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Accretive Health (AH) is a leading provider of services that help healthcare providers generate sustainable improvements in their operating margins and healthcare quality while also improving patient, physician and staff satisfaction. Its core service offering helps U.S. healthcare providers to more efficiently manage their revenue cycles, which include patient registration, insurance and benefit verification, medical treatment documentation and coding, bill preparation and collections. Its quality and total cost of care service offering, introduced in 2010, can enable healthcare providers to effectively manage the health of a defined patient population. AH believes this will be an important development in the future delivery of healthcare services in the United States.

AH was founded and built-for-purpose in late 2003 by Michael Cline and Mary Tolan. Mr. Cline, the chairman of AH, is the founding managing partner of Accretive, LLC, a private equity firm, he founded in 1999. Before that, from 1989 to 1999, Mr. Cline served as a general partner of General Atlantic Partners, LLC, a private equity firm.

Ms. Tolan is AH’s current and founding CEO. Before starting AH, she spent 21 years at Accenture Ltd, a leading global management consulting, technology services and outsourcing company. At Accenture, Ms. Tolan served in several leadership roles, including group chief executive for the resources operating group that had approximately $2 billion in annual revenue, and as a member of Accenture’s executive committee and management committee.

Mary Tolan and Michael Cline started AH in 2003 based on the realization that the revenue cycle operations of a typical hospital, physician or other healthcare provider often fail to capture and collect the total amounts contractually owed to it from third-party payors and patients for medical services rendered, leading to significant bad debt write-offs, uncompensated care, payment denials by payors and corresponding administrative write-offs, as well as lost revenue for missed charges. AH added the quality and total cost of care solution in 2010 to help its customers identify the individuals who are most likely to experience an adverse health event and, as a result, incur high healthcare costs in the coming year. This data allows providers to focus greater efforts on managing these patients within and across the delivery system, as well as at home. AH assists its customers in capturing a share of the reductions in healthcare costs by helping them negotiate contracts with third-party payors that provide an equitable sharing of the savings in total medical costs among the payor and provider.

AH’s progress has been impressive. From a raw start-up in late 2003, AH has reached a projected contracted annual revenue run rate (as of June 30, 2011) of over $800 million. Almost all of the growth has been organic. Employees have grown to
almost 2,000 full-time employees (as of December 31, 2010). AH also manages approximately 8,200 revenue cycle staff persons who are employed by customers. As a result of this growth, AH has a market cap of roughly $2 billion (as of October 11, 2011).