R1 RCM

Hospital revenue cycle operator taken private for about US$8.9bn in 2024

Overview

R1 RCM is a healthcare technology and services company that automates and manages revenue cycle operations for hospitals, health systems and physician groups. It is headquartered in Murray, Utah.[1]

On 19 November 2024, investment funds affiliated with TowerBrook Capital Partners and Clayton, Dubilier & Rice completed their acquisition of R1, paying US$14.30 per share in cash in a transaction valued at about US$8.9 billion.[1] As a privately owned company it publishes less financial detail than it did as a listed one.

R1’s model is end-to-end revenue cycle outsourcing: it typically takes responsibility for a client’s patient access, coding, billing and collections operations and applies automation across them. Its own website could not be opened for this review, so current client counts, staff numbers and service details are not listed here. Smaller practices are not its focus, and contracts are negotiated individually with no published pricing.

R1 RCM features

  • End-to-end revenue cycle outsourcing
  • Automation of revenue management
  • Services for hospitals and physician groups
  • Patient access through collections

R1 RCM pricing

Quote-based; contracts negotiated individually.

R1 RCM strengths and limitations

Strengths

  • Very large scale
  • End-to-end responsibility
  • Experience with major health systems
  • Heavy automation investment

Limitations

  • Less public financial disclosure since going private
  • Not designed for small practices
  • No published pricing

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