Lightning Step announced on June 1 that it was divesting AVA Billing & Consulting to Medusind, a portfolio company of San Francisco-based private equity firm Alpine Investors. The financial terms of the acquisition were not disclosed.
AVA Billing & Consulting is a revenue cycle management (RCM) company that’s based in Costa Mesa, California. In 2019, it was bought by Lightning Step, a provider of enterprise behavioral healthcare software solutions. Under Lightning Step’s ownership, AVA evolved into an industry-leading full-service RCM solution trusted by many behavioral healthcare facilities and treatment providers nationwide.
Medusind Solutions provides comprehensive end-to-end RCM solutions, including practice management, eligibility, coding, claims processing and value-added analytics.
The divestiture of AVA enables Lightning Step to continue its rapid growth trajectory and accelerates the expansion of its all-in-one behavioral healthcare software platform.
According to data captured in the LevinPro HC database, this acquisition represents Medusind’s first acquisition since it was purchased by Alpine Investors in January 2023. This transaction also marks the 117th eHealth transaction of the year, and the 27th in the RCM subsector.

