R1 RCM
R1 RCM is a technology-driven revenue cycle management company that focuses on enhancing financial performance and patient experience for healthcare providers. Founded in 2003 as Accretive Health and rebranded in 2017, R1 RCM is headquartered in Murray, Utah. The company partners with hospitals, health systems, and physician groups to streamline revenue cycle operations, utilizing AI-powered solutions to tackle complex reimbursement challenges. The company offers a range of services, including full revenue cycle management, revenue recovery, revenue optimization, and clinical integrity improvements. R1 RCM also provides regulatory navigation solutions and digital patient engagement services, which include payment platforms and scheduling tools. Their emphasis on automation and AI-driven revenue intelligence helps reduce administrative burdens and improve the overall patient financial experience. R1 RCM has experienced significant growth, particularly after its partnership with Ascension in 2015, which has expanded its capabilities in managing patient revenue.
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Headcount trend
R1 RCM went from 9,929 employees in Jul 2023 to 11,027 in Jun 2025. Last 6 months: 539 people joined, 503 left.
Org structure
Headcount by department
Hiring now
See all jobsSalaries at R1 RCM
All salaries35 salary profiles in the US
Most reported roles
H-1B sponsorship
The department split adds up all the years listed above. FY2026 alone: 11 filings.
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R1 RCM FAQ
How many employees does R1 RCM have?
R1 RCM has about 11,027 employees, up 0.3% over the last 3 months (as of Jun 2025).
Does R1 RCM sponsor H1B visas?
Yes. R1 RCM filed 11 H1B (LCA) applications in FY2026, according to the latest U.S. Department of Labor disclosures. Most of them were for Engineering roles.
What is R1 RCM's revenue per employee?
R1 RCM makes about $204K in revenue per employee, based on $2.25B annual revenue and 11,027 employees.
How much does R1 RCM pay?
6figr has 35 salary profiles for R1 RCM in the US and 12 in India, with pay broken down by role, level, gender and ethnicity on the R1 RCM salaries page. See R1 RCM salaries in the US
Data from Company Prospectus, DOL LCA disclosures, WARN notices and 6figr salary profiles. Updated 21 Oct 2026.