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Private company

R1 RCM Holdco Inc.

American management services company based in Murray, incorporated in Delaware2

In its 2022 annual report the company says: “R1 RCM is a leading provider of technology-driven solutions that transform the patient experience and financial performance of healthcare providers. Our services help healthcare providers generate sustainable improvements in their operating margins and cash flows while also enhancing patient, physician, and staff satisfaction for our customers.”77

Last updated Oct 21, 2026.

Overview

  • IndustryServices-Management Services2
  • HeadquartersMurray, United States2
  • Incorporated inDE3
  • Business address434 W. Ascension Way,, 6Th Floor, Murray, Ut 841233
  • Filer categoryLarge accelerated filer3
  • Legal formCorporation2
  • LEI549300VKOMJ3EM5062122
  • StatusActive2
  • LEI statusIssued and current2
  • Registered addressC/O THE CORPORATION TRUST COMPANY, 19801 Wilmington, United States2
  • Registered withDivision of Corporations, Department of State, 36777342

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Financials

From the company’s reports to the SEC. Every number links to the filing it came from.

Key numbers, fiscal 2021

9.9%Operating margin4
6.6%Net margin4
16.0%Revenue growth, 20214
28.0%Return on equity4
2.18×Debt to equity4
$213.1MFree cash flow4

Where the money goes

Where each dollar of revenue went, fiscal 2021

  • Cost of revenue79¢$1.2B
  • Selling, general and admin8¢$120.0M
  • Other costs4¢$65.0M
  • Income tax2¢$29.6M
  • Profit7¢$97.2M

Out of $1.5B in revenue.4

Where each dollar of operating cash went, fiscal 2021

  • Capital spending20¢$51.7M
  • Share buybacks21¢$56.5M
  • Kept or used elsewhere59¢$156.6M

Out of $264.8M of cash from operations.4

Financial statements

Revenue5674$1.5B in 2021+149% since 2016
0$500.0M$1.0B$1.5B2016: $592.6M$592.6M20162017: $449.8M$449.8M2017−24%2018: $868.5M$868.5M2018+93%2019: $1.2B$1.2B2019+37%2020: $1.3B$1.3B2020+7%2021: $1.5B$1.5B2021+16%
Operating income85674$145.7M in 2021
-$200.0M0$200.0M$400.0M2015: -$136.0M-$136.0M20152016: $297.9M$297.9M20162017: -$27.5M-$27.5M20172018: -$30.4M-$30.4M2018+11%2019: $57.7M$57.7M20192020: $80.0M$80.0M2020+39%2021: $145.7M$145.7M2021+82%
Net income85674$97.2M in 2021
-$100.0M0$100.0M$200.0M2015: -$84.3M-$84.3M20152016: $177.1M$177.1M20162017: -$58.8M-$58.8M20172018: -$45.3M-$45.3M2018−23%2019: $12.0M$12.0M20192020: $117.1M$117.1M2020+876%2021: $97.2M$97.2M2021−17%
Fiscal year2015201620172018201920202021
Revenue$592.6M5$449.8M6$868.5M7$1.2B4$1.3B4$1.5B4
Cost of revenue$199.7M5$416.3M6$770.6M7$987.8M4$1.0B4$1.2B4
Selling, general and admin$75.0M8$74.1M5$56.3M6$97.9M7$104.4M4$102.4M4$120.0M4
Operating expenses$1.3B4
Operating income-$136.0M8$297.9M5-$27.5M6-$30.4M7$57.7M4$80.0M4$145.7M4
Income before tax$126.8M4
Income tax-$51.6M8$121.1M5$31.5M6-$11.4M7-$2.2M4$1.3M4$29.6M4
Net income-$84.3M8$177.1M5-$58.8M6-$45.3M7$12.0M4$117.1M4$97.2M4
Earnings per share-$0.878$0.655-$0.756-$0.607-$0.084$0.414-$1.864
Earnings per share (diluted)-$0.878$0.655-$0.756-$0.607-$0.084$0.334-$1.864
Shares (weighted, basic)266.2M shares4
Shares (weighted, diluted)266.2M shares4

Compare R1 RCM Holdco Inc. with another company

Corporate structure

R1 RCM Holdco Inc. is part of a group headed by R1 RCM Inc. /DE. 54 entities, 3 countries on record. Switch between the flow chart and the network, and select any entity to see its details.

