Private company

R1 RCM Holdco Inc.

American management services company based in Murray, incorporated in Delaware.

Last updated Oct 18, 2026.

Overview

IndustryServices-Management Services
HeadquartersMurray, United States
Incorporated inDE²
Business address434 W. Ascension Way,, 6Th Floor, Murray, Ut 84123²
Filer categoryLarge accelerated filer²

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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 margin³

6.6%Net margin³

16.0%Revenue growth, 2021³

28.0%Return on equity³

2.18×Debt to equity³

$213.1MFree cash flow³

Where the money goes

Where each dollar of revenue went, fiscal 2021

Cost of revenue

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.³

Where each dollar of operating cash went, fiscal 2021

Capital spendingShare buybacksKept or used elsewhere

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

Out of $264.8M of cash from operations.³

Financial statements

Revenue⁴⁵⁶³$1.5B in 2021+149% since 2016

Operating income⁷⁴⁵⁶³$145.7M in 2021

Net income⁷⁴⁵⁶³$97.2M in 2021

Fiscal year	2015	2016	2017	2018	2019	2020	2021
Revenue		$592.6M⁴	$449.8M⁵	$868.5M⁶	$1.2B³	$1.3B³	$1.5B³
Cost of revenue		$199.7M⁴	$416.3M⁵	$770.6M⁶	$987.8M³	$1.0B³	$1.2B³
Selling, general and admin	$75.0M⁷	$74.1M⁴	$56.3M⁵	$97.9M⁶	$104.4M³	$102.4M³	$120.0M³
Operating income	-$136.0M⁷	$297.9M⁴	-$27.5M⁵	-$30.4M⁶	$57.7M³	$80.0M³	$145.7M³
Income tax	-$51.6M⁷	$121.1M⁴	$31.5M⁵	-$11.4M⁶	-$2.2M³	$1.3M³	$29.6M³
Net income	-$84.3M⁷	$177.1M⁴	-$58.8M⁵	-$45.3M⁶	$12.0M³	$117.1M³	$97.2M³
Earnings per share	-$0.87⁷	$0.65⁴	-$0.75⁵	-$0.60⁶	-$0.08³	$0.41³	-$1.86³
Earnings per share (diluted)	-$0.87⁷	$0.65⁴	-$0.75⁵	-$0.60⁶	-$0.08³	$0.33³	-$1.86³

Total assets⁹⁷⁴⁵⁶³$1.4B in 2021+215% since 2015

Total liabilities⁹⁷⁴⁵⁶³$1.1B in 2021+64% since 2015

Shareholders’ equity⁴⁵⁶³$346.7M in 2021

Cash⁷⁴⁵⁶³$130.1M in 2021+26% since 2015

Long-term debt⁵⁶³$754.9M in 2021+112% since 2018

Fiscal year	2015	2016	2017	2018	2019	2020	2021
Cash	$103.5M⁷	$181.2M⁷	$164.9M⁴	$62.8M⁵	$92.0M⁶	$173.8M³	$130.1M³
Current assets	$126.7M⁹	$204.6M⁷	$202.3M⁴	$196.8M⁵	$216.7M⁶	$355.4M³	$364.7M³
Total assets	$460.3M⁹	$415.1M⁷	$336.0M⁴	$807.5M⁵	$929.1M⁶	$1.2B³	$1.4B³
Current liabilities	$232.6M⁹	$135.1M⁷	$89.9M⁴	$196.2M⁵	$232.5M⁶	$206.3M³	$254.2M³
Long-term debt				$356.0M⁵	$337.7M⁶	$519.7M³	$754.9M³
Total liabilities	$673.6M⁹	$255.8M⁷	$113.3M⁴	$592.8M⁵	$681.9M⁶	$849.6M³	$1.1B³
Shareholders’ equity	-$213.3M⁴	-$12.3M⁵	$33.4M⁶	$6.3M³	$18.1M³	$87.9M³	$346.7M³
Shares outstanding	107.7M shares⁹	106.7M shares⁷	104.4M shares⁴	110.5M shares⁵	114.0M shares⁶	121.1M shares³	278.2M shares³

