What is R1?

Owned by TowerBrook, R1 RCM is an American healthcare revenue cycle management company servicing hospitals, health systems and physician groups across the United States.

What does R1 do?

R1 RCM is a leading provider of technology-enabled revenue cycle management (RCM) services which transform and solve revenue cycle performance challenges across hospitals, health systems and physician groups.

The opportunity

Why TowerBrook invested in the business:

  • Largest, independent, end-to-end revenue cycle provider in the US
  • World-class operating system supported by a fully integrated, proprietary technology platform which is strongly positioned in a large and growing market
  • Ability to pursue strategic M&A opportunities in a fragmented sector

Why we like the investment

“TowerBrook unlocked an unusual and attractive opportunity to invest in R1, via a long-standing relationship with Ascension Health, R1’s largest customer. Since TowerBrook’s investment, R1 has seen strong growth in activity levels with its key US healthcare partners and has made good progress with its M&A plans.” – Patrick Knechtli, abrdn.

Investment Year


Head office

Chicago, Illinois, United States





Risk warning
Risk warning
The value of investments and the income from them can go down as well as up and you may get back less than the amount invested. Please refer to the relevant Key Information Document (KID) prior to making an investment decision. Please be aware of scams that can affect investors.