R1 RCM Holdco Inc. builds enterprise-grade AI and automation technology to address a fundamental inefficiency in American healthcare: the administrative machinery that delays payment and destroys value. The company operates at scale, partnering with 95 of the top 100 US health systems and automating over 200 million tasks annually across the revenue cycle.
The core product, Phare, is positioned as healthcare's first Revenue Operating System, employing agentic AI to enable real-time adjudication and align payer-provider incentives. Rather than optimizing a broken process, the system targets the structural friction that slows payment cycles and inflates administrative costs. Measurable outcomes include 5–7% yield improvements, 50% reductions in cost to collect, and over $6 billion in annual revenue recovery across its partner network.
Underpinning this work is R37, a dedicated AI research lab focused on advancing comprehensive automation across the healthcare revenue cycle. The company emphasises operator-led expertise, drawing on 20 years of domain experience, and frames its mission around making healthcare work more efficiently - a practical ambition in an industry where $500 billion annually is lost to administrative waste and preventable denials.