Cash from operations⁴⁵⁶³$264.8M in 2021

Capital spending⁷⁴⁵⁶³$51.7M in 2021+143% since 2015

Free cash flow⁴⁵⁶³$213.1M in 2021

Share buybacks⁷⁴⁵³$56.5M in 2021

Fiscal year	2015	2016	2017	2018	2019	2020	2021
Cash from operations		-$86.9M⁴	$20.9M⁵	$18.3M⁶	$113.9M³	$61.8M³	$264.8M³
Capital spending	$21.3M⁷	$12.6M⁴	$33.6M⁵	$33.5M⁶	$61.0M³	$49.3M³	$51.7M³
Free cash flow		-$99.5M	-$12.7M	-$15.2M	$52.9M	$12.5M	$213.1M
Share buybacks	$0⁷	$400.0K⁴	$2.5M⁵	$0⁵	$0³	$0³	$56.5M³

Compare R1 RCM Holdco Inc. with another company

Leadership

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

Chief executive

President

Chief financial officer

Chief operating officer

201520202025

Chief executive officerJoseph Gerard Flanagan Jun 7, 2016 to Feb 22, 2022¹⁰
Chief executive officerEmad T. Rizk Jul 23, 2014 to Apr 13, 2016¹¹
Chief executive officerStephen Francis Schuckenbrock Apr 5, 2013 to Apr 5, 2013¹²
Chief executive officerMary A. Tolan May 19, 2010 to Nov 15, 2011¹³
PresidentJoseph Gerard Flanagan May 5, 2016 to Feb 22, 2022¹⁴
PresidentEmad T. Rizk Jul 23, 2014 to Apr 13, 2016¹¹
PresidentStephen Francis Schuckenbrock Apr 5, 2013 to Apr 5, 2013¹²
PresidentMary A. Tolan May 19, 2010 to Nov 15, 2011¹³
Chief financial officerRachel Wilson Jun 2, 2020 to Jun 23, 2022¹⁵
Chief financial officerChristopher Simon Ricaurte Apr 29, 2016 to May 7, 2019¹⁶
Chief financial officerPeter P. Csapo Aug 14, 2014 to Apr 13, 2016¹⁷
Chief financial officerSean F. Orr Aug 28, 2013 to Aug 28, 2013¹⁸
Chief financial officerJohn T. Staton May 19, 2010 to Feb 8, 2012¹⁹
Chief operating officerJohn M. Sparby Jan 25, 2021 to Feb 22, 2022²⁰
Chief operating officerThomas A. Lesica Aug 28, 2017 to Nov 21, 2017²¹
Chief operating officerJoseph Gerard Flanagan Jun 5, 2013 to Jun 6, 2017²²

Board members and other officers (42)