Major holders of R1 RCM Holdco Inc.

  • TCP-ASC ACHI Series LLLP Filed SC 13D/A on R1 RCM Holdco Inc., latest Jun 21, 2022 (2 filings since Jan 11, 2022)
  • VANGUARD GROUP INC Filed SC 13G/A on R1 RCM Holdco Inc., latest Feb 10, 2022
  • BlackRock Filed SC 13G/A on R1 RCM Holdco Inc., latest Feb 3, 2022
  • R1 RCM Inc. /DE Murray, Utah
    • R1 RCM Holdco Inc. Murray, Utah, United States
    • Acclara Holdings Group, Inc. Subsidiary · California, United States
    • Acclara Solutions Group, LLC Subsidiary · Illinois, United States
    • Acclara Solutions Intermediate, LLC Subsidiary · Delaware, United States
    • Acclara Solutions, LLC Subsidiary · Texas, United States
    • Acclara, LLC Subsidiary · Texas, United States
    • Acustream, LLC Subsidiary · Delaware, United States
    • Advata Inc. Subsidiary · Delaware, United States
    • Alphalytics LLC Subsidiary · Pennsylvania, United States
    • AS Buyer, Inc. Subsidiary · Delaware, United States
    • Centara Data LLC Subsidiary · Texas, United States
    • cGate Health, Inc. Subsidiary · Delaware, United States
    • Clearsight Intermediate Holdings, Inc. Subsidiary · Delaware, United States
    • Cloudmed Blocker Parent, LLC Subsidiary · Delaware, United States
    • Cloudmed Holdings 1, Inc. Subsidiary · Delaware, United States
    • Cloudmed Holdings 2, Inc. Subsidiary · Delaware, United States
    • CloudMed LLC Subsidiary · Arizona, United States
    • Cloudmed Solutions, LLC Subsidiary · Delaware, United States
    • Data Bound Solutions LLC Subsidiary · Florida, United States
    • Eligibill, LLC Subsidiary · Wisconsin, United States
    • Empire Medical Review Services, LLC Subsidiary · Wisconsin, United States
    • Flare Capital Partners Investment Company Subsidiary · Delaware, United States
    • Implementation Management Assistance, LLC Subsidiary · Pennsylvania, United States
    • Intermedix ARM, LLC Subsidiary · Delaware, United States
    • Intermedix Corporation Subsidiary · Delaware, United States
    • and 28 more

Built from subsidiaries listed in Exhibit 21 of annual reports filed with the SEC; major holders from Schedules 13D and 13G. Each entity in the chart links to its source.

What it owns

What R1 RCM Holdco Inc. reports owning in its annual reports to the SEC: buildings, land and equipment, real estate and locations, investments, intangible assets and inventory, at the end of its latest fiscal year and a year before.

Property and equipment

ItemLatestA year beforeChange
Operating-lease assets (leased space)$48.9M4 Dec 31, 2021$57.8M4 Dec 31, 2020−15.4%

Investments

ItemLatestA year beforeChange
Cash and cash equivalents$130.1M4 Dec 31, 2021$173.8M4 Dec 31, 2020−25.1%

Intangibles and goodwill

ItemLatestA year beforeChange
Goodwill$554.7M4 Dec 31, 2021$375.3M4 Dec 31, 2020+47.8%
Intangible assets, net (excluding goodwill)$265.4M4 Dec 31, 2021$171.1M4 Dec 31, 2020+55.1%
Finite-lived intangibles, gross$316.5M4 Dec 31, 2021$199.4M4 Dec 31, 2020+58.7%
Accumulated amortization$51.1M4 Dec 31, 2021$28.3M4 Dec 31, 2020+80.6%
Finite-lived intangibles, net$265.4M4 Dec 31, 2021$171.1M4 Dec 31, 2020+55.1%

Leadership

Who has led R1 RCM Holdco Inc., and when. Pick a name to see everywhere that person has worked.

