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R1 RCM Completes Acquisition of Acclara, Providence’s Modular Services Business

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Rhea-AI Summary
R1 RCM Inc. (NASDAQ: RCM) has entered a 10-year partnership with Providence, a leading health system, to provide comprehensive revenue cycle services. The company also announced the completion of the acquisition of Acclara from Providence and plans to release its fourth-quarter and full-year 2023 financial results and 2024 outlook on February 27, 2024. The acquisition is expected to contribute more than $625 million in revenue and approximately $185 million to Adjusted EBITDA by year five of the partnership. R1 acquired Acclara for $675 million in cash and a warrant to purchase up to 12.2 million shares of R1 stock at a strike price of $10.52.
Positive
  • R1 RCM Inc. has secured a long-term partnership with Providence, a major health system in the U.S.
  • The acquisition of Acclara from Providence is expected to contribute over $625 million in revenue and approximately $185 million to Adjusted EBITDA by year five of the partnership.
  • R1 acquired Acclara for $675 million in cash and a warrant to purchase up to 12.2 million shares of R1 stock at a strike price of $10.52.
Negative
  • None.

The acquisition of Acclara by R1 RCM Inc. and the subsequent partnership with Providence represents a strategic move for R1, potentially positioning the company as a more dominant player in the revenue cycle management (RCM) industry. The financial implications of this transaction are significant, considering the forecasted contribution of over $625 million in revenue and approximately $185 million to Adjusted EBITDA by the fifth year. The use of a combination of new Term B Loans and other financing methods to fund the acquisition indicates confidence in the deal's future revenue generation capabilities. However, the introduction of new debt also increases the company's leverage, which could affect its financial flexibility and risk profile.

Investors and stakeholders should closely monitor the integration process of Acclara into R1's operations, as successful integration is critical for realizing the projected synergies. The issuance of a warrant to purchase R1 stock adds an element of potential future dilution but also aligns interests with the performance of the company's stock. The lock-up period serves as a stabilizing factor for the stock price in the short term. The financial outlook provided on February 27, 2024, will be a pivotal moment for investors to assess the immediate impact of the acquisition and the company's trajectory for the upcoming fiscal year.

The R1 RCM Inc.'s acquisition of Acclara and the partnership with Providence could reshape the competitive landscape of the healthcare RCM sector. By leveraging Acclara's capabilities and Providence's scale as one of the top U.S. integrated delivery networks, R1 could enhance its service offerings and market reach. It's crucial to evaluate the potential for R1 to capture additional market share and the reaction of competitors in this space.

Additionally, the RCM industry is increasingly moving towards technology-driven solutions and R1's emphasis on advanced technology and automation capabilities could cater to the growing demand for efficiency and digitalization in healthcare administration. The long-term nature of the partnership with Providence underscores a trend towards sustained, strategic collaborations in the healthcare sector, aimed at improving operational efficiencies and patient experiences. This move could set a precedent for similar deals in the industry, prompting other players to seek strategic partnerships or acquisitions to bolster their market positions.

The transaction between R1 and Acclara involves complex legal structuring, as evidenced by the involvement of multiple legal advisors. The terms of the securities purchase agreement, including the cash payment and warrant issuance, reflect a multifaceted approach to deal-making in the healthcare technology sector. Legal considerations, such as compliance with healthcare regulations and the transfer of contracts and intellectual property, will be crucial for the seamless execution of this acquisition.

From a legal standpoint, stakeholders should be aware of the potential regulatory hurdles that could arise with such transactions. The healthcare industry is subject to stringent regulations and any missteps in adhering to these could result in significant liabilities. The role of legal counsel is to ensure that all aspects of the deal, including financing, are executed in compliance with applicable laws and that the interests of both R1 and its shareholders are adequately protected.

Company Enters 10-Year Agreement to Provide Comprehensive Revenue Cycle Management Services to Providence

Company to Release Fourth Quarter and Full Year 2023 Financial Results and 2024 Financial Outlook on February 27, 2024

MURRAY, Utah, Jan. 17, 2024 (GLOBE NEWSWIRE) -- R1 RCM Inc. (NASDAQ: RCM) (“R1”), a leading provider of technology-driven solutions that transform the patient experience and financial performance of healthcare providers, today announced that it has completed its previously announced acquisition of Acclara from Providence, one of the nation's largest health systems. In addition, the Company announced that it expects to release financial results for the fourth quarter and full year ended December 31, 2023, and its 2024 outlook and will host a conference call at 8:00 a.m. ET on Tuesday, February 27, 2024, to discuss the results and business outlook.

Upon closing, R1 begins its 10-year partnership with Providence for comprehensive revenue cycle services that leverage the breadth of integrated technology and services capabilities of both R1 and Acclara. Providence is among the top 10 U.S. integrated delivery networks (IDNs), recognized for leadership in developing innovative delivery models and a commitment to technology.

“We are pleased to complete the acquisition of Acclara and enter into our long-term partnership with Providence, and we look forward to the significant value we believe this transaction will create for customers and shareholders. Acclara strengthens our position as the trusted partner of choice in revenue cycle management and extends our ability to deploy advanced technology solutions and drive execution to improve customer and patient outcomes,” said Lee Rivas, chief executive officer of R1. “We warmly welcome the Acclara team to R1 and look forward to new growth opportunities together and to leveraging our technology and automation capabilities across our expanded portfolio.”