OfficerJohn M. Sparby Jun 23, 2022 to Jun 23, 2022²³
OfficerJoseph Gerard Flanagan Jun 23, 2022 to Jun 23, 2022²⁴
Chief Solutions OfficerVijay Kotte Jan 25, 2021 to Feb 22, 2022²⁵
Chief Commercial OfficerGary Steven Long Aug 28, 2017 to Jun 23, 2022²⁶
Chief Accounting OfficerThomas J. Gibson Jun 12, 2014 to Jul 7, 2014²⁷
Chief Accounting OfficerMiles W. McHugh Sep 10, 2012 to Oct 3, 2012²⁸
Senior Vice PresidentAndrew M. Appel Sep 16, 2011 to Sep 16, 2011²⁹
Senior Vice PresidentRichard E. Gillette Sep 16, 2011 to Sep 16, 2011³⁰
Executive VPEtienne H. Deffarges May 19, 2010 to Apr 1, 2011³¹
Senior Vice PresidentGregory N. Kazarian May 19, 2010 to Feb 13, 2013³²
Corporate ControllerJames M. Bolotin May 19, 2010 to Apr 6, 2011³³
Board memberDavid M. Dill Apr 19, 2021 to Jun 23, 2022³⁴
Board memberScanlan Agnes Bundy Aug 12, 2021 to Jun 23, 2022³⁵
Board memberAnthony R. Tersigni Aug 13, 2019 to Jun 23, 2022³⁶
Board memberAlbert Rene Zimmerli Apr 3, 2018 to Jun 23, 2022³⁷
Board memberMichael C. Feiner Sep 18, 2017 to Jun 23, 2022³⁸
Board memberAnthony J. Speranzo Feb 16, 2016 to Jun 23, 2022³⁹
Board memberIan Sacks Feb 16, 2016 to Feb 16, 2016⁴⁰
Board memberJohn B. Henneman Iii. Feb 16, 2016 to Jun 23, 2022⁴¹
Board memberJoseph R. Impicciche Feb 16, 2016 to Feb 16, 2016⁴²
Board memberNeal Moszkowski Feb 16, 2016 to Jun 21, 2022⁴³
Board memberHealth Alliance Ascension Jul 11, 2016 to Jun 21, 2022⁴⁴
Board memberRamez Sousou Jul 11, 2016 to Jun 21, 2022⁴⁴
Board memberJoseph Gerard Flanagan Aug 11, 2016 to Jun 23, 2022⁴⁵
Board memberAmir Dan Rubin May 26, 2015 to Jul 6, 2015⁴⁶
Board memberArthur A. Klein May 26, 2015 to May 28, 2015⁴⁷
Board memberCharles J. Ditkoff May 26, 2015 to Jun 4, 2019⁴⁸
Board memberLawrence B. Leisure May 26, 2015 to May 28, 2015⁴⁹
Board memberMichael B. Hammond May 26, 2015 to May 28, 2015⁵⁰
Board memberEmad T. Rizk Jul 23, 2014 to Apr 13, 2016¹¹
Board memberStephen Francis Schuckenbrock Apr 5, 2013 to Apr 2, 2015¹²
Board memberSteven Shulman Apr 24, 2013 to Jan 18, 2018⁵¹
Board memberAlex Mandl Nov 19, 2013 to Nov 19, 2021⁵²
Board memberRobert Stanek V. Nov 19, 2013 to Jan 8, 2014⁵³
Board memberStanley N. Logan Apr 28, 2011 to Jun 7, 2011⁵⁴
Board memberArthur H. Spiegel Iii. May 19, 2010 to Oct 2, 2014⁵⁵
Board memberDenis Nayden May 19, 2010 to Apr 2, 2015⁵⁶
Board memberEdgar Bronfman Jr. May 19, 2010 to Jan 6, 2016⁵⁷
Board memberJ. Michael Cline May 19, 2010 to Oct 3, 2013⁵⁸
Board memberMark A. Wolfson May 19, 2010 to Jul 6, 2015⁵⁹
Board memberMary A. Tolan May 19, 2010 to Nov 15, 2011¹³
Board memberSteven N. Kaplan May 19, 2010 to Apr 2, 2015⁶⁰

Former names

R1 RCM INC.Jan 5, 2017 to Jun 14, 2022²
Accretive Health, Inc.Sep 29, 2009 to Jan 4, 2017²

Timeline

Jun 7, 2016New chief executive Joseph Gerard Flanagan becomes CEO¹⁰
Jul 23, 2014New chief executive Emad T. Rizk becomes CEO¹¹
Apr 5, 2013New chief executive Stephen Francis Schuckenbrock becomes CEO¹²
May 19, 2010New chief executive Mary A. Tolan becomes CEO¹³
Jul 2, 2003Founded R1 RCM Holdco Inc. is founded⁶¹

Filings

111 filings to the SEC since October 2021: 1 annual reports, 2 quarterly reports, 12 major events, 55 insider forms, 3 large holders, 38 other. The latest 20:

The 111 filings since October 2021 can be filtered by form type and year here when JavaScript is on.

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

Insider trades and holders

Large holders

Investors who own more than 5% must tell the SEC: a 13D if they may seek to influence the company, a 13G if they hold passively. 3 such filings since October 2021:

Jun 21, 2022SC 13D/A
Feb 10, 2022SC 13G/A
Jan 11, 2022SC 13D/A

From Forms 4 and Schedules 13D and 13G filed with the SEC.

Sources

The numbers on this page point here. Each one links to the record it came from.

