Monument MicroCap Partners Announces Recapitalization of NIHG Services, LLC by Synergy IOM, LLC

Monument MicroCap Partners, LLC (“Monument”), a Midwest-based private equity firm, announced today that on February 23, 2026, its portfolio company, Synergy IOM LLC (“Synergy”) recapitalized NIHG Services, LLC (“NIHG”). NIHG provides administrative and operational support services to healthcare providers across the United States. Its core business centers on credentialing, contracting, and payor enrollment, enabling medical professionals and institutions to participate effectively within complex insurance networks.

“We are excited to partner with Ryan Mulvaney and his team, who have built an impressive organization that provides top quality service to their clients.”, said Terry Sisco, President & CEO of Synergy.  “We believe there are tremendous synergies with the billing side of our business and look forward to better servicing our combined clients as well as expanding our reach.”

“NIHG is excited to have found such a complimentary partner in Synergy and Premier Billing”, said Ryan Mulvaney of NIHG. “I look forward to working alongside Terry and the rest of the team to accelerate our combined growth and better serve both our existing and new clients.”

NIHG represents the fourth recapitalization by Synergy and the second recapitalization within its RCM segment.

About Synergy IOM, LLC
Founded in 2012, Synergy provides Intraoperative Neurophysiological Monitoring (IONM), or neuromonitoring for spinal, cranial, and pain management surgical procedures. The Company also continues to operate under the names of their prior acquisitions, Vigilant and Satellite. Through the acquisition of Premier Billing, the Company expanded their services within revenue cycle management with a focus on billing & coding.

About Monument MicroCap Partners, LLC
Monument is a Midwest-based private equity firm focused on investments in North American businesses with EBITDA of $2-8 million.  Monument seeks to partner with honest, hard-working and talented management teams across a wide variety of industries, including business services and industries positioned to capitalize on demographic trends and the growing need for infrastructure investment.

Please contact Tim Hildebrand (ti*@**************ap.com) or Cosmin Dordea (co****@**************ap.com) at Monument for additional information.