R1 expects the acquisition of Acclara, together with the new partnership with Providence, to contribute more than $625 million in revenue and approximately $185 million to Adjusted EBITDA by year five of the partnership, not including potential revenue synergies.

Transaction Details
Under the terms of the securities purchase agreement governing the terms of the acquisition, R1 acquired Acclara for $675 million in cash and a warrant to purchase up to 12.2 million shares of R1 stock at a strike price of $10.52, subject to a three-year lock-up. R1 financed the cash consideration of the transaction and associated fees and expenses with $575 million in new Term B Loans, and the remainder with borrowings under R1’s existing revolver and cash on hand.

Conference Call
To participate in the conference call on February 27, 2024, please dial 888-330-2022 (646-960-0690 outside the U.S. and Canada) using conference code number 5681952. A live webcast and replay of the call will be available at the Investor Relations section of the Company’s website at ir.r1rcm.com.

Advisors
Centerview Partners LLC and J.P. Morgan acted as financial advisors to R1, and Perkins Coie LLP, Kirkland & Ellis LLP, and Baker Donelson acted as legal counsel. BDT & MSD Partners acted as financial advisor to Providence, and McDermott Will & Emery and ArentFox Schiff LLP acted as legal counsel.

About R1 RCM
R1 is a leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems, and medical groups. R1’s proven and scalable operating models seamlessly complement a healthcare organization’s infrastructure, quickly driving sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient experience. To learn more, visit: r1rcm.com.

Forward-Looking Statements

This press release contains “forward-looking statements” made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. Forward-looking statements generally relate to future events and relationships, plans, future growth and future performance, including, but not limited to, statements about the completion and effects of the acquisition of Acclara and related transactions, including the Company’s 10-year relationship with Providence, the timing of the release of the Company’s financial results, the Company’s strategic initiatives, the Company’s capital plans, the Company’s costs, the Company’s ability to successfully implement new technologies, the Company’s future financial and operational performance and the Company’s liquidity. These statements are often identified by the use of words such as “anticipate,” “believe,” “contemplate,” “designed,” “estimate,” “expect,” “forecast,” “goal,” “intend,” “may,” “outlook,” “plan,” “predict,” “project,” “see,” “seek,” “should,” “target,” “would” and similar expressions or variations or negatives of these words, although not all forward-looking statements contain these identifying words. These statements are based on various assumptions, whether or not identified in this press release, and on the current expectations of the Company’s management and are not predictions of actual performance. These forward-looking statements are provided for illustrative purposes only and are not intended to serve as, and must not be relied on by any investor as, a guarantee, assurance, prediction or definitive statement of fact or probability. Actual outcomes and results may differ materially from those contemplated by these forward-looking statements as a result of uncertainties, risks and changes in circumstances, including but not limited to risks and uncertainties related to the Company’s ability to timely and successfully achieve the anticipated benefits and potential synergies of the acquisition of Acclara and related transactions, including the Company’s 10-year relationship with Providence, and the impact of the restatements of the financial statements for non-reliance periods on the price of the Company’s common stock, reputation and relationships with investors, suppliers, customers, employees and other parties. Additional risks and uncertainties that could cause actual outcomes and results to differ materially from those contemplated by the forward-looking statements are included under the heading “Risk Factors” in the Company’s Amendment No. 1 to Annual Report on Form 10-K/A for the year ended December 31, 2022, quarterly reports on Form 10-Q and any other periodic reports that the Company may file with the Securities and Exchange Commission. The foregoing list of factors is not exhaustive. All forward-looking statements included herein are expressly qualified in their entirety by these cautionary statements as of the date hereof and involve many risks and uncertainties that could cause actual results to differ materially from those expressed or implied in the forward-looking statements. Subsequent events and developments, including actual results or changes in the Company’s assumptions, may cause the Company’s views to change. The Company assumes no obligation and does not intend to update these forward-looking statements, except as required by law. You are cautioned not to place undue reliance on such forward-looking statements.

Contacts

R1 RCM Inc.

Investor Relations:
Evan Smith, CFA
(516) 743-5184
investorrelations@r1rcm.com

Media Relations:
Yancey Casey
Amendola Communications
(678) 895-9401
ycasey@acmarketingpr.com


FAQ

What is the ticker symbol for R1 RCM Inc.?

The ticker symbol for R1 RCM Inc. is RCM.

When will R1 RCM Inc. release its fourth-quarter and full-year 2023 financial results and 2024 outlook?

R1 RCM Inc. will release its fourth-quarter and full-year 2023 financial results and 2024 outlook on February 27, 2024.

How much did R1 RCM Inc. acquire Acclara for?

R1 RCM Inc. acquired Acclara for $675 million in cash and a warrant to purchase up to 12.2 million shares of R1 stock at a strike price of $10.52.

R1 RCM Inc.

NASDAQ:RCM

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5.25B
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Health Information Services
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MURRAY

About RCM

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