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Quarterly report 2022-Q1
added 05-16-2026

R1 RCM Cash Flow 2021-2008 | RCM

Brief overview of R1 RCM 's cash generation

The comparison covers five available annual reports between 2017 and 2021.

Operating cash flow reached $264.8 million versus $20.9 million initially. Growth of +1,167% at roughly 88.7% CAGR was robust.

Operating cash flow was positive in all five observations, adding repeatability to the cash profile.

Each unit of cumulative profit produced roughly 3.93x of operating cash flow. Earnings quality looks high.

Operating cash margin reached 18% versus 4.6% initially. Revenue converted into cash more effectively.

Conclusion

The indicators point to resilient cash flows at R1 RCM : receipts are repeatable and financial needs appear comfortably covered.

Annual Cash Flow R1 RCM

2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008

Operating Cash Flow

265 M 61.8 M 114 M 18.3 M 20.9 M -86.9 M - - - - 16.4 M 32 M 15.1 M -

Depreciation & Amortization

77.5 M 68.7 M 55.7 M 38.8 M 16.3 M 10.2 M 8.5 M 6.05 M 6.82 M 6.36 M 4.86 M 6.16 M 3.92 M -

Accounts Payables

17.7 M 18.2 M 20.2 M 9.9 M 7.2 M 7.9 M 5.31 M 12.5 M 4.25 M 900 K 1.26 M 30.1 M - -

Accounts Receivables

131 M 91.3 M 52.3 M 42.2 M 8.2 M 4 M 10.2 M 4.44 M 24.6 M 25.9 M 17.1 M 53.9 M - -

All numbers in USD currency

Quarterly Cash Flow R1 RCM

2022-Q4 2022-Q3 2022-Q2 2022-Q1 2021-Q4 2021-Q3 2021-Q2 2021-Q1 2020-Q4 2020-Q3 2020-Q2 2020-Q1 2019-Q4 2019-Q3 2019-Q2 2019-Q1 2018-Q4 2018-Q3 2018-Q2 2018-Q1 2017-Q4 2017-Q3 2017-Q2 2017-Q1 2016-Q4 2016-Q3 2016-Q2 2016-Q1 2015-Q4 2015-Q3 2015-Q2 2015-Q1 2014-Q4 2014-Q3 2014-Q2 2014-Q1 2013-Q4 2013-Q3 2013-Q2 2013-Q1 2012-Q4 2012-Q3 2012-Q2 2012-Q1 2011-Q4 2011-Q3 2011-Q2 2011-Q1

Operating Cash Flow

- - - 30.9 M - 219 M 128 M 46 M - 50.5 M 45.3 M 600 K - 43.3 M 44 M 71.1 M - -6 M -21.1 M -9.9 M - -4.3 M -22.9 M -27.9 M - - - - - - - - - - - - - - - - - 21.8 M 6.16 M 14.5 M - 2.67 M -28.5 M -45.3 M

Depreciation & Amortization

- - - 18.9 M - 56.8 M 35.5 M 17.9 M - 50.9 M 33.6 M 15.7 M - 39.9 M 25.8 M 12.9 M - 27.6 M 13.4 M 4.9 M - 4.5 M 3.8 M 3.2 M - 2.67 M 2.36 M 2.27 M - 2.74 M 2.1 M 1.72 M - 4.28 M 2.88 M 1.4 M - 5.23 M 3.52 M 1.75 M - 8.4 M 5.08 M 2.46 M - 6.28 M 4.11 M 2 M

Accounts Payables

- - - 21 M 17.7 M 22.5 M 21 M 22.8 M 18.2 M 21.8 M 24.2 M 24.8 M 20.2 M 24.7 M 18.4 M 13.5 M 9.9 M 7.8 M 14.6 M 5 M 7.2 M 6.9 M 6.8 M 2.3 M 7.9 M 3.89 M 3.74 M 2.07 M 5.31 M 6.34 M 10.2 M 6.17 M 12.5 M 4.94 M 6.25 M 5.5 M 4.25 M 4.25 M 4.25 M 4.25 M 900 K 43.4 M 35.6 M 23.4 M 1.26 M 26.8 M 30.3 M 15.2 M

Accounts Receivables

- - - 115 M 131 M 114 M 96.8 M 97.6 M 91.3 M 76.7 M 64.3 M 57.6 M 52.3 M 39.6 M 42.7 M 40.8 M 42.2 M 40.2 M 40.9 M 8 M 8.2 M 7.7 M 7.2 M 9 M 4 M 8.9 M 6.58 M 8.91 M 10.2 M 5.14 M 3.38 M 4.53 M 4.44 M 8.54 M 13.5 M 14.3 M 24.6 M 24.6 M 24.6 M 24.6 M 25.9 M 137 M 125 M 111 M 17.1 M 107 M 92 M 94.1 M

All numbers in USD currency

Cash Flow Statement is one of the three key financial reports of the company R1 RCM , reflecting the actual cash inflows and outflows over a certain period. Unlike the income statement, which shows revenues and expenses on an accrual basis, the cash flow statement focuses on real cash flows — how much cash actually came into the company and how much was spent.

Main Sections of the Cash Flow Statement
  • Operating Activities
    This section reflects cash flows related to the company’s core operations: receipts from sales of goods and services, payments to suppliers, employee salaries, taxes, and other operating expenses. Positive cash flow from operating activities indicates the viability of the business and its ability to generate cash.
  • Investing Activities
    Shows cash movements related to the purchase and sale of long-term assets such as real estate, equipment, and investments in other companies. Negative cash flow here often indicates investments in growth, which can be a positive sign.
  • Financing Activities
    Reflects the inflow and outflow of cash related to raising and repaying capital: issuing shares, loans, dividend payments, and loan repayments. This section shows how the company finances its activities and distributes profits.

The cash flow statement is important for investors because it allows them to assess the company’s real liquidity, showing whether it has enough cash to cover current obligations and investments — this is critical for financial stability. Additionally, it helps analyze the quality of earnings, since profits reported in the income statement can be "paper" profits and may not reflect actual cash inflows; the cash flow statement reveals this difference. The presence of free cash is also crucial for evaluating the company’s ability to finance growth and pay dividends, which is important for investors. Attention should also be paid to prolonged negative cash flows from operating activities, as this may serve as a warning sign of potential problems with the core business.

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