Chief executive

  1. Mary A. Tolan2010–2011
  2. Stephen Francis Schuckenbrock2013
  3. Emad T. Rizk2014–2016
  4. Joseph Gerard Flanagan2016–2022

President

  1. Mary A. Tolan2010–2011
  2. Stephen Francis Schuckenbrock2013
  3. Emad T. Rizk2014–2016
  4. Joseph Gerard Flanagan2016–2022

Chief financial officer

  1. John T. Staton2010–2012
  2. Sean F. Orr2013
  3. Peter P. Csapo2014–2016
  4. Christopher Simon Ricaurte2016–2019
  5. Rachel Wilson2020–2022

Chief operating officer

  1. Joseph Gerard Flanagan2013–2017
  2. Thomas A. Lesica2017
  3. John M. Sparby2021–2022
201520202025
Board members and other officers (42)

Former names

  • R1 RCM INC.Jan 5, 2017 to Jun 14, 20223
  • Accretive Health, Inc.Sep 29, 2009 to Jan 4, 20173

Timeline

  1. Jun 21, 20228-K Entered a material agreement; Ended a material agreement; Completed an acquisition or sale62
  2. Jun 14, 20228-K Executive or director change63
  3. Jun 2, 20228-K Shareholder vote64
  4. May 23, 20228-K Other events65
  5. May 9, 20228-K Results of operations; Regulation FD disclosure66
  6. Apr 12, 20228-K Executive or director change67
  7. Feb 17, 20228-K Results of operations; Regulation FD disclosure68
  8. Feb 7, 20228-K Executive or director change; Regulation FD disclosure69
  9. Jan 11, 20228-K Financial statements and exhibits70
  10. Jan 10, 20228-K Entered a material agreement; Results of operations; Regulation FD disclosure71
  11. Jan 10, 20228-K Regulation FD disclosure72
  12. Nov 2, 20218-K Results of operations73
  13. Jun 7, 2016New chief executive Joseph Gerard Flanagan becomes CEO11
  14. Jul 23, 2014New chief executive Emad T. Rizk becomes CEO12
  15. Apr 5, 2013New chief executive Stephen Francis Schuckenbrock becomes CEO13
  16. May 19, 2010New chief executive Mary A. Tolan becomes CEO14
  17. Jul 2, 2003Founded R1 RCM Holdco Inc. is founded2

Calendar

When it reported results

  1. May 9, 2022Reported quarterly or annual results66
  2. Feb 17, 2022Reported quarterly or annual results68
  3. Jan 10, 2022Reported quarterly or annual results71
  4. Nov 2, 2021Reported quarterly or annual results73

Upcoming dates from Nasdaq's calendar; past results from the company's 8-K filings (Item 2.02). The full markets calendar

Filings

112 filings to the SEC since October 2021: 1 annual reports, 2 quarterly reports, 12 major events, 55 insider forms, 4 large holders, 38 other. The latest 20:

  1. Jul 5, 202215-12G EDGAR
  2. Jun 23, 20224 FORM 4 SUBMISSION EDGAR
  3. Jun 23, 20224 FORM 4 SUBMISSION EDGAR
  4. Jun 23, 20224 FORM 4 SUBMISSION EDGAR
  5. Jun 23, 20224 FORM 4 SUBMISSION EDGAR
  6. Jun 23, 20224 FORM 4 SUBMISSION EDGAR
  7. Jun 23, 20224 FORM 4 SUBMISSION EDGAR
  8. Jun 23, 20224 FORM 4 SUBMISSION EDGAR
  9. Jun 23, 20224 FORM 4 SUBMISSION EDGAR
  10. Jun 23, 20224 FORM 4 SUBMISSION EDGAR
  11. Jun 23, 20224 FORM 4 SUBMISSION EDGAR
  12. Jun 23, 20224 FORM 4 SUBMISSION EDGAR
  13. Jun 23, 20224 FORM 4 SUBMISSION EDGAR
  14. Jun 23, 20224 FORM 4 SUBMISSION EDGAR
  15. Jun 21, 20228-K EDGAR
  16. Jun 21, 2022S-8 POS EDGAR
  17. Jun 21, 2022S-8 POS EDGAR
  18. Jun 21, 2022S-8 POS EDGAR
  19. Jun 21, 2022S-8 POS EDGAR
  20. Jun 21, 2022POSASR EDGAR

The 112 filings since October 2021 can be filtered by form type and year here when JavaScript is on.

Every filing from the last five years, summarized. The full record is on SEC EDGAR.

Insider trades

8 open-market trades by officers, directors and large owners since October 2021: 0 buys and 8 sales. Grants, option exercises and gifts are left out.

DateWhoTradeSharesPriceValueFiling
Nov 18, 2021MANDL ALEXDirectorSale140,829$25.40$3.6MForm 4
Nov 17, 2021MANDL ALEXDirectorSale34,171$25.60$874.8KForm 4
Nov 11, 2021FLANAGAN JOSEPH GERARDSee remarksSale93,931$25.60$2.4MForm 4
Nov 10, 2021FLANAGAN JOSEPH GERARDSee remarksSale62,563$25.28$1.6MForm 4
Nov 9, 2021FLANAGAN JOSEPH GERARDSee remarksSale82,920$25.50$2.1MForm 4
Oct 14, 2021FLANAGAN JOSEPH GERARDSee remarksSale21,115$23.08$487.3KForm 4
Oct 13, 2021FLANAGAN JOSEPH GERARDSee remarksSale30,699$23.08$708.5KForm 4
Oct 12, 2021FLANAGAN JOSEPH GERARDSee remarksSale78,703$23.13$1.8MForm 4

From Forms 4 filed with the SEC.

Major holders

Investors who own more than 5% of the shares must tell the SEC: a 13D if they may seek to influence the company, a 13G if they hold passively.

SEC filer profile

How R1 RCM Holdco Inc. is registered with the Securities and Exchange Commission, from its EDGAR record and the cover page of its latest annual report.

  • Name on EDGARR1 RCM Holdco Inc.1
  • CIK0001472595
  • Employer ID (EIN)02-06981011
  • Filer statusLarge accelerated filer1
  • Incorporated inDelaware1
  • Fiscal year endsDecember 311
  • Industry code (SIC)8741 Services-Management Services1
  • Business address434 W. Ascension Way,, 6Th Floor, Murray, UT 841231
  • Phone312-324-78201
  • Shares outstanding279,704,879 as of May 5, 20229
  • Public float$3.1B as of Jun 30, 20214
  • On EDGAR sinceSep 29, 20091
  • Filings953 in all: 4 (465), 8-K (158), 3 (53), SC 13G/A (39), 10-Q (33), 425 (30), SC 13D/A (16), UPLOAD (14)1
    All 43 form types

    SC 13G (13), CORRESP (12), 10-K (11), CT ORDER (11), 4/A (10), DEF 14A (9), NT 10-Q (7), S-1/A (7), 8-K/A (6), 5 (5), DEFA14A (5), 10-K/A (4), S-8 (4), S-8 POS (4), SC 13D (4), ARS (3), NT 10-K (3), SC TO-C (3), 25-NSE (2), 424B4 (2), 8-A12B (2), EFFECT (2), PRE 14A (2), S-1 (2), SC TO-I/A (2), 15-12G (1), 424B5 (1), 424B7 (1), CERTNAS (1), CERTNYS (1), DEFM14A (1), FWP (1), POSASR (1), S-3ASR (1), SC TO-I (1)

  • Latest filingsAnnual report (10-K) Feb 17, 2022
    Quarterly report (10-Q) May 9, 2022
    Proxy statement (DEF 14A) Apr 6, 2021
    Latest 8-K (8-K) Jun 21, 2022

Sources

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