1
SEC EDGARR1 RCM Holdco Inc. filings on SEC EDGAR
2
SEC EDGARR1 RCM Holdco Inc. filings on SEC EDGAR
3
SEC EDGARR1 RCM Holdco Inc. 10-K for fiscal 2021
4
SEC EDGARR1 RCM Holdco Inc. 10-K for fiscal 2016
5
SEC EDGARR1 RCM Holdco Inc. 10-K for fiscal 2017
6
SEC EDGARR1 RCM Holdco Inc. 10-K for fiscal 2018
7
SEC EDGARR1 RCM Holdco Inc. 10-K for fiscal 2015
8
SEC EDGARR1 RCM Holdco Inc. 10-Q for fiscal 2022
9
SEC EDGARR1 RCM Holdco Inc. 10-K for fiscal 2015
10
SEC EDGARJoseph Gerard Flanagan, Chief executive officer
11
SEC EDGAREmad T. Rizk, Chief executive officer
12
SEC EDGARStephen Francis Schuckenbrock, Chief executive officer
13
SEC EDGARMary A. Tolan, Chief executive officer
14
SEC EDGARJoseph Gerard Flanagan, President
15
SEC EDGARRachel Wilson, Chief financial officer
16
SEC EDGARChristopher Simon Ricaurte, Chief financial officer
17
SEC EDGARPeter P. Csapo, Chief financial officer
18
SEC EDGARSean F. Orr, Chief financial officer
19
SEC EDGARJohn T. Staton, Chief financial officer
20
SEC EDGARJohn M. Sparby, Chief operating officer
21
SEC EDGARThomas A. Lesica, Chief operating officer
22
SEC EDGARJoseph Gerard Flanagan, Chief operating officer
23
SEC EDGARJohn M. Sparby, Officer
24
SEC EDGARJoseph Gerard Flanagan, Officer
25
SEC EDGARVijay Kotte, Chief Solutions Officer
26
SEC EDGARGary Steven Long, Chief Commercial Officer
27
SEC EDGARThomas J. Gibson, Chief Accounting Officer
28
SEC EDGARMiles W. McHugh, Chief Accounting Officer
29
SEC EDGARAndrew M. Appel, Senior Vice President
30
SEC EDGARRichard E. Gillette, Senior Vice President
31
SEC EDGAREtienne H. Deffarges, Executive VP
32
SEC EDGARGregory N. Kazarian, Senior Vice President
33
SEC EDGARJames M. Bolotin, Corporate Controller
34
SEC EDGARDavid M. Dill, Board member
35
SEC EDGARScanlan Agnes Bundy, Board member
36
SEC EDGARAnthony R. Tersigni, Board member
37
SEC EDGARAlbert Rene Zimmerli, Board member
38
SEC EDGARMichael C. Feiner, Board member
39
SEC EDGARAnthony J. Speranzo, Board member
40
SEC EDGARIan Sacks, Board member
41
SEC EDGARJohn B. Henneman Iii., Board member
42
SEC EDGARJoseph R. Impicciche, Board member
43
SEC EDGARNeal Moszkowski, Board member
44
SEC EDGARHealth Alliance Ascension, Board member
45
SEC EDGARJoseph Gerard Flanagan, Board member
46
SEC EDGARAmir Dan Rubin, Board member
47
SEC EDGARArthur A. Klein, Board member
48
SEC EDGARCharles J. Ditkoff, Board member
49
SEC EDGARLawrence B. Leisure, Board member
50
SEC EDGARMichael B. Hammond, Board member
51
SEC EDGARSteven Shulman, Board member
52
SEC EDGARAlex Mandl, Board member
53
SEC EDGARRobert Stanek V., Board member
54
SEC EDGARStanley N. Logan, Board member
55
SEC EDGARArthur H. Spiegel Iii., Board member
56
SEC EDGARDenis Nayden, Board member
57
SEC EDGAREdgar Bronfman Jr., Board member
58
SEC EDGARJ. Michael Cline, Board member
59
SEC EDGARMark A. Wolfson, Board member
60
SEC EDGARSteven N. Kaplan, Board member
61
gleifR1 RCM Holdco Inc. is founded