin, a third-party database neither managed by nor affiliated with Trinity Hunt Partners, as well as data sourced directly to HEC/Dow Jones. Trinity Hunt Partners did not pay any compensation directly or indirectly to participate in, be nominated, or otherwise in connection with this ranking. Neither HEC nor Dow Jones is affiliated with Trinity Hunt Partners, nor do they invest in any investment vehicle sponsored by Trinity Hunt Partners.

About Acuvance

Acuvance is a national healthcare advisory platform delivering integrated strategic, operational, financial, clinical, technology, and compliance solutions to hospitals, health systems, physician enterprises, and healthcare organizations nationwide. Backed by Trinity Hunt Partners, Acuvance is built through the integration of firms with deep industry expertise and a shared commitment to helping healthcare leaders navigate complexity and drive sustainable performance. For more information, visit https://www.acuvance